After fully trying to understand the CNS role in Va,  I am considering post MSN certification if I decide to relocate. The position I interviewed for would still like me to become a part of there team while working toward post MSN certification. I am still trying to figure out what my scope of practice in the state of Va. In the regulations it says advance assessment skills ( does those skills include H/P / dx. and reccomendations) under the supervision of a MD. As for medication - we are allowed to take verbal orders from a MD/ Is it adequate to have a protocol for what medication what a MD feels in their clinical judgement to prescribe. I have been APRN for 10 years with prescriptive authority ( would should allow me th practice independently) without collaboration. So that being said I am honored that the practice would still like me to come on board with the regulations being so convoluted I am currently unsure of my scope of practice in Va. So that being said I realize after receive all the required credentials (NPI, CDS and DEA). I won't be allowed to use this licenses/ national registration in the state of Va. Clarity is definitely needed !!!