E. If there is a change in monitoring, approval or scope, a revised behaviour agreement is reached at the time of the change. (2) Such a practice agreement takes into account factors such as the level of competence of the medical assistant, the number of patients, the types of illnesses treated by the physician, the type of treatment, special procedures and the availability of the physician to ensure direct medical participation at an early stage and at regular intervals. 4. The practice agreement may include requirements for regular on-site visits by certificate of control holders, supervising and managing assistants who provide services in another location where the licensee regularly licenses. Written practice agreement is required with a doctor. The agreement must clearly state the practices imposed by the PNs. The NP may prescribe substances controlled by the II-VI scheme authorized in the written agreement. Will. Code 54.1-2957.01 (A) Since August 2018, 71 NPs in Virginia have received a federal waiver to treat opioid addiction with products containing buprenorphine.
In accordance with its standardization power and with appropriate training or experience, an NP may, in independent practice, obtain a federal waiver declaration to distribute products containing buprenorphine. An NP who prescribes while supervised by a physician may be able to obtain a federal waiver with appropriate training or experience, and as long as the supervising physician is certified, trained or licensed to treat and treat patients with an opioid use disorder. Some NPPs who complete 5 years of full-time clinical experience as a registered nurse practitioner under a practice agreement with a physician may practice independently. Will. Code 54.1-2957.01 (A) Since August 2018, 15 PAs in Virginia have received a federal waiver for the treatment of opioid dependence with products containing buprenorphine. A PA in Virginia may prescribe controlled substances, as authorized by the practice agreement with a supervising physician. With appropriate training or experience, a PA in Virginia may receive a federal waiver to distribute products containing buprenorphine, as long as the supervising physician is certified, trained or licensed to treat and treat patients with an opioid use disorder. Will. Code 54.1-2952.1 3. The practice agreement also provides for a procedure for assessing the medical assistant`s performance, including a requirement that indicates the time frame that is proportional to the discontinuation of care and the practice in which the supervisory physician checks the records of the benefits provided by the medical assistant.