Can a nurse practitioner treat without a supervising physician in Hawaii?

The rest of what Hawaii says on this

Every other rule we have verified under rn / np scope for injectables, each linked to its primary source.

• 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 registered nurse means the full scope of nursing, regardless of compensation or personal profit, that incorporates caring for all clients in all settings and is guided by the scope of practice authorized by this chapter, the rules of the board, and nursing standards established or recognized by the board including but not limited to:

  Haw. Rev. Stat. § 457-2.5 · 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

• Only qualified advanced practice registered nurses authorized to diagnose, prescribe, and institute therapy or referrals of patients to health care agencies, health care providers, and community resources and, only as appropriate to the practice specialty in which the advanced practice registered nurse is qualified, may: (1) Prescribe and administer over the counter drugs, legend drugs, and controlled substances pursuant to this chapter and to chapter 329 and request, receive, and dispense manufacturers' prepackaged samples of over the counter drugs, and non-controlled legend drugs to patients under their care; provided that an advanced practice registered nurse shall not request, receive, or sign for professional controlled substance samples;

  Haw. Rev. Stat. § 457-8.6(c)(1) · verified Sep 8, 2026

• Only a person who has a current, unencumbered license from the board to practice as an advanced practice registered nurse shall use the title "Advanced Practice Registered Nurse" and the abbreviation "A.P.R.N.".

  Haw. Rev. Stat. § 457-8.5(d) · verified Sep 8, 2026

• When supervising a physician assistant with less than one year of practice experience as a licensed physician assistant, the supervising physician, osteopathic physician, or group of physicians shall: (i) For the first six months of supervision, review fifty per cent of the medical records within thirty days of the patient visit; (ii) For the next six months of supervision, review twenty-five per cent of the medical records within thirty days of the patient visit; and

  Haw. Rev. Stat. § 453-5.3(g)(2)(A)(i)-(ii) · verified Sep 8, 2026

• When supervising a physician assistant with more than one year of practice experience as a licensed physician assistant, the supervising physician, osteopathic physician, or group of physicians shall: (i) Establish a process for the regular review of a sample of medical records of patients seen by the physician assistant, including a sample of controlled substance records, if available; and (ii) For at least thirty minutes each month, perform an audit and review of the medical records; and

  Haw. Rev. Stat. § 453-5.3(g)(2)(B) · verified Sep 8, 2026

How other states answer this

• Alabama
• Alaska
• Arizona
• Arkansas
• California
• Colorado
• Connecticut
• Delaware
• District of Columbia
• Florida
• Georgia
• Idaho
• Illinois
• Indiana
• Iowa
• Kansas
• Kentucky
• Louisiana
• Maine
• Maryland
• Massachusetts
• Michigan
• Minnesota
• Mississippi
• Missouri
• Montana
• Nebraska
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• New York
• North Carolina
• North Dakota
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Vermont
• Virginia
• Washington
• West Virginia
• Wisconsin
• Wyoming

Related Hawaii questions

• Can a registered nurse inject Botox or filler in Hawaii?
• Can a physician assistant inject or prescribe in Hawaii?