Position Statement on RN Prescribing
Q: What is Designated RN Prescribing?
Designated RN Prescribing (RN Prescribing) is an emerging national model that enables eligible Registered Nurses to prescribe a limited range of medicines within a defined scope and under specific regulatory and clinical governance arrangements.
The model is supported by the Nursing and Midwifery Board of Australia (NMBA) and the Commonwealth Department of Health, Disability and Ageing as part of Australia’s nursing workforce reform agenda.
RN Prescribing does not replace or replicate the Nurse Practitioner (NP) role.
NMBA information on RN Designated Prescribers
Q: Is RN Prescribing currently available in Australia?
In part — Designated RN Prescribing (RN Prescribers) is moving towards a staged national implementation. RN Prescribing was enabled through national regulation through the NMBA. It is anticipated that RN Prescribers from some international jurisdictions, as well as RIPERN nurses, will immediately be able to seek endorsement through the NMBA. However, domestic education programs for RN Prescribers will begin in 2026.
Importantly, the Designated RN Prescriber endorsement does not authorise you to practise in your jurisdiction.
Availability varies depending on:
State and territory legislation
Employer clinical governance frameworks
Local service models
Commonwealth funding of PBS-subsidised medicines
At this time no jurisdictions have legislation that enables Designated RN Prescribing. You should check with your employer and jurisdictional regulator to confirm whether RN Prescribing will be enabled in your setting. There are national competencies that all prescribers must demonstrate:
National Prescribing Competencies Framework
Q: What medicines can RNs prescribe?
The medicines RN Prescribers can prescribe are:
Limited, targeted to defined clinical conditions
Include S2-S8 medicines within a defined prescribing agreement
Determined by state/territory legislation
Governed by local clinical protocols
Usually low-risk and commonly used medicines
RN Prescribers do not have the same prescribing range as Nurse Practitioners.
Q: How is RN Prescribing different from NP Prescribing?
| RN Prescriber | Nurse Practitioner |
|---|
| Prescribes from an approved and limited formulary (state/territory/employer dependent) | Can prescribe any medicine within their individual scope of practice (state/territory/employer dependent) |
| Works under specific clinical governance arrangements, including a written collaborative prescribing agreement with a nurse practitioner or medical practitioner | Practises independently at an advanced clinical level, trained in differential diagnoses, may request and interpret diagnostic examinations (including pathology and radiology), and independently refer to medical and allied health specialists |
| Must hold Designated RN Prescriber endorsement from the NMBA | Must hold Nurse Practitioner endorsement from the NMBA |
Requires:
| Requires:
5000 hours advanced practice nursing experience Completion of a postgraduate certificate or diploma in a clinically-relevant area of practice Completion of a Master of Nurse Practitioner education program (or equivalent)
|
Both are important contributors to Australia’s advanced nursing workforce, but the levels of practice are distinct.
Q: How do I become an RN Prescriber?
Eligibility generally includes:
Current registration as an RN with NMBA
5000 post-registration hours of clinical experience in a specified area or practice within the last six years
Completion of an approved RN Prescribing education program
Working within an employer-endorsed clinical governance model
Access to supervision or mentorship as required by local policy
Because RN Prescribing is jurisdiction-dependent, you must confirm requirements with:
Q: Does RN Prescribing allow me to practise as an NP?
No.
RN Prescribing does not change your registration type or expand your scope to that of a Nurse Practitioner.
Nurse Practitioner is a protected title under the Health Practitioner Regulation National Law, requiring:
NMBA-endorsed qualifications
Evidence of advanced practice
A Master of Nurse Practitioner (or equivalent)
NP endorsement
RN Prescribing does not create a pathway to NP endorsement on its own. However, it is anticipated it will create a pathway towards NP endorsement when considering the broader construct of advanced clinical practice.
Q: What clinical governance arrangements are required?
Clinical governance arrangements must ensure:
Safe prescribing practice
Access to supervision or consultation
Protocols for prescribing within defined conditions
Clear documentation requirements, including a written prescribing arrangement with a nurse practitioner or medical practitioner
Alignment with local formulary or standing orders
Q: Does RN Prescribing exist in every state and territory?
Implementation varies. Each jurisdiction determines:
What medicines RNs may prescribe
Where they can prescribe (e.g., public services, community health)
Whether private sector prescribing is supported
How protocols are authorised
For current updates, refer to the NMBA and/or your respective State/Territory Health Department.
Q: Can ACNP provide advice about whether I’m eligible?
ACNP can offer general information, but cannot:
Eligibility and implementation decisions rest with:
This information is current as of 20 November 2025. The ACNP is not able to provide any additional information at this time. This FAQ will be updated as more information from the Commonwealth and the Jurisidictions becomes available.