reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.39 - Temporary License - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board may, in its discretion, grant a
			 temporary license to an applicant who meets the qualifications for licensure as
			 an anesthesiologist assistant, except that the applicant has not yet taken the
			 Certifying Examination for Anesthesiologist Assistants (CEAA) for the first
			 time or the applicant has taken the NCEAA for the first time and is awaiting
			 the results.
(2) A temporary
			 license is valid:
(a) For one year from the
			 date issued, or
(b) Until the
			 results of an applicant's examination are available, or
(c) Until the Board makes a final decision on
			 the applicant's request for licensure as an anesthesiologist assistant,
			 whichever comes first.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.40 - Grounds For Denial Of License - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
The commission by an anesthesiologist assistant of any act,
				offense or condition set forth in Rule
				540-X-7-.41 shall be grounds,
				within the discretion of the board, to deny an application for a license to
				practice as an anesthesiologist assistant.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.41 - License Renewal - Anesthesiologist Assistant (A.A)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A license to practice as an
			 anesthesiologist assistant shall be renewed annually on or before January 1st
			 of each year. Application for annual renewal shall be received by the Board on
			 or before December 31st and shall be accompanied by a renewal fee in the amount
			 of $100.00.
(2) The Board shall not
			 renew the license to practice of any anesthesiologist assistant against whom an
			 administrative fine has been assessed by the Board until such fine is paid in
			 full. In the event that the fine is subsequently reduced or set aside on
			 judicial review as provided in the Alabama Administrative Procedure Act, the
			 anesthesiologist assistant shall be entitled to a prompt refund of the amount
			 of the fine, but shall not be entitled to interest thereon.
(3) If an anesthesiologist assistant fails to
			 renew his license before January 1, he may subsequently renew his license as
			 follows:
(a) Between January 1 and January 31,
			 submit a completed renewal application, pay the renewal fee of $100, and
			 certify completion of the continuing medical education hours required by this
			 Chapter.
(b) February 1 and
			 thereafter, submit a completed renewal application, pay the renewal fee of
			 $100, and submit proof of completion of the continuing medical education hours
			 required by this Chapter.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.42 - Discipline Of License - Anesthesiologist Assistant (A.A.) - Grounds

Current through Register Vol. 42, No. 9, June 28, 2024
After notice and hearing, the Board, within its discretion,
				shall suspend, revoke, place on probation or otherwise discipline the license
				of an anesthesiologist assistant who is found guilty on the basis of
				substantial evidence of any of the following acts or offenses:
(1) Conviction of a felony;
(2) Conviction of any crime or other offense,
			 felony or misdemeanor, reflecting on the ability of the individual to render
			 patient care in a safe manner;
(3)
			 Conviction of any violation of state or federal laws relating to controlled
			 substances;
(4) Termination,
			 restriction, suspension, revocation, or curtailment of licensure, registration
			 or certification by another state or other licensing jurisdiction on grounds
			 similar to those stated in these rules;
(5) The denial of a registration, a
			 certification, or a license to practice by another state or other licensing
			 jurisdiction;
(6) Being unable to
			 render patient care with reasonable safety by reason of addiction to alcohol or
			 drugs or by reason of a mental or physical condition or disability;
(7) Revocation, termination, suspension or
			 restriction of hospital privileges;
(8) Knowingly submitting or causing to be
			 submitted any false, fraudulent, deceptive or misleading information to the
			 Board of Medical Examiners in connection with an application for licensure or
			 registration;
(9) That the
			 anesthesiologist assistant has represented himself or herself or permitted
			 another to represent him or her as a physician;
(10) That the anesthesiologist assistant has
			 performed otherwise than at the direction and under the supervision of an
			 anesthesiologist approved by the Board;
(11) That the anesthesiologist assistant has
			 been delegated and/or has performed or attempted to perform tasks and functions
			 beyond his or her competence;
(12)
			 That the anesthesiologist assistant has performed or attempted to perform tasks
			 beyond those authorized in the approved job description;
(13) Practicing or permitting another to
			 practice as an anesthesiologist assistant without the required license and
			 registration by the Board of Medical Examiners;
(14) Prescribing in violation of statutory
			 authority and/or Board rules and/or Board guidelines;
(15) Intentional falsification of a
			 certification of compliance with the continuing medical education requirement
			 for anesthesiologist assistants established in these rules; and
(16) Unprofessional conduct for failing to
			 maintain or provide to the Board records documenting compliance with the
			 minimum continuing medical education requirement.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.43 - Administrative Fines-Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
In addition to any other penalty authorized by Ala. Code §
								34-24-302, the Board may in its
				discretion assess administrative fines not to exceed ten thousand dollars
				($10,000) for each violation of the provisions of §
								34-24-302, Board Rule
				540-X-7-.42 or any of the Board
				rules concerning anesthesiologist assistants.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.44 - Discipline Of License - Anesthesiologist Assistant (A.A.) - Hearings

Current through Register Vol. 42, No. 9, June 28, 2024
Before revoking, suspending, placing on probation, assessing
				administrative fines against, or otherwise disciplining the license of an
				anesthesiologist assistant on any of the grounds specified in Rule
				540-X-7-.42, the Board shall
				conduct a hearing pursuant to the provisions of the Alabama Administrative
				Procedure Act, §§
								41-22-1,
et
seq
.,
Code of
				Ala. 1975
, and Chapter 6 of the Rules of the Board.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.45 - Registration - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
Registration of an anesthesiologist assistant by the Board to
				perform medical services under the supervision of an anesthesiologist approved
				by the Board to supervise the assistant shall be accomplished in the following
				manner:
(1) A completed application
			 for registration in the form specified in Appendix E to Chapter 7 shall be
			 submitted to the Board;
(2) A
			 registration fee in the amount of $100.00 shall accompany the
			 application;
(3) A detailed job
			 description in the form specified in Appendix F which sets forth the
			 anticipated functions and activities of the anesthesiologist assistant and is
			 signed by the anesthesiologist and the anesthesiologist assistant shall
			 accompany the application. The job description shall list each practice site,
			 including address and phone number, where the job description shall be
			 utilized;
(4) The anesthesiologist
			 and the anesthesiologist assistant may be personally interviewed, at the
			 discretion of the Board, prior to final action on the application for
			 registration.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.46 - Qualifications For Registration - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
To qualify for registration as an anesthesiologist assistant an
				individual must meet the following requirements:
(1) Be employed by:
(a) An anesthesiologist who practices in the
			 medical specialty of anesthesiology and who is qualified under these rules or
			 by a partnership, medical professional corporation, medical professional
			 association or anesthesiologist practice foundation that also employs a
			 supervising anesthesiologist who practices in the medical specialty of
			 anesthesiology and who is qualified under these rules; or
(b) An entity approved by the Board under
			 Rule 540-X-7-.51;
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.47 - Qualifications Of The Supervising Anesthesiologist - Anesthesiologist Assistants (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
The anesthesiologist to whom an anesthesiologist assistant is
				registered shall:
(1) Hold a current,
			 unrestricted license to practice medicine in the State of Alabama and practice
			 in the medical specialty of anesthesiology;
(2) On the date of the application, be
			 eligible for board certification or be board certified by the American Board of
			 Anesthesiology (ABA) or by the American Osteopathic Board of Anesthesiology.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.48 - Grounds For Denial Of Registration - Anesthesiologist Assistant (A.A.) And Supervising Anesthesiologist

Current through Register Vol. 42, No. 9, June 28, 2024
Grounds, within the discretion of the Board, to deny an
				application for registration as an anesthesiologist assistant shall be the
				following:
(1) The commission by an
			 anesthesiologist assistant or an anesthesiologist of any act, offense or
			 condition stated in Rule
			 540-X-7-.42.
(2) The anesthesiologist to whom the
			 anesthesiologist assistant is registered has permitted or required the
			 anesthesiologist assistant to perform or to attempt to perform tasks which are
			 beyond the assistant's competence or which are not authorized in the job
			 description approved by the Board.
(3) The supervising anesthesiologist's
			 license to practice medicine has been revoked, suspended, restricted or
			 disciplined in any manner.
(4)
			 Refusal by the anesthesiologist assistant or supervising anesthesiologist to
			 appear before the Board after having been formally requested to do so in
			 writing by the Executive Director of the Board.
(5) Failure by the anesthesiologist assistant
			 or anesthesiologist to notify the Board in writing of termination of previous
			 employment as required by Rule
			 540-X-7-.48.
(6) The signing by an anesthesiologist
			 assistant of any form which is to be authenticated by the supervising
			 anesthesiologist's signature if the supervising anesthesiologist has not
			 authorized signing by the assistant or if signing by the assistant is
			 prohibited by Federal or state statutes or regulations or if signing by the
			 assistant is prohibited by the agency governing the form.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.49 - Qualifications For Registration - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
To qualify for registration as an anesthesiologist assistant
				an individual must meet the following requirements:
(1) Be employed by:
(a) An anesthesiologist who practices in the
			 medical specialty of anesthesiology and who is qualified under these rules or
			 by a partnership, medical professional corporation, medical professional
			 association or anesthesiologist practice foundation that also employs a
			 supervising anesthesiologist who practices in the medical specialty of
			 anesthesiology and who is qualified under these rules; or
(b) An entity approved by the Board under
			 Rule 540-X-7-.54;
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.50 - Qualifications Of The Supervising Anesthesiologist - Anesthesiologist Assistants (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
The anesthesiologist to whom an anesthesiologist assistant is
				registered shall:
(1) Possess a
			 current, unrestricted license to practice medicine in the State of Alabama and
			 practice in the medical specialty of anesthesiology;
(2) On the date of the application, have
			 satisfied one of the following experience requirements:
(a) Practice medicine for at least three
			 years, including any practice as a licensed physician while enrolled in an
			 internship, residency, or fellowship;
(b) Practice medicine as a licensed physician
			 for at least one year, including any practice while enrolled in an internship,
			 residency, or fellowship, and certified by the American Board of Anesthesiology
			 (ABA) or by the American Osteopathic Board of Anesthesiology; or
(c) Practice medicine as a licensed physician
			 for at least one year, including any practice while enrolled in an internship,
			 residency, or fellowship, and the registration's practice site is limited
			 solely to a general acute care hospital, a critical access hospital, or a
			 specialized hospital licensed as such by the Alabama Department of Public
			 Health.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.51 - Grounds For Denial Of Registration - Anesthesiologist Assistant (A.A.) And Supervising Anesthesiologist

Current through Register Vol. 42, No. 9, June 28, 2024
Grounds, within the discretion of the Board, to deny an
				application for registration as an anesthesiologist assistant shall be the
				following:
(1) The commission by an
			 anesthesiologist assistant of any act, offense or condition stated in Rule
			 540-X-7-.45.
(2) The anesthesiologist to whom the
			 anesthesiologist assistant is registered has permitted or required the
			 anesthesiologist assistant to perform or to attempt to perform tasks which are
			 beyond the assistant's competence or which are not authorized in the job
			 description approved by the Board.
(3) The supervising anesthesiologist's
			 license to practice medicine has been revoked, suspended, restricted or
			 disciplined in any manner.
(4)
			 Refusal by the anesthesiologist assistant or supervising anesthesiologist to
			 appear before the Board after having been formally requested to do so in
			 writing by the Executive Director of the Board.
(5) Failure by the anesthesiologist assistant
			 or anesthesiologist to notify the Board in writing of termination of previous
			 employment as required by Rule
			 540-X-7-.53.
(6) The signing by an anesthesiologist
			 assistant of any form which is to be authenticated by the supervising
			 anesthesiologist's signature if the supervising anesthesiologist has not
			 authorized signing by the assistant or if signing by the assistant is
			 prohibited by Federal or state statutes or regulations or if signing by the
			 assistant is prohibited by the agency governing the form.
(7) Failure of an anesthesiologist to
			 maintain current or unrestricted licensure with the Medical Licensure
			 Commission of Alabama.
(8) Failure
			 of a supervising anesthesiologist to comply with any statute or rule governing
			 supervised practice.
(9) The
			 commission or any act by an anesthesiologist which would constitute a violation
			 of
Code of Ala. 1975
, §
								34-24-360 or any rule of the
			 Alabama Board of Medical Examiners or Medical Licensure Commission of
			 Alabama.
(10) Failure of a
			 supervising anesthesiologist to maintain or produce for inspection upon request
			 by the Alabama Board of Medical Examiners any documentation required to be
			 maintained by the supervising anesthesiologist.
Previous Rule
				  540-X-7-.48 was renumbered to .51
				  as per certification filed September 11, 2008; effective October 16,
				  2008.
Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.52 - Anesthesiologist Assistants (A.A.) Not Employed By Supervising Anesthesiologist/Anesthesiologist Not In Full-Time Practice

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Under the circumstances where an
			 anesthesiologist assistant is seeking registration to an anesthesiologist not
			 regularly engaged in the full-time practice of medicine and/or in the
			 circumstance where the anesthesiologist and the anesthesiologist assistant
			 seeking registration are each employees of a legal entity other than a
			 professional partnership, medical professional corporation, medical
			 professional association or physician practice foundation, the applicant shall
			 have the burden of satisfying the Board that there exists the supervisory
			 relationship between the anesthesiologist and the anesthesiologist assistant
			 contemplated by these rules.
(2)
			 Factors to be used by the Board in determining the nature of the relationship
			 shall include but are not limited to the following:
(a) The anesthesiologist's authority to
			 terminate the employment of the anesthesiologist assistant;
(b) The anesthesiologist's authority to
			 determine or recommend levels of compensation for the anesthesiologist
			 assistant;
(c) The
			 anesthesiologist's authority to enforce compliance with orders and directives
			 and to initiate suitable disciplinary action for violation of such orders and
			 directives;
(d) The extent to which
			 the anesthesiologist assistant may be subject to the direction and control in
			 matters relating to patient care of a person other than the anesthesiologist to
			 whom the assistant is registered;
(e) The extent to which the anesthesiologist
			 assistant is subject to the supervisory authority of a non-physician.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.53 - Termination Of Registration - Voluntary - Anesthesiologist Assistants (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
When for any reason an anesthesiologist assistant shall
				discontinue his or her employment with the employer designated in the
				application for registration, then registration of such anesthesiologist
				assistant to the supervising anesthesiologist designated in the application is
				automatically terminated. The anesthesiologist assistant or the
				anesthesiologist shall inform the Board in writing of the effective date of the
				termination of employment and the reasons for such termination. Failure to
				notify the Board of termination may be considered by the Board as a violation
				of these rules and regulations for the purpose of approval of future
				applications for registration.
Previous Rule
				  540-X-7-.50 was renumbered to .53
				  as per certification filed September 11, 2008; effective October 16,
				  2008.
Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290 thru 34-24-303.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.54 - Interim Approval - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An anesthesiologist assistant may obtain
			 interim approval of a supervised practice with an interim supervising
			 anesthesiologist after confirmed receipt by the Board of Medical Examiners of a
			 registration application and may continue in interim practice until such time
			 as the pending application for registration is approved or denied, provided the
			 interim supervising anesthesiologist meets the qualifications established in
			 these rules. An anesthesiologist assistant who has been granted a temporary
			 license does not qualify for interim approval.
(2) An applicant for approval to practice as
			 an anesthesiologist assistant may obtain interim approval when either the
			 supervising anesthesiologist or the anesthesiologist assistant is under
			 investigation by a state or federal authority. The interim approval shall
			 remain in force until the application for registration has been approved,
			 denied, or withdrawn. However, the Board of Medical Examiners may decline to
			 approve the application until the investigation has been concluded. The Board
			 of Medical Examiners may withdraw interim approval in accordance with this
			 Chapter.
Previous Rule
				  540-X-7-.51 was renumbered to .54
				  as per certification filed September 11, 2008; effective October 16,
				  2008.
Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290 thru 34-24-303.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.55 - Anesthesiologist Assistants (A. A.) Not Employed By Supervising Anesthesiologist/Anesthesiologist Not In Full-Time Practice

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Under the
			 circumstances where an anesthesiologist assistant is seeking registration to an
			 anesthesiologist not regularly engaged in the full-time practice of medicine
			 and/or in the circumstance where the anesthesiologist and the anesthesiologist
			 assistant seeking registration are each employees of a legal entity other than
			 a professional partnership, medical professional corporation, medical
			 professional association or physician practice foundation, the applicant shall
			 have the burden of satisfying the Board that there exists the supervisory
			 relationship between the anesthesiologist and the anesthesiologist assistant
			 contemplated by these rules.
(2)
			 Factors to be used by the Board in determining the nature of the relationship
			 shall include but are not limited to the following:
(a) The anesthesiologist's authority to
			 terminate the employment of the anesthesiologist assistant;
(b) The anesthesiologist's authority to
			 determine or recommend levels of compensation for the anesthesiologist
			 assistant;
(c) The
			 anesthesiologist's authority to enforce compliance with orders and directives
			 and to initiate suitable disciplinary action for violation of such orders and
			 directives;
(d) The extent to which
			 the anesthesiologist assistant may be subject to the direction and control in
			 matters relating to patient care of a person other than the anesthesiologist to
			 whom the assistant is registered;
(e) The extent to which the anesthesiologist
			 assistant is subject to the supervisory authority of a non-physician.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.57 - Covering Anesthesiologists For Anesthesiologist Assistants (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) When the
			 primary supervising anesthesiologist is off duty, out of town, not on call, or
			 not immediately available to respond to patients' medical needs, the
			 anesthesiologist assistant is not authorized to perform any act or render any
			 treatments unless another qualified anesthesiologist in the same partnership,
			 group, medical professional corporation or anesthesiologist practice foundation
			 or with whom the primary supervising anesthesiologist shares call is on call
			 and is immediately available to supervise the anesthesiologist assistant and
			 has previously filed with the Board a letter stating that he or she assumes all
			 responsibility for the actions of the anesthesiologist assistant during the
			 temporary absence of the primary supervising anesthesiologist.
(2) The covering anesthesiologist providing
			 the supervision shall also affirm in the letter that he or she is familiar with
			 the current rules regarding anesthesiologist assistants and the job description
			 filed by the primary supervising anesthesiologist and the anesthesiologist
			 assistant and that he or she is accountable for adequately supervising the
			 medical care rendered pursuant to the job description. The covering
			 anesthesiologist must meet the same qualifications as the supervising
			 anesthesiologist as established in this Chapter.
(3) The supervising anesthesiologist shall
			 certify to the Board of Medical Examiners at least annually that any approved
			 covering anesthesiologist continues to agree to serve in that capacity and
			 shall inform the Board of Medical Examiners of the termination of a covering
			 anesthesiologist within ten (10) days of the termination.
Previous Rule
				  540-X-7-.54 was renumbered to .57
				  as per certification filed September 11, 2008; effective October 16,
				  2008.
Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290,
et
.
seq
.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.58 - Medication Orders - Anesthesiologist Assistants (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
An anesthesiologist assistant may administer drugs commonly
				used in anesthesia practice, by protocol (i.e., routine or urgent/emergent) or
				as directed by the supervising anesthesiologist who formulates the anesthetic
				plan and maintains continual supervision.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners.
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.59 - Limitations Upon Utilization Of Anesthesiologist Assistants (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An
			 anesthesiologist may have registered to him or her not more than four (4)
			 anesthesiologist assistants.
(2) An
			 anesthesiologist assistant may be registered to more than one supervising
			 anesthesiologist at any one time. The number of supervising anesthesiologists
			 to whom an anesthesiologist assistant may be registered shall be restricted by
			 the Board if the Board, in its discretion, determines that such restriction is
			 appropriate to maintain the quality of medical services being provided or to
			 otherwise protect the public health, safety and welfare.
(3) An anesthesiologist shall disclose to the
			 Board of Medical Examiners the existence of all collaborative and supervisory
			 agreements to which the physician is party, including collaborative and
			 supervisory agreements in other states, and shall not be eligible to
			 collaborate with or supervise any combination of certified registered nurse
			 practitioners, certified nurse midwives, and\or assistants to physicians
			 exceeding three hundred and sixty (360) hours per week (nine full-time
			 equivalent positions), inclusive of collaborative and supervisory agreements
			 existing in other states. Agreements with an individual certified registered
			 nurse practitioner, certified nurse midwife, and/or assistant to physician in
			 multiple states shall only be counted once for purposes of calculating the
			 total number of full-time equivalent positions.
Previous Rule
				  540-X-7-.56 was renumbered to .59
				  as per certification filed September 11, 2008; effective October 16,
				  2008.
Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290 thru 34-24-303.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.60 - Forms Requiring An Anesthesiologist's Signature - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Unless
			 prohibited by Federal or state statutes or regulations or by the agency
			 governing a specific form, an anesthesiologist assistant may sign any form
			 which can be authenticated by the supervising anesthesiologist's signature, if
			 signing by the anesthesiologist assistant is authorized by the supervising
			 anesthesiologist.
(2)
			 Anesthesiologist assistants are prohibited from signing prescriptions for
			 controlled substances.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners.
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.61 - Grounds For Termination Of Registration - Involuntary - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
The commission by an anesthesiologist assistant or
				anesthesiologist of any act, offense or condition set forth in Rule
				540-X-7-.42 or Rule
				540-X-7-.48 shall be grounds,
				within the discretion of the Board, to terminate the registration of an
				anesthesiologist assistant to perform medical services under the supervision of
				an anesthesiologist.
Author:
Patricia E. Shiner, Attorney for the Board
				of Medical Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-290, et. seq.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.62 - Continuing Medical Education - Anesthesiologist Assistant (A.A.)

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
(a) Effective January 1, 2025, every two
			 calendar years, each anesthesiologist assistant licensed by the Board must earn
			 not less than fifty (50) hours of AMA PRA Category 1 CreditsT or the equivalent
			 as defined in this rule of continuing medical education as a condition
			 precedent to receiving his or her annual renewal of license, unless he or she
			 is exempt from the minimum continuing medical education requirement.
(b) For the purpose of compliance with the
			 continuing medical education (CME) basic requirement stated in paragraph (a)
			 for only the 2010 calendar year, credits earned in the 2009 calendar year which
			 are not used to meet the 2009 calendar year CME requirement may be carried
			 forward and used to meet the 2010 calendar year requirement. Carrying forward
			 credits shall not be allowed thereafter.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Section 540-X-7-.69 - Expedited License For Military Members And Spouses

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The intent of this rule is to provide for
			 the expedited issuance of a license to military service members and the spouses
			 of military service members who are relocated to and stationed in Alabama and
			 who are also qualified assistants to physicians.
(2) The board, at its discretion and pursuant
			 to this rule, may issue a temporary license to an assistant to physician
			 applicant who is relocated to or stationed in this state under official
			 military orders and who satisfies any of the following:
(a) Is an active duty, reserve, or
			 transitioning member of the United States Armed Forces, including the National
			 Guard;
(b) Is the spouse of an
			 active duty, reserve, or transitioning member of the United States Armed
			 Forces, including the National Guard; or
(c) Is the surviving spouse of a service
			 member who, at the time of his or her death, was serving on active
			 duty.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Appendix B - Application for Licensure of Physician Assistant

Current through Register Vol. 42, No. 9, June 28, 2024
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Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala. 1975,
				  §§
										34-24-293,
				  34-24-298,
				  34-24-299,
				  34-24-303,
				  34-24-306.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Appendix C - Application for Registration of Anesthesiologist Assistant

Current through Register Vol. 42, No. 9, June 28, 2024
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Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-293,
				  34-24-298,
				  34-24-299,
				  34-24-303,
				  34-24-306.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Appendix D - Application for Licensure of Anesthesiologist Assistant

Current through Register Vol. 42, No. 9, June 28, 2024
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				image
Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala. 1975,
				  §§
										34-24-293,
				  34-24-298,
				  34-24-299,
				  34-24-303,
				  34-24-306.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Appendix E - Physician Assistant/Anesthesiologist Assistant License Renewal

Current through Register Vol. 42, No. 9, June 28, 2024
Click to view
				image
Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala. 1975,
				  §§
										34-24-293,
				  34-24-298,
				  34-24-299,
				  34-24-303,
				  34-24-306.
The
				appendix version of this section by
				Alabama
				Administrative Monthly Volume XLII, Issue No. 04, January 31,
				2024, filed January 19, 2024
				is not yet available.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-7 - ASSISTANTS TO PHYSICIANS › Appendix F - Application for Reinstatement of Physician Assistant/Anesthesiologist Assistant License

Current through Register Vol. 42, No. 9, June 28, 2024
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Author:
Alabama State Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-293,
				  34-24-298,
				  34-24-299,
				  34-24-303,
				  34-24-306.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-8 - ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE › Section 540-X-8-.01 - Definitions. The following definitions will apply to these rules

Current through Register Vol. 42, No. 9, June 28, 2024
(1) BOARD OF
			 MEDICAL EXAMINERS. The State Board Of Medical Examiners established pursuant to
Code of Ala. 1975
, §
								34-24-53.
(2) BOARD OF NURSING. The Board of Nursing
			 established under
Code of Ala. 1975
, §
								34-21-2.
(3) ADVANCED PRACTICE NURSE. A registered
			 nurse who has gained additional knowledge and skills through successful
			 completion of an organized program of nursing education that prepares nurse for
			 advanced practice roles and has been approved by the Board of Nursing to engage
			 in the practice of advanced practice nursing. Two categories of advanced
			 practice nurses are subject to the requirements of collaborative practice:
(a) Certified registered nurse practitioners
			 (CRNP)
(b) Certified nurse midwives
			 (CNM)
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-8 - ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE › Section 540-X-8-.02 - Terms And Functions Of The Joint Committee

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The registered nurse members of the Joint
			 Committee shall be appointed to three year terms by the Board of Nursing in
			 accordance with
Code of Ala. 1975
, §§
								34-21-80 et. seq.
(2) The physician members of the Joint
			 committee shall be appointed to three year terms by the Board of Medical
			 Examiners in accordance with
Code of Ala. 1975
,
			 Section 34-24-80, et. Seq.
(3)
			 Terms of Joint Committee members shall begin October 1.
(4) Joint Committee members may be
			 reappointed to one additional term of three years by the respective
			 board.
(5) There shall be a minimum
			 of four Joint Committee members with two representatives from each appointing
			 Board present at a meeting to constitute a quorum for voting.
(6) The Joint Committee shall have the
			 authority to perform the following functions:
(a) Recommend to the Board of Nursing and
			 Board of Medical Examiners rules and regulations governing the collaborative
			 relationship between physicians and certified registered nurse practitioners
			 and certified nurse midwives engaging in advanced practice nursing.
(b) Recommend to the Board of Nursing and
			 Board of Medical Examiners model practice protocols to be used by the certified
			 registered nurse practitioner and certified nurse midwife.
(c) Recommend to the Board of Nursing and
			 Board of Medical Examiners a formulary of legend drugs that may be prescribed
			 by a certified registered nurse practitioner and certified nurse
			 midwife.
(d) Perform other duties
			 as directed by the Board of Nursing and Board of Medical Examiners.
Author:
Patricia E. Shaner, Attorney for the Board
				of Medical Examiners
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-8 - ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE › Section 540-X-8-.03 - Qualifications For Approval To Practice As A Certified Registered Nurse Practitioner

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 applicant for approval to practice as a certified registered nurse practitioner
			 shall have:
(a) An active Alabama registered
			 nurse license, or a multistate registered nurse license issued by a party
			 state, as defined in Chapter 610-X-4 of the Rules of the Alabama Board of
			 Nursing, unless authorized by the Board of Nursing.
(b) Met all requirements for completion of or
			 graduation from an organized program of study and clinical experience beyond
			 the basic educational preparation as a registered nurse, that prepares nurse
			 practitioners and is recognized by the Board of Nursing and the appropriate
			 specialty certifying agency.
(c) At
			 least a master's or higher degree in advanced practice nursing from an
			 accredited program recognized by the Board of Nursing.
(d) Current certification as a certified
			 registered nurse practitioner granted by a national certifying agency
			 recognized by the Board of Nursing in the clinical specialty consistent with
			 educational preparation and appropriate to the area of practice.
(e) Effective January 1, 2024, obtained
			 continuing education prescribed by the Board of Nursing regarding the rules and
			 statutes governing collaborative practice in Alabama, not more than forty-eight
			 (48) months prior to or within twelve (12) months of commencement of the
			 collaborative practice.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-8 - ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE › Section 540-X-8-.04 - Qualifications For Physicians In Collaborative Practice With Certified Registered Nurse Practitioners

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 physician in collaborative practice with a certified registered nurse
			 practitioner shall:
(a) Possess a current,
			 unrestricted license to practice medicine in the State of Alabama;
(b) Have satisfied one of the following
			 experience requirements:
1. Have practiced
			 medicine for at least three years.
2. Have practiced medicine for at least one
			 year and certified by one or more of the specialty boards recognized by the
			 American Board of Medical Specialties or the American Osteopathic Association;
			 or
3. Have practiced medicine for
			 at least one year and the collaboration's practice site is limited solely to a
			 general acute care hospital, a critical access hospital, or a specialized
			 hospital licensed as such by the Alabama Department of Public Health.
(c) Effective January 1, 2024,
			 have obtained continuing medical education prescribed by the Board of Medical
			 Examiners regarding the rules and statutes governing collaborative practice in
			 Alabama, not more than forty-eight (48) months prior to or within twelve (12)
			 months of commencement of the collaborative practice; and
(d) Have paid all collaborative practice fees
			 due to the Board of Medical Examiners and submitted to the Board of Medical
			 Examiners a Commencement of Collaborative Practice form. In the event no
			 application is received from the Alabama Board of Nursing within six (6) months
			 of submission, the submitted form will be withdrawn by the Board. The fee
			 submitted with the Commencement of Collaborative Practice form is
			 non-refundable and non-transferable.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-8 - ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE › Section 540-X-8-.05 - Application And Approval To Practice As A Certified Registered Nurse Practitioner

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 applicant for approval to practice as a certified registered nurse practitioner
			 shall submit to the Nursing Board:
(a) The
			 required fee(s) and a completed application including the standard protocol to
			 be followed by the certified registered nurse practitioner and each
			 collaborating physician, unless application is made for an exemption from a
			 collaborative practice agreement pursuant to Rule
			 540-X-8-.06.
(b) An official transcript of education for
			 advanced practice nursing as a nurse practitioner that indicates the date of
			 completion of the program and the date degree or certificate was conferred if
			 the dates are not the same.
(c)
			 Official evidence of current certification as a nurse practitioner by the
			 respective specialty certifying agency appropriate to the applicant's
			 education, preparation, proposed clinical area of practice, and proposed
			 collaborating physician's area of practice.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-8 - ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE › Section 540-X-8-.05.1 - Reinstatement Of Lapsed Approval For Practice As A Certified Registered Nurse Practitioner

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Lapsed
			 approval as a certified registered nurse practitioner may be reinstated upon
			 submission of a completed application and compliance with the following:
(a) An active Alabama registered nurse
			 license, or a multistate registered nurse license issued by a party state, as
			 defined in Chapter 610-X-4 of the Rules of the Alabama Board of
			 Nursing.
(b) Payment of current
			 renewal and reinstatement fees, as well as outstanding fees and fines, if
			 applicable.
(c) Official evidence
			 of current national certification as a certified registered nurse practitioner
			 by a national certifying agency recognized by the Board.
(d) Documented evidence of completion of six
			 contact hours of pharmacology content specific to the prescriptive practice in
			 the approved area for collaborative practice earned within the 24 months
			 immediately preceding application.
(e) Effective January 1, 2024, has obtained
			 continuing medical education prescribed by the Board of Nursing regarding the
			 rules and statutes governing collaborative practice in Alabama, not more than
			 forty-eight (48) months prior to or within twelve (12) months of commencement
			 of the collaborative practice.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-8 - ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE › Section 540-X-8-.06 - Authorization For Practice As A Certified Registered Nurse Practitioner

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board of
			 Nursing may grant a certificate of qualification for advanced practice nursing
			 as a certified registered nurse practitioner to applicants who meet the
			 requirements of
			 540-X-8-.03
(2) Use of the designation "CRNP" or of any
			 titles that imply that they are certified registered nurse practitioners shall
			 be restricted to those registered nurses who:
(a) Have been issued certificates of
			 qualification by the Board of Nursing and
(b) Have current approval for collaborative
			 practice in the State of Alabama; or
(c) Are employed by the United States
			 government and working in federal facilities; or
(d) Hold teaching positions in nurse
			 practitioner education programs recognized by the Alabama Board of
			 Nursing.
(e) Prior to approval as a
			 certified registered nurse practitioner, the registered nurse may use only the
			 designation or title granted by the specialty certifying agency.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-8 - ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE › Section 540-X-8-.07 - Temporary Approval To Practice As A Certified Registered Nurse Practitioner

Current through Register Vol. 42, No. 9, June 28, 2024
(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 540-X-8-.03 and
			 540-X-8-.05.
(b) The collaborating physician shall meet
			 the qualifications established in Rule
			 540-X-8-.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 Board of Medical Examiners and does not include the
			 authority to:
1. Perform additional skills as
			 provided in Rule
			 540-X-8-.10.
2. Prescribe drugs that are listed in the
			 standard formulary with "Restrictions."