reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-12 - LOAN REPAYMENT PROGRAM FOR ADVANCED PRACTICE NURSING › Section 610-X-12-.03 - Loan Conditions

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Loans may be awarded for multiple years of graduate study, as specified in
			 statute.
(2) For the first year of
			 the program, the maximum annual loan limit is fifteen thousand dollars
			 ($15,000). For subsequent years, the board may increase the maximum annual loan
			 amount by no more than five percent annually.
(3) Participants shall be selected from the
			 state of Alabama at large and, to the extent practicable, distributed
			 throughout the State.
(4)
			 Participants shall agree to provide verification of employment when requested
			 by the Board.
(5) Participants
			 shall sign a contract to repay the amount of the loan by working following
			 graduation in full-time practice as a CRNA, CRNP, or CNM in an area of critical
			 need for the time required in
Code of Ala. 1975
,
			 §
								34-21-96.
(6) Participants shall notify the Board if
			 any of the following conditions apply:
(a)
			 Failure to complete the graduate nursing program when anticipated.
(b) Relocation.
(c) Employment following graduation from the
			 graduate nursing program, as provided in this chapter.
(d) Failure to complete the minimum number of
			 academic hours required by the loan repayment agreement.
(e) Withdrawal from the graduate nursing
			 program.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-12 - LOAN REPAYMENT PROGRAM FOR ADVANCED PRACTICE NURSING › Section 610-X-12-.04 - Application For Loan

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 An applicant for the program shall submit an online application by the deadline
			 established by the Board.
(2)
			 Incomplete applications may not be considered.
(3) The applicant shall submit proof of:
(a) Residency in Alabama for one year prior
			 to the date of application.
(b)
			 Acceptance into or evidence of completion of an accredited graduate nursing
			 program approved by the Board on a track to become a CRNP, CNM, or
			 CRNA.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-12 - LOAN REPAYMENT PROGRAM FOR ADVANCED PRACTICE NURSING › Section 610-X-12-.05 - Failure To Satisfy Conditions Of Loan Repayment Program

Current through Register Vol. 42, No. 9, June 28, 2024
(1) In the event that the participant
			 defaults on or otherwise fails to honor the loan repayment agreement with the
			 Board for any reason, the individual shall be liable for immediate repayment of
			 the total principal loan amount plus interest and penalties, as specified in
Code of Ala. 1975
, §
								34-21-98.
(a) For loans issued prior to November 15,
			 2023, penalties shall be assessed according to the terms of the loan agreement
			 and the penalties set forth in Act 2016-353 of the Acts of Alabama.
(b) For loans issued on or after November 15,
			 2023, penalties shall be assessed according to the terms of the loan agreement
			 and the penalties set forth in Act 2023-317 of the Acts of Alabama.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-12 - LOAN REPAYMENT PROGRAM FOR ADVANCED PRACTICE NURSING › Section 610-X-12-.06 - Disbursement Of Loan Funds

Current through Register Vol. 42, No. 9, June 28, 2024
Payments to participants shall be made
				annually.
Author:
The Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, HB228.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-12 - LOAN REPAYMENT PROGRAM FOR ADVANCED PRACTICE NURSING › Section 610-X-12-.07 - Disciplinary Action

Current through Register Vol. 42, No. 9, June 28, 2024
Failure to comply with the provisions of any contract or loan
				repayment agreement as provided in this Chapter shall constitute grounds for
				discipline up to and including revocation of the Participant's nursing
				license.
Previous Rule .07 was repealed and Rule .08 was renumbered
				  .07 as per certification published September 29, 2023; effective November 13,
				  2023.
Author:
The Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-98.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-13 - VOLUNTARY DISCIPLINARY ALTERNATIVE PROGRAM › Section 610-X-13-.02 - Criteria For Eligibility

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 In order to gain admission to VDAP, a registered nurse, licensed practical
			 nurse or first time applicant for licensure in Alabama shall:
(a) Hold an active license or a temporary
			 permit to practice nursing in the State of Alabama.
1. An applicant for licensure by examination
			 and a temporary permit who is requesting participation in VDAP shall sign a
			 VDAP agreement before approval to take the Board-selected examination is
			 granted. If the applicant does not pass the Board-selected examination,
			 enforcement of the VDAP Agreement shall be stayed until passage of the
			 Board-selected examination. If the applicant subsequently passes the
			 Board-selected examination, the stay of the VDAP Agreement shall be lifted, and
			 the applicant shall be required to comply fully with the VDAP
			 Agreement.
2. An applicant for
			 licensure by endorsement requesting participation in VDAP shall sign a VDAP
			 Agreement before licensure is granted.
3. If the applicant has a multistate license,
			 the applicant must consent to deactivation of the multistate licensure
			 privilege. The applicant will not be eligible for the multistate license for
			 the duration of the applicant's participation in VDAP The applicant will have a
			 single state license.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-13 - VOLUNTARY DISCIPLINARY ALTERNATIVE PROGRAM › Section 610-X-13-.03 - Requirements For Participation In Program

Current through Register Vol. 42, No. 9, June 28, 2024
A licensed nurse or first-time applicant for licensure
				participating in the program shall:
(1) Comply with all terms set forth in the
			 VDAP Agreement.
(2) Be responsible
			 for all costs for treatment and monitoring including Board-required drug
			 screens.
(3) Use Board-recognized
			 treatment providers and laboratory facilities.
(4) Comply with instructions from the Board
			 regarding evaluation and treatment, and follow all treatment recommendations
			 for the duration of the VDAP Agreement.
(5) For licensed nurses or applicants with
			 substance use disorders:
(a) Undergo a
			 comprehensive evaluation by a Board-recognized substance use disorder treatment
			 provider, if directed by Board staff.
(b) Be diagnosed with a substance use
			 disorder, utilizing DSM-IV-TR or DSM-V criteria, by a licensed physician or
			 certified registered nurse practitioner experienced in the diagnosis and
			 treatment of substance use disorders.
(c) Receive substance use disorder treatment
			 by a Board-recognized substance use disorder treatment provider as defined in
			 these rules.
(d) If approved by the
			 Board as an advanced practice nurse, the VDAP participant agrees to:
1. Complete a comprehensive evaluation and
			 treatment provided at a Board-recognized substance use disorder treatment
			 provider with a health care professionals track.
2. Remain out of practice as an advanced
			 practice nurse for a minimum of one year and until recommended for return to
			 practice as an advanced practice nurse by a Board-recognized substance use
			 disorder treatment provider with a health care professionals track.
3. Restricted prescriptive privileges as
			 provided in the VDAP Agreement.
(e) Maintain a sponsor throughout the
			 duration of the agreement if specified in the VDAP agreement.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-13 - VOLUNTARY DISCIPLINARY ALTERNATIVE PROGRAM › Section 610-X-13-.05 - Causes for Denial of Admission to VDAP

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Admission to the program shall be denied
			 if the applicant for licensure or licensed nurse:
(a) Does not meet eligibility criteria
			 established in this chapter for admission to VDAP.
(b) Is not eligible for licensure in the
			 State of Alabama.
(c) Diverted
			 controlled substances for other than self-use.
(d) Has had nursing practice problems
			 resulting in the death of a patient or involving significant harm or
			 potentially significant harm to a patient.
(e) Will not substantially benefit from
			 participation in the program as determined by Board designee(s).
(f) Has a felony conviction.
(g) Has any conviction related to the sale or
			 distribution of controlled substances or legend prescription drugs.
(h) Refuses to cooperate with requirements
			 for participation in VDAP as established in this chapter.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-13 - VOLUNTARY DISCIPLINARY ALTERNATIVE PROGRAM › Section 610-X-13-.06 - Causes For Termination From The Program

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Prior to successful compliance with the
			 VDAP Agreement, a participant may be terminated from the program at the
			 discretion of the Board for the following reason(s):
(a) Noncompliance with any aspect of the VDAP
			 Agreement.
(b) Any violation of
			 federal or state statutes or rules.
(c) Receipt of information by the Board,
			 which after investigation, results in disciplinary action by the
			 Board.
(d) No longer meets the
			 eligibility criteria established in this chapter.
(e) Any reason that constitutes Cause for
			 Denial of Admission to VDAP as established in this chapter.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-13 - VOLUNTARY DISCIPLINARY ALTERNATIVE PROGRAM › Section 610-X-13-.07 - Confidentiality Of Records

Current through Register Vol. 42, No. 9, June 28, 2024
Confidentiality of records shall be consistent with
				requirements of the
Code of Ala.
1975, Section
				34-21-25.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-25.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Abandonment:
			 Acceptance of a patient assignment, thus establishing a medication assistant,
			 certified-patient relationship, and then ending the medication assistant,
			 certified-patient relationship without giving reasonable notice to supervisory
			 personnel so that others can make arrangements for continuation of
			 care.
(2) Accountability: The state
			 of being answerable or responsible for action.
(3) Application(s): Form(s) and process(es)
			 for applicants seeking permits by examination, endorsement, reinstatement, or
			 renewal.
(a) Incomplete application: Missing
			 requirements.
(b) Complete
			 application: Meets requirements.
(c) Void application: Any incomplete
			 application voided due to failure by the applicant to satisfy all requirements
			 within one year of submission.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.02 - Qualifications Of Applicants For Permit

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The applicant for a MAC permit shall:
(a) Be a high school graduate or the
			 equivalent, as determined by the Board.
(b) Be of good character. A criminal
			 background check may be conducted by the Board at its discretion.
(c) Have successfully completed one of the
			 following:
1. A Board-approved medication
			 assistant education program in Alabama, or a medication assistant, certified
			 program located in another jurisdiction or territory that substantially meets
			 the same educational criteria as Alabama programs, as determined by the
			 Board.
2. NUR 113: Nursing Concepts
			 1 (Alabama Community College System Curriculum) or a substantially equivalent
			 course, as determined by the Board.
3. US Armed Forces training equivalent to
			 educational preparation for US Army Healthcare Specialist, US Navy Corpsman,
			 and USAF Medical Technician, as determined by the Board according to the
			 applicant's academic transcript validating education preparation.
(d) Complete the medication
			 assistant certification exam (MACE) with a passing score.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.03 - Permit By Examination

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The Board shall determine the official examination for medication assistant,
			 certified permits.
(2) Each
			 individual seeking entry into practice as a medication assistant, certified in
			 Alabama shall give official evidence of having met a passing standard on the
			 Board-designated official examination.
(3) Examination performance for each
			 applicant shall be measured as provided by the Board-approved testing service.
			 In the event that examination data are lost or destroyed through circumstances
			 beyond the control of the Board, the applicant shall be required to retake the
			 examination in order to meet requirements for permit.
(4) A Pass-Fail designation shall be recorded
			 as the official result. An applicant who fails the certification examination
			 shall not be approved or receive a permit and is not authorized to practice as
			 a medication assistant, certified in Alabama.
(5) Official results shall be released by the
			 Board to the applicant and the program from which the applicant graduated.
			 Results may be released electronically or by mail at the Board's discretion.
			 The Board shall not otherwise release individual examination results without
			 written authorization from the applicant or licensee.
(6) An applicant who fails the certification
			 examination in another jurisdiction or territory shall not be eligible for
			 licensure by examination in Alabama until eligibility has been established by
			 the original jurisdiction or territory.
(7) Any MAC practicing under the nursing
			 delegation program described in §
								610-X-7-.11 prior to January 1, 2022
			 shall be issued a permit to practice as a MAC in the state of Alabama. Such
			 permits shall be valid through December 31, 2023, at which time the permit may
			 be renewed during the renewal period for MACs.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.04 - Application Process For Permit By Examination

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The applicant shall submit to the Board a
			 complete electronic application and the required fee(s).
(2) A primary source official school
			 transcript shall be submitted to the Board and shall indicate the date of
			 completion of the program and/or date degree/certificate was
			 conferred:
(3) The Board shall
			 determine the applicant's eligibility to take the certification
			 examination.
(4) If the applicant
			 for permit by examination is issued a permit during the renewal period, the
			 permit shall expire at the end of the next permit period.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.05 - Applicant Request For Special Accommodation(s)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An applicant for permit by examination
			 who is otherwise qualified shall not be deprived of the opportunity to take the
			 examination solely by reason of disability.
(2) Written requests for modification of the
			 procedures for administering the examination shall be submitted to the Board at
			 the time of application for certification. The written request shall include:
(a) An evaluation of the disability by the
			 applicant's licensed physician or licensed psychologist, including the DSM IV
			 diagnosis if appropriate.
(b) A
			 statement from the director of the nursing education program addressing any
			 accommodations made during the nursing education program.
(c) The specific accommodation being
			 requested.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.06 - Permit By Endorsement

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The applicant for permit by endorsement shall:
(a) Have been duly approved and as a
			 medication assistant, certified (MAC) under the laws of another state or
			 territory and shall meet the requirements for the certification examination.
1. The Board may deny consideration of an
			 applicant who has a revoked certification, approval or permit in another
			 jurisdiction.
2. The Board may deny
			 consideration of an applicant who has a suspended license, approval or permit
			 in another jurisdiction.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.07 - Renewal Of Permit

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The Alabama medication assistant, certified permit shall be valid for two years
			 beginning January 1 of each even-numbered year and expiring December 31 of each
			 odd-numbered year.
(2) Renewal of
			 Permit
(a) The renewal period shall be from
			 8:00 a.m. on September 1 to 4:30 p.m. on December 31 of the year the permit
			 expires.
(b) Renewal notices may be
			 transmitted electronically.
(c) To
			 be eligible for renewal, the applicant shall:
1. Hold a valid, active Alabama
			 permit.
2. Submit a completed
			 electronic renewal application and required fee(s).
3. Meet continuing education and/or
			 competency validation requirements as determined by the Board.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.08 - Special Provisions For Actively Deployed Medication Assistant, Certified

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 When an approved MAC who is actively serving in the military is deployed during
			 the biennial renewal period, the permit shall not lapse, provided that the
			 following conditions are met:
(a) The permit
			 was active at the time of deployment.
(b) The licensee provides the Board a copy of
			 the military activation or deployment orders, or other proof of active military
			 service, in advance of deployment.
(c) The license renews the permit within
			 sixty (60) days of return from deployment.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.09 - Reinstatement Of A Lapsed Permit

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A lapsed permit may be reinstated upon
			 submission of an electronic completed application and compliance with the
			 following:
(a) Payment of current renewal and
			 reinstatement fees, outstanding fees, and fines.
(b) Successful completion of a background
			 check as determined by the Board.
(c) If the reinstatement of a lapsed permit
			 occurs during the renewal period for that permit type, the expiration of the
			 permit shall be the end of the next permit period.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.10 - Notice Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The applicant or MAC shall notify the Board in writing of any requested name
			 change. Appropriate legal documents shall be submitted prior to changing the
			 name of the licensee on the permit. The legal documents required for a name
			 change are one of the following:
(a) Marriage
			 certificate.
(b) Divorce decree
			 substantiating the name change
(c)
			 Probate court records effecting a legal name change.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.11 - Verification Of Alabama Permit

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board obtains primary source
			 verification directly from educational programs or an organization recognized
			 by the United States Department of Education prior to issuing a
			 permit.
(2) Upon receipt of an
			 electronic written request and payment of the required fee, the Board's
			 designee shall provide written verification of an Alabama permit.
(3) The Board provides primary source
			 verification to employers of MACs through an online subscription service and
			 through license/permit look-up services.
(4) Healthcare organizations that employ MACs
			 shall verify permits through the Board website or subscription
			 service
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.12 - Fees

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Fees and fines are
			 non-refundable.
(2) Fees are valid
			 for 12 months from date of receipt.
(3) Fees and fines may be paid by electronic
			 means using a credit or debit card, if available. Other means of payment may be
			 cashier's check, business check, money order, or certified check. The board
			 may, at its discretion and subject to established guidelines, require that a
			 single fee be paid by a combination of both electronic and other
			 means.
(4) Personal checks are only
			 acceptable when the individual applicant or MAC name is imprinted on the check.
			 Personal checks that are not acceptable forms of payment are:
(a) Counter checks.
(b) Third-party checks.
(c) On out-of-state banks.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.13 - Standards And Scope Of Practice

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board of Nursing may adopt standards
			 of medication assistant, certified practice and continuing
			 competency.
(2) A Medication
			 Assistant, Certified (MAC) may perform limited medication administration tasks
			 in a licensed healthcare facility (other than a mental health residential
			 community program) or a Board of Nursing-approved health care or educational
			 facility licensed, certified, or operated by this state, only as permitted by
			 this rule.
(a) In order to perform limited
			 medication administration tasks, a MAC must successfully complete a
			 Board-approved education program or a comparable program in another state and
			 hold an active Alabama valid medication assistant, certified permit and
			 certification (MACE).
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.14 - Conduct And Accountability

Current through Register Vol. 42, No. 9, June 28, 2024
The medication assistant, certified shall:
(1) Have knowledge and understanding of the
			 laws and rules regulating medication assistants, certified in
			 Alabama.
(2) Function within the
			 legal scope of medication assistant, certified practice, as defined in this
			 chapter.
(3) Obtain instruction and
			 supervision from a licensed nurse as necessary, when implementing new or
			 unfamiliar medication administration.
(4) Be responsible and accountable for the
			 quality of medication administration to patients, based on and limited to scope
			 of education, demonstrated competence, and medication assistant, certified
			 experience.
(5) Accept individual
			 responsibility and accountability for judgments, actions, and competency,
			 remaining current with technology and practicing consistent with facility
			 policies and procedures for limited medication administration by the
			 MAC.
(6) Accept individual
			 responsibility and accountability for recognition and appropriate medication
			 administration action by notifying the licensed nurse immediately following a
			 change in the patient's mental or physical status.
(7) Practice in compliance with current CDC
			 Standard Precautions and Infection Control, including aseptic
			 technique.
(8) Practice without
			 discrimination on the basis of age, race, religion, gender, national origin,
			 sexual orientation, patient diagnosis, or disability.
(9) Respect the dignity and rights of
			 patients and their significant others, including, but not limited to:
(a) Privacy.
(b) Safety.
(c) Protection of confidential information,
			 unless disclosure is required by law.
(d) Freedom from exploitation of physical,
			 mental, sexual, or financial boundaries.
(e) Protection of real and personal
			 property.
(f) Behavior that is
			 therapeutic and places the patient's interests before the medication assistant,
			 certified's interests.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.15 - Documentation Standards

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The standards for documentation of medication assistants, certified provided to
			 patients by MACs are based on principles of documentation, regardless of the
			 documentation format.
(2)
			 Documentation of nursing care shall be:
(a)
			 Legible.
(b) Accurate.
(c) Complete. Complete documentation includes
			 reporting and documenting on appropriate records a patient's status, including
			 signs and symptoms, responses, treatments, medications, communication of
			 pertinent information to other health team members, and unusual occurrences
			 involving the patient. A signature of the writer, whether electronic or
			 written, is required in order for the documentation to be considered
			 complete.
(d) Timely.
1. Charted at the time or after the care, to
			 include medications. Charting prior to care being provided, including
			 medications, violates principles of documentation.
2. Documentation of medications given that is
			 not in the sequence of the time the care was provided shall be recorded as a
			 "late entry," including a date and time the late entry was made, as well as the
			 date and time the care was provided.
(e) A mistaken entry in the record by a MAC
			 shall be corrected by a method that does not obliterate, white-out, or destroy
			 the entry.
(f) Corrections to a
			 record by a MAC shall include the name or initials of the individual making the
			 correction.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.16 - Medication Administration And Safety

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The medication assist, certified shall
			 have knowledge of limited medication administration and safety, and knowledge
			 of when to report concerns to the supervising licensed staff including but not
			 limited to:
(a) Drug action.
(b) Classifications.
(c) Expected therapeutic benefit of
			 medication.
(d) Expected
			 monitoring.
(e) Possible side
			 effects and interventions for same.
(f) Adverse reactions and interventions for
			 same.
(g) Emergency interventions
			 for anaphylactic reactions.
(h)
			 Safety precautions, including but not limited to:
1. Right patient.
2. Right medication.
3. Right time.
4. Right dose.
5. Right route.
6. Right reason.
7. Right documentation.
(i) Interactions with other drugs, foods, or
			 complementary therapies.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.17 - Patient Care Orders

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The MAC shall NOT receive handwritten, verbal, or electronic medical orders
			 from a legally authorized prescriber or relayed by another licensed or
			 registered health care professional, or certified medical assistant.
(2) The MAC shall NOT implement approved
			 medical protocols and standing orders at the direction of a legally authorized
			 prescriber, unless verified by the supervising licensed nurse.
(3) The MAC shall follow the facility
			 policies and procedures regarding limited medication administration
			 duties.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.18 - Requirements For Competency Assessment Of Medication Assistant, Certified

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Competency
			 assessments for each MAC employed by a facility must be conducted upon initial
			 hire and annually thereafter by a licensed nurse. The licensed nurse must
			 maintain records of the initial and annual competency validation on file at the
			 facility. Competency assessments must include a demonstration of each of the
			 following competency areas and standards:
(a)
			 Maintaining confidentiality; does not share confidential information, except
			 when it affects the recipient's care and is shared only to the appropriate
			 person(s).
(b) Complying with a
			 recipient's right to refuse to take medication; Does not force recipients to
			 take medication. Uses appropriate measures to encourage taking of medications
			 when directed for recipients who are not competent.
(c) Maintaining hygiene and current accepted
			 standards for infection control; utilizes appropriate infection control
			 principles when providing medications.
(d) Documenting accurately and completely;
			 accurately documents all medication provided including the name of the
			 medication, dose, route, and time administered and any refusal of medication,
			 and spoilage.
(e) Providing
			 medications according to the seven rights; provides the right medication, to
			 the right person, at the right time, in the right dose, for the right purpose,
			 and by the right route with correct documentation.
(f) Having the ability to understand and
			 follow instructions; comprehends written or oral directions.
(g) Practicing safety in application of
			 medication procedures; properly:
1. Stores and
			 handles all medication in accordance with facility policy.
2. Intervenes when unsafe conditions of the
			 medication indicate a medication should not be provided.
3. Provides medication to recipients in
			 accordance with their age and condition.
4. Records all medication provided or
			 refused.
(h) Having
			 knowledge of abuse and neglect reporting requirements. identifies-occurrences
			 of possible abuse of a vulnerable adult and reports this information to the
			 appropriate supervising licensed nurse and as required by facility
			 policies.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.19 - Supervision/Reporting By Licensed Nurses

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The licensed nurse supervising medication
			 administration may, at any time, suspend or withdraw the medication
			 administration assigned to the MAC(s).
(2) The licensed healthcare facility has
			 authorized limited medication administration tasks by MACs and has complied
			 with the requirements of this chapter.
(3) The chief nursing officer or, if no such
			 position exists within the licensed healthcare facility, an Alabama-licensed
			 registered nurse who has oversight responsibility for medication administration
			 in the facility shall:
(a) Develop facility
			 policies and procedures related to limited medication administration tasks to
			 the MAC which define the responsibilities of and required facility training and
			 competency validation for the MAC, congruent with these rules.
(b) Submit, annually or upon request, reports
			 to the Alabama Board of Nursing, in a format specified by the Board, including,
			 but not limited to:
1. Total number of
			 patients/residents served by MACs participating in the limited medication
			 administration program.
2. Total
			 number of MACs that currently participate in the limited medication
			 administration program.
3. Total
			 number of licensed nurses trained in MAC supervision during the reporting
			 year.
4. Total number of medication
			 errors in each category listed below:
(i)
			 Wrong person
(ii) Wrong
			 medication
(iii) Wrong
			 dose
(iv) Wrong time/day
(v) Wrong route
(vi) Wrong purpose
(vii) No documentation
(viii) Identify and implement a quality
			 improvement plan for medication errors.
(c) Provide and document an initial and
			 annual competency validation evaluation of each MAC performing limited
			 medication administration for all routes of administration.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.20 - Grounds For Discipline Or Denial Of An Initial Permit

Current through Register Vol. 42, No. 9, June 28, 2024
The Board may deny an application for an initial permit, or
				upon permitting, reprimand and fine the permit, upon proof that the
				applicant:
(1) Has failed to meet any
			 requirement or standard established bylaw or by rules and regulations adopted
			 by the Board.
(2) Has engaged in
			 fraud, misrepresentation, deception, or concealment of a material fact in
			 applying for or securing the permit or taking any examination required for the
			 permit.
(3) Has engaged in a course
			 of conduct that would be grounds for discipline under Rule
			 610-X-14-.21.
(4) Has disciplinary
			 action pending or having had a license, registration, or certification for any
			 health-related profession or occupation denied, conditionally issued, fined,
			 reprimanded, censured, restricted, limited, placed on probation, suspended,
			 revoked, voluntarily surrendered, or otherwise encumbered in any state,
			 territory or country.
(5) Has been
			 court-martialed or administratively discharged by a branch of the United States
			 Armed Forces for any act or conduct that would constitute grounds for
			 discipline Alabama under Rule 610-X-4-.21.
(6) Has engaged in conduct that is
			 inconsistent with good moral character.
(a)
			 The decision as to whether the applicant has engaged in conduct that is
			 inconsistent with good moral character is within the discretion of the Board
			 of· Nursing.
(b) In
			 determining whether the applicant has engaged in conduct that is inconsistent
			 with good moral character, the Board may consider the applicant's criminal
			 history, pattern of illegal conduct or disregard for the law, or other evidence
			 bearing on the applicant's fitness and capacity for practice as a Medication
			 Assistant, Certified.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.21 - Grounds For Discipline Of, Denial Of Renewal Of, Or Denial Of Reinstatement Of A Permit

Current through Register Vol. 42, No. 9, June 28, 2024
The Board may deny, reprimand, fine, accept the voluntary
				surrender of, or revoke any permit issued pursuant to this chapter, upon proof
				that the person:
(1) Is guilty of
			 fraud or deceit in procuring or attempting to procure a permit by:
(a) Filing false, forged or altered documents
			 or credentials, including required continuing education
			 documentation.
(b) Misrepresenting
			 or falsifying facts in applying for an original permit, or renewal,
			 reactivation, or reinstatement of a permit.
(c) Having another person appear for a
			 permit, licensing or certification examination.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.22 - Investigation

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Upon
			 self-disclosure or receipt of a written complaint alleging that an applicant or
			 a Medication Assistant, Certified has violated a statute or rule by committing
			 one or more of the actions specified as grounds for disciplinary action in
			 610-X-14-.20 -.21, the Executive Officer shall provide for an investigation by
			 Board staff to determine if there is sufficient evidence to warrant
			 disciplinary proceedings.
(a) The Board shall
			 consider only those complaints which include the following:
1. The name of the applicant or Medication
			 Assistant, Certified.
2. The name
			 and contact information (telephone number, email address, etc.) of the
			 complainant.
3. Specific
			 allegation(s) which, if substantiated through investigation, would constitute
			 violation(s) of the Alabama Nurse Practice Act (
Code of Ala.
			 1975
, §
										34-21-1,
			 et. seq.) or the Alabama Board of Nursing Administrative
			 Code.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.23 - Board Action Following Investigation

Current through Register Vol. 42, No. 9, June 28, 2024
The Board or its authorized designee shall have the power to
				act on the report of the investigation as follows:
(1) Dismiss a complaint with a letter of
			 closure or a letter of admonishment.
(2) Commence disciplinary proceedings through
			 pursuit of informal disposition in accordance with Alabama Board of Nursing
			 Administrative Code Section 610-X-14-.26 or the issuance of an administrative
			 complaint pursuant to Alabama Board of Nursing Administrative Code, Section
			 610-X-14-.25.
(3) Accept the
			 voluntary surrender of the Medication Assistant, Certified permit.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.24 - Administrative Procedure Act

Current through Register Vol. 42, No. 9, June 28, 2024
The Alabama Board of Nursing hereby adopts by reference as its
				rules Sections 12 through 21 of Chapter 22, Title 41,
Code of Ala.
				1975
, as amended, governing contested cases, appeals, and related
				proceedings unless inconsistent with Section
				34-21-25 or Chapter 610-X-14.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.25 - Formal Disposition Of Contested Cases

Current through Register Vol. 42, No. 9, June 28, 2024
(1) At least twenty days prior to the
			 administrative hearing, an administrative complaint shall be served on the
			 applicant or Medication Assistant, Certified as follows:
(a) Personal service made by any sheriff of
			 the State of Alabama.
(b) If the
			 applicant or Medication Assistant, Certified is out of state, evades service,
			 or cannot be served personally, service shall be made by registered or
			 certified mail to the last known post office mailing address shown on the
			 records of the Board.
(c) If the
			 applicant or Medication Assistant, Certified is represented by an attorney who
			 has filed a notice of appearance with the Board, service shall be made on the
			 attorney personally or by registered or certified mail.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.26 - Informal Disposition Of Contested Cases

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Complaints or controversies may be
			 considered and resolved by the Board or Board designee through alternative
			 dispute resolution, informal conferences, meetings, or other informal means.
			 Such shall be held without prejudice to the right of the Board thereafter to
			 institute formal proceedings based upon the same or related material if
			 circumstances so warrant.
(2)
			 Informal dispositions may be made of any contested case by stipulation agreed
			 settlement, consent order or default or by another method agreed upon by the
			 parties in writing and as approved by the Board.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.27 - Decisions Of The Board

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Based upon the evidence presented at the administrative hearing or pursuant to
			 informal disposition, the Board may take one or more of the following actions:
(a) Dismiss the administrative complaint in
			 its entirety or any alleged violation in the complaint.
(b) Find the respondent not guilty of any or
			 all of the violations alleged in the administrative complaint.
(c) Find the respondent guilty of any or all
			 of the violations alleged in the administrative complaint. If the Board finds
			 the respondent guilty of one or more of the violations alleged in the
			 administrative complaint, the Board may take one or more of the following
			 disciplinary actions against the respondent:
1. Reprimand the respondent's Medication
			 Assistant, Certified permit.
2.
			 Require the respondent to participate in an educational program.
3. Revoke the respondent's Medication
			 Assistant, Certified permit.
4.
			 Deny approval of the application for a Medication Assistant, Certified
			 permit.
5. Deny renewal or
			 reinstatement of a Medication Assistant, Certified permit.
6. Impose other sanctions or
			 restrictions.
7. Levy a fine not to
			 exceed $1,000.00 per violation.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.28 - Application Following Denial Of A Permit

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Application for a permit following denial
			 of a permit, shall:
(a) Include evidence of
			 rehabilitation, or elimination or resolution of any issues that were identified
			 in the Board's most recent order as reasons for denial of a permit.
(b) Be made according to Chapter
			 610-X-14.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-14 - MEDICATION ASSISTANT, CERTIFIED (MAC) › Section 610-X-14-.30 - Non-Disciplinary Administrative Penalties

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Non-disciplinary administrative penalties
			 not to exceed $1,000.00 (one-thousand dollars) per violation may be imposed for
			 the following violations of Title 34, Chapter 21 of the
Code of
			 Ala. 1975
:
(a) Practicing on a
			 lapsed Medication Assistant, Certified permit for a period of time not to
			 exceed 90 calendar days from the date of the lapse.
(b) Failure to submit required documentation
			 within the deadline established by the Board.
(c) Continuing education violations that do
			 not involve fraud or deceit.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-15 - STUDENT NURSE APPRENTICES › Section 610-X-15-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Approved Alabama
			 Nursing Education Program: A prelicensure nursing education program approved by
			 the Board pursuant to Chapter 3 of these rules. Approved nursing education
			 programs may award clinical credit hours toward the student nurse apprentice
			 nursing program requirements, as long as the training is congruent with the
			 clinical course in which the clinical credit hours are awarded.
(2) Student Nurse Apprentice: A nursing
			 student who is engaged in a registered apprenticeship, pursuant to the Alabama
			 Industry Recognized and Registered Apprenticeship Program Act and has obtained
			 a Board issued permit.
(3) Student
			 Nurse Apprentice Permit: A Board issued permit issued for the duration of the
			 student's enrollment in an Alabama approved nurse apprentice program.
(4) Apprentice Skills listing and
			 qualifications: A Board approved list of nursing apprentice qua1ifications for
			 basic and advanced student nurse duties, skills, and activities allowed for the
			 student nurse apprentice.
(5)
			 Nursing Program apprentice roster: A primary source document submitted to the
			 Board indicating nursing students eligible for apprentice permits.
(6) Apprentice competency validation: The
			 nursing program shall validate training and competency of fundamentals in
			 nursing prior to the student obtaining a permit; the employing agency shall
			 document assessment of competency through direct observation and return
			 demonstration by a licensed nurse as new skills are added throughout the
			 training period.
(7) Apprentice
			 application: Form(s) and process for applicants seeking apprentice
			 permits.
(8) Void application: Any
			 incomplete application is voided due to failure by the applicant to satisfy all
			 requirements.
(9) Permit
			 Invalidation: The permit is automatically invalid if the nursing student
			 withdraws from the apprentice program, withdraws from the nursing education
			 program, or does not make satisfactory progress in the nursing education
			 program. The educational program is responsible for notifying the Board of
			 student withdrawal.
(10)
			 Supervision Direct: Responsible licensed nurse is physically present in the
			 facility and readily accessible to designate or prescribe a course of action or
			 to give procedural guidance, direction, and periodic evaluation. Direct
			 supervision is required for all invasive procedures performed by the
			 apprentice.
(11) Primary source
			 verification: The Board obtains primary source verification directly from
			 educational programs prior to issuing a permit.
(12) Journey Worker/Mentor/supervising nurse:
			 A supervising licensed nurse RN or LPN serving in the role as mentor. Provided,
			 however, that a licensed practical nurse may not supervise a registered nursing
			 student apprentice.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-15 - STUDENT NURSE APPRENTICES › Section 610-X-15-.02 - Qualifications Of Applicants For Permit

Current through Register Vol. 42, No. 9, June 28, 2024
Student Nurse Apprentice/Apprentice: An individual who:
Is currently enrolled in a Board approved nursing education
				program.
Has obtained basic fundamental validation of nursing skills
				from the nursing educational program.
Is employed by a licensed healthcare facility where the
				apprenticeship is to be performed, and Is actively engaged in a registered
				apprenticeship, pursuant to the Alabama Industry Recognized and Registered
				Apprenticeship Program Act.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2.1.