Agencies | Governor
Virginia Regulatory Town Hall

Proposed Text


Implementation of clinical nurse specialist practice agreement ...
Stage: Fast-Track
9/12/22  10:07 AM
18VAC90-30-125 Practice of nurse practitioners licensed as clinical nurse specialists

A. Nurse practitioners licensed in the category of clinical nurse specialist who prescribe controlled substances or devices shall practice in consultation with a licensed physician in accordance with a practice agreement between the nurse practitioner and the licensed physician.

B. Such practice agreement shall address the availability of the physician for routine and urgent consultation on patient care. Evidence of a practice agreement shall be maintained by a nurse practitioner and provided to the boards upon request.

C. Nurse practitioners licensed in the category of clinical nurse specialist who do not prescribe controlled substances or devices may practice in the category in which the nurse practitioner is certified without a written or electronic practice agreement. Such nurse practitioner shall:

1. Only practice within the scope of the nurse practitioner's clinical and professional training and limits of the nurse practitioner's knowledge and experience and consistent with the applicable standards of care;

2. Consult and collaborate with other health care providers based on the clinical condition of the patient to whom health care is provided; and

3. Establish a plan for referral of complex medical cases and emergencies to physicians or other appropriate health care providers.

C.D. The practice of clinical nurse specialists shall be consistent with the standards of care for the profession and with applicable laws and regulations.