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Virginia Law

Administrative Code

Virginia Administrative Code
Title 18. Professional And Occupational Licensing
11/21/2024

Agency 90. Board of Nursing

Preface

VAC AGENCY NO. 90

BOARD OF NURSING

AGENCY SUMMARY

The Board of Nursing is a licensing and regulatory board housed within the Department of Health Professions. For the statutory authority of the boards within the department, see Subtitle III (§ 54.1-2400 et seq.) of Title 54.1 of the Code of Virginia.

The board is authorized by Chapter 30 (§ 54.1-3000 et seq.) of Title 54.1 of the Code of Virginia to license registered and practical nurses, to register clinical nurse specialists, to certify nurse aides and establish a career advancement certification for certified nurse aides, to register medication aides in assisted living facilities, to approve and prescribe minimum standards for nursing education programs, to approve curricula therefor, to license massage therapists, and to promulgate regulations for the delegation of certain nursing tasks and procedures to an appropriately trained unlicensed person and regulations for collecting, storing, and making available nursing workforce information. 

The board is also authorized by Chapter 29 (§ 54.1-2900 et seq.) of Title 54.1 of the Code of Virginia, jointly with the Board of Medicine, to promulgate regulations regarding the licensure and practice of advanced practice registered nurses and prescriptive authority for advanced practice registered nurses.

The board is authorized by Article 6 (§ 32.1-122.10:001 et seq.) of Chapter 4 of Title 32.1 of the Code of Virginia to cooperate with the Board of Health's promulgation of regulations establishing a nursing scholarship and loan repayment program for registered nurses, practical nurses, and certified nurse aides who agree to perform a period of nursing service in a Commonwealth long-term care facility. The board is also authorized to promulgate regulations to facilitate participate in the Nurse Licensure Compact.

Board regulations and guidance as well as contact information for the board are available through the board's website at https://www.dhp.virginia.gov/Boards/Nursing/.

Rev. 07/2024

Chapter 10
Public Participation Guidelines [Repealed]Read all
Section 10
[Repealed]
Section 20
[Repealed]
Section 30
[Repealed]
Section 40
[Repealed]
Section 50
[Repealed]
Section 60
[Repealed]
Section 70
[Repealed]
Section 80
[Repealed]
Section 90
[Repealed]
Section 100
[Repealed]
Section 110
[Repealed]
Section 120
[Repealed]
Chapter 11
Public Participation GuidelinesRead all
Part I
Purpose and Definitions
Section 10
Purpose
Section 20
Definitions
Part II
Notification of Interested Persons
Section 30
Notification List
Section 40
Information to Be Sent to Persons on the Notification List
Part III
Public Participation Procedures
Section 50
Public Comment
Section 60
Petition for Rulemaking
Section 70
Appointment of Regulatory Advisory Panel
Section 80
Appointment of Negotiated Rulemaking Panel
Section 90
Meetings
Section 100
Public Hearings on Regulations
Section 110
Periodic Review of Regulations
Chapter 15
Regulations Governing Delegation to an Agency SubordinateRead all
Section 10
Decision to Delegate
Section 20
Criteria for Delegation
Section 30
Criteria for an Agency Subordinate
Chapter 19
Regulations Governing the Practice of NursingRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Delegation of Authority
Section 30
Fees
Section 40
Duplicate License
Section 50
Identification; Accuracy of Records
Section 60
Data Collection of Nursing Workforce Information
Section 70
Supervision of Licensed Practical Nurses
Part II
Multistate Licensure Privilege
Section 80
Issuance of a License with a Multistate Licensure Privilege
Section 90
[Repealed]
Section 100
[Repealed]
Part III
Licensure and Renewal; Reinstatement
Section 110
Licensure by Examination
Section 120
Licensure by Endorsement
Section 130
Licensure of Applicants from Other Countries
Section 140
Provisional Licensure of Applicants for Licensure As Registered Nurses
Section 150
Renewal of Licenses
Section 160
Continued Competency Requirements for Renewal of an Active License
Section 170
Documenting Compliance with Continued Competency Requirements
Section 180
Inactive Licensure
Section 190
Reinstatement of Lapsed Licenses or License Suspended or Revoked
Section 200
Restricted Volunteer License and Registration for Voluntary Practice by Out-of-State Licensees
Part IV
Disciplinary and Delegation Provisions
Section 210
[Repealed]
Section 220
[Repealed]
Part V
Delegation of Nursing Tasks and Procedures
Section 230
Disciplinary Provisions
Section 240
Definitions for Delegation of Nursing Tasks and Procedures
Section 250
Criteria for Delegation
Section 260
Assessment Required Prior to Delegation
Section 270
Supervision of Delegated Tasks
Section 280
Nursing Tasks That Shall Not Be Delegated
FORMS
Forms (18VAC90-19)
Chapter 20
Regulations Governing the Practice of Nursing [Repealed]Read all
Section 10
[Repealed]
Section 20
[Repealed]
Section 30
[Repealed]
Section 34
[Repealed]
Section 35
[Repealed]
Section 36
[Repealed]
Section 37
[Repealed]
Section 40
[Repealed]
Section 50
[Repealed]
Section 60
[Repealed]
Section 65
[Repealed]
Section 70
[Repealed]
Section 80
[Repealed]
Section 90
[Repealed]
Section 95
[Repealed]
Section 96
[Repealed]
Section 100
[Repealed]
Section 110
[Repealed]
Section 120
[Repealed]
Section 121
[Repealed]
Section 122
[Repealed]
Section 130
[Repealed]
Section 131
[Repealed]
Section 132
[Repealed]
Section 133
[Repealed]
Section 134
[Repealed]
Section 135
[Repealed]
Section 136
[Repealed]
Section 137
[Repealed]
Section 140
[Repealed]
Section 150
[Repealed]
Section 151
[Repealed]
Section 160
[Repealed]
Section 161
[Repealed]
Section 170
[Repealed]
Section 180
[Repealed]
Section 181
[Repealed]
Section 182
[Repealed]
Section 183
[Repealed]
Section 190
[Repealed]
Section 200
[Repealed]
Section 210
[Repealed]
Section 215
[Repealed]
Section 220
[Repealed]
Section 221
[Repealed]
Section 222
[Repealed]
Section 225
[Repealed]
Section 230
[Repealed]
Section 240
[Repealed]
Section 250
[Repealed]
Section 270
[Repealed]
Section 271
[Repealed]
Section 275
[Repealed]
Section 280
[Repealed]
Section 290
[Repealed]
Section 300
[Repealed]
Section 310
[Repealed]
Section 361
[Repealed]
Part VI
Medication Administration Training Program (Repealed)
Section 370
[Repealed]
Section 380
[Repealed]
Section 390
[Repealed]
Section 400
[Repealed]
Part VII
Protocol for Adult Immunization (Repealed)
Section 410
[Repealed]
Section 420
[Repealed]
Section 430
[Repealed]
Section 440
[Repealed]
Section 450
[Repealed]
Section 460
[Repealed]
FORMS
[Repealed]
Chapter 21
Medication Administration Training and Immunization ProtocolRead all
Section 10
Establishing a Medication Administration Training Program
Section 20
Qualifications of Instructional Personnel
Section 30
Content of Medication Administration Training
Section 40
Post-Course Examination
Section 50
Requirements for Protocols for Administration of Adult Immunizations
Chapter 25
Regulations Governing Certified Nurse AidesRead all
Part I
General Provisions
Section 10
Definitions
Section 15
Identification; Accuracy of Records
Section 16
Fees
Section 20
[Repealed]
Section 30
[Repealed]
Section 40
[Repealed]
Section 50
[Repealed]
Section 60
[Repealed]
Part II
Certification of Nurse Aides
Section 70
Initial Certification for the Nurse Aide Registry
Section 71
Certification by Examination
Section 72
Certification by Endorsement
Section 80
Renewal or Reinstatement of Certification
Section 81
Removal of a Finding of Neglect
Section 90
[Repealed]
Section 100
Disciplinary Provisions for Nurse Aides
Part III
Advanced Certification
Section 110
Requirements for Initial Certification As an Advanced Certified Nurse Aide
Section 120
Renewal and Reinstatement of Certification As an Advanced Certified Nurse Aide
Section 130
[Repealed]
Section 140
[Repealed]
FORMS
Forms (18VAC90-25)
Chapter 26
Regulations for Nurse Aide Education ProgramsRead all
Section 10
Definitions
Section 20
Establishing and Maintaining a Nurse Aide Education Program
Section 30
Requirements for Instructional Personnel
Section 40
Requirements for the Curriculum
Section 50
Other Program Requirements
Section 60
Requirements for Continued Approval
Section 70
Interruption or Closing of a Program
Section 80
Requirements for an Approved Advanced Certification Education Program
Section 90
Required Curriculum Content for an Advanced Certification Education Program
FORMS
Forms (18VAC90-26)
Chapter 27
Regulations for Nursing Education ProgramsRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Fees
Part II
Initial Approval of a Nursing Education Program
Section 30
Application for Initial Approval
Section 40
Organization and Administration
Section 50
Philosophy and Objectives
Section 60
Faculty
Section 70
Admission of Students
Section 80
Resources, Facilities, Publications, and Services
Section 90
Curriculum
Section 100
Curriculum for Direct Client Care
Section 110
Clinical Practice of Students
Section 120
Granting of Initial Program Approval
Section 130
Denying or Withdrawing Initial Program Approval
Section 140
Causes for Denial or Withdrawal of Nursing Education Program Approval
Part III
Full Approval for a Nursing Education Program
Section 150
Granting Full Program Approval
Section 160
Denying Full Program Approval
Section 170
Requests for Exception to Requirements for Faculty
Section 180
Records and Provision of Information
Section 190
Evaluation of Resources; Written Agreements with Cooperating Agencies
Section 200
Program Changes
Part IV
Continued Approval of Nursing Education Programs
Section 210
Passage Rate on National Examination
Section 220
Maintaining an Approved Nursing Education Program
Section 230
Continuing and Withdrawal of Full Approval
Section 240
Closing of an Approved Nursing Education Program; Custody of Records
FORMS
Forms (18VAC90-27)
Chapter 30
Regulations Governing the Licensure of Advanced Practice Registered NursesRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Delegation of Authority
Section 30
Committee of the Joint Boards of Nursing and Medicine
Section 40
[Repealed]
Section 50
Fees
Part II
Licensure
Section 60
Licensure, General
Section 70
Categories of Licensed Advanced Practice Registered Nurses
Section 80
Qualifications for Initial Licensure
Section 85
Qualifications for Licensure by Endorsement
Section 86
Autonomous Practice for Advanced Practice Registered Nurses Other Than Nurse Midwives, Certified Registered Nurse Anesthetists, or Clinical Nurse Specialists
Section 87
Autonomous Practice for Advanced Practice Registered Nurses Licensed As Certified Nurse Midwives
Section 90
Certifying Agencies
Section 100
Renewal of Licensure
Section 105
Continuing Competency Requirements
Section 110
Reinstatement of License
Part III
Practice of Licensed Advanced Practice Registered Nurses
Section 120
Practice of Licensed Advanced Practice Registered Nurses Other Than Certified Registered Nurse Anesthetists, Certified Nurse Midwives, or Clinical Nurse Specialists
Section 121
Practice of Advanced Practice Registered Nurses Licensed As Certified Registered Nurse Anesthetists
Section 122
[Repealed]
Section 123
Practice of Advanced Practice Registered Nurses Licensed As Certified Nurse Midwives
Section 124
Direction and Supervision of Laser Hair Removal
Section 125
Practice of Nurse Practitioners Licensed As Clinical Advanced Practice Registered Nurses
Section 130
[Reserved]
Section 140
[Repealed]
Section 160
Prohibited Practice
Section 170
[Repealed]
Part IV
Disciplinary Provisions
Section 220
Grounds for Disciplinary Action Against the License of a Licensed Advanced Practice Registered Nurse
Section 230
Administrative Proceedings
Section 240
Delegation of Proceedings
FORMS
Forms (18VAC90-30)
DIBR
Documents Incorporated by Reference (18VAC90-30)
Chapter 40
Regulations for Prescriptive Authority for Advanced Practice Registered NursesRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Authority and Administration of Regulations
Section 21
Patient Counseling for Opioids
Part II
Approval for Prescriptive Authority
Section 30
Authority to Prescribe, General
Section 40
Qualifications for Initial Approval of Prescriptive Authority
Section 50
[Repealed]
Section 55
Continuing Competency Requirements
Section 60
[Repealed]
Section 70
Fees for Prescriptive Authority
Section 80
[Repealed]
Part III
Practice Requirements
Section 90
Practice Agreement
Section 100
[Repealed]
Section 110
Disclosure
Section 120
Dispensing
Section 121
Prescribing for Self or Family
Section 122
Waiver for Electronic Prescribing
Part IV
Discipline
Section 130
Grounds for Disciplinary Action
Section 140
Administrative Proceedings
Part V
Management of Acute Pain
Section 150
Evaluation of the Patient for Acute Pain
Section 160
Treatment of Acute Pain with Opioids
Section 170
Medical Records for Acute Pain
Part VI
Management of Chronic Pain
Section 180
Evaluation of the Chronic Pain Patient
Section 190
Treatment of Chronic Pain with Opioids
Section 200
Treatment Plan for Chronic Pain
Section 210
Informed Consent and Agreement for Treatment of Chronic Pain
Section 220
Opioid Therapy for Chronic Pain
Section 230
Additional Consultation
Section 240
Medical Records
Part VII
Prescribing of Buprenorphine
Section 250
General Provisions
Section 260
Patient Assessment and Treatment Planning
Section 270
Treatment with Buprenorphine
Section 280
Special Populations
Section 290
Medical Records for Opioid Addiction Treatment
FORMS
Forms (18VAC90-40)
Chapter 50
Regulations Governing the Licensure of Massage TherapistsRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Operational Requirements
Section 30
Fees
Part II
Requirements for Licensure
Section 40
Initial Licensure
Section 50
Licensure by Endorsement
Section 60
Provisional Licensure
Part III
Renewal and Reinstatement
Section 70
Renewal of Licensure
Section 75
Continuing Competency Requirements
Section 80
Reinstatement of Licenses
Part IV
Disciplinary Provisions
Section 90
Disciplinary Provisions
FORMS
Forms (18VAC90-50)
DIBR
Documents Incorporated by Reference (18VAC90-50)
Chapter 60
Regulations Governing the Registration of Medication AidesRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Identification; Accuracy of Records
Section 30
Fees
Part II
Medication Aide Training Programs
Section 40
Establishing and Maintaining a Medication Aide Training Program
Section 50
Requirements for Instructional Personnel
Section 60
Requirements for the Program Curriculum
Section 70
Other Program Requirements
Section 75
Conditional or Withdrawal of Approval of a Medication Aide Training Program
Section 80
Requirements for Closing of a Program
Part III
Registration of Medication Aides
Section 90
Requirements for Initial Registration
Section 91
Requirements for Provisional Practice
Section 92
Requirements for Registration by Endorsement
Section 100
Renewal or Reinstatement of Registration
Section 110
Standards of Practice
Section 120
Disciplinary Provisions for Medication Aides
FORMS
Forms (18VAC90-60)
Chapter 70
Regulations Governing the Practice of Licensed Certified MidwivesRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Delegation of Authority
Section 30
Committee of the Joint Boards of Nursing and Medicine
Section 40
Fees
Part II
Licensure
Section 50
Licensure Generally
Section 60
Qualifications for Initial Licensure
Section 70
Qualifications for Licensure by Endorsement
Section 80
Renewal of Licensure
Section 90
Continuing Competency Requirements
Part III
Practice of Licensed Certified Midwives
Section 110
Practice of Licensed Certified Midwives
Part IV
Prescribing
Section 120
Prescribing for Self or Family
Section 130
Waiver for Electronic Prescribing
Part V
Management of Acute Pain
Section 140
Evaluation of the Patient for Acute Pain
Section 150
Treatment of Acute Pain with Opioids
Section 160
Medical Records for Acute Pain
Part VI
Management of Chronic Pain
Section 170
Evaluation of the Chronic Pain Patient
Section 180
Treatment of Chronic Pain with Opioids
Section 190
Treatment Plan for Chronic Pain
Section 200
Informed Consent and Agreement to Treatment of Chronic Pain
Section 210
Opioid Therapy for Chronic Pain
Section 220
Additional Consultation
Section 230
Medical Records
Part VII
Disciplinary Provisions
Section 240
Grounds for Disciplinary Action Against the License of a Certified Midwife
Section 250
Hearings
Section 260
Delegation of Proceedings

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