Proposed Text
18VAC90-40-100. Supervision and site visits.
Physicians A. In accordance with §54.1-2957.01 of
the Code of Virginia, physicians who enter into a practice agreement with a
nurse practitioner for prescriptive authority shall: 1. Supervise supervise
and direct, at any one time, no more than four nurse practitioners with
prescriptive authority.
2. Regularly B. Except as provided in subsection C
of this section, physicians shall regularly practice in any location in
which the licensed nurse practitioner exercises prescriptive authority.
1. A separate practice setting may not be established
for the nurse practitioner. Exceptions to this requirement are as follows:
a. A separate office practice may be established for a
certified nurse midwife or for a nurse practitioner employed by or under contract
with local health departments, federally funded comprehensive primary care
clinics, or nonprofit health care clinics or programs.
b. Physicians who do not regularly practice at the same
location with the nurse practitioner and who provide supervisory services to
such separate practices shall make regular site visits for consultation and
direction for appropriate patient management. The site visits shall occur in
accordance with the practice agreement, but no less frequently than once a
quarter.
3. Conduct 2. A supervising physician shall conduct
a monthly, random review of patient charts on which the nurse practitioner has
entered a prescription for an approved drug or device.
C. Physicians who practice with a certified nurse midwife or with a nurse practitioner employed by or under contract with local health departments, federally funded comprehensive primary care clinics, or nonprofit health care clinics or programs shall:
1. Either regularly practice at the same location with the nurse practitioner or provide supervisory services to such separate practices by making regular site visits for consultation and direction for appropriate patient management. The site visits shall occur in accordance with the protocol, but no less frequently than once a quarter.
2. Conduct a monthly, random review of patient charts on which the nurse practitioner has entered a prescription for an approved drug or device.
Statutory Authority
§§54.1-2400 and 54.1-2957.01 of the Code of Virginia.
Historical Notes
Derived from VR495-03-1 and VR465-12-1 §3.3, eff. August 15, 1992; amended, Virginia Register Volume 13, Issue 20, eff. July 23, 1997; Volume 19, Issue 7, eff. January 15, 2003; amended, Virginia Register Volume 24, Issue 6, eff. January 11, 2008.