There are a wide range of advanced practice nursing roles that contribute to the care of patients with neurological disease. In the US, advanced practice nurses serve in educational and clinical roles but practice athority varies by state. For instance, some advanced practice nurses can prescribe medicines independently (make the decision to administer tPA for stroke) while others work in a supportive collaborative role with physicians. Performing procedures such as placement of arterial lines and central lines in neurocritical care can vary within the same city by hospital approval. Does your country have advanced practice roles and how do they contribute to the care of neurological patients?