A record of this interaction must be kept. Drawing on their firsthand industry expertise, our Integrity Network members serve as an additional step in our editing process, helping us confirm our content is accurate and up to date. Minimum Data Set. These contributors: Integrity Network members typically work full time in their industry profession and review content for NurseJournal.org as a side project. Whether youre a nursing practice DNP or family nurse practitioner its important to understand the varying laws. Yes, it is a separate application and costs $50. Other elements include making guidelines for both the physicians and NPs availability as well as communicating and consulting with one another. You may qualify for Licensure as a Nurse Practitioner by Endorsement. APRNs are often primary care providers and are at the forefront of providing preventive care services to the public. All rights reserved. WebNurse practitioners are licensed providers who may practice autonomously and/or in coordination with health care professionals and other individuals. Copyright 2022, Virginia Department of Health Professions. POLST forms are meant to complement, not replace, advance directives. Member Resources. In restricted practice states, nurse practitioners must work under the supervision of a physician for all of their scope of practice. Webresponsibilities related to permitting full practice authority (FPA) of three roles of advanced practice nurses (APRN) when they are acting within the scope of their VA employment: Certified Nurse Practitioners (CNP), Clinical Nurse Specialists (CNS), and Certified Nurse-Midwife (CNM). All Integrity Network members are paid members of the Red Ventures Education Integrity Network. WebLicensure Count = 216,652 (as of 9/30/2015) Registered Nurses 104, 896 Licensed Nurse Practitioners 8,481 Prescriptive Authority 5,504 Clinical Nurse Specialists - Applicants must hold a current, unrestricted license as a nurse practitioner in the Commonwealth of Virginia and provide evidence of the following: A. Continuing Competency Requirements. Consistent with their prescriptive authority and with proper training or appropriate experience an NP in independent practice can receive a federal waiver to dispense buprenorphine-containing products. The title Licensed Nurse WebFirst, contact the Virginia State Board of Nursing at 804-367-4515. Five or more years of proven management experience required. WebExciting opportunity in , for Veterans Affairs, Veterans Health Administration as a Licensed Practical Nurse. Prescriptive authority is site specific. Evidence of a license in good standing as a nurse practitioner and current Virginia RN license OR RN license with multi-state privilege. In November 2022, California's nurse practitioner association, As of July 1, 2020, under HB 607, advanced practice registered nurses in Florida who have completed 3,000 hours under the supervision of an MD or a DO in the last five years can. When using this tool, the links will direct you to the state board of nursing website where you can locate the NPA via the state statute or code. Full Practice In full practice Smith, Shelly DNP, APRN-BC; Buchanan, Holly DNP, ANP-BC; Cloutier, Rachel MS, RN, ACNP-BC. LPCs plan, implement and evaluate treatment plans using treatment interventions to facilitate human development. However, many individuals and organizations, especially physician organizations, express concerns that many conditions that should be diagnosed and treated only by physicians are instead being treated by NPs and that healthcare payers, especially insurance companies, may pressure healthcare providers to use NPs instead of physicians. 2 Washington State University, Pullman, Washington. Virginia Board of NursingJay P. Douglas, MSM, RN, CSAC, FRE, Executive DirectorBrandon A. Jones, MSN, RN, CEN, NEA-BC, President, Department of Health ProfessionsPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Office Hours:Monday - Friday 8:15AM - 5:00PM(except Holidays). WebA nurse practitioner authorized to practice autonomously shall: 1. Effective July 1, 2022, Licensed Nurse Practitioners(exceptCertified Registered Nurse Anesthetists, Certified Nurse Midwives, Clinical Nurse Specialists) with anequivalent of 5 years of full-time clinical experiencemay apply for full practice authority (autonomous practice). modify the keyword list to augment your search. Shelly Smith is a clinical associate professor at Virginia Commonwealth University, Richmond, Va. Holly Buchanan is an assistant professor at James Madison University, Harrisonburg, Va. Rachel Cloutier is an assistant professor at Virginia Commonwealth University, Richmond, Va. The physician and the nurse practitioner are required to create a written protocol which includes periodic evaluation of services provided by the NP such as patient care outcomes and case reviews. WebAdvanced Practice Registered Nurse (APRN) APRNs include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives, and all play a pivotal role in the future of health care. Provides inpatient and/or outpatient care to include preoperative, intra-operative, and post-operative services, as well as critical care/intensive care medical management. Virginia does not allow pharmacists to modify prescriptions. When emailing to request a paper application please include in the subject line of the email: Request paper application LNP License #(add license number). NPs are registered nurses with specialized, advanced education and clinical practice competency to provide health care for diverse populations in a variety of primary care, acute and long-term care settings. This, they argue, can result in a lower quality of care and outcomes for patients with complex or serious health conditions. Current professional certification in accordance with. Please try after some time. Some error has occurred while processing your request. Nurse practitioner (NP) scope of practice laws vary from state to state. Youcannotuse the online application process to apply for Authorization to Prescribe. WebA nurse practitioner who does not meet the requirements for practice without a written or electronic practice agreement set forth in subsection I of 54.1-2957 shall prescribe Questions regarding implementation of these documents or requests for copies may be directed to Jay P. Douglas, MSM, RN, CSAC, FRE, Executive Director of the Board, at the address above or by telephone at (804) 367-4515. Local anesthesia or nitrous oxide may not be administered under remote supervision. In some frameworks, scope of practice may be connected to a Nurse Practitioners responsibilities related to the individuals specialization, advanced education, clinical training, certification, and competencies in a specific area. They provide primary and/or specialty nursing and medical care in ambulatory, acute and long-term care settings. 17-87-102 (4)(A)) Practice of certified nurse practitioner nursing means the performance for compensation of advanced nursing practices Regulations Governing the Practice of Nursing - Revised 11-10-2021; Regulations Webthat certifies nurses for advanced practice roles as certified nurse practitioners, certified registered nurse anesthetists, certified nurse midwives, and clinical nurse specialists. (Ark. Va. Code 54.1-2987.1, Before allowed full independent practice authority, NPs must complete five years of full time clinical experience as a licensed nurse practitioner under practice agreement with a physician. It increases the availability of healthcare providers who can diagnose and treat health conditions; expands the availability of family practitioners during current and projected shortages; and because nurse practitioner salaries are lower than physician salaries, provides care at a lower cost. Removal of DATA Waiver (X-Waiver) Requirement. Forgot Login Info. The purpose of POLST forms is to ensure that an order is in place, upon discussion with the patient, to allow a provider to give specific treatments during an emergency. advocacy , full-practice authority , legislation , policy stream model , scope of practice , transition to practice pathway. Each state establishes its own NP practice authority regulations. Informal Conferences - Agency Subordinate Masters, post-masters or doctoral preparation and national board certification is required for entry-level practice. Expanding NP practice authority produces many benefits for healthcare consumers. WebFind Your Nurse Practice Act The states duty to protect those who receive nursing care is the basis for a nursing license. 2023 NurseJournal.org, a Red Ventures Company. NurseJournal.org is an advertising-supported site. The Code of Virginia requires annual publication of lists of guidance documents from state agencies. Terminology for POLST may vary across states (e.g., medical orders for life-sustaining treatment, medical order for scope of treatment, transportable physician orders for patient preference, etc.). If you would like the Board to consider amending one of its regulations or rules, you may file a "petition for rule-making". An NP's scope of practice can include assessing a patient's condition, ordering tests, interpreting results and making diagnoses, prescribing medication, and ordering treatments. This list provides the latest nurse practitioner scope of practice by state or territory. These orders can be sent to health care facilities and other providers, including emergency medical services. Copyright 2022, Virginia Department of Health Professions. DHP Home > Boards > Nursing > Applicant Resources > Apply for License > Nurse Practitioner. Practice Resources. You will need licensure as an RN and as an advanced practice nurse. The Nurse Practitioner45(2):33-37, February 2020. Click the button below on the right to begin the online application process for Licensure as a Licensed Nurse Practitioner by Endorsement. However, this spirit of nationalism and freedom changes when it comes to regulations governing nurse practitioner scope of practice.Consistent with its historical leadership, Virginia has recently experienced new legislation surrounding NP practice. The CE website links will be posted on the VCNP webpage for convenience. Practice as a nurse practitioner for no less than 1000 hours and 15 continuing education units related to the area of practice for each of the two years immediately prior to submission of the application, or thirty contact hours of education in pharmacology or phamacotherapeutics acceptable to the boards taken with five years prior to submission of application. If the patient does not have a primary health care provider, the pharmacist must counsel the patient regarding the benefits of establishing a relationship with a primary health care provider. PMID: 31348141 DOI: 10.1097/JXX.0000000000000268 However, this list is likely to grow as more states consider legislation to expand NP authority. Lets take a look at the scope of practice for nurse practitioners in Virginia. Nurse practitioners in Virginia do not have the freedom to practice independently; they must work under the supervision of a licensed physician. As of 2012, Virginia State Law defines this NP-physician relationship as a Patient Care Team requiring both consultation and collaboration between the nurse practitioner and physician. WebSignature recognition refers to state laws that authorize nurse practitioners (NPs) to sign or otherwise complete forms related to patient care within their scope of practice. We also regulate Prescriptive Authority for Nurse Practitioners. However, some states may loosen restrictions as the NP gains experience. 2) Prescriptive authority. WebPurpose: Although the nurse practitioner (NP) role has been in existence for over 40 years, there continues to be uncertainty about the essential components that define NP scope of practice. A nurse practitioner can also be granted prescriptive authority on the basis of recent coursework in pharmacology or pharmacotherapeutics, whether or not the coursework was taken for academic credit. If your primary state of residence is a compact state, you must apply for licensure in that state.). Nurse practitioners in Virginia are not allowed to prescribe medication to themselves or family members except in cases of emergency or isolated settings where there is no other qualified practitioner. A pharmacist must notify the patients primary health care provider as long as the patient consents to such notification. The states duty to protect those who receive nursing care is the basis for a nursing license. Infection Prevention. Are you ready to earn your online nursing degree? your express consent. Certain NPs who complete 5 years of full time clinical experience as a licensed nurse practitioner under practice agreement with a physician can practice independently. You will need licensure as an RN and as an advanced practice nurse. Our contributing writers leverage diverse educational and professional backgrounds to create content for NurseJournal. You may email the petition to the address below, fax it to the number on the form or mail it to the Board address. Exams are graded online and your certificate is instantly available for print. Search for Similar Articles I want to start a first-time application for a Nurse Practitioner License, I am licensed in another state and want a Virginia Nurse Practitioner License, I want to add Authorization to Prescribe to my Nurse Practitioner License, I want to add additional Specialties to my Nurse Practitioner License, I am a licensed nurse practitioner and want to apply for autonomous practice, I want to reinstate my Nurse Practitioner License. Virginia Law states that one physician is allowed to collaborate with up to six nurse practitioners. Scope of practice Click the"Apply Now" button below to begin the online registration process for Nurse Practitioner License by Examination. Scope of practice is defined as the activities that an individual health care practitioner is permitted to perform within a specific profession. The Department of Health Professions investigates complaints about Virginia healthcare practitioners who may have violated a regulation or law. WebNurse Practitioner (NP) practice in Virginia is regulated by the Board of Nursing and the Board of Medicine under a Committee of the Joint Boards. You will need verification of professional certification for the specialty area of your educational preparation (see the Application Instructions for more information). may email you for journal alerts and information, but is committed They provide primary and/or specialty nursing and medical care in ambulatory, acute and long-term care settings. Considering becoming a Registered Nurse, Practical Nurse, Nurse Aide or Medication Aide? Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. Optometrists may only perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye. DHP Home > Boards > Nursing > Practitioner Resources > Laws & Regulations. The rules/regulations are found in the sections or chapters of the state administrative code. WebA practitioner of medicine, osteopathy, podiatry, dentistry, or veterinary medicine, a licensed nurse practitioner pursuant to 54.1-2957.01, a licensed certified midwife pursuant to 54.1-2957.04, a licensed physician assistant pursuant to 54.1-2952.1, or a TPA-certified optometrist pursuant to Article 5 ( 54.1-3222 et seq.) Currently, Alaska, Arizona, Colorado, Connecticut, Delaware, Hawaii, Idaho, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Dakota, Oregon, Rhode Island, South Dakota, Vermont, Washington, and Wyoming are full practice authority states. WebNurse practitioners are licensed providers who may practice autonomously and/or in coordination with health care professionals and other individuals. After you complete the applications, you will need to contact your home state and have them send confirmation of your licensure. Eight proposed scope of practice expansions for APRNsnurse practitioners, nurse anesthetists, nurse midwives and clinical nurse specialistshave been stopped this year due to the AMAs collaborative efforts with state medical and osteopathic associations and national specialty societies working with state lawmakers. In full practice authority states, nurse practitioners can perform the full scope of practice without a supervising or collaborating physician. Informal Conferences - Agency Subordinate To view the PDF files below you'll need the free Adobe Acrobat Reader, 90-2 Transmittal of Orders by Authorized Agents, effective April 3, 2019, 90-9 Guidelines for Prescription Drug Administration Training Program for Child Day Programs, Reaffirmed September 17, 2019, 90-16 Evaluation form for adult immunization protocols, developed by staff, August 1996, revisedDecember 2020, 90-31 Whether a Nurse May Administer a Medication That Has Been Transmitted Orally Or In Writing By a Pharmacist Acting as the Prescribers Agent, effective April 3, 2019, 90-36 Guidelines for the training of public school employees in the administration of insulin and glucagon, effective December 10, 2020, 90-46 Administration of over-the counter drugs by certified nurse aides, reaffirmed November 13, 2018, 90-62 Medication administration training curriculum,effective November 10, 2022, 110-18 Interpretation of "administer" to include preparation for administration, reaffirmed December 9, 2019, 90-1 Policy statement on Registered Nurses or Licensed Practical Nurses as first assistants in surgery, revised November 13, 2018, 90-5Guidance on practice of conversion therapy, effective December 10, 2020, 90-4 Opinion on how licensure as a nurse relates to service on a volunteer rescue squad, effective July 8, 2021, 90-6 Guidance statement by board regarding peripherally inserted central catheters, reaffirmed November 16, 2021, 90-15 Insertion of Prostaglandin E2 Gel by Registered Nurses, revised by Board motion, reaffirmed November 13, 2018, 90-17 Opinion of cutting of corns and warts with a scalpel by Licensed RN/LPN, reaffirmed November 13, 2018, 90-19 Board interpretative statement on bolusing epidural anesthesia by Registered Nurses, reaffirmed December 2, 2020, 90-23 Decision-making Model for Determining RN/LPN Scope of Practice, reaffirmed November 13, 2018, 90-40 Surveillance Activities Required by the OSHA Respiratory Standards, reaffirmed November 13, 2018, 90-41 Board motion adopting article on patient abandonment by Dr. Shelley Conroy in the Spring 2001 Nursing Notes,effective May 16, 2019, 90-43 Board opinion on attachment of scalp leads for internal fetal monitoring, adopted October 22, 1983, revised by Board motion on November 18, 2003, reaffirmed November 19, 2019, 90-52 Board opinion on delegation of the removal of venous and arterial sheaths to unlicensed personnel,effective May 16, 2019, 90-63 Registered nurses and procedural sedation, effective July 8, 2021, 90-10 Guidelines for Processing Applications for Licensure: Examination, Endorsement and Reinstatement,effective July 7, 2022, 90-42 Reinstatement following Mandatory Suspension, reaffirmed November 13, 2018, 90-55 Joint statement of the Department of Health and the Department of Health Professions on Impact of Criminal Convictions on Nursing Licensure or Certification and Employment in Virginia, effective February 4, 2021, 90-59 Impact of Criminal Convictions on Registration of Medication Aides and Licensure of Massage Therapist in Virginia,effective February 4, 2021, 90-13 Application for Initial Approval of Nursing Education Program, adopted March 22, 2016, reaffirmed September 14 2021, 90-14 Continued Full Approval of Nursing Education Program, adopted March 22, 2016, reaffirmed September 14, 2021, 90-22 Requests for Accommodations for Nurse, Nurse Aide and Medication Aide Testing, effective January 19, 2023, 90-34 Board motion on review and challenge of NCLEX,effective May 16, 2019, 90-3 Continuing Competency Violations for Nurses, effective April 3, 2019, 90-7 Sanctioning Reference Points Manual,effective October 13, 2022, 90-12 Delegation of Authority to Board of Nursing RN Education and Discipline Staff, effective April 3, 2019, 90-35 Noncompliance with Board Orders by Individual Licensees, effective April 3, 2019, 90-38 Disposition of Disciplinary Cases against Nurses and Massage Therapists Practicing on Expired Licenses, effective April 3, 2019, 90-39 Indefinite Suspension Timeframes, reaffirmed January 29, 2019, 90-61 Disposition of Disciplinary Cases against CNAs and RMAs Practicing on Expired Certificates or Registrations, effective April 3, 2019, 90-11 Continuing Competency Violations for Nurse Practitioners,effective February 4, 2021, 90-33 Authority of Licensed Nurse Practitioners to write Do Not Resuscitate Orders (DNR Orders),effective May 16, 2019, 90-56 Practice Agreement Requirements for Licensed Nurse Practitioners,effectiveFebruary 2, 2023, 90-64 Telemedicine for Nurse Practitioners, revised by the Board of Medicine June 22, 2017, revised by the Board of Nursing July 18, 2017, edited August 11, 2021, 110-8 Information on prescriptive authority in Virginia,effective August 6, 2020, edited August 17, 2021, 90-47 Guidance on Massage Therapy Practice, revisedSeptember 17, 2019, 90-58 By-Laws of the Advisory Board on Massage Therapy, revisedSeptember 17, 2019, 90-57 By-Laws of the Board of Nursing, effective March 18, 2020, Virginia Board of NursingJay P. Douglas, MSM, RN, CSAC, FRE, Executive DirectorBrandon A. Jones, MSN, RN, CEN, NEA-BC, President, Department of Health ProfessionsPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Office Hours:Monday - Friday 8:15AM - 5:00PM(except Holidays). A Certified Substance Abuse Counselor requires a bachelors degree, 400 hours of relevant education courses and training and 2,000 hours of experience. The nurse practitioners collaborating physician must regularly practice where the NP exercises prescriptive authority. Virginia Board of NursingPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Virginia Board of NursingJay P. Douglas, MSM, RN, CSAC, FRE, Executive DirectorBrandon A. Jones, MSN, RN, CEN, NEA-BC, President, Department of Health ProfessionsPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Office Hours:Monday - Friday 8:15AM - 5:00PM(except Holidays). H 2274 : Pharmacist Scope of Practice, VA Prescriptive authority is site specific. Adult Immunization schedules can be found here: cdc.gov/vaccines/schedules and Cancer screening schedules can be downloaded HERE. In Brief. to maintaining your privacy and will not share your personal information without A pharmacist may initiate treatment with, dispense, or administer injectable or self-administered hormonal contraceptives if the patient completes a self-assessment. WebScope of Practice. Because these requirements are not permanent, these states are still considered full practice authority states. Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. You will need to submit a practice agreement to the State Board of Nursing prior to obtaining prescriptive authority. Additional allowable procedures may be authorized by statute and/or rule. Please enable scripts and reload this page. As of 2012, Virginia State Law defines this NP-physician relationship as a Patient Care Team requiring both consultation and collaboration between the nurse practitioner and physician. Copies may also be downloaded by clicking on the links below or from the Regulatory Townhall at townhall.virginia.gov or requested by email at nursebd@dhp.virginia.gov. A pharmacist must counsel the patient regarding seeking preventative care, including routine well-woman visits, testing for sexually transmitted infections and pap smears. Click here to obtain a Petition for Rule-making. Also, the Board of Medicine and the Board of Nursing may require that the NP shows evidence of prescriptive authority in the practice agreement at any time. Va. Code 54.1-3303.1. Identify critical information that writers may have missed. WebNurse practitioners are licensed providers who may practice autonomously and/or in coordination with health care professionals and other individuals. Data is temporarily unavailable. Establishing/Maintaining Education Programs, Instructions and Application for Reinstatement of License as a Nurse Practitioner, Instructions and Application for Reinstatement of License as a Nurse Practitioner following Suspension or Revocation, Virginia Department of Health Professions, Evidence of a current Virginia RN license OR RN license with multi-state privilege (from an NLC compact state). Training Room 1, Mon, Mar 20, 2023 9:00 AM Explore our full list of Integrity Network members. Review state laws and regulations that apply to health professionals. All of the Board's proposed regulations can be found on the Townhall website. Copies of the following documents may be viewed during regular work days from 8:15 a.m. until 5 p.m. at the offices of the Department of Health Professions, 9960 Mayland Drive, Suite 300, Henrico Virginia 23233-1463. NurseJournal.org is committed to delivering content that is objective and actionable. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. H 2183 : Nurse Practitioners Practice Authority, VA Va. Code 54.1-2952.1, The Department of Behavioral Health and Developmental Services is tasked with establishing the qualifications, education and experience of peer recovery specialists. Find the right nursing program for you. It is laid out in Regulations 18 VAC 90 -30 -105 for NPs and there are additional requirements for NPs with prescriptive authority that can be found in 18 VAC 90-40-55. Virginia Code 54.1-2722. Virginia allows for the practice of teledentistry. The purpose of this article is to review definitions and concepts related to NP scope of practice with an emphasis on NPs working in acute care. Nurse practitioners in Virginia are allowed to prescribe Schedule II to VI medications. Virginias Nurse Practitioner Prescribing Laws. Virginias Nurse Practitioner Supervision Laws Nurse practitioners in Virginia do not SOPPolicy@ncsl.org | 303-364-7700 | About Us, Privacy Policy | Terms & Conditions | Login, Learn more about Education Required for Addiction Counselor Credentialing, Learn more about Licensed Professional Counselor Ability to Diagnose, Learn more about Number of Nurse Practitioners Prescribing Buprenorphine, Learn more about Number of Physician Assistants Prescribing Buprenorphine, Learn more about Peer Support Specialist Certification or Credentialing Authority, Learn more about Authority to Sign POLST Forms, Learn more about Nurse Practitioner as a Primary Care Provider, Learn more about Authority to perform ophthalmic procedures, Learn more about Prescription of controlled substances, Learn more about Dental Hygienists with Direct Access, Learn more about Practice of Teledentistry, Learn more about Administration of COVID-19 Vaccine, Learn more about Prescription of Hormonal Contraceptives, Learn more about Prescription of Tobacco Cessation Aids, Learn more about Supervision Requirements, Learn more about Prescriptive Authority for Physician Assistants, Learn more about Scope of Practice Determination, VA Other states limit certain NP functions, such as prescribing medications. Physicians also earn more from supervising NPs and would lose out on this revenue source if NPs could practice independently. WebRequirements: Graduation from an accredited Physician Assistant or Nurse Practitioner program PA/NP License to Practice in VA Schedule: Monday through Friday 8-5 Total compensation (range): $55-$65 per hour depending on experience Please send your resume to Sign up or sign in for contact information Nurse practitioners enjoy other privileges in Virginia; one is the ability to sign a death certificate. WebFind Your Nurse Practice Act. Your email address will not be published. Mobile users can use this dropdown of states if the map is too small. A Licensed Substance Abuse Treatment Practitioner requires a masters degree related to substance abuse or counseling, a 600-hour internship and 4,000 hours of a supervised residency. A. For more information, please refer to our Privacy Policy. Eight or more years of developing, fostering and managing external partnerships. These criteria include graduating from an accredited program and passing a certification examination, as well as maintaining licensing through continuing education. They provide primary Lets take a look at the scope of practice for nurse practitioners in Virginia. State boards of nursing establish the criteria for becoming licensed. WebFinal Regulations Regulations currently in effect for practitioners under the Board . NPs engage in the practice of medicine in collaboration with a licensed physician as outlined in their practice agreement. They provide primary and/or specialty nursing and medical care in ambulatory, acute and long-term care settings. A minimum of 5 years of clinical practice with a physician before an NP can practice without a practice agreement Clinical practice must be in the specialty for which the nurse practitioner was certified and licensed The geographic areas where NPs are practicing autonomously Approver Unit. Your email address will not be published. When emailing to request a paper application please include in the subject line of the email:Request paper application LNP License #(add license number). An NP who is prescribing while supervised by a physician may be able to receive a federal waiver with proper training or experience and as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder.