I am a new CNS. Our role is underutilized and our practice is stifled. Affording the CNS full practice authority to include prescriptive, would be beneficial to providers. We can order items that include but is not limited to DME, therapies, activity level unless surgical or spinal precautions prohibit unrestricted activity, some consultations, i.e., Wound,Diabetic Education, Pain Management (other CNS expertise), Smoking Cessation, etc... In addition, If a CNS has the education, is registered (require this) and has held unrestricted practice in another state, it would be beneficial that they be allowed to continue that practice in Virginia.