Agencies | Governor
Virginia Regulatory Town Hall
Department of Health Professions
Board of Nursing
Regulations Governing the Practice of Nursing [18 VAC 90 ‑ 19]
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4/7/19  1:39 pm
Commenter: Kimberly D. Hall

Support for CNS Practice Regulations

Support Revisions to CNS Registration and Practice Regulations

I am in full support of the Virginia Association of Clinical Nurse Specialists petition to revise the regulations governing Clinical Nurse Specialist (CNS) registration and practice. This revision is a key step toward overcoming barriers and challenges to CNS practice that persist in Virginia.

As a CNS who completed her educational training and practiced in Virginia for several years, I know first-hand the practice limitations encountered here in Virginia. I relocated to the West Coast a little over 2 years ago so that I could practice to the fullest extent of my education and training. I am now a licensed Advanced Pratice Registered Nurse-Clinical Nurse Specialst with Prescriptive Authority and independent scope of practice in both Oregon and Washington. Restricted practice in Virginia for CNSs limits access to care for citizens who could benefit from them. 

The CNS registration section must be clarified to include initial, renewal, reinstatement, and endorsement  requirements. National CNS certifications including CORE and retired certifications that have not lapsed should be accepted as ongoing competency based on professional organizational standards. CNS practice standards are clearly outlined by the National Association of Clinical Nurse Specialists (NACNS). All CNSs should pratice according to national standards.  

I support the VaCNS petition to revise the current CNS regulations. It is one small step toward aligning Virginia CNS pratice with most other states and more importantly, it will benefit the health of Virginians. 


Kimberly D. Hall

CommentID: 71043