Healthcare Jobs in South Carolina

South Carolina's board never signs off on it. The agreement is written by the nurse and the physician or medical staff, reviewed at least annually, dated and signed by both, and made available to the board within 72 hours of a request. Failing to produce it counts as misconduct. The board also runs a random audit of practice agreements at least every 2 years, and a nurse practitioner, nurse-midwife or clinical nurse specialist who changes practice setting or physician has 15 business days to notify the board and verify a new agreement.

Prescriptive authority comes separately, with its own paperwork and its own number, and the route is written for the same 3 credentials the practice agreement covers. A CRNA is expressly not required to hold it to deliver anesthesia care. The applicant files, pays the fee and shows 45 contact hours of pharmacotherapeutics within the 2 years before applying, 15 of them in controlled substances for anyone starting on Schedules II through V, or 20 hours where prescriptive authority in another state is already held. South Carolina's board then issues an identification number, and the authority runs 2 years. Every schedule has to be listed in the practice agreement before it can be written at all, and the day counts sit on top of that: 30 days for a Schedule II nonnarcotic, 5 for a Schedule II narcotic, and 30 for patients in hospice or palliative care or in long-term care facilities.

South Carolina's nursing law says unlicensed assistive personnel must not administer medications except as otherwise provided by law, and the exception is narrow. In 4 settings, intermediate care facilities for persons with intellectual disability, community residential care facilities, nursing homes and correctional facilities, selected unlicensed people with documented training and a skill competency evaluation may provide oral and topical medications, regularly scheduled insulin, and prescribed anaphylactic treatments under established medical protocol. Sliding scale insulin and other injectables stay out. For nursing homes the statute orders a Medication Technician Certification Program and registry, which the state's Medicaid agency announced under a different name, the Medication Assistant Training Program: 100 hours of training, 60 didactic and 40 as a supervised clinical practicum in a licensed nursing home, then a skills evaluation and the MACE. The agency said it would begin taking applications from training organizations on January 1, 2026. Our South Carolina medication aide page is the listing side of that credential.