Abstract: There has been much discussion and debate in the Western world, regarding the idea that some nurses, who are practising in certain contexts, should be recognised as nurse practitioners. The nursing profession and the New South Wales Department of Health have officially been involved in the debate since 1990. They have undertaken a two stage process in ascertaining the current status of the nurse practitioner in New South Wales and Australia. A recommendation from the 2nd Stage of the process was that a number of pilot projects be funded by the Department to look at the role of the nurse practitioner in New South Wales in three contexts: Area/District Health Services, General Practice Services and Remote Area Services. The implementation of these projects constitutes Stage 3 of the Project and is being jointly funded by the New South Wales and Commonwealth Health Departments. This paper describes one of these projects that has been operational since 1 September 1994. The Nurse Practitioner Pilot Project, Wilcannia will be continuing for 12 months. This paper outlines the steps taken to analyse the work undertaken by nurses working in one of New South Wales' remote hospital emergency locations. The expected outcomes will be acknowledgment, recognition, and appropriate policy and legislative change that will validate the role of nurse practitioners working in rural/remote Australia.