Ala. Admin. Code r. 610-X-5-.08

Current through Register Vol. 43, No. 1, October 31, 2024

Section 610-X-5-.08 - Temporary Approval To Practice As A Certified Registered Nurse Practitioner

(1) The applicant for approval to practice as a certified registered nurse practitioner may be granted temporary approval for practice under the following stipulations until such time as the application is approved or denied by the Board of Nursing and the Board of Medical Examiners.

(a) The applicant shall meet the requirements of Rules 610-X-5-.03 and 610-X-5-.06

(b) The collaborating physician shall meet the qualifications established in Rule 610-X-5-.04.

(c) Temporary approval is limited to the standard protocol and formulary approved by the Joint Committee of the Alabama Board of Nursing and the Alabama Board of Medical Examiners and does not include the authority to:

(i) Perform additional skills as provided in Rule 610-X-5-.11.

(ii) Prescribe drugs that are listed in the standard formulary with "Restrictions."

(2) Provisional Approval: An Alabama-license registered nurse who meets the requirements of Rules 610-X-5-.03 and 610-X-5-.06 with the exception of national certification, and who has applied for initial certification may be granted temporary approval under paragraph (1)(c) of this rule with these additional stipulations.

(a) Practice under the on-site supervision of an approved certified registered nurse practitioner or a licensed physician.

(b) During the period of provisional approval, there shall be one hundred percent review of patient cases by the collaborating physician.

(c) The nurse practitioner with provisional approval may use the designation "Graduate Registered Nurse Practitioner."

(d) Provisional approval to practice is limited to a maximum of six months and shall expire immediately upon:

(i) Notification of approval by the Board of Nursing.

(ii) Notification of failing the certification exam.

(3) Interim Approval: If the relationship with the collaborating physician is terminated, a certified registered nurse practitioner approved to practice under the provisions of these rules may continue in a collaborative practice with an interim physician after application for approval until such time as the new application is approved or denied, provided the interim physician meets the qualifications established in Rule 610-X-5-.04.

(4) An applicant for approval to practice as a certified registered nurse practitioner may be granted temporary approval when either the collaborating physician or certified registered nurse practitioner applicant is under investigation by a state or federal authority. The temporary approval shall remain in force until the application has been approved, denied, or withdrawn. However, the Board of Nursing or Board of Medical Examiners may decline to approve the application until the investigation has been concluded. The Board of Medical Examiners may withdraw temporary approval in accordance with Rule 540-X-8-.13

Ala. Admin. Code r. 610-X-5-.08

New Rule: Filed August 25, 2003; effective September 29, 2003. Amended: Filed July 22, 2005; effective August 26, 2005. Amended: Filed October 6, 2006; effective November 10, 2006. Amended: Filed March 21, 2008; effective April 25, 2008. Amended: Filed September 24, 2012; effective October 29, 2012.

Amended by Alabama Administrative Monthly Volume XXXIII, Issue No. 10, July 31, 2015, eff. 8/6/2015.

Amended by Alabama Administrative Monthly Volume XXXIX, Issue No. 02, November 30, 2020, eff. 1/14/2021.

Amended by Alabama Administrative Monthly Volume XXXIX, Issue No. 07, April 30, 2021, eff. 6/14/2021.

Rule .07 was renumbered to .08 as per certification filed July 2, 2015; effective August 6, 2015.

Author: Alabama Board of Nursing

Statutory Authority:Code of Ala. 1975, §§ 34-21-84, 34-21-85.