Virginia State Policy Fact Sheet

American Association of Nurse Practitioners - Virginia State Policy

Nurse Practice Act: VA Code Ann. § 54.1-Chapter 30

Regulatory Structure: Restricted Practice

State law restricts patient access to nurse practitioner (NP) care. State licensure limits NP practice to a physician-led team and -managed patient care team.
VA Code Ann. § 54.1-2957 and VA Code Ann. § 54.1-2900

Regulatory Agencies

NP practice is regulated by the Board of Nursing (BON) and Board of Medicine.
VA Code Ann. § 54.1-2957

Licensure Requirements

Requirements include an RN license, a graduate degree in an NP role and national certification.
18 VAC 90-30-80

Continuing Education (CE)*

CE hours are to be completed in accordance with national certification requirements, and for NPs with prescriptive authority, an additional eight hours are required every two years. See the BON for details.
18 VAC 90-30-105 and 18 VAC 90-40-55

Medical Staff Membership**

Medical staffs are composed pursuant to the facility’s governing body and bylaws.
12 VAC 5-410-180

Supervisory Agreement Ratio

One physician may enter into supervisory agreements with no more than six NPs.
VA Code Ann. § 54.1-2957.01

Signature Recognition on Items of Patient Care

  • Signature Authority: Virginia grants NPs Signature Authority.
    VA Code Ann. § 54.1-2957.02
  • Physical Therapy: NPs are authorized to refer to physical therapy.
    VA Code Ann. § 54.1-3482
  • Parking Permits: NPs are authorized to provide proof of disability for disabled parking permits.
    VA Code Ann. § 46.2-1241
  • DNR: NPs are authorized to sign Do Not Resuscitate orders.
    VA Code Ann. § 54.1-2957.02
  • Death Certificates: NPs are authorized to sign death certificates.
    VA Code Ann. § 32.1-263
  • Provider Orders for Life Sustaining Treatment (POLST)/Provider Orders for Scope of Treatment (POST): NPs may sign Virginia’s POST form.

*Contact hours in specific topics may be required. Please contact your state Board of Nursing for current information.
**Medical Staff Membership refers to governing and voting privileges and is not reflective of clinical or admitting privileges within institutions.
***Exemptions may be available. Please consult full law for guidance.
DISCLAIMER: The material contained in this fact sheet is offered as information only and not as practice, financial, accounting, legal or other professional advice. Correspondents must contact their own professional advisors for such advice.

Updated November 25, 2019

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