If you are facing allegations of professional misconduct as a nurse in Virginia, it is essential to understand what you are up against. V Contact the Board of Nursing. Initial applications forCertified Nurse Aide by Examinationin Virginia are processed through the testing service - Credentia. However, the OLC reserves the right to disclose to the nursing facility the nature of the complaint or the identity of the patient who is the subject of the complaint as permitted by 32.1-138.5 of the Code of Virginia. 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. Training Room 1, Thu, May 11, 2023 9:00 AM These individuals may only practice temporarily for 90 days after receiving an offer of employment or contract for services from: (1) a hospital licensed by the Virginia Department of Health, (2) a nursing home, (3) a dialysis facility, (4) the Virginia Department of Health, or (5) a local health department. 8 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. Virginia Board of Nursing. The Virginia Board of Nursing regulates the practice of nursing in the state of Virginia, including registered nurses (R.N. But consider the case of Towson University alumna Kaede Fujiwara: The Virginia board would likely . General primary inquiry 9960 Mayland . Q We note at the outset that this Court strictly applied the requirements of West Virginia Code 30-1-1 et seq. 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. e 7 8 > E U E E g d $3$ 5$ If ^g . Please select a profession or category from the dropdown, to view related forms. Gather more information from the complainant, Speak to any third-party witnesses who may have seen an event, Consult with law enforcement agencies that may be involved. g $3$ 5$ If ] ^g g d $3$ 5$ If ^g 3$ 5$ ] You may attach additional pages and reports to this form as needed. Informal Conferences - Agency Subordinate Section 32.1-138.5 authorizes the disclosure of "the nature of the complaint or the identity of the patient" to the nursing facility. The Board also approves and regulates in-state education programs for Nurses (RN and LPN), Nurse Aides, and Medication Aides. Filing a Complaint; Legislative Updates; The National Nursing Database; Testing Locations; More Sites & Tools; Join NCSBN's mailing list; Contact NCSBN; Attach copies (not originals) of documents relating to your concerns, if applicable. 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. / While the fact that an investigation is underway is not cause for concern in and of itself, that investigations findings may compel the Board to conduct more in-depth sessions concerning potential professional misconduct. All complaints that go through the Nursing Regulatory Board follow a specific procedure. DHP Home > Practitioner Resources > Enforcement > File a Complaint. Follow the instructions on the form when the required information is submitted. Overview. 3$ 5$ ^ . Within 90 days after the comment period or 14 days after its next scheduled meeting, the Board will issue a decision on whether it will grant or deny the petition. Applications for initial licensure as a Nurse Practitioner are accepted exclusively online. Department of Health Professions, Perimeter Center, 9960 Mayland Drive, Suite 300 Henrico, Virginia 23233. . here. Please use our Application Wizard for guidance on how to apply for initial licensure as a Registered Nurse. Establishing/Maintaining Education Programs, Verify All Virginia Board of Nursing Licenses, Certificates or Registrations, Virginia Department of Health Professions. Virginia Department of Health Office of Licensure and Certification Nursing Home Complaint Form Page 2 of 4 revised 04/2013 Section 4. > ] 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. $ EndorsementChecklist Instructions for Licensure by Endorsement as a Massage TherapistVerification Form - Massage Therapist (form required for applicants applying to Virginia who have been licensed/certified/ registered as a massage therapist in another state/jurisdiction)Initial LicensureChecklist Instructions for Initial Licensure as a Massage Therapist, ReinstatementChecklist Instructions and Application for Reinstatement as a Massage Therapist, Checklist Instructions and Application for Reinstatement as a Massage Therapist following Suspension or Revocation, Please use our Application Wizard to help determine how to apply for initial registration as a Medication Aide. IMPORTANT: Notice of Proposed NLC Rulemaking - open for public comment from April 18th until June 26th. Name and title of the nursing home staff person to whom the complaint was reported: Name (first and last): Contact Information, if known: ( )C. What action was taken by the nursing home? Discipline "To intervene when health care providers practice in an unsafe, incompetent, illegal or unethical manner" Electronic Complaint Form. An Agency of the Commonwealth of Virginia, Mandated Reporters - Training & Resources, Cash from Tax Refunds and Help for Filing Tax Returns, Supplemental Nutrition Assistance Program (SNAP), SNAP Employment & Training Program (SNAP E&T), WIC, Food Bank & Other Nutritional Assistance, Temporary Assistance for Needy Families (TANF), Substance Use Disorder Prevention and Recovery, Interstate Compact on Adoption & Medical Assistance (ICAMA), Interstate/Intercountry Placement of Children (ICPC), Education and Training Voucher (ETV) Program, Background Investigations - Adult Facilities, Background Investigations - Child Welfare Programs, Search for a Children's Residential Facility, Virginia Department of Social Services (VDSS). Copyright 2022, Virginia Department of Health Professions. h7 @ 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. If you are unsure of how to apply, please see our Application Wizard for guidance. More information on the Nursing Calendar Page. An Explanation of NCSBN's Authority. J kdO $$If s ( i% a $3$ 5$ If ^ - . The Board has the obligation to investigate any complaint that it receives. A copy of your complaint and any supporting documentation provided by you may be shared with the subject of the complaint (practitioner or licensee) pursuant to the Code of Virginia 54.1-2400.2 (G). You do not have to use this form when filing a complaint. h7 @ h7 h7 CJ 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 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 The Virgina Board of Nursing provides a wide variety of information to the public about health care professionals in Virginia.