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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4/6/19  9:54 pm
Commenter: Catherine Smith, DNP, RN, CCNS, CCRN

Support Revisions to CNS Registration and Practice Regulations

I support 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 relocated from another state, I know first-hand the practice limitations encountered here in Virginia. As a result of the restrictions, many Virginia CNSs opt to practice in alternative nursing roles which is ultimately limiting Virginia citizens access to this valuable advanced practice nursing resource who is specially trained to improve systems of care and patient outcomes based on evidence. 

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. 


Catherine Smith