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Virginia Board of Nursing
Guidance Documents

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 .  Copies may also be downloaded by clicking on the links below or from the Regulatory Townhall at www.townhall.virginia.gov or requested by email at nursebd@dhp.virginia.gov.  Questions regarding interpretation or implementation of these documents or requests for copies may be directed to Jay P. Douglas, MSM, RN, CSAC, FRE, Executive Director of the Board, at the address above or by telephone at (804) 367-4515.  Copies are free of charge.

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Guidance Documents:

90-1, Policy statement on Registered Nurses or Licensed Practical Nurses as first assistants in surgery, adopted 1976 and 1994, revised by Board motion, November 18, 2003

90-2, Guidelines for agency to use regarding transmittal of third-party orders, accepted by the Boards of Nursing and Medicine, December 1982, revised September 11, 2012

90-4, Opinion on how licensure as a nurse relates to service on a volunteer rescue squad, revised by Board motion, November 18, 2003, reviewed August 22, 2012

90-5, Board opinion of the administration of neuromuscular blocking agents by nurses, adopted November 1990, revised by Board motion, November 18, 2003

90-6, Guidance statement by board regarding peripherally inserted central catheters, adopted January 27, 1993, revised July 15, 2008, revised September 11, 2012

90-7, Sanctioning Reference Points Manual, revised June 2013 (PDF)

90-8, Board opinion on delegation of collection of specimens for gonorrhea and chlamydia, adopted January 1993, revised November 18, 2003, revised September 11, 2012

90-9, Guidelines for Prescription Drug Administration Training Program for Child Day Programs, Revised July 17, 2013

90-10, Guidelines for processing applications for licensure by examination, endorsement and reinstatement, revised January 29, 2013

90-11, Continuing Competency and Practice Agreement Requirements Violations for Nurse Practitioners, revised June 20, 2013

90-12, Delegation of Authority to Board of Nursing RN Education and Discipline Staff, revised September 16, 2014

90-15, Insertion of Prostaglandin E2 Gel by Registered Nurses, revised by Board motion, November 18, 2003, reviewed August 22, 2012

90-16, Evaluation form for adult immunization protocols, developed by staff, August 1996, revised February 2013

90-17, Opinion of cutting of corns and warts with a scalpel by Licensed RN/LPN, adopted December 16, 1996, revised November 18, 2003, reviewed August 22, 2012

90-19, Board interpretative statement on bolusing epidural anesthesia by Registered Nurses, adopted September 23, 1997, amended September 22, 1998, revised by Board motion, November 18, 2003, September 11, 2012

90-20, Nursing Employment Practice under Orders of Probation, adopted May 15, 2012, reviewed September 12, 2012

90-21, Clinical Learning Experience in Nursing Education Programs, adopted July 17, 2012

90-22, Requests for Accommodations for NCLEX and NNAAP Testing and Medication Aide Examination for Registration, revised May 21, 2013

90-23, Decision-making Model for Determining RN/LPN Scope of Practice, adopted by the board September 24, 1996, revised November 18, 2003, revised September 11, 2012 (PDF)

90-24, The Use of Simulation in Nursing Education, Accepted July 21, 2009, Reaffirmed March 19, 2013

90-26, Requests by revoked certified nurse aides with prior adverse findings, revised January 29, 2013

90-28, Clinical Hours for LPN to pre-licensure RN Transition/Bridge Programs, Accepted July 21, 2009, Reaffirmed Marck 19, 2013

90-31, Whether a Nurse May Administer a Medication That Has Been Transmitted Orally Or In Writing By a Pharmacist Acting as the Prescriber’s Agent, adopted September 8, 1998, revised November 18, 2003, revised September 11, 2012

90-33, Authority of Licensed Nurse Practitioners to write Do Not Resuscitate Orders (DNR Orders), revised July 17, 2012-Board of Nursing, revised August 3, 2012-Board of Medicine

90-34, Board motion on review and challenge of NCLEX, adopted July 20, 1999, revised November 18, 2003, reviewed May 21, 2013

90-35, Noncompliance with Prior Board Orders, adopted July 20, 2010, revised January 29, 2013

90-36, Guidelines for the training of public school employees in the administration of insulin and glucagon, August 1999, revised November 18, 2003, revised September 11, 2012

90-38, Disposition of Disciplinary Cases against Nurses Practicing on Expired Licenses, adopted May 11, 1999, revised January 29, 2013

90-39, Indefinite Suspension Timeframes, adopted May 18, 2010, revised January 29, 2013

90-40, Surveillance Activities Required By the OSHA Respiratory Standards, adopted November 15, 2000, revised November 18, 2003, revised September 11, 2012

90-41, Board motion adopting article on patient abandonment by Dr. Shelley Conroy in the Spring 2001 Nursing Notes, adopted March 20, 2001, revised November 18, 2003, revised September 11, 2012

90-42, Reinstatement following Mandatory Suspension, adopted May 18, 2010, revised January 29, 2013

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, revised May 21, 2013

90-46, Administration of over-the counter drugs by certified nurse aides, revised January 29, 2013

90-47, Guidance on Massage Therapy Practice, revised November 20, 2013

90-48, Guidance on the Use of Social Media, adopted May 15, 2012

90-52,  Board opinion on delegation of the removal of venous and arterial sheaths to unlicensed personnel, adopted May 1, 2002, revised November 18, 2003, revised September 11, 2012

90-53, Treatment by Women's Health Nurse Practitioners of Male Clients for Sexually Transmitted Diseases, revised July 17, 2012-Board of Nursing, revised August 3, 2012-Board of Medicine

90-54,  Guidance for Conduct of an Informal Conference by an Agency Subordinate of a Health Regulatory Board at the Department of Health Professions, adopted September 21, 2004, revised January 29, 2013

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, adopted September, 2005, revised September 2006, reviewed December 2012

90-56, Practice Agreement Requirements for Licensed Nurse Practitioners, adopted by the Board of Medicine on August 3, 2012 and the Board of Nursing on July 17, 2012

90-57, By-Laws of the Board of Nursing, revised November 13, 2012

90-58, By-Laws of the Advisory Board on Massage Therapy, adopted November 9, 2009, reviewed October 22, 2013

90-59, Impact of Criminal Convictions on Registration of Medication Aides and Certification of Massage Therapist in Virginia, adopted May 2010, reviewed December 2012

90-60, Virginia Board of Nursing, Code of Conduct, revised January 24, 2012

90-61, Disposition of Disciplinary Cases against CNA’s, RMA’s, and CMT’s Practicing on Expired Certificates or Registrations, adopted May 15, 2012, revised January 29, 2013

90-62, Medication administration training curriculum, adopted November 18, 2014

110-8 Information on prescriptive authority in Virginia, July 1, 2012

110-18 Interpretation of "administer" to include preparation for administration, revised March 12, 2013