Skip to Content
Agencies | Governor
Search Virginia.Gov

Board of Nursing
Frequently Asked Questions

 

How do I renew my license or certificate?

The occupations of Registered Nurse, Licensed Practice Nurse, Certified Nurse Aide, Licensed Massage Therapist, Medication Aide, and Nurse Practitioner (Only If You Have a Virginia Registered Nurse License) can renew your license online if you have received a renewal notice.


Nurse Practitioner (Registered Nurse License in Another Compact State):

You cannot renew a nurse practitioner license online if you have a registered nurse license in another compact state. You will need to provide a copy of your valid multi-state compact license in another compact state. (If your state does not issue a paper license for your registered nurse license, you will need to print a copy of your registered nurse license verification off your state’s license website.)

The fee for on-time renewal of a Nurse Practitioner License can be found in the regulations. Remember that you must also renew your Registered Nurse License. If you have Prescriptive Authority, please add that fee to your total fee to renew this license.  Make your check or money order payable to "Treasurer of Virginia" and attach a note to your payment that includes your name, correct address, Social Security number, and Virginia License number (if you know it). Mail this information to us at Perimeter Center, 9960 Mayland Drive, Suite 300, Henrico, Virginia 23233-1463. On a separate sheet of paper, please attest to the following:
• If you were licensed as a Nurse Practitioner PRIOR to May 8, 2002, you must hold current professional certification OR have completed at least 40 hours of continuing education in the area of specialty practice from one of the certifying agencies designated in 18 VAC 90-30-90.
• If you were licensed as a Nurse Practitioner AFTER May 8, 2002, you must hold current professional certification in the area of specialty practice from one of the certifying agencies designated in 18 VAC 90-30-90.
In addition, if you have prescriptive authority, please attest to the following:
• You also have eight hours of continuing education in pharmacology or pharmacotherapeutics for each biennium.
Please note that it will take 10-14 days for the renewed license to reach you once it has been issued. If your license has already expired, you need to speak with someone in the Board of Nursing to request information on reinstatement.

Clinical Nurse Specialist:

You cannot renew a clinical nurse specialist registration online. If you have a registered nurse license in another compact state, you will need to provide a copy of your valid multi-state compact license in another compact state. (If your state does not issue a paper license for your registered nurse license, you will need to print a copy of your registered nurse license verification off your state’s license website.)

The fee for on-time renewal of Clinical Nurse Specialist Registration can be found in the regulations. Remember that you must also renew your Registered Nurse license. You may enclose the renewal fee for your Registered Nurse license with your Clinical Nurse Specialist renewal. Make your check or money order payable to "Treasurer of Virginia" and attach a note to your payment that includes your name, correct address, Social Security number and Virginia License number (if you know it). You must also provide evidence of your current national specialty certification as a clinical nurse specialist. Enclose a photocopy of your latest card or letter from the national certifying organization. Mail this information to us at Perimeter Center, 9960 Mayland Drive, Suite 300, Henrico, Virginia 23233-1463. Please note that it will take 10-14 days for the renewed license to reach you once it has been issued. If your license has already expired, you need to speak with someone in the Board of Nursing to request information on reinstatement.

 

For additional information concerning renewing your licenses online, please read the Frequently Asked Questions for our online renewal site.

Top of Page

I need my Virginia license verified to another state. Is there a fee?

Virginia became part of the Nurse Licensure Compact in January 2005. Therefore, as of February 4, 2005, the Virginia Board of Nursing will no longer be verifying Virginia R.N. or L.P.N. licenses to other states. Verification of Virginia licenses will be processed through the National Council of State Boards of Nursing through the NURSYS system. You can contact the NURSYS License Verification Department at (866) 819-1700 or https://www.nursys.com. There is a $30 fee for NURSYS to verify your licensure to another state.

Top of Page

My name and/or address have changed. How do I notify the Board?

Please see our Update Your Information page for details on how to update your name and/or address.

How do I request a Duplicate license or certificate?

You can request a duplicate license or certificate online. If you need a duplicate license or certificate, you can send your request in writing along with the duplicate license fee (see regulations) Your check or money order must be made payable to "Treasurer of Virginia." Include your name, address, social security # and license or certificate # (if you know it). Please note that there is no fee for a duplicate Certified Nurse Aide certificate, but the request cannot be submitted online - a written request must be received before a duplicate C.N.A. certificate is issued. All requests for duplicate licenses may be mailed to the Virginia Board of Nursing at Perimeter Center, 9960 Mayland Drive, Suite 300, Henrico, Virginia 23233-1463.

Questions about Medication Aides

1. Is the Board of Nursing going to regulate “Med Techs” in Assisted Living Facilities ?

The Virginia General Assembly passed a law in 2005 that required the Board of Nursing to regulate medication aides in Assisted Living Facilities (ALFs) beginning July 2007. Initially there was a 12 month transition period to accomplish this task, giving ALFs until July 1, 2008 to assure that all medication aides working in Assisted Living Facilities were registered with the Board of Nursing. This date was extended by the General Assembly to December 31, 2008, and then extended a second time until August 1, 2009.

Currently the date that all medication aides working in ALFs must be registered with the BON is August 1, 2009.

Eligibility requirements are:

• Complete a Board approved Medication Training Course;
• Complete and submit an Application for Registration by Examination to the BON, inclusive of fees; and
• Pass a standardized exam (administered by PSI, with a separate application to PSI and a separate fee payable to PSI) with a 70% passing score.

These individuals will be referred to as Registered Medication Aides.

This does not apply to those individuals administering medications in Child Day Care Centers, Adult Day Care Centers, Mental Health Facilities, and Juvenile Justice/Corrections Facilities.

2. What documentation is required with the application for registration by examination to prove one year of employment as a medication aide?

A letter from the employer stating dates of employment as a medication aide in an ALF.

More than one employer may submit a letter that confirms the following:

• 12 months consecutive employment;
• 12 months immediately prior to applying for registration by examination;
• Employment during these 12 months must be working as a medication aide in an Assisted Living Facility and must be completed by December 31, 2008.

3. What documentation must accompany an application for registration?

The following items need to be submitted to the Board of Nursing for application by examination:

• A complete application for registration by examination (application available on our website);
• Application Fee (see regulations);
• Documentation of successful completion of direct care courses or CNA course:
• Documentation of successful completion of Board approved 68 hour curriculum or 8 hour refresher course. (Certificate of completion must include the program provider approval number assigned by the Board of Nursing.)
• If completing the 8 hour refresher course, must have documentation of 12 months employment as a medication aide in an ALF (prior to December 31, 2008).
• A passport photo that has been signed on the front of the picture (driver’s license pictures are not acceptable).

Or, may apply by endorsement for registration, submitting proof of registration in another state with application for registration by examination.

4. Does a Medication Aide in an Assisted Living Facility have to be a CNA?

It is not a requirement of the Board of Nursing.

However, the regulations do require that applicants for the Medication Registry successfully completed the direct care training program approved by the Department of Social Services or have completed an approved nurse aide education program.

5. How can a person find an approved medication aide refresher course or 68 hour course? How can we verify that the course is approved by the Board of Nursing?

If you go to our website, www.dhp.virginia.gov:

• then go under Nursing Board,
• scroll down to and click on “Educational Programs”,
• then click on “Approved Medication Aide Training Programs”.

You will find the list of approved program providers with contact information. This list is updated on a daily basis as program providers are approved.

In addition, all approved program providers will have provider numbers that are only given to them once they are approved. These numbers must be on the certificate of completion that they provide to their students by the approved program provider.

6. How are can I find a train-the-trainer course to teach the Registered Medication Aide Curriculum?

The Board of Nursing does not have the authority to regulate trainers. Therefore, we do not track training courses and/or endorse any one train-the-trainer course.

7. If I am a CNA and want to keep my certification will I have to pay fees associated with nurse aide certification and medication aide registration?

Yes. They are two separately regulated occupations. They have different preparations for the roles and different job requirements involved.

8. How are Registered Medication Aides to sign their name on documentation?

The BON laws and regulations are silent on the title or abbreviation for registered medication aides.

9. Who can teach the refresher course and what curriculum is approved to be followed for the refresher course?

The refresher course is an 8 hour module created from the Board approved curriculum for experienced medication aides that have worked for at least 1 year (consecutively) prior to applying to register as a medication aide. This is now (2009) only an option until August 1, 2009 IF the one year of experience as a medication aide in an ALF was completed on or before December 31, 2008.

To teach the refresher course, you must be a Board approved provider.

The refresher course module was issued with the curriculum after the provider has obtained program approval from the Board of Nursing.

10. Does the Board of Nursing accept registration or certification of medication aides from other states?

The original regulations did not allow for endorsement from another state to be registered in Virginia. However, the revised regulations will accept medication aides that are registered in other states to take the Virginia state exam. They do not have to take the medication aide training or the direct care course. They must present documentation of registration in another state and sit for the state exam. The application for registration by examination has been adapted to include submission of the documentation for endorsement. You may access this application on our website at www.dhp.virginia.gov.

11. If a Registered Medication Aide works somewhere other than an ALF, are they subject to disciplinary action by the BON?

If a complaint is received about the practice of a person who holds a Registration as a Medication Aide, the Board has the jurisdiction to investigate that complaint and will determine if there has been a violation of Board of Nursing Laws and Regulations.

12. If English is a second language, can an applicant request special accommodations to have the exam read to them?

This is not considered to meet the American with Disabilities Act. The Board of Nursing has been advised that “only physical or mental impairments that substantially limit one or more major life activities are disabilities subject to the protection of the Americans with Disabilities Act.”

13. Is there a tutorial on line that students can use to prepare for the state exam?

PSI currently has available on their website (www.psiexams.com) an examination tutorial. This would greatly assist trainers, administrators, and potential medication aides to prepare to take the exam. It does not have medication aide specific questions, but it will prepare the candidate for the computer testing. It is simple and does not require significant computer skills. This tutorial will be helpful in building confidence and allaying test anxiety associated with computer testing.

14. For the 12 months work experience (as a medication aide in an ALF), does it have to be 12 months without a break? If I am out on maternity leave for 2-3 months, would I still qualify?

This is an option that is available to applicants with experience as a medication aide working in ALFs until December 31, 2008. Each case is considered on an individual basis. A legitimate reason to be out on medical leave would not automatically disqualify you for this option. Please provide the information that you feel meets the requirements or contact someone at the Medication Aide Registry for further clarification. Please remember that this requirement is available to experienced medication aides. If you do not feel that your work time has adequately prepared you to take the state exam, you may want to consider taking the 68 hour course.

15. Can I only sit for the state exam in Virginia? Are there opportunities in neighboring states if I live on the border to another state?

Psychology Services Incorporated (PSI) has testing sites all over the United States. For a list of all these sites, please go to their website and click on the map. You may click on any state and find their locations. There are several locations that are close to the Virginia border, specifically in Maryland and Tennessee. This does not mean that you are registered in any other state or that you can practice in any other state. It only means that you may test in another state. It would be the Virginia exam.

16. How long after I pass the exam am I registered?

Within 2-3 business days after you pass the exam, that information is electronically transferred to the Board of Nursing. The registration is mailed to you in 7-10 business days after that. However, you do know when you leave the exam site if you have passed or failed. If you have passed, you know that you will be registered within 2-3 business days. You may go onto our website, www.dhp.virginia.gov, and click on license lookup and see if you are registered. If you have problems or concerns, please call the Medication Aide Registry at 1-804-367-4438 or 1-804-367-4420.

 

Questions related to Massage Therapists

1. What is a massage therapist and what is massage therapy?

Pursuant to § 54.1-3000 of the Code of Virginia and 18VAC90-50-10 of the Virginia Regulations Governing the Licensure of Massage Therapist:

A “massage therapist” means a person who meets the qualifications specified in this chapter and who is currently licensed by the Board.

The practice of "massage therapy" means the treatment of soft tissues for therapeutic purposes by the application of massage and bodywork techniques based on the manipulation or application of pressure to the muscular structure or soft tissues of the human body. The term "massage therapy" does not include the diagnosis or treatment of illness or disease or any service or procedure for which a license to practice medicine, nursing, midwifery, chiropractic, physical therapy, occupational therapy, acupuncture, athletic training, or podiatry is required by law or any service described in § 54.1-3001(18).

"Massage therapy" shall not include manipulation of the spine or joints.

2. Do you need to be a Licensed Massage Therapist to practice massage therapy in Virginia?

Pursuant to § 54.1-3008 (A)(7) of the Code of Virginia, it shall be a Class 1 misdemeanor for any person to engage in the practice of massage therapy or hold himself out as practicing massage therapy unless he holds a license as a massage therapist issued by the Board. In addition, many Virginia municipalities (counties and cities) have ordinances that prevent you from performing massage and/ bodywork unless you are a Virginia Licensed Massage Therapist. Therefore, you may want to also check local ordinances.

3. Where can I find all the information I need regarding Massage Therapy Licensure and how can I apply?

All the information needed can be found on the Board of Nursing's website. Nursing's Laws and Regulations page contains laws and regulations related to massage therapy licensure. Nursing's Applications page has links to access/download instructions and online applications to apply. Also check with the locality/jurisdiction where you plan to practice for any additional laws, regulations, and restrictions regarding massage therapy.

4. Does Virginia require a criminal background check for licensure as a massage therapist?

Yes. Pursuant to § 54.1-3005.1 of the Code of Virginia, effective January 1, 2017, the Virginia Board of Nursing will incorporate both state and federal criminal background checks as part of the application process for MASSAGE THERAPIST. This requirement applies to applicants by initial application, endorsement and reinstatement. Upon submission of an application, information on criminal background checks will be provided to the potential licensee. For more information about initiating this process visit the Criminal Background Checks page.

5. Can I fax my application?

No. Applications for initial licensure and licensure by endorsement as a massage therapist are accepted exclusively online. Applications for licensure by reinstatement as a massage therapist can be accessed and download from the Board of Nursing applications page and must be mailed to the Board of Nursing along with the required reinstatement application fee.

6. What are the fees for licensure as a massage therapist?

A list of all fees may be found in the regulations, 18VAC90-50-30.

7. How long does it take to process my Massage Therapist application?

All applications are processed in the order received and may take up to 30-45 working days to review. The length of time required to completely process an application for licensure varies depending on the completeness of the application, how long it takes for us to receive missing documentation (i.e. transcripts, exam results, verifications, criminal background check, court documents), and if there are causes for denial to consider, such as convictions, disciplinary action on another license, or disciplinary action in another state. Everything required for initial licensure can be found in the regulations, 18VAC90-50-40. Once the application is considered complete (all documentation required has been received) and your application for licensure has been approved, you should receive your license in the mail within 10 working days.

Note: Licensure by Endorsement can be found in the regulations, 18VAC90-50-50. Endorsement applies to massage therapist who have been licensed, certified or registered as a massage therapist in another U.S. jurisdiction with requirements substantially equivalent to those states in 18VAC90-50-40, and who is in good standing or is eligible for reinstatement. Requirements for renewal/reinstatement can be found in the regulations, 18VAC90-50-70 and 18VAC90-50-75 (Continuing Competency Requirements).

8. How can I expedite my application process?

To make sure your application is processed in a timely fashion, make sure your application is filled out correctly and completely with initial submission of your application. Make sure required supporting documentation (transcript, exam results, verifications, criminal background check, court documents, etc.) have been requested and forwarded to the Virginia Board of Nursing directly from the primary source. The Board of Nursing will not request your required supporting documents for you. It’s the applicant’s responsibility to ensure required supporting documentation is forwarded to the Board of Nursing directly from the primary source. If any of your supporting documentation is coming in a different name, fax or mail a copy of the legal document that changed your name to:

Department of Health Professions
Virginia Board of Nursing
Attention: Massage Therapy Licensure
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463
(FAX) 804-527-4455

9. I have a felony conviction or misdemeanor. Will that automatically disqualify me from licensure as a Massage Therapist?

Convictions do not automatically disqualify an applicant. The Board considers each application with convictions on a case-by-case basis. It is not possible to “pre-screen” applicants with such issues. The best thing to do is be honest, provide a detail written explanation of your conviction(s) (detailed explanation should describe the circumstances that caused each conviction, what happened, when it happened, why it happened, and what you have done or are doing to ensure these incidents will not happen again), and provide all relevant documents (i.e. certified court order, letters from court or probation officer, proof all fines and fees have been paid, proof community service has been completed if required, proof of completion of any treatment programs, etc.) for consideration. Please refer to Guidance Document 90-59, Impact of Criminal Convictions on Registration of Medication Aides and Licensure of Massage Therapist in Virginia.

10. I am a graduate of an approved school that no longer exists and cannot locate anyone to verify my graduation, what can I do?

The law does not empower the Virginia Board of Nursing to act as an agency to verify credentials, only to verify credentials when you apply. Please use every resource available in order to obtain this information. If you have been licensed/ certified/registered as a massage therapist in another jurisdiction and used the school information as documentation to apply, it should be available from that State Board.

You can also try obtaining your transcript using the following strategies if your school is currently closed:

• Check with the accrediting state agency that approved the program. School records may have been turned over to them. If you provide some accrediting state agencies with your diploma or certificate of completion from the program, they may be able to write an affidavit attesting to your completion of a course or a program.
• Obtain written verification that the school is closed and when it closed. Your school may not be closed and may be operating under another name. Schools change their names or are purchased by other organizations and may operate under another name. If this is the case, the school may still have the same phone number and may still be operating at the same location.
• If you provided a copy of your transcript to a previous employer or other entities as part of an application process, they may still have a copy in their files. Please contact them for a copy.

The Board of Nursing will not accept copies of transcripts from applicants. All transcripts and verification of education must be mailed directly to the Virginia Board of Nursing directly from the primary source.

Massage Therapy Programs in the Commonwealth of Virginia are regulated by the State Council for Higher Education for Virginia (SCHEV). If you attended a massage program in the Commonwealth of Virginia that is currently closed, please contact SCHEV at (804) 225-2600 or via the web at www.schev.edu for more information.

11. Does the Virginia Board of Nursing maintain a list of approved Virginia schools with massage therapy programs?

The Virginia Board of Nursing does not maintain a list of approved Virginia massage therapy programs for distribution to the public. Since the Board does not regulate these programs, inquiries regarding approved programs for massage therapy are directed to the State Council for Higher Education for Virginia (SCHEV), which regulates these non-public vocational programs. Please contact SCHEV at (804) 225-2600 or via the web at www.schev.edu for more information.

12. How do I request verification of my Virginia Massage Therapist license be sent to another jurisdiction?

Licensing and certifying authorities often require a letter of verification of the licenses and certifications you currently hold or have held in the past. These letters of verification are sometimes called “letters of good standing”.

If the jurisdiction to which you are applying gave you a form, mail the form or mail a written request that includes: your first & last name, your current address, your Virginia massage therapy license number, and the address to the licensing/certifying body requesting the verification. Along with the form or written request, please mail a check or money order payable to “Treasurer of Virginia” in the amount of thirty-five dollars ($35.00) to:

Department of Health Professions
Virginia Board of Nursing
Attention: Massage Therapy Licensure
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463

Please allow 10-14 working days for processing and mailing.

13. How often do I have to renew my massage therapist license?

Biennially (every two years). License holders born in even-numbered years renew their license by the last day of the birth month in even-numbered years. License holders born in odd-numbered years renew their license by the last day of the birth month in odd-numbered years. Please refer to regulation, 18VAC90-50-70.

14. What are the continuing competency requirements for renewal of my massage therapist license?

18VAC90-50-75 (A) of the Virginia Regulations Governing the Licensure of Massage Therapist requires that in order to renew a license biennially, a licensed massage therapist shall:
1. Hold current certification by the NCBTMB; or
2. Complete at least (24) hours of continuing education or learning activities with at least (1) hour in professional ethics. Hours chosen shall be those that enhance and expand the skills and knowledge related to the clinical practice of massage therapy and may be distributed as follows:

a. A minimum of (12) of the (24) hours shall be in activities or courses provided by an NCBTMB-approved provider and may include seminars, workshops, home study courses, and continuing education courses.
b. No more than (12) of the (24) hours may be activities or courses that may include consultation, independent reading or research, preparation for a presentation, a course in cardiopulmonary resuscitation, or other such experiences that promote continued learning.

15. Can all 24 of the hours of the continuing educational hours be completed online?

The regulations do not specify whether the hours can or cannot be done online. Please refer to regulation, 18VAC90-50-75.

16. I practiced in the Commonwealth of Virginia as a Licensed Massage Therapist years ago and moved away, now I would like to become licensed again. What do I need to do?

A massage therapist whose license has lapsed may reinstate his/her license within one renewal period (two years) by attesting to completion of the continuing competency requirements for the period and payment of the current renewal fee and the late renewal fee. (see regulations for current fees)

A massage therapist whose license has lapsed for more than one renewal period shall file a reinstatement application, attest to completion of the continuing competency requirements for the period in which the license has been lapsed, not to exceed four years, and pay the current reinstatement fee. (see regulations for current fees)

Please refer to regulations, 18VAC90-50-70 and 18VAC90-50-75 for Continuing Competency Requirements.

17. I lost my massage therapist license can I get a duplicate copy?

There is a fee of $15.00 for replacing a lost or stolen license or requesting a duplicate copy. You can order a duplicate license online or mail a written request to:

Department of Health Professions
Virginia Board of Nursing
Attention: Massage Therapy Licensure
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463

If mailing a written request, a check or money order should be made payable to: Treasurer of Virginia. Please allow 10-14 working days for processing and mailing.

18. If I already have my massage therapist license, how do I change my name or address?

A request to change the address of record may be made at any time by accessing your licensure information through the online system. A request to change your name on your license must be mailed, to the Virginia Board of Nursing. For a name change, you must also provide a copy of the legal document that changed your name (copy of marriage license, divorce decree, or court order). All request should include your first and last name, your current mailing address and your massage therapist license number.

Department of Health Professions
Virginia Board of Nursing
Attention: Massage Therapy Licensure
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463

**If requesting another license under your new name, please see question #12 for requesting a duplicate.

19. Is my address public information?

The Code requires the Board to collect an official address of record but also to provide an opportunity for a health professional to provide a second address for the purpose of public dissemination. If there is no second (public) address provided, the official address of record will be used as the public address for the purpose of public dissemination. If the health professional would prefer that his/her address of record remain confidential, then an alternative public address must be provided to the Virginia Board of Nursing. An individual is not required to submit a place of residence for either the official address of record or the public address. A post office box or a practice location is acceptable.

Changes to either address may be made at the time of renewal or at any time by notification to the Virginia Board of Nursing through mail, fax or email. Changes to the address of record may also be made at any time by accessing your licensure information through the online system. Any change that is made to one of the addresses does not automatically update the other address. Address information should be kept current for the address of record and the public address (if different from the address of record) at all times.

20. Does Virginia require an address on the massage therapist license?

18VAC90-50-20(C) in the Virginia Regulations Governing the Licensure of Massage Therapists requires that each licensed massage therapist shall conspicuously post his current Virginia license in a public area at his practice location. The license holder’s address is not displayed on the license to practice; however, the Department of Health Professions address is.

Additionally, 18VAC90-50-20(A) of the Virginia Regulations Governing the Licensure of Massage Therapists requires that each applicant or license holder shall maintain a current address of record with the Board. Any change in the address of record or the public address, if different from the address of record, shall be submitted electronically or in writing to the Board within 30 days of such change.

21. If you have an individual who resides outside the Commonwealth of Virginia, do you ever issue a license with an out-of-state address?

Yes, it is not a requirement to reside in Virginia to hold a massage therapist license. However, 18VAC90-50-20(A) of the Virginia Regulations Governing the Licensure of Massage Therapists requires that each applicant or license holder shall maintain a current address of record with the Board. Any change in the address of record or the public address, if different from the address of record, shall be submitted electronically or in writing to the Board within 30 days of such change.

22. Does Virginia offer provisional licensure for massage therapist?

Provisional licensure is available to an eligible candidate who has filed a completed application for licensure in Virginia, including completion of education requirements, may engage in the provisional practice of massage therapy in Virginia while waiting to take the licensing examination for a period not to exceed 90 days upon written authorization from the Board. A provisional license may be issued for (1) 90 day period and may not be renewed. The designation of “massage therapist” or “licensed massage therapist” shall not be used by the applicant during the 90 days of provisional licensure. An applicant who fails the licensing examination shall have his provisional licensure withdrawn upon the receipt of the examination results and shall not be eligible for licensure until he passes such examination.

 

Nurse Practitioner Laws and Regulations

How do the new laws affect NP practice?

The supervisory requirement and language has been eliminated for all categories of Nurse Practitioners except certified nurse anesthetists. NP’s now practice “in collaboration and consultation” with a patient care team physician.

Do the new Laws and Regulations govern all categories of NP’s such as CRNA’s and CNM’s?

Yes.

Is a practice agreement required?

Yes, you are required to establish and maintain a practice agreement with the patient care/collaborating team physician. However, neither board approval nor submission of a copy of the practice agreement to the board is required. Please Do NOT submit your practice agreement to the BON unless requested.

Is a written protocol required?

Under the July, 2012 law the prescriptive authority practice agreement and protocol language are included in one document, electronic or written. This document should be maintained by the NP and readily available upon request.

Is there a template for the new practice agreement/protocol?

No, a specific format or template is not required and therefore, not available on the Board of Nursing website. Please refer to BON Guidance Document #11 for assistance, which can be found on Nursing's Guidance Documents webpage. Additionally, professional associations such as the VA Council of Nurse Practitioners may provide further guidance.

Are chart reviews by the team physician required?

Yes, the new law retained the provision requiring periodic review of charts or electronic medical records and may include site visits by the team physicians for NP’s practicing in all settings. However, the requirement of the team physician to regularly practice at the same site as the NP has been eliminated.

What is the ratio of NP’s to the team physician?

Under the new law, it is 6:1.

Is collaboration and consultation restricted to health care facilities only?

No, collaboration and consultation may occur via telemedicine.

**These FAQ’s should not be considered the sole source for information. Please review the Laws and Regulations Governing the Licensure of Nurse Practitioners at www.dhp.virginia.gov/nursing/nursing_laws_regs.htm.**


To view and print Word documents you can get the free Microsoft® Word Viewer.

Top of Page