Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 90 - BOARD OF NURSING › Chapter 40 - Regulations for Prescriptive Authority for Advanced Practice Registered Nurses › Part I - General Provisions › Section 18VAC90-40-10 - 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:
"Acute pain" means pain that occurs within the normal
					 course of a disease or condition or as the result of surgery for which
					 controlled substances containing an opioid may be prescribed for no more than
					 three months.
"Advanced practice registered nurse" means an advanced
					 practice registered nurse who has met the requirements for licensure as an
					 advanced practice registered nurse as stated in 18VAC90-30.
"Boards" means the Virginia Board of Medicine and the
					 Virginia Board of Nursing.
"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.
"Chronic pain" means nonmalignant pain that goes beyond the
					 normal course of a disease or condition for which controlled substances
					 containing an opioid may be prescribed for a period greater than three
					 months.
"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.
"Committee" means the Committee of the Joint Boards of
					 Nursing and Medicine.
"FDA" means the U.S. Food and Drug Administration.
"MME" means morphine milligram equivalent.
"Nonprofit health care clinics or programs" means a clinic
					 organized in whole or in part for the delivery of health care services without
					 charge or when a reasonable minimum fee is charged only to cover administrative
					 costs.
"Practice agreement" means a written or electronic
					 agreement jointly developed by the patient care team physician and the advanced
					 practice registered nurse for the practice of the advanced practice registered
					 nurse that 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.
"Prescription Monitoring Program" means the electronic
					 system within the Department of Health Professions that monitors the dispensing
					 of certain controlled substances.
"SAMHSA" means the federal Substance Abuse and Mental
					 Health Services Administration.
Statutory Authority: §§
												54.1-2400 and
						54.1-2957 of the Code of
						Virginia.