Protocol · RN · Wyoming

Practice Protocol for Registered Nurses in Wyoming

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

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

RNs (general licensure, not an APRN) are not subject to physician-supervision or collaborative-agreement requirements in Wyoming; general RN practice under the Nurse Practice Act is defined without a physician-oversight condition.

What a voluntary Registered Nurse protocol covers in Wyoming

Wyoming requires no written protocol for registered nurses. These are the clauses a practice includes when it chooses to put one in writing. The Wyoming State 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 Wyo. Stat. Ann. § 33-21-120 et seq. Wyoming 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 1 registration clauses, authored in the document itself.

What Wyoming 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

RNs do not have independent prescriptive authority in Wyoming; they administer medications only as ordered by an authorized prescriber.

Written agreement

Not required

Unconditional — general RN licensure is never subject to physician supervision or a collaborative agreement, unlike the APRN/PA categories above.

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — General RN licensure does not require a professional corporation under W.S. § 17-3-101 — non-clinical businesses an RN might own (staffing agency, home health agency) fall under general corporation/LLC law and carry no ownership restriction.

For medical-aesthetics (med-spa) businesses performing delegated medical procedures, RN ownership of the business entity does not remove the need for physician delegation and oversight of the procedures themselves.

Sources for the supervision rules (1)

About Wyoming's rules

Wyoming is a full-independence state for ALL FOUR APRN roles (NP, CRNA, CNM, CNS) under the APRN Consensus Model — no supervision/collaboration agreement required. PAs are separate: permanent physician supervision under W.S. 33-26, capped at 3 PAs per physician absent Board-approved good cause (W.S. 33-26-504) — one of the few explicit numeric PA ratio caps on file.

Other clinicians in Wyoming: see the state overview.