1 Collaborative Practice Agreement Harriet Rothkopf Heilbrunn School of Nursing Long Island University Brooklyn NUR 630: The Advanced Practice Role- Seminar Dr. December 18, 2022 2 Collaborative Practice Agreement Regulatory Agency Virginia laws and regulations require nurse practitioners (NPs) to be licensed by the Virginia Board of Nursing (VBON) and The Board of Medicine (VBON, 2022). License Requirements Virginia nurse practitioner licensing requirements include their submitting a current Virginia registered nurse license or a multi-state privileged license in a compact state to be eligible as registered nurses for NPs. NPs must submit professional certifications, and official transcripts and graduation certificates that prove their graduation from an accredited nurse program in addition to any requested files and payment during the application process. Nurse practitioners who do not currently have a Virginia nursing license or a multi-state privileged nursing license must apply for an RN endorsement application from the Virginia Board of Nursing. Regulatory Structure & Practice Authority The state of Virginia restricts the practice of nurse practitioners. After July 1, 2022, the law has been amended so that nurse practitioners with the equivalent of five years of full-time clinical experience can autonomously practice without under the supervision of physicians with a collaborative practice agreement. Nurse practitioners must submit an attestation from one or more collaborating physicians for five years during the corresponding clinical period. Prescriptive Authority The Virginia Board of Nursing and The Board of Medicine mandates that medications (Schedules II-VI) with controlled substances cannot be prescribed to the patient without a written practice agreement between the NP and a collaborating physician before prescribing the drug. 3 The Virginia Board of Nursing and The Board of Medicine requires periodic review and revision of written or electronic practice agreements between registered nurse practitioners and collaborating physicians. The Virginia Board of Nursing requires 40-hour certification of continuing education (CE) in pharmacology and pharmacotherapeutics every two years for license renewals to maintain prescribing authority for nurse practitioners. This is also applicable to their involvement in federal and state governments, prescription writing, and medication selection which, as a result also, includes dose, route and interaction, clinical application related to the treatment area, and official transcripts from the institution and 30hours of the program require containing education (CE) to renew for a RN license followed by 8hour of pharmacology training and 2hour of prescribing controlled substances for NPs. Ultimately, NPs must complete 40 hours of continuing education (CE) at the same time as their license renewal. Virginia Physician Order for Scope of Treatment (POST) The Physician Oder for Life-Sustaining Treatment (POLST), used in the State of Virginia, is determined by the health care provider according to the medical condition of a seriously ill patient with a terminal disease, such as advanced heart disease or lung disease cancer patients, and is a good option to consider for elderly or severely ill. NPs are legally authorized to sign POLST forms. 4 Reference Virginia of the Board of Nursing. (VBON, 2022). Laws & Regulations. Retrieved from https://www.dhp.virginia.gov/Boards/Nursing/
