Which advanced nursing roles have limited prescribing authority in Virginia?

In Virginia, Advanced Registered Nurse Practitioners (ARNPs) and Nurse Midwives possess a defined scope of practice that includes limited prescribing authority. This authority allows them to prescribe certain medications, particularly those related to their specific areas of practice, such as primary care and reproductive health.

ARNPs in Virginia must have a collaborative agreement with a supervising physician to prescribe medications, particularly controlled substances. This collaborative practice agreement helps ensure that patient care is safe and that prescribing practices align with the overall management of the patient's health. Nurse Midwives also have specific protocols around prescribing based on their focus on maternity and gynecological care.

In contrast, Clinical Nurse Specialists and Certified Nurse Anesthetists, while they provide advanced nursing care, may not have the same level of prescribing authority as ARNPs and Nurse Midwives. Homeopathic Doctors and Naturopathic Doctors are not recognized under the same prescriptive authority framework applicable to nurses. Lastly, all Registered Nurses do not possess prescriptive authority as it is typically reserved for advanced practice roles. Therefore, the accurate identification of the roles with limited prescribing authority directly aligns with the established regulations governing nursing practice in Virginia, distinguishing why Advanced Registered Nurse Practitioners and Nurse Midwives are the correct answer.