18VAC90-40-20. Authority and administration of regulations.
A. The statutory authority for this chapter is found in §§ 54.1-2957.01, 54.1-3303, 54.1-3401, and 54.1-3408 of the Code of Virginia.
B. Joint boards of nursing and medicine.
1. The Committee of the Joint Boards of Nursing and Medicine shall be appointed to administer this chapter governing prescriptive authority.
2. The boards hereby delegate to the Executive Director of the
Virginia Board of Nursing the authority to issue the initial authorization
biennial renewal to those persons who meet the requirements set forth in
this chapter and to grant extensions or exemptions for compliance with
continuing competency requirements as set forth in subsection E of
18VAC90-40-55. Questions of eligibility shall be referred to the committee.
3. All records and files related to prescriptive authority for nurse practitioners shall be maintained in the office of the Board of Nursing.
Renewal of prescriptive authority. (Repealed.)
An applicant for renewal of prescriptive authority shall: 1. Renew biennially at the same time as the renewal of
licensure to practice as a nurse practitioner in Virginia. 2. Submit a completed renewal form attesting to compliance
with continuing competency requirements set forth in 18VAC90-40-55 and the
renewal fee as prescribed in 18VAC90-40-70.
18VAC90-40-55. Continuing competency requirements.
In order to renew prescriptive authority, a A
licensee with prescriptive authority shall meet continuing competency
requirements for biennial renewal as a licensed nurse practitioner. Such requirements
shall address issues such as ethical practice, an appropriate standard of care,
patient safety, and appropriate communication with patients.
B. A nurse practitioner with prescriptive authority shall obtain a total of eight hours of continuing education in pharmacology or pharmacotherapeutics for each biennium in addition to the minimal requirements for compliance with subsection B of 18VAC90-30-105.
C. The nurse practitioner with prescriptive authority shall retain evidence of compliance and all supporting documentation for a period of four years following the renewal period for which the records apply.
D. The boards shall periodically conduct a random audit of
their licensees to determine compliance. The nurse practitioners
selected for the audit shall provide the evidence of compliance and supporting
documentation within 30 days of receiving notification of the audit.
E. The boards may delegate to the committee the authority to grant an extension or an exemption for all or part of the requirements for circumstances beyond the control of the licensee, such as temporary disability, mandatory military service, or officially declared disasters.
Reinstatement of prescriptive authority. (Repealed.) A. A nurse practitioner whose prescriptive authority has
lapsed may reinstate within one renewal period by payment of the current
renewal fee and the late renewal fee. B. A nurse practitioner who is applying for reinstatement
of lapsed prescriptive authority after one renewal period shall: 1. File the required application; 2. Provide evidence of a current, unrestricted license to
practice as a nurse practitioner in Virginia; 3. Pay the fee required for reinstatement of a lapsed
authorization as prescribed in 18VAC90-40-70; and 4. If the authorization has lapsed for a period of two or
more years, the applicant shall provide proof of: a. Continued practice as a licensed nurse practitioner with
prescriptive authority in another state; or b. Continuing education, in addition to the minimal
requirements for current professional certification, consisting of four contact
hours in pharmacology or pharmacotherapeutics for each year in which the
prescriptive authority has been lapsed in the Commonwealth, not to exceed a
total of 16 hours. C. An applicant for reinstatement of suspended or revoked
authorization shall: 1. Petition for reinstatement and pay the fee for reinstatement
of a suspended or revoked authorization as prescribed in 18VAC90-40-70; 2. Present evidence of competence to resume practice as a
nurse practitioner with prescriptive authority; and 3. Meet the qualifications and resubmit the application
required for initial authorization in 18VAC90-40-40.
18VAC90-40-70. Fees for prescriptive authority.
A. The following fees have been established by the
1. Initial issuance of prescriptive authority
B. For renewal of licensure from July 1, 2017, through June
30, 2019, the following fee shall be in effect:
A. The nurse practitioner shall include on each prescription
issued or dispensed his signature and the Drug Enforcement
Administration (DEA) number, when applicable. If his the nurse
practitioner's practice agreement authorizes prescribing of only Schedule
VI drugs and the nurse practitioner does not have a DEA number, he shall
include the prescriptive authority number as issued by the boards.
B. The nurse practitioner shall disclose to patients at the initial encounter that he is a licensed nurse practitioner. Such disclosure may be included on a prescription pad or may be given in writing to the patient.
C. The nurse practitioner shall disclose, upon request of a patient or a patient's legal representative, the name of the patient care team physician and information regarding how to contact the patient care team physician.