I am a licensed RN in two states and am also a student in a counseling psychology program. I am opening a private practice in coaching and counseling in one state. In the state where I practice, I am a registered psychotherapist, which means I am registered with the state as an unlicensed psychotherapist and am legally able to conduct psychotherapy.
I will use my nursing skills as I will be initially focusing on people with multiple sclerosis, which is an area I have been involved in for many years.
I am getting a malpractice insurance policy under my RN as it is the highest degree and adding registered psychotherapist as an additional occupation. I will follow the ethical standards of nursing and psychotherapy in my practice. I also will be supervised by a PhD-licensed clinical psychologist.
Do you see any major issues with my practicing in this manner?
Your idea of combining your professional skills and education sounds interesting. However, to ensure it is consistent with your state’s various statutes that would govern the practice, including the nurse practice act, you need to consult with a nurse attorney or other attorney in your state who can provide you with the specific information you need to begin your private practice. One issue to explore is if the supervision by the PhD-licensed clinical psychologist is acceptable under the state nurse practice act when performing nursing skills for your MS patients.
Insofar as your professional liability insurance policy goes, you should also contact your insurance agent and explain what you are envisioning and if the current policy will cover you. You may need to have a new liability policy underwritten specifically for this new practice.
When you combine professional practices, you are required, as you indicated, to follow the legal and ethical obligations of both of those professions. Sometimes doing so can be tricky, so you will need to constantly review the statutes and ethical cannons of both practices and obtain any needed consultations to ensure compliance with both.