Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 30 - REGULATIONS GOVERNING THE LICENSURE OF ADVANCED PRACTICE REGISTERED NURSES › Part I - Delegation of Nursing Tasks and Procedures › Section 18VAC90-30-10 - Definitions

Current through Register Vol. 40, No. 24, July 15, 2024
The following words and terms when used in this chapter
					 shall have the following meanings unless the context clearly indicates
					 otherwise:
"Approved program" means an advanced practice registered
					 nurse education program that is accredited by the Council on Accreditation of
					 Nurse Anesthesia Educational Programs/Schools, American College of Nurse
					 Midwives, Commission on Collegiate Nursing Education, or the National League
					 for Nursing Accrediting Commission or is offered by a school of nursing or
					 jointly offered by a school of medicine and a school of nursing that grant a
					 graduate degree in nursing and that hold a national accreditation acceptable to
					 the boards.
"Autonomous practice" means practice in a category in
					 which an advanced practice registered nurse is certified and licensed without a
					 written or electronic practice agreement with a patient care team physician in
					 accordance with
					 18VAC90-30-86.
"Boards" means the Virginia Board of Nursing and the
					 Virginia Board of Medicine.
"Certified nurse midwife" means an advanced practice
					 registered nurse who is certified in the specialty of nurse midwifery and who
					 is jointly licensed by the Boards of Medicine and Nursing as an advanced
					 practice registered nurse pursuant to §
										54.1-2957 of the Code of
					 Virginia.
"Certified registered nurse anesthetist" means an advanced
					 practice registered nurse who is certified in the specialty of nurse
					 anesthesia, who is jointly licensed by the Boards of Medicine and Nursing as an
					 advanced practice registered nurse pursuant to §
										54.1-2957 of the Code of
					 Virginia, and who practices under the supervision of a doctor of medicine,
					 osteopathy, podiatry, or dentistry but is not subject to the practice agreement
					 requirement described in §
										54.1-2957 of the Code of
					 Virginia.
"Clinical nurse specialist" means an advanced practice
					 registered nurse who is certified in the specialty of clinical nurse specialist
					 and who is jointly licensed by the Boards of Medicine and Nursing as an
					 advanced practice registered nurse pursuant to §
										54.1-2957 of the Code of
					 Virginia.
"Collaboration" means the communication and decision-making
					 process among members of a patient care team related to the treatment and care
					 of a patient and includes (i) communication of data and information about the
					 treatment and care of a patient, including exchange of clinical observations
					 and assessments, and (ii) development of an appropriate plan of care, including
					 decisions regarding the health care provided, accessing and assessment of
					 appropriate additional resources or expertise, and arrangement of appropriate
					 referrals, testing, or studies.
"Committee" means the Committee of the Joint Boards of
					 Nursing and Medicine.
"Consultation" means the communicating of data and
					 information, exchanging of clinical observations and assessments, accessing and
					 assessing of additional resources and expertise, problem solving, and arranging
					 for referrals, testing, or studies.
"Conversion therapy" means any practice or treatment as
					 defined in §
										54.1-2409.5A of
					 the Code of Virginia.
"Licensed nurse practitioner" means an advanced practice
					 registered nurse who has met the requirements for licensure as stated in Part
					 II (18VAC90-30-60 et seq.) of this
					 chapter.
"National certifying body" means a national organization
					 that is accredited by an accrediting agency recognized by the U.S. Department
					 of Education or deemed acceptable by the National Council of State Boards of
					 Nursing and has as one of its purposes the certification of nurse anesthetists,
					 nurse midwives, or advanced practice registered nurses, referred to in this
					 chapter as professional certification, and whose certification of such persons
					 by examination is accepted by the committee.
"Patient care team physician" means a person who holds an
					 active, unrestricted license issued by the Virginia Board of Medicine to
					 practice medicine or osteopathic medicine.
"Practice agreement" means a written or electronic
					 statement, jointly developed by the collaborating patient care team physician
					 and the licensed advanced practice registered nurse that describes the
					 procedures to be followed and the acts appropriate to the specialty practice
					 area to be performed by the licensed advanced practice registered nurse in the
					 care and management of patients. The practice agreement also describes the
					 prescriptive authority of the advanced practice registered nurse, if
					 applicable. For an advanced practice registered nurse licensed in the category
					 of certified nurse midwife, the practice agreement is a statement jointly
					 developed with the consulting physician or a certified nurse midwife with at
					 least two years of clinical experience. For an advanced practice registered
					 nurse licensed in the category of clinical nurse specialist, the practice
					 agreement shall be between the advanced practice registered nurse and a
					 consulting physician.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957 of the Code of
						Virginia.