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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, RN, MSM, CSAC, 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

90-3, Acceptance of additional examination for certification as a massage therapist, November 18, 2008

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

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

90-7, Sanctioning Reference Points Manual, rev. 3/11 (PDF)

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

90-9, Guidelines for Prescription Drug Administration Training Program for Child Day Care, adopted September 19, 2006. Revised September 18, 2007

90-10, Board guidelines for processing applications for licensure by examination, endorsement and reinstatement, accepted 1985, revised by Board motion 1993, September 24, 2003, and May 20, 2008

90-11, Continuing Competency and Protocol Requirements Violations for Nurse Practitioners, adopted May 15, 2007

90-12, Delegation of authority to Board of Nursing registered nurse discipline staff, revised November 15, 2011

90-13, Authority granted to Special Conference Committees to approve or deny applicants, adopted on March 26, 1995. revised November 18, 2003

90-14, Disposal of narcotics in the home following death of a patient, internal, memo of November 25, 1996 (PDF)

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

90-16, Evaluation form for adult immunization protocols, developed by staff, August 1996 (PDF)

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

90-18, Opinion regarding prescriptive authority in Virginia, prepared by Elizabeth Russell, revised April 1997, September 2000,December 2005, and June 2008.

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

90-21, Preparation of medications, letter from Corinne Dorsey, October 2, 1990 (PDF)

90-22, Requests for Accommodations for NCLEX and NNAAP Testing, accepted July 21, 2009

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

90-24, The Use of Simulation in Nursing Education, accepted July 21, 2009

90-25, Transcribing a physician order to a prescription, letter from Executive Director, Nancy Durrett, adopted May 27, 1998, revised November 18, 2003

90-26, Board opinion on reinstatement applications for individuals with revoked certificates based on a finding of abuse, neglect or misappropriation of resident property, adopted July 23, 1996, revised by Board motion, November 18, 2003

90-27, Board opinion on reinstatement requests by individuals with lapsed certificates who have findings of abuse, neglect or misappropriation of resident property, adopted May 20, 1998, revised by Board motion, November 18, 2003

90-28, Clinical Hours for LPN to pre-licensure RN Transition/Bridge Programs, accepted July 21, 2009

90-29, Definition of the term “administer” for patient in private residence and for students on a school field trip, adopted by the Board of Pharmacy on June 11, 1998, with concurrence of the Board of Nursing on July 21, 1998 (PDF)

90-31, Drug orders conveyed by pharmacists, letter from Executive Director, Nancy K. Durrett, adopted September 8, 1998, revised November 18, 2003

90-32, Board opinion on adverse findings of neglect by certified nurse aides, adopted September 23, 1998, revised by Board motion, November 18, 2003

90-33, Authority of Licensed Nurse Practitioners to write Do Not Resuscitate Orders (DNR Orders), adopted May 17, 2009-Board of Nursing, adopted June 25, 2009-Board of Medicine

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

90-35, Noncompliance with Prior Board Orders, adopted July 20, 2010, revised November 15, 2011

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

90-37, Board motion on requesting strategies for improvement for nursing education programs having less than 80% passing rate on the licensure examination for at least two years, adopted March 24, 1998, revised November 18, 2003

90-38, Board motion on disposition of cases against nurses practicing with expired licenses, adopted May 11, 1999, revised March 21, 2007

90-39, Discipline Issues: Indefinite Suspension, Reinstatement following Mandatory Suspension, adopted May 18, 2010

90-40, Board opinion that the surveillance activities required by the OSHA Respiratory Standards are within the scope of practice of the registered nurse, adopted November 15, 2000, revised November 18, 2003

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

90-42, Board opinion on the delegation of circulating duties in the operating room to unlicensed persons, adopted July 17, 2001, revised November 18, 2003

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

90-44, Board opinion on reinstatement authority to a Special Conference Committee, adopted November 1, 1992, revised November 18, 2003

90-46, Board opinion on administration of over-the-counter drugs by certified nurse aides, adopted March 19, 2002, revised November 18, 2003

90-47, Guidance on Massage Therapy Practice, adopted November 16, 2010

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

90-53, Treatment by Women's Health Nurse of Male Clients for Sexually Transmitted Diseases

90-54,  Guidance for Conduct of an Informal Conference by an Agency Subordinate of a Health Regulatory Board at the Department of Health Professions

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

90-56, Protocol requirements for licensed nurse practitioners, adopted by the Board of Medicine on October 18, 2007 and the Board of Nursing on November 14, 2007

90-57, By-Laws of the Board of Nursing, September 16, 2008

90-58, By-Laws of the Advisory Board on Massage Therapy, November 9, 2009

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

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