kd $$If + ( i% a g d $3$ 5$ If ^g 8 O S j n o G T kd $$If sF ( x y x a 4 g $3$ 5$ If ^g g d $3$ 5$ If ^g 4 g $3$ 5$ If ]^g . The Board has the power to investigate a supposed instance of misconduct as they see fit, and they have a variety of means to do so. You may file a complaint with the OLC by any means available to you, including mail, telephone, fax, on-line, or in-person.Step 1: Please include as much information as possible when submitting your complaint. Please list the people involved or any witnesses at the bottom of this section. Applications for initial registration as a Medication Aide by Examination or Endorsement are accepted exclusively through our online system. Informal Conferences - Agency Subordinate H I N P a b e g h { | |iVDD #h8> h7 >*CJ OJ QJ ^J aJ $h8> h7 @CJ OJ QJ ^J aJ $h8> h7 @CJ OJ QJ ^J aJ *h8> h7 5@CJ OJ QJ \^J aJ &h8> h7 5CJ OJ QJ \^J aJ h7 CJ aJ &h8> h7 5CJ OJ QJ \^J aJ $h8> h7 @. Establishing/Maintaining Education Programs, Checklist Instructions for Licensure by Endorsement as a Massage Therapist, Checklist Instructions for Initial Licensure as a Massage Therapist, Checklist Instructions and Application for Reinstatement as a Massage Therapist, Request Form for Change of Status from Inactive to Active, Virginia Department of Health Professions. Discipline "To intervene when health care providers practice in an unsafe, incompetent, illegal or unethical manner" Electronic Complaint Form. The cost to attend Virginia Board of Nursing is $1,200. $ If you would like the Board to consider amending one of its regulations or rules, you may file a "petition for rule-making". - Yes Can RN's give Propofol/Ketamine? Attorneys: Peter Mellette, Harrison Gibbs, Jr., Elizabeth Dahl Coleman. DHP Home > Boards > Nursing > Practitioner Resources > Laws & Regulations. However, in cases where there is a reason to believe that a violation has occurred, the Board will order either an informal conference or a formal hearing to continue the matter. Z Virginia Board of Nursing Perimeter Center 9960 Mayland Drive, Suite 300 Henrico, Virginia 23233-1463 Name Change Information All licensees/applicants wishing to change their name with the Board must submit their request using the Nursing Name Change Form. Please use our Application Wizard for guidance on how to apply for initial licensure as a Nurse Practitioner. The Board has the power to investigate a supposed instance of misconduct as they see fit, and they have a variety of means to do so. Virginia State Board of Nursing address is Perimeter Center 9960 Mayland Drive, Suite 300, Henrico, Virginia 23233. Please select the Option button and select enable this content to allow typing in the Word version. Notice Regarding Anonymous Complaints:The Department of Health Professions cannot guarantee anonymity for complaints submitted anonymously. Time to complete this education training ranges from 32 hours to 1 week depending on the qualification, with a median time to complete of 1 week. Long-Term Care Ombudsman Law Enforcement Agency Adult Protective Services Attorney General Other, please list: Nursing Home Complaint Form Page 1 of 4 revised 04/2013 Please be as thorough as possible when completing this form. You do not have to use this form when filing a complaint. Please note that this service is not intended to provide bulk license information to businesses or commercial entities. h7 @ % Applications for initial licensure as a Practical Nurse by Endorsement or Examination are accepted exclusively through our online system. > ] F bjbjjj )b)b D z ^ ]9 r ( B B B j 6 6 6 8 8 8 8 8 8 8 $ : = v 9 6 3 b6 ^ 6 6 9 B j B 9 8 8 8 6 B l B ( 8 8 6 8 8 8 , 8 B ` B7 R 8 8 -9 0 ]9 8 = 7 = 8 8 d = 8 H 6 6 8 6 6 6 6 6 9 9 8 6 6 6 ]9 6 6 6 6 = 6 6 6 6 6 6 6 6 6 B : Please be as thorough as possible when completing this form. Initial applications for Certified Nurse Aide by Endorsement are accepted exclusively onlinethrough the Virginia Board of Nursing. Application and Instructions for Reinstatement of Medication Aide Registration. Name: Mailing Address: Street: City: State: Zip: Phone: E-mail: Whenever the Nursing Regulatory Board receives a complaint from a member of the public, they have an obligation to conduct an investigation. NOTE: If you already have a Nurse Practitioner license and you wish to add Authorization to Prescribe (Prescriptive Authority), you will need to contact the Board of Nursing at (804) 367-4515 to have a paper Application for Licensure as a License Nurse Practitioner mailed to you. Once a complaint is filed with a board of nursing, the boards have a complaint process that they follow from review to resolution. Need a Vaccine? In Virginia, the Board of Nursing reports that it processes 99% of applications within 30 days. Virtual Business Meeting and Providing Public Comment . Informal Conferences - Agency Subordinate The Department of Health Professions receives complaints about Virginia healthcare practitioners who may have violated a regulation or law. Considering becoming a Registered Nurse, Practical Nurse, Nurse Aide or Medication Aide? Virginia Board of Nursing. Using the online complaint form may help preserve your anonymity. , | N . If you wish to submit an anonymous complaint, please ensure you check the Anonymous box on the online complaint form, and do not include any information on the complaint form or supplemental documents that reveals your identity. Health Professionals who are licensed in Virginia can renew their licenses online. Verify All Virginia Board of Nursing Licenses, Certificates or Registrations You may email the petition to the address below, fax it to the number on the form or mail it to the Board address. The Virginia Board of Nursing consists of a 14-member Board, a 5-member Massage Therapy Advisory Board, as well as administrative, licensing, discipline, education, and support staff. It only permits the disclosure of the complainant's identity in advance of an administrative hearing in which the Department "intends to rely, in whole or in part, on any statements made by the complainant." s Long-Term Care Ombudsman Law Enforcement Agency Adult Protective Services Attorney General Other, please list: Please return completed report to: Complaint Unit Office of Licensure and Certification Virginia Department of Health 9960 Mayland Drive, Ste. Complaint InformationPlease provide as much information as possible include the date, time, how often the concern has occurred, and the location where the concern occurred. Complaints regarding child day programs may be submitted Complaint Information 6 8 = > D E H kX $h8> h7 @CJ OJ QJ ^J aJ *h8> h7 5@CJ OJ QJ \^J aJ &h8> h7 5CJ OJ QJ \^J aJ h7 CJ aJ #h8> h7 >*CJ OJ QJ ^J aJ $h8> h7 @CJ OJ QJ ^J aJ h8> h7 CJ OJ QJ ^J aJ h8> h7 $h8> h7 @CJ OJ QJ ^J aJ $h8> h7 @CJ OJ QJ ^J aJ z o _ g d $3$ 5$ If ^g Restricted volunteer license for nurse practitioners, Request Form for Change of Status from Inactive to Active (Registered or Practical Nurses), This is a PDF form that will need to be printed, filled out and sent to:Virginia Board of NursingPerimeter Center 9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463. Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the conduct occurred. Verify All Virginia Board of Nursing Licenses, Certificates or Registrations, Virginia Board of NursingJay P. Douglas, MSM, RN, CSAC, FRE, Executive DirectorBrandon A. Jones, MSN, RN, CEN, NEA-BC, President, Department of Health ProfessionsPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Office Hours:Monday - Friday 8:15AM - 5:00PM(except Holidays). Written by an Indeed User on September 6, 2022, 12:38 AM. Access: Perimeter Center building access re Child care programs are under the oversight of the Virginia Department of Education. Contact the Enforcement Division at1-800-533-1560or(804) 367-4691. Application Instructions for Licensure - Nurse Practitioner. Click here to obtain your districts contact information, AIDS/HIV, STD, and Viral Hepatitis Hotline and General Information, Certificates Birth, Death, Marriage, Divorce, Chief Deputy Commissioner for Public Health and Preparedness, Office of, Children with Special Health Care Needs Program, Complaints Against Health Care Facilities, Deputy Commissioner for Administration, Office of, Deputy Commissioner for Community Health Services, Office of, (804) 888-9100 or toll free(800) 523-6019, Licensure and Certification of Health Care Facilities, Acute Care Division (hospitals, home health), Maternal Infant Early Child Home Visiting, Managed Care Health Insurance Plans (MCHIP), Medical Scholarship Loan Repayment Program, Waterborne Disease, Beach Monitoring, Harmful Algal Blooms. Eligible employers and contract service recipients must fill out this form and submit it to the Board before the practitioner begins temporarily practicing in Virginia. We regulate Nurses (RN and LPN), Nurse Practitioners including Nurse Anesthetists and Nurse Midwives, Nurse Aides, Advanced Certified Nurse Aides, Clinical Nurse Specialists, Medication Aides and Massage Therapists. You may use the attached form to file a complaint if you are concerned about the health care, treatment, or services that you or another person received or did not receive in the nursing home. a A lawyer may be able to help you to understand the processes behind Nursing Regulatory Board complaints and investigations in Virginia. The Department of Health Professions investigates complaints about Virginia healthcare practitioners who may have violated a regulation or law. ] h7 RHc The outcome of these sessions can have a profound effect on a nurses professional career. Person Filling Out the Complaint Form You are not required to fill out this section to file a complaint. Virginia Department of Health Office of Licensure and Certification Nursing Home Complaint Form Page PAGE 2 of 4 Revised DATE \@ "MM/dd/yyyy" 06/14/2018 ' ( * + 3 4 8 9 C D H I N O R S V W _ ` d e i j x y { | $ % ) * / 0 2 3 6 7 : ; D E File a Complaint on a Nurse or Dialysis Technician Copyright 2022, Virginia Department of Health Professions. Box 2448 ), certified registered nurse anesthetists (C.R.N.A. File a consumer complaint against a business in Virginia Office of the Attorney General. 5.0. Feel free to use examples. ), certified nurse midwives (C.N.M. Copyright 2023 Price Benowitz LLP. Training Room 1, Thu, May 11, 2023 9:00 AM NOTE: If you already have a Nurse Practitioner license and you wish to add additional specialties, you will need to contact the Board of Nursing at (804) 367-4515 to have a paper Application for Licensure as a License Nurse Practitioner mailed to you. You may attach additional pages and reports to this form as needed. Virginia Board of Dentistry. Person Filing Complaint Note: Anonymous complaints will be accepted. The Virgina Board of Nursing provides a wide variety of information to the public about health care professionals in Virginia. Though this code reference gives you notice of the type of behavior the Nursing Board finds sanctionable, it is not specific to your charges. b Case Decisions - Recent decisions by the Board of Nursing. h7 @ However, the VDH Office of Licensure and Certification (OLC) will not be able to contact you to obtain additional information or reach you to notify you of the results of the investigation.Name (First and last):Address:City:State:Zip Code:Email address:Work Telephone Number: ( )Home Telephone Number: ( )Cell Telephone Number: ( )Best time(s) to contact you (please check all that apply): Morning Afternoon EveningDate you filed the complaint (mm/dd/yyyy): / / Section 2. Date the complaint was reported to the nursing home staff person: / / B. The Virginia Board of Nursing consists of a 14-member Board, a 5-member Massage Therapy Advisory Board, as well as administrative, licensing, discipline, education, and support staff. Click Hereto initiate the application process. This brochure provides information regarding: This brochure explains the importance of nurse licensure, including: This brochure explains how a board of nursing protects the public and. Note: You are not required to file a volunteer practice registration application if you hold a current unrestricted license or a multi-state privilege to practice nursing in Virginia. DHP Home > Boards > Nursing > Practitioner Resources > Forms. This video was developed by the NCSBN 2010 Disciplinary Resource Committee and produced by . Published: Apr. OJ QJ ^J aJ Reviews. A case typically begins when a member of the public files a complaint against the nurse. Reporting of the Complaint (continued)D. Did you report this complaint or incident to any other agency? Virginia Department of Health Professions, Identify the practitioner you are reporting. The creation of the Nursing Regulatory Board and the basis for its power is founded in Commonwealth Law. Complaints are filed by anyone with a concern about a nurse's practice. Wed, May 3, 2023 9:00 AM Find out more about education programs in Virginia here. According to VA Code 54.1-3007, the Board has the specific power to issue licenses to practice nursing, to suspend or revoke those licenses, and to censure any license holder under certain circumstances. U Online Complaint Form. Title: Executive Director: Central Administration #01031 Hiring Range: $66,380 - $122,804 Pay Band: 6 Agency: Dept of Corr - Central Admin Location: DOC Headquarters Agency Website: www.vadoc.virginia.gov Recruitment Type: General Public - G Job Duties The Board of Local and Regional Jails is responsible for developing and establishing minimum operational and fiscal standards governing the . Additionally, you canfind outwhich health care practitioners and facilities are regulated by this agency, orget a detailed explanationof the Disciplinary Process for Licensed Healthcare Professionals in Virginia. kd $$If , ( i% a. Completed forms can also be mailed to the Complaint Unit. Please use our Application Wizard for guidance on how to apply for initial licensure as a Practical Nurse. Typically, this is done without the knowledge or participation of the subject of the investigation. + kds $$If * ( i% a g d $3$ 5$ If ^g = kd $$If f ( i% Resident InformationResident Name (first and last):Date of Birth: / / Your Relationship to the Resident: Resident (self) Family Member (Spouse/Child/Parent) Friend Present or former nursing home employee Ombudsman Quality Improvement Organization Law Enforcement Agency Media Anonymous Legal representative/guardian/power of attorney Other, please explain: Is the Resident still in the nursing home: No Yes Do not know Section 4. File a complaint against a licensed professional Department of Professional and Occupational Regulation. kd $$If ( i% a g U $3$ 5$ If ^g . - Ambiguous Decision-Making Model Link PDF link of the Policy seen below. ap General primary inquiry 9960 Mayland . Online Complaint Form - Virginia Department of Social Services Online Complaint Form Child care programs are under the oversight of the Virginia Department of Education. l q You may complete this form electronically or by hand. Virginia Board of Nursing. License Lookup - Search and verify licenses in Virginia. Virginia Board of NursingJay P. Douglas, MSM, RN, CSAC, FRE, Executive DirectorBrandon A. Jones, MSN, RN, CEN, NEA-BC, President, Department of Health ProfessionsPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Office Hours:Monday - Friday 8:15AM - 5:00PM(except Holidays). A nursing home is a facility in which the primary function is the provision, on a continuing basis, of nursing services and health-related services for the treatment and inpatient care of two or more non-related individuals. When asked how they paid for their training, most reviewers responded, "My company paid for my training". Our team of attorneys at Price Benowitz are always ready and willing to provide knowledgeable legal counsel to those in need. Please select a profession or category from the dropdown, to view related forms. The Board also approves and regulates in-state education programs for Nurses (RN and LPN), Nurse Aides, and Medication Aides. K ), nurse practitioners (N.P. This is done online or through completing an official form and sending it to the Board. Other Comments. The Board is required to publish your petition in the Virginia Register and post it online atwww.townhall.virginia.gov to begin a 21-day comment period on the request. Nursing Home InformationFacility Name:Address:City:State:Zip Code:Telephone Number: ( ) Section 3. Establishing/Maintaining Education Programs, Virginia Department of Health Professions. Virginia Board of Nursing Perimeter Center 9960 Mayland Drive, Suite 300 Henrico, VA 23233 Phone: (800)- 533 -1560 or (804) 367-4515. . To find this information, simply choose your location, and then 'assisted living care' and a list of facilities in your area will be displayed. National Council of State Boards of Nursing, Inc. All Rights Reserved. m T kd $$If *F ( 0 x a. Some reasons for filing a complaint would be abuse, neglect, poor care, not enough staff, unsafe or unsanitary conditions, dietary problems, or mistreatment. Section 5. 4 reviews. 25, 2023 at 8:46 PM PDT. Virginia Board of Nursing - Reviews. Attach copies (not originals) of documents relating to your concerns, if applicable. ufh8> h7 @OJ QJ ^J h8> h7 @OJ QJ ^J h8> h7 @OJ QJ ^J h8> h7 @OJ QJ ^J h8> h7 OJ QJ ^J h8> h7 CJ OJ QJ ^J aJ *h8> h7 5@CJ OJ QJ \^J aJ &h8> h7 5CJ OJ QJ \^J aJ More information on the Nursing Calendar Page. Adverse Events Decision Pathway for Nurse Leaders/Administrators (AEDP), A BON's investigation into violations of a state's nurse practice act (NPA), The process for filing a complaint against a nurse who has exhibited unsafe, negligent or incompetent behavior, What a nurse can expect while their complaint is being investigated, How BONs safeguard the public by evaluating, issuing and renewing nurse licenses, How the nurse practice act (NPA) is implemented, Why disciplinary actions are taken against nurses who violate the NPA, Serves as a guide for consumers who have experienced or witnessed a nurse exhibiting unsafe, negligent or incompetent behavior, Explains what consumers can expect when a complaint is being investigated, Defines various nursing roles and responsibilities. Virginia Board of NursingJay P. Douglas, MSM, RN, CSAC, FRE, Executive DirectorBrandon A. Jones, MSN, RN, CEN, NEA-BC, President, Department of Health ProfessionsPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Office Hours:Monday - Friday 8:15AM - 5:00PM(except Holidays). j h8> UmH nH uH h7 @ h7 ( SHAPE \* MERGEFORMAT Name Date Instructions for Filing a Nursing Home Complaint Anyone with knowledge or concerns about the care of a resident in a nursing home may file a complaint with the OLC. Complaints should not be sent to NCSBN, as NCSBN has no authority over individual nurses. We encourage you to provide complete and specific information. Provide your name, address, and telephone number (unless filing anonymously). New River Health District seeks a Public Health Nurse to join our wonderful team of nursing staff. To send this form electronically, type the information directly on the form, save it to your hard drive, then email or fax the completed form to the OLC Complaint Unit. + , 7 8 F G O R S a b j m o ub $h8> h7 @CJ OJ QJ ^J aJ $h8> h7 @CJ OJ QJ ^J aJ &h8> h7 5CJ OJ QJ \^J aJ $h8> h7 @CJ OJ QJ ^J aJ $h8> h7 @CJ OJ QJ ^J aJ $h8> h7 @CJ OJ QJ ^J aJ h8> h7 h8> h7 CJ OJ QJ ^J aJ $h8> h7 @CJ OJ QJ ^J aJ " Nursing homes are regulated by the Virginia Department of Health (VDH). e Department of Health ProfessionsPerimeter Center9960 Mayland Drive, Suite 300Henrico, Virginia 23233-1463, Office Hours:Monday - Friday 8:15AM - 5:00PM(except Holidays). Return the completed Complaint Form to the Enforcement Division by. Speak to your healthcare provider or pharmacist for more information. Names of any other person(s) or witness(es) involved in this complaint: Name (first and last): Contact Information, if known: ( ) Name (first and last): Contact Information, if known: ( ) Section 5. Because these investigations and subsequent hearings must follow specific rules, an understanding of these rules is essential to forwarding a powerful defense.