Contact the Board of Nursing at 804-367-4515 or check their website at dhp.virginia.gov/, A. Infection Prevention. Provider orders for life-sustaining treatment (POLST) are medical orders that outline emergency interventions for a patient. If you already have a Nurse Practitioner license and you wish to add additional specialties, you will need to contact the Board of Nursing at nursebd@dhp.virginia to request a paper application for Licensure as a Licensed Nurse Practitioner be emailed or mailed to you. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. DHP Home > Boards > Nursing > Applicant Resources > Apply for License > Nurse Practitioner. In many states, the laws that establish nurse practitioner (NP) roles are in flux. This guide defines a nurse practitioner's scope of practice, explains the three levels of practice authority, and lists states by practice authority. There are some alternatives depending on when someone was initially licensed. Virginia allows for the practice of teledentistry. Optometrists may only perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye. Va. Code 54.1-2957, Nurse practitioners may prescribe Schedule II-VI controlled substances without a collaborative agreement if certain conditions are met. The links to the right lead to maps showing a comparison of all states and territories for the following policy areas: 1) Practice authority. PMID: 31348141 DOI: 10.1097/JXX.0000000000000268 NPs with prescriptive authority may prescribe within the scope of a written practice agreement. In November 2022, California's nurse practitioner association, As of July 1, 2020, under HB 607, advanced practice registered nurses in Florida who have completed 3,000 hours under the supervision of an MD or a DO in the last five years can. 5 Min Read. 2020 Feb;45(2):33-37. doi: 10.1097/01.NPR.0000651120.61281.12. Establishing/Maintaining Education Programs, Virginia Department of Health Professions. Adult Immunization schedules can be found here: cdc.gov/vaccines/schedules and Cancer screening schedules can be downloaded HERE. Recent graduates, professionals licensed outside of Virginia, and those wanting to reinstate licenses. Other states limit certain NP functions, such as prescribing medications. Prescriptive authority is site specific. This piece was developed in collaboration with one or more of our writers. Nurse practitioner scopes of practice vary widely. Our contributing writers leverage diverse educational and professional backgrounds to create content for NurseJournal. Your email address will not be published. Nurse practitioners are licensed providers who may practice autonomously and/or in coordination with health care professionals and other individuals. If you would like the Board to consider amending one of its regulations or rules, you may file a "petition for rule-making". Establishing/Maintaining Education Programs, VDH COVID-19 Vaccine information for health professionals, Resources: Nursing and Nursing Education resources to utilize while navigating the COVID-19 pandemic, test delivery information pertaining to COVID-19, Virginia Department of Health Professions. The title Licensed Nurse Practitioner (LNP) is used for NPs, Certified Nurse Midwives and Certified Registered Nurse Anesthetists. Health Professionals who are licensed in Virginia can renew their licenses online. Continuing Competency Requirements. WebGI Nurses and Associates Week. Mobile users can use this dropdown of states if the map is too small. Safe, competent nursing practice is grounded in the law States are examining allowing advanced practice registered nurses to have authority to sign POLST form to ensure people in rural and underserved areas have access to these orders. Nurse practitioners in Virginia are allowed to prescribe Schedule II to VI medications. The Virginia Board of Nursing requires that NPs must complete eight hours of continuing education in pharmacology or pharmacotherapeutics every other year to maintain prescriptive authority. An NP who is prescribing while supervised by a physician may be able to receive a federal waiver with proper training or experience and as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Whether youre looking to get your pre-licensure degree or taking the next step in your career, the education you need could be more affordable than you think. The Board also approves and regulates in-state education programs for Nurses (RN and LPN), Nurse Aides, and Medication Aides. Forgot Login Info. Regulations Governing the Practice of Nursing - Revised 11-10-2021; Regulations This list provides the latest nurse practitioner scope of practice by state or territory. NLC is offering a series of topic-specific webinars geared toward helping you get the additional information and education you seek. Certification. Va. Code 54.1-3500, As of August 2018, 71 NPs in Virginia have received a federal waiver to treat opioid dependency with buprenorphine-containing products. NurseJournal.org is an advertising-supported site. NPs engage in the practice of medicine in collaboration with a licensed physician as outlined in their practice agreement. Review state laws and regulations that apply to health professionals. Scope of practice Select a jurisdiction from the drop-down list below to obtain a specific jurisdictions nurse practice act and rules. modify the keyword list to augment your search. They provide primary WebA nurse practitioner who does not meet the requirements for practice without a written or electronic practice agreement set forth in subsection I of 54.1-2957 shall prescribe First, contact the Virginia State Board of Nursing at 804-367-4515. Are you ready to earn your online nursing degree? We also regulate Prescriptive Authority for Nurse Practitioners. WebFind Your Nurse Practice Act The states duty to protect those who receive nursing care is the basis for a nursing license. Practice as a nurse practitioner for no less than 1000 hours and 15 continuing education units related to the area of practice for each of the two years immediately prior to submission of the application, or thirty contact hours of education in pharmacology or phamacotherapeutics acceptable to the boards taken with five years prior to submission of application. Va. Code 54.1-3201, Optometrists may prescribe Schedule III-V controlled substances and Schedule II controlled substances containing hydrocodone combinations. Virginias Nurse Practitioner Supervision Laws. Training Room 1, Mon, Mar 20, 2023 9:00 AM Contact the Virginia Board of Nursing at 804-367-4515, A. Lets take a look at the scope of practice for nurse practitioners in Virginia. WebFirst, contact the Virginia State Board of Nursing at 804-367-4515. 2023 NurseJournal.org, a Red Ventures Company. advocacy , full-practice authority , legislation , policy stream model , scope of practice , transition to practice pathway. Informal Conferences - Agency Subordinate WebA Virginia nurse practitioner who holds current certification can be granted prescriptive authority. 3) Nurse practitioners identified as primary care providers. Establishing/Maintaining Education Programs, Excerpts from Medical Practice Act Relating to Nurse Practitioners, Regulations Governing the Practice of Nursing, Regulations Governing the Licensure of Nurse Practitioners, Regulations for Prescriptive Authority for Licensed Nurse Practitioners, Regulations Governing the Licensure of Massage Therapists, Regulations Governing Certified Nurse Aides, Regulations Governing the Registration of Medication Aides, Regulations for Nursing Education Programs, Regulations for Training Programs for Medication Administration by Unlicensed Persons and Immunization Protocol, Regulations for Nurse Aide Education Programs, Regulations Governing Delegation to an Agency Subordinate, Virginia Department of Health Professions. This application is a PDF form that will need to be printed, filled out and sent to: Virginia Board of NursingPerimeter Center 9960 Mayland Drive, Suite 300 Henrico, Virginia 23233-1463, Note: Virginia participates in the Enhanced Nurse Licensure Compact (eNLC), which allows nurses living in compact states to practice in all other compact states with a single multi-state license. In 2012, laws passed in Virginia attempted to revolutionize the nurse practitioner-physician relationship redefining its role. WebNurse practitioners are licensed providers who may practice autonomously and/or in coordination with health care professionals and other individuals. All of the Board's proposed regulations can be found on the Townhall website. For more information, please refer to our Privacy Policy. PLEASE NOTE: Chapter 20, Regulations of the Board of Nursing, has been replaced by two new chapters: Chapter 19, Regulations Governing the Practice of Nursing and Chapter 27, Regulations Governing Nursing Education Programs. A copy of the petition form is provided. WebSignature recognition refers to state laws that authorize nurse practitioners (NPs) to sign or otherwise complete forms related to patient care within their scope of practice. Tue, Mar 7, 2023 9:00 AM Copies may also be downloaded by clicking on the links below or from the Regulatory Townhall at townhall.virginia.gov or requested by email at nursebd@dhp.virginia.gov. WebWho is responsible for determining the scope of practice for registered nurses? The standards and requirements for certification of a peer recovery specialists are administered through a collaborative effort between the state and a third-party, non-profit certification provider. To view the PDF files below you'll need the free Adobe Acrobat Reader, 90-2 Transmittal of Orders by Authorized Agents, effective April 3, 2019, 90-9 Guidelines for Prescription Drug Administration Training Program for Child Day Programs, Reaffirmed September 17, 2019, 90-16 Evaluation form for adult immunization protocols, developed by staff, August 1996, revisedDecember 2020, 90-31 Whether a Nurse May Administer a Medication That Has Been Transmitted Orally Or In Writing By a Pharmacist Acting as the Prescribers Agent, effective April 3, 2019, 90-36 Guidelines for the training of public school employees in the administration of insulin and glucagon, effective December 10, 2020, 90-46 Administration of over-the counter drugs by certified nurse aides, reaffirmed November 13, 2018, 90-62 Medication administration training curriculum,effective November 10, 2022, 110-18 Interpretation of "administer" to include preparation for administration, reaffirmed December 9, 2019, 90-1 Policy statement on Registered Nurses or Licensed Practical Nurses as first assistants in surgery, revised November 13, 2018, 90-5Guidance on practice of conversion therapy, effective December 10, 2020, 90-4 Opinion on how licensure as a nurse relates to service on a volunteer rescue squad, effective July 8, 2021, 90-6 Guidance statement by board regarding peripherally inserted central catheters, reaffirmed November 16, 2021, 90-15 Insertion of Prostaglandin E2 Gel by Registered Nurses, revised by Board motion, reaffirmed November 13, 2018, 90-17 Opinion of cutting of corns and warts with a scalpel by Licensed RN/LPN, reaffirmed November 13, 2018, 90-19 Board interpretative statement on bolusing epidural anesthesia by Registered Nurses, reaffirmed December 2, 2020, 90-23 Decision-making Model for Determining RN/LPN Scope of Practice, reaffirmed November 13, 2018, 90-40 Surveillance Activities Required by the OSHA Respiratory Standards, reaffirmed November 13, 2018, 90-41 Board motion adopting article on patient abandonment by Dr. Shelley Conroy in the Spring 2001 Nursing Notes,effective May 16, 2019, 90-43 Board opinion on attachment of scalp leads for internal fetal monitoring, adopted October 22, 1983, revised by Board motion on November 18, 2003, reaffirmed November 19, 2019, 90-52 Board opinion on delegation of the removal of venous and arterial sheaths to unlicensed personnel,effective May 16, 2019, 90-63 Registered nurses and procedural sedation, effective July 8, 2021, 90-10 Guidelines for Processing Applications for Licensure: Examination, Endorsement and Reinstatement,effective July 7, 2022, 90-42 Reinstatement following Mandatory Suspension, reaffirmed November 13, 2018, 90-55 Joint statement of the Department of Health and the Department of Health Professions on Impact of Criminal Convictions on Nursing Licensure or Certification and Employment in Virginia, effective February 4, 2021, 90-59 Impact of Criminal Convictions on Registration of Medication Aides and Licensure of Massage Therapist in Virginia,effective February 4, 2021, 90-13 Application for Initial Approval of Nursing Education Program, adopted March 22, 2016, reaffirmed September 14 2021, 90-14 Continued Full Approval of Nursing Education Program, adopted March 22, 2016, reaffirmed September 14, 2021, 90-22 Requests for Accommodations for Nurse, Nurse Aide and Medication Aide Testing, effective January 19, 2023, 90-34 Board motion on review and challenge of NCLEX,effective May 16, 2019, 90-3 Continuing Competency Violations for Nurses, effective April 3, 2019, 90-7 Sanctioning Reference Points Manual,effective October 13, 2022, 90-12 Delegation of Authority to Board of Nursing RN Education and Discipline Staff, effective April 3, 2019, 90-35 Noncompliance with Board Orders by Individual Licensees, effective April 3, 2019, 90-38 Disposition of Disciplinary Cases against Nurses and Massage Therapists Practicing on Expired Licenses, effective April 3, 2019, 90-39 Indefinite Suspension Timeframes, reaffirmed January 29, 2019, 90-61 Disposition of Disciplinary Cases against CNAs and RMAs Practicing on Expired Certificates or Registrations, effective April 3, 2019, 90-11 Continuing Competency Violations for Nurse Practitioners,effective February 4, 2021, 90-33 Authority of Licensed Nurse Practitioners to write Do Not Resuscitate Orders (DNR Orders),effective May 16, 2019, 90-56 Practice Agreement Requirements for Licensed Nurse Practitioners,effectiveFebruary 2, 2023, 90-64 Telemedicine for Nurse Practitioners, revised by the Board of Medicine June 22, 2017, revised by the Board of Nursing July 18, 2017, edited August 11, 2021, 110-8 Information on prescriptive authority in Virginia,effective August 6, 2020, edited August 17, 2021, 90-47 Guidance on Massage Therapy Practice, revisedSeptember 17, 2019, 90-58 By-Laws of the Advisory Board on Massage Therapy, revisedSeptember 17, 2019, 90-57 By-Laws of the Board of Nursing, effective March 18, 2020, Virginia Board of NursingJay P. Douglas, MSM, RN, CSAC, FRE, Executive DirectorBrandon A. Jones, MSN, RN, CEN, NEA-BC, President, Department of Health ProfessionsPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Office Hours:Monday - Friday 8:15AM - 5:00PM(except Holidays). Other sites will be added as identified. Note: After July 1, 2020 Nurse Practitioners licensed in the category of Certified Registered Nurse Anesthetists (CRNAs) are authorized to prescribe by operation of law and do not need to apply for prescriptive (Rx) authority nor will they receive a separate Rx Authority designation. WebScope of Practice. Virginia gives nurse practitioners a moderate amount of freedom allowing for loose collaboration with the physician. Copies of the following documents may be viewed during regular work days from 8:15 a.m. until 5 p.m. at the offices of the Department of Health Professions, 9960 Mayland Drive, Suite 300, Henrico Virginia 23233-1463. We regulate Nurses (RN and LPN), Nurse Practitioners including Nurse Anesthetists and Nurse Midwives, Nurse Aides, Advanced Certified Nurse Aides, Clinical Nurse Specialists, Medication Aides and Massage Therapists. Nurse practitioner independent practice states may require a certain level of experience working under a physicians supervision or require additional training before allowing full practice authority. You may email the petition to the address below, fax it to the number on the form or mail it to the Board address. Eight proposed scope of practice expansions for APRNsnurse practitioners, nurse anesthetists, nurse midwives and clinical nurse specialistshave been stopped this year due to the AMAs collaborative efforts with state medical and osteopathic associations and national specialty societies working with state lawmakers. Evidence of a license in good standing as a nurse practitioner and current Virginia RN license OR RN license with multi-state privilege. Board Room 2. Va. Code 54.1-2952, A PA may prescribe drugs, devices and controlled substances if authorized through a practice agreement and under the supervision of a physician. Youcannotuse the online application process to apply for Authorization to Prescribe. The purpose of this article is to review definitions and concepts related to NP scope of practice with an emphasis on NPs working in acute care. Virginia Law states that one physician is allowed to collaborate with up to six nurse practitioners. WebContinued Competency - Nurse Practitioner - New 18VAC90-30-105. Virginia Code 54.1-2711, Pharmacists may administer vaccines included on the Immunization Schedule published by the Centers for Disease Control and Prevention or that have a current emergency use authorization from the U.S. Food and Drug Administration. Suggest changes to inaccurate or misleading information. Nurse Practitioner as a Primary Care Provider, SOPPolicy@ncsl.org | 303-364-7700 | About Us, Privacy Policy | Terms & Conditions | Login. WebVirginia NP scope of practice: A legislative case study During the 2018 state legislative session, Virginia's General Assembly approved legislation supporting a transitional licensing model for NPs with at least 5 years of full-time work equivalence in their certification area. The states duty to protect those who receive nursing care is the basis for a nursing license. Find the right nursing program for you. Safe and effective COVID-19 vaccines are now available for anyoneage6 months or older. WebRequirements: Graduation from an accredited Physician Assistant or Nurse Practitioner program PA/NP License to Practice in VA Schedule: Monday through Friday 8-5 Total compensation (range): $55-$65 per hour depending on experience Please send your resume to Sign up or sign in for contact information You can view an Implementation Map to determine if your state participates in the Compact. WebA nurse practitioner authorized to practice autonomously shall: 1. Virginia credentials three types of addiction counselors. The nurse practitioners collaborating physician must regularly practice where the NP exercises prescriptive authority. As of 2012, Virginia State Law defines this NP-physician relationship as a Patient Care Team requiring both consultation and collaboration between the nurse practitioner and physician. Terminology for POLST may vary across states (e.g., medical orders for life-sustaining treatment, medical order for scope of treatment, transportable physician orders for patient preference, etc.). WebComplete and submit the Autonomous Practice Application for Nurse Practitioner to: Virginia Board of Nursing Perimeter Center 9960 Mayland Drive, Suite 300 Henrico, of Chapter 32 Removal of DATA Waiver (X-Waiver) Requirement. Some error has occurred while processing your request. Nurse practitioners enjoy other privileges in Virginia; one is the ability to sign a death certificate. WebExciting opportunity in , for Veterans Affairs, Veterans Health Administration as a Licensed Practical Nurse. POLST differ from advance directives in that they are specific medical orders from a provider instead of directions and wishes from a patient. In some frameworks, scope of practice may be connected to a Nurse Practitioners responsibilities related to the individuals specialization, advanced education, clinical training, certification, and competencies in a specific area. Nurse practitioners in Virginia are allowed to prescribe Schedule II to VI medications. Evidence Based Practice & Research Education. For a nurse practitioner to prescribe drugs in Virginia he/she must have this outlined in a written practice agreement with a licensed physician in addition to a written protocol. WebAdvanced Practice Registered Nurse (APRN) APRNs include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives, and all play a pivotal role in the future of health care. Virginia does not allow pharmacists to prescribe tobacco cessation aids. State boards of nursing establish the criteria for becoming licensed. LPCs plan, implement and evaluate treatment plans using treatment interventions to facilitate human development. to maintaining your privacy and will not share your personal information without The paperwork can be obtained through the Virginia Board of Nursing. 17-87-102 (4)(A)) Practice of certified nurse practitioner nursing means the performance for compensation of advanced nursing practices As the professional organization for all registered nurses, the American Nurses Association (ANA) has assumed the responsibility for developing the scope and standards that apply to the practice of all professional nurses and serve as a template for nursing specialty practice. While they may have extensive autonomy in some nurse practitioner functions, they are not acting as independent practitioners. There are a variety of specialization options for Nurse Practitioners, and each involves particular responsibilities. DHP Home > Boards > Nursing > Practitioner Resources > Laws & Regulations. This article outlines Virginia's case as an example for NP advocates who are planning scope-of-practice legislation in other states. Va. Code 54.1-2952.1, The collaborating physician and the PA identify the PAs scope of practice, including the delegation of medical tasks as appropriate to the PAs level of competence. Informal Conferences - Agency Subordinate Other elements include making guidelines for both the physicians and NPs availability as well as communicating and consulting with one another. The Code of Virginia requires annual publication of lists of guidance documents from state agencies. WebNurse practitioners are licensed providers who may practice autonomously and/or in coordination with health care professionals and other individuals. It is laid out in Regulations 18 VAC 90 -30 -105 for NPs and there are additional requirements for NPs with prescriptive authority that can be found in 18 VAC 90-40-55. The Board is required to publish your petition in the Virginia Register and post it online atwww.townhall.virginia.gov to begin a 21-day comment period on the request. Copyright 2022, Virginia Department of Health Professions. Close Search Box. The Nurse Practitioner45(2):33-37, February 2020. An NP's scope of practice can include assessing a patient's condition, ordering tests, interpreting results and making diagnoses, prescribing medication, and ordering treatments. Va. Code 54.1-2957.01(A), As of August 2018, 15 PAs in Virginia have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Physicians also earn more from supervising NPs and would lose out on this revenue source if NPs could practice independently. Copyright 2022, Virginia Department of Health Professions. In restricted practice states, nurse practitioners must work under the supervision of a physician for all of their scope of practice. Currently, Alaska, Arizona, Colorado, Connecticut, Delaware, Hawaii, Idaho, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Dakota, Oregon, Rhode Island, South Dakota, Vermont, Washington, and Wyoming are full practice authority states. Please try after some time. A pharmacist must counsel the patient regarding seeking preventative care, including routine well-woman visits, testing for sexually transmitted infections and pap smears. Position Statements & Standards. Code Ann. Va. Code 54.1-3200, Optometrists may administer injections anduse epinephrine for treatment of emergency cases of anaphylactic shock as well as administer the COVID-19 vaccine. You may be trying to access this site from a secured browser on the server. GI Nurse Sedation. Provides care in the context of promoting age and culture-appropriate informed choices, shared decision-making and the right to self-determination. Practice Resources. Please note that you must be a member of the AANP to use their website. Exams are graded online and your certificate is instantly available for print. Va. Code 54.1-2987.1, Before allowed full independent practice authority, NPs must complete five years of full time clinical experience as a licensed nurse practitioner under practice agreement with a physician. Evidence Based Practice & Research Education. These sites are easy to use and offer a wide spectrum of educational opportunities. Copyright2022 ThriveAP Inc., All Rights Reserved, Finding Your Why with ThriveAP Speaker Steven Wei, EdD, MPH, MS, PA-C, DFAAPA, What is Deprescribing in Practice & How it Optimizes Patient Care, A1C Recommendations for Every Patient Situation, Discussion with ThriveAP Speaker: Jonathon Pouliot, MS, PharmD, BCPS. These criteria include graduating from an accredited program and passing a certification examination, as well as maintaining licensing through continuing education. WebStandard of Care/Scope of Practice: 90-1Policy statement on Registered Nurses or Licensed Practical Nurses as first assistants in surgery,revised November 13, 2018 90-5 WebNurse practitioners are licensed providers who may practice autonomously and/or in coordination with health care professionals and other individuals. A patient care team physician or patient care team podiatrist may serve on a patient care team with physician assistants and shall provide collaboration and consultation to such physician assistants. Copyright 2022, Virginia Department of Health Professions. A guidance document is defined as "any document developed by a state agency or staff that provides information or guidance of general applicability to the staff or public to interpret or implement statutes or the agency's rules or regulations" Agencies are required to maintain a complete, current list of all guidance documents and make the full text of such documents available to the public. Wolters Kluwer Health, Inc. and/or its subsidiaries. In Brief. Click the button below on the right to begin the online application process for Licensure as a Licensed Nurse Practitioner by Endorsement. 2) Prescriptive authority. Nurse practitioners in Virginia do not have the freedom to practice independently; they must work under the supervision of a licensed physician. Search for Similar Articles Nurse practitioners in Virginia are not allowed to prescribe medication to themselves or family members except in cases of emergency or isolated settings where there is no other qualified practitioner. WebUnderstanding nurse practitioner scope of practice: Regulatory, practice, and employment perspectives now and for the future Authors Randall S Hudspeth 1 , Tracy A Klein 2 Affiliations 1 RSHudspeth Consulting, LLC, Boise, Idaho. Applicants must hold a current, unrestricted license as a nurse practitioner in the Commonwealth of Virginia and provide evidence of the following: A. Find out more about education programs in Virginia here. If you need assistance contact us. H 2183 : Nurse Practitioners Practice Authority, VA After you complete the applications, you will need to contact your home state and have them send confirmation of your licensure. Webthat certifies nurses for advanced practice roles as certified nurse practitioners, certified registered nurse anesthetists, certified nurse midwives, and clinical nurse specialists. (Ark. Historically, physicians were the only medical provider allowed to fill out and sign POLST forms. WebA practitioner of medicine, osteopathy, podiatry, dentistry, or veterinary medicine, a licensed nurse practitioner pursuant to 54.1-2957.01, a licensed to 22.1-19 as A. Copyright 2022, Virginia Department of Health Professions. Together the NPA and rules/regulations guide and govern nursing practice. Given the rapid growth in full practice authority states, it seems that state legislators believe in the positive impact of expanding NP practice authority. Member Resources. Choose a tab to explore different options. They can diagnose a patient, order tests, prescribe medication, and operate their own independent practices. If your primary state of residence is a compact state, you must apply for licensure in that state. Va. Code 54.1-2952.1, The Department of Behavioral Health and Developmental Services is tasked with establishing the qualifications, education and experience of peer recovery specialists. Patients applying for disabled license plates or placards may do so with nurse practitioner authorization. The 30 contact hours may be obtained in formal academic setting as discrete or noncredit continuing education offering and shall include: applicable federal and state laws, prescription writing, drug selection, dosage and route, drug interactions, information resources and clinical application of pharmacology related to specific scope of practice. The Virginia Board of Nursing requires that NPs must complete eight hours of continuing education in pharmacology or pharmacotherapeutics every other year to maintain prescriptive authority. Code 30-130-5190, NPs are authorized to sign physician orders for scope of treatment forms as qualified emergency services personnel. Each state establishes its own NP practice authority regulations. 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