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 NP care. State licensure limits NP practice to a physician-led team and managed patient care.
VA Code Ann. § 54.1-2957 and VA Code Ann. § 54.1-2900

Regulatory Agencies

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

Licensure Requirements

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

Continuing Education*

CE hours are to be completed in accordance with national certification requirements. For NPs with prescriptive authority, an additional eight hours are required every two years. See the Board of Nursing for details.
18 VAC 90-30-105 & 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: Virginia NPs are authorized to refer to physical therapy.
    VA Code Ann. § 54.1-3482
  • Parking Permits: Virginia NPs are authorized to provide proof of disability for disabled parking permits.
    VA Code Ann. § 46.2-1241
  • Do Not Resuscitate Orders: Virginia NPs are authorized to sign do not resuscitate orders.
    VA Code Ann. § 54.1-2957.02
  • Death Certificates: Virginia 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’s 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.

Updated November 2017

Download the Virginia State Policy Fact Sheet