Can a nurse practitioner treat without a supervising physician in Hawaii?
Who treats · part of The Practice Perimeter
Short answer
The cited rules do not settle this — they define the APRN scope as advanced assessment, diagnosis, prescribing and administering therapeutics within the board-approved category and specialty certification, but say nothing about physician supervision.
Practice as an advanced practice registered nurse means the scope of nursing in a category approved by the board, regardless of compensation or personal profit, and includes the registered nurse scope of practice. The scope of an advanced practice registered nurse includes but is not limited to advanced assessment; telehealth; and the diagnosis, prescription, selection, and administration of therapeutic measures including over the counter drugs, legend drugs, and controlled substances within the advanced practice registered nurse's role and specialty-appropriate education and certification. (b) The advanced practice registered nurse's scope of practice supersedes the registered nurse's scope of practice.
Haw. Rev. Stat. § 457-2.7(a)-(b) · verified Sep 8, 2026 · regulatory monitoring, not legal advice
Related Hawaii rules
use of reasonable judgment in carrying out prescribed medical orders of a licensed dentist, physician, osteopathic physician, or podiatrist licensed in accordance with chapter 448, 453, or 463E; orders of an advanced practice registered nurse licensed in accordance with this chapter; or the orders of a physician assistant licensed pursuant to chapter 453, practicing with physician supervision as required by chapter 453, and acting as the agent of the supervising physician
Haw. Rev. Stat. § 457-2 ("The practice of nursing as a registered nurse") · verified Sep 8, 2026
Practice as a licensed practical nurse means the directed scope of nursing practice, regardless of compensation or personal profit, that takes place under the direction of a registered nurse, advanced practice registered nurse, licensed physician, or other health care provider authorized by the State,
Haw. Rev. Stat. § 457-2.6 · verified Sep 8, 2026
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Related Hawaii questions
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