Protocol · RN · Alaska

Practice Protocol for Registered Nurses in Alaska

Registered Nurses practice independently in Alaska. A practice protocol is voluntary; here is what one covers and what the state does require.

Practice authorityIndependent practice
Written agreementNo agreement required
What Alaska calls itNo instrument required
Licensing boardAlaska Board of Nursing
Research date2026-09-03 · clauses 2026-09-03

General RN licensure (AS 08.68, base sections distinct from the APRN definitions) carries no physician-supervision or collaborative-agreement requirement — RN practice is inherently order-driven/facility-based nursing practice, not an independent-medical-practice category subject to this framework.

What a voluntary Registered Nurse protocol covers in Alaska

Alaska requires no written protocol for registered nurses. These are the clauses a practice includes when it chooses to put one in writing. The Alaska Board of Nursing governs registered nurses here.

  1. The Registered Nurse ("RN") shall practice under the orders, standing orders, or delegation of the Physician, consistent with AS 08.68. Alaska law does not require a collaboration agreement for this Registered Nurse's general scope of practice; the Physician shall instead be available to the Registered Nurse for consultation regarding clinical and patient care issues arising under any order or delegation.

  2. A voluntary protocol also carries 2 scope, 1 education and 2 registration clauses, authored in the document itself.

What Alaska does require

The supervision and prescribing rules that apply to registered nurses regardless of any protocol.

Proximity

Not codified

Supervision ratio

Not codified — no cap on file

Chart review

Not codified

Meeting cadence

Not codified

Prescriptive authority

No agreement needed to prescribe · no controlled-substance authority

Base RN licensure carries no prescriptive authority in Alaska.

Written agreement

Not required

Unconditional — general RN licensure is never subject to a physician-supervision or collaborative-agreement requirement.

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — RN licensure carries no entity-ownership framework of its own; RNs are typically employees rather than practice-entity owners in the CPOM sense.

Sources for the supervision rules (1)
  • AS 08.68 — Nursing (base RN licensure sections)

About Alaska's rules

All four APRN roles (NP, CRNA, CNM, CNS) share one statutory framework (AS 08.68.850, 12 AAC 44) with FULL independent practice and no collaborative agreement. PA law is mid-transition: SB 89 would add a 4,000-hour conditional pathway effective ~Sept. 16, 2026, but its enrolled text couldn't be verified — current codified law (below) still requires a standing collaborative plan with no experience-based exit.

Other clinicians in Alaska: see the state overview.