Approved changes for practice in response to COVID-19
The West Virginia Board of Examiners for Registered Professional Nurses at the emergency meeting on April 3, 2020 reviewed, considered and approved changes for RN and APRN practice in response to the COVID-19 pandemic.
Pursuant to the Governor’s Executive Order 17-20
permitting the West Virginia Board of Examiners for Registered Professional Nurses, in their discretion, to suspend or modify the requirements for the administration of anesthesia, the Board suspends and modifies the requirement contained in W. Va. Code §30-7-15 as follows:
Requirements for supervision or presence of any other healthcare provider when anesthesia is administered by a certified registered nurse anesthetist (CRNAs) (WV Code §30-7-15) is suspended.
Pursuant to the Governor’s Executive Order 17-20 permitting the West Virginia Board of Examiners for Registered Professional Nurses, in their discretion, to temporarily suspend or modify the requirements for the authorization for prescriptive authority, collaborative requirements for prescriptive authority, prescriptive formulary limitations, prescriptive refill and supply limitations, and other prescriptive limitations including continuing education and renewal requirements, contained in W. Va. Code §30-7-15a, §30-7-15b, §30-7-15c), the Board suspends and modifies the requirements as follows:
The advanced practice registered nurse shall practice in conformity with the advanced practice registered nurse’s education, training, and certification and in accord with the delineation of privileges granted to the advanced practice registered nurse by the hospital/facility to use the advanced practice registered nurse to the fullest extent possible.
For West Virginia APRNs, who have been approved to practice in West Virginia during the State of Emergency, the requirement for collaborative agreements with physicians for the prescribing of medications is suspended and automatically reinstated when the declared emergency is lifted.
For West Virginia APRNs with prescriptive authority, who have been approved to practice in West Virginia during the State of Emergency, Schedule II drugs of the Uniform Controlled Substances Act and antineoplastics, if the patient has been on these medications, are permitted to be refilled if the refill is required during the declared emergency. The prescribing physician’s name must be written on the prescription as well as the last date the prescription was filled. The Board of Pharmacy requests the name of practitioner and prescription number of the original prescription the APRN is refilling. They suggest notifying that practitioner as well. The implementation date with the DEA is pending. The Board will announce the details when they become available.
For West Virginia APRNs with prescriptive authority, who have been approved to practice in West Virginia during the State of Emergency, the Drugs listed under Schedule III shall not be limited to a thirty day supply and are permitted to be refilled if the refill is required during the declared emergency.
The fee for initial prescriptive authority shall be waived until 30 days after the state of emergency is lifted by the Governor.
The APRN certifications renewal extension is based on certifying body policy.
Pursuant to the Governor’s Executive Order 10-20 on Monday, March 23, 2020, the suspension and/or modifications remain effective:
If a person is licensed in another state as a RN or APRN a WV license is NOT required to practice in WV as long as disciplinary action the license is unencumbered or no complaints are pending.
There is no renewal of licenses.
Disciplinary timelines for hearings are waived and may be conducted by telephone at the discretion of the agency.
The Board voted on Friday, March 20, 2020, to suspended the following rules:
A Criminal Background Check (CBC) will still be required. However, if the facility where the applicant would go is closed and there isn’t one within a 50 mile radius then the applicant does NOT have to get the CBC. The applicant would have to get the CBC as soon as other fingerprinting resources are available or within 30 days of the lifting of the State of Emergency, whichever comes first.
The temporary permit (TP) is extended for more than 90 days. Therefore, the applicant would be able to have a temporary permit for more than 90 days. This applies to both exam applicants and endorsement applicants.
Verifications do not have to be requested by applicants through NURSYS. The Board will utilize Nursys and individual state websites.
For limited prescriptive authority, the applicant does not have to provide documentation of pharmacotherapy in the clinical practice.
Reinstatement applicants will not have to provide continuing education
Please REMEMBER these laws and rules are ONLY suspended TEMPORARILY! As soon as the Governor lifts the State of Emergency or there is notice that the suspension is ended, licensees will have to comply with the law and rule as originally passed by the legislature. The Board will notice all licensees at that time.