reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-3 - NURSING EDUCATION PROGRAMS › Section 610-X-3-.09 - Out Of State Programs Conducting Clinical Experience In Alabama

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The nursing
			 program shall be a postsecondary education institution that is accredited by a
			 national nursing accrediting agency recognized by the U.S. Department of
			 Education by January 1, 2022.
(2)
			 The governing institution offering the nursing program shall be a postsecondary
			 education institution that is accredited by an organization recognized by the
			 U.S. Department of Education.
(3)
			 The nursing education program shall have full approval (local, state, federal,
			 and regulatory board) in the state where located.
(4) Any student who is enrolled in an out of
			 state nursing education program that requires the student to possess an RN
			 license as a condition of enrollment and who is participating in clinical
			 learning experiences in Alabama shall have a valid registered nurse license
			 issued by Alabama, or a multistate license issued by a party state, as defined
			 in Chapter 4 of these rules.
(5) A
			 prelicensure program or advanced practice program based outside the state of
			 Alabama that plans to provide students with clinical learning experiences in
			 Alabama shall submit to the Board, within a minimum of fifteen (15) days in
			 advance of the expected clinical learning experience, the following:
(a) A letter of intent identifying the
			 governing institution, the type of nursing education program, and the status of
			 approval from accrediting bodies and state where located. The letter shall
			 include:
1. Name of student and license number
			 of the student (where applicable).
2. Name and license number of the clinical
			 supervisor. Clinical supervision shall meet the requirements set forth in this
			 chapter.
3. Name and location of
			 the clinical facility and statement from the Director of Nursing/Chief Nursing
			 Officer of the clinical facility regarding the availability of clinical
			 learning experiences for instate and out-of-state nursing students.
4. Learning outcomes expected of the
			 student.
5. Name and Alabama
			 registered nurse license number or, in the case of nursing faculty licensed in
			 another party state, multistate registered nurse license number of the nursing
			 faculty responsible for the evaluation and oversight of the student's clinical
			 learning experience.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-3 - NURSING EDUCATION PROGRAMS › Section 610-X-3-.10 - Nursing Education Program Hearing

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board may utilize a hearing officer
			 to conduct a hearing prior to withdrawing approval or denying approval of a
			 nursing education program. Nursing education program hearings shall be
			 conducted in compliance with the provisions of the Alabama Administrative
			 Procedure Act, as may be amended from time to time.
(2) The nursing education program may present
			 written or oral evidence for the Board's consideration at any Board
			 hearing.
(3) The nursing education
			 program may appeal the Board's withdrawal of program approval to the Montgomery
			 County Circuit Court.
Rule
				  610-X-3-.06 was
				  renumber to .08 as per certification filed September 25, 2006; effective
				  October 30, 2006. Rule .08 was renumbered to .09 as per certification filed
				  November 19, 2010; effective December 24, 2010. Previous Rule
				  610-X-3-.09 renumbered .10 per certification published November 30, 2020; effective January
				  14, 2021.
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-3 - NURSING EDUCATION PROGRAMS › Section 610-X-3-.11 - Withdrawal Of Board Approval

Current through Register Vol. 42, No. 9, June 28, 2024
(1) If the Board withdraws approval from a
			 nursing education program following an administrative hearing, the governing
			 institution shall submit to the Board:
(a)
			 Within thirty (30) days of the effective date of the Board's order, a plan for
			 transfer of students currently enrolled in the program.
(b) Within ninety (90) days of the effective
			 date of the Board's Order, a report detailing the transfer of students
			 currently enrolled in the program. If unable to transfer students, a plan to
			 teach out those students currently enrolled in the program.
(c) Specific arrangements for the secure
			 storage and access to academic records and transcripts.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-3 - NURSING EDUCATION PROGRAMS › Section 610-X-3-.12 - Degree Completion Programs

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board may approve programs for
			 completion of nursing degrees by nursing students who have not successfully
			 completed an approved nursing programs previously, provided that such
			 completion awards a degree or certificate. Completion programs shall be
			 requested to:
(a) Give due consideration to
			 all prior passing coursework and clinical learning completed by a
			 student.
(b) Ensure that each
			 student's clinical and didactic learning experiences prior to completion of the
			 degree are substantially validated and are equivalent to those completed by
			 students in other approved prelicensure nursing education programs.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-3 - NURSING EDUCATION PROGRAMS › Section 610-X-3-.13 - Student Nurse Apprenticeship Programs

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A Board approved prelicensure nursing
			 education program pursuant to 610-X-15 and the Alabama Industry Recognized and
			 Registered Apprenticeship Program Act may establish a student nurse
			 apprenticeship program and award clinical credit hours toward the student nurse
			 apprentice's nursing degree, provided that the training is congruent with the
			 clinical course in which the clinical credit hours are awarded.
(2) The nursing program initiating a student
			 nurse apprenticeship program shall submit its curriculum and/or clinical
			 training plan changes to the Board as a substantiative change report.
(3) The nursing program shall validate the
			 nursing apprentice's competency to perform and/or knowledge of the selected
			 nursing tasks, skills or activities prior to initiating the apprenticeship and
			 assignment of skills.
(4) The
			 nursing program shall submit to the board a copy of the apprenticeship
			 agreement between the program, employer and Office of Apprenticeship.
(5) The nursing program shall submit an
			 eligible student nurse apprentice roster to the Board to include attestation of
			 competency validation of basic or advanced apprentice skills for each eligible
			 student applicant seeking an apprenticeship permit.
(6) The nursing program shall notify the
			 Board in writing when a nursing student apprentice withdraws from the program
			 or apprenticeship.
(7) The nursing
			 program shall retain clinical supervision oversight for all student nurse
			 apprenticeships and monitor and evaluate their clinical activity periodically
			 throughout each course.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2(2).
The
				amended version of this section by
				Alabama
				Administrative Monthly Volume XLI, Issue No. 02, November 30,
				2022, filed 11/18/2022 is not yet
				available.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-3 - NURSING EDUCATION PROGRAMS › Section 610-X-3-.14 - Designation As School Of Practical Nursing

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A Licensed Practical Nurse's scope of
			 practice is completely encompassed within the scope of practice of a Registered
			 Nurse.
(2) At the discretion of the
			 Board, an approved prelicensure Registered Nurse program may be considered a
			 School of Practical Nursing for purposes of permitting a student to be eligible
			 to apply for licensure as a Licensed Practical Nurse by educational
			 equivalency; provided that:
(a) The student
			 shall have successfully completed at least one year of the approved
			 prelicensure Registered Nurse program; and
(b) A review of the student's transcript
			 demonstrates that, in the judgment of the Alabama Board of Nursing, the student
			 has successfully completed all of the required didactic and clinical coursework
			 required for successful completion of an LPN program; and
(c) The student shall have successfully
			 completed a Board approved course on the LPN scope of practice.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Application(s):
			 Form(s) and process (es) for applicants seeking licensure 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-4 - LICENSURE › Section 610-X-4-.02 - Qualifications Of Applicants For Licensure

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The applicant for licensure shall:
(a) Be a high school graduate or the
			 equivalent, as determined by the Board.
(b) Be of good moral character. A criminal
			 background check may be conducted by the Board at its discretion.
(c) A criminal fingerprint or other
			 biometric-based background check shall be conducted prior to issuance of
			 multistate licensure or application by endorsement.
(d) For registered nurse licensure, graduated
			 or successfully completed all requirements for graduation from an approved
			 registered nursing program in Alabama, or an approved registered nursing
			 program located in another jurisdiction or territory that substantially meets
			 the same educational criteria as Alabama programs. In the case of an applicant
			 for licensure by endorsement, if the nursing education program did not include
			 clinical experience sufficient to meet the same educational criteria as Alabama
			 programs, the applicant's continuing education and work experience in nursing
			 may be considered, at the discretion of the Board.
(e) For practical nurse licensure, granted or
			 successfully completed an approved practical nursing program in Alabama, or an
			 approved practical nursing program located in another jurisdiction or territory
			 that substantially meets the same educational criteria as Alabama programs.
1. In the case of an applicant for licensure
			 by endorsement, if the nursing education program did not include clinical
			 experience sufficient to meet the same educational criteria as Alabama
			 programs, the applicant's continuing education and work experience in nursing
			 may be considered, at the discretion of the Board.
2. Education training and/or service
			 completed through the Air Force Basic Medical Technician Corpsman Program
			 (BMTCP) - 4N051-5 Skill Level or the ARMY LPN Program 68WM6 is acceptable as
			 completion of an approved nursing program and meets the licensed practical
			 nursing education requirement.
3.
			 Students in prelicensure Registered Nurse programs who have successfully
			 completed all didactic coursework, skills, and clinical learning experiences
			 necessary to fulfill the requirements of a Practical Nursing program may be
			 eligible to apply for the NCLEX-PN for licensure as a practical nurse by
			 education equivalency, at the discretion of the Board.
(i) Following a review of the applicant's
			 transcript to verify completion of all required clinical learning experiences,
			 skills, and theory, the Board may authorize the applicant to sit for the
			 NCLEX-PN exam, at its discretion, provided that the student must successfully
			 complete an ABN-approved course on LPN scope of practice prior to receiving
			 approval to sitting for the NCLEX-PN.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.03 - Licensure By Examination

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The Board shall determine the official examination for licensure.
(2) Each individual seeking entry into
			 practice as a licensed nurse in Alabama shall give official evidence of having
			 met a passing standard on the Board-designated official licensing
			 examination.
(3) Applicants for
			 Alabama multistate licensure shall declare Alabama the home state of residence.
			 Each such applicant must provide evidence of residence in Alabama.
(4) 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 licensure.
(5) A Pass-Fail designation shall be recorded
			 as the official result. An applicant who fails the licensing examination shall
			 not be licensed and is not authorized to practice nursing in Alabama.
(6) 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.
(7) An applicant who fails the licensing
			 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.
Rule
				  610-X-4-.02 was renumbered to 610-X-4-.03 as per certification filed November 26,
				  2007.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-22.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.04 - Application Process For Licensure By Examination

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The applicant shall submit to the Board
			 an electronic completed application and the required fee(s).
(2) The applicant for multistate licensure
			 shall provide evidence of legal residence in Alabama. This evidence may
			 include, but is not limited to, a current:
(a)
			 driver's license with a home address;
(b) voter registration card with a home
			 address;
(c) federal income tax
			 return with a primary state of residence declaration;
(d) military form no. 2058 (state of legal
			 residence certificate); or
(e) W2
			 form from the United States government or any bureau, division, or agency
			 thereof, indicating residence.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.05 - Applicant Request For Special Accommodation(s)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An applicant for licensure 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 licensure. The written request shall include:
(a) An evaluation of the disability by the
			 applicant's licensed physician or licensed psychologist, including the
			 diagnosis from the current edition of the Diagnostic and Statistical Manual of
			 Mental Disorders (DSM), 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-4 - LICENSURE › Section 610-X-4-.06 - Graduates Of Foreign Nursing Schools

Current through Register Vol. 42, No. 9, June 28, 2024
The applicant educated in a nursing education program outside
				of the jurisdiction of the United States shall:
(1) Submit a completed electronic application
			 and required fee(s).
(2) Be
			 required to pass the same licensure examination as applicants for licensure by
			 examination in Alabama, unless the applicant has been licensed in another state
			 by examination.
(3) Be a graduate
			 of a nursing education program approved by the proper authorities in the
			 country where the program is located.
(4) Correct any educational deficiencies by
			 taking additional courses, as directed by the Board.
(5) Have completed secondary school or its
			 equivalent.
(6) Provide a certified
			 course-by-course report from a credential evaluation service acceptable to the
			 Board, verifying that the applicant:
(a) Has
			 earned educational credentials equivalent to graduation from a governmentally
			 accredited/approved, post-secondary general nursing program.
(b) Received both theory and clinical
			 education in each of the following: nursing care of the adult which includes
			 both medical and surgical nursing, maternal/infant nursing, nursing care of
			 children, and psychiatric/mental health nursing.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.07 - Licensure By Endorsement

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 The applicant for licensure by endorsement shall:
(a) Have been duly licensed as a registered
			 nurse or licensed practical/vocational nurse under the laws of another state or
			 territory and shall meet the requirements for the licensure examination.
1. The Board may deny consideration of an
			 applicant who has a revoked license in another jurisdiction.
2. The Board may deny consideration of an
			 applicant who has a suspended license in another jurisdiction.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.08 - Renewal Of License

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 License Periods:
(a) The Alabama single state
			 registered nurse license shall be valid for two years beginning January 1 of
			 each odd-numbered year and expiring December 31 of each even-numbered
			 year.
(b) The Alabama multistate
			 registered nurse license shall be valid for two years beginning January 1 of
			 each even-numbered year and expiring December 31 of each odd-numbered
			 year.
(c) All practical nurse
			 licenses shall be valid for two years beginning January 1 of each even-numbered
			 year and expiring December 31 of each odd-numbered year.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.09 - Special Provisions For Actively Deployed Licensed Nurses

Current through Register Vol. 42, No. 9, June 28, 2024
(1) When a licensed
			 nurse who is actively serving in the military is deployed during the biennial
			 renewal period, the license shall not lapse, provided that the following
			 conditions are met:
(a) The license 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 licensee renews
			 the license no later than December 31 of the next year following return from
			 deployment.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.10 - Reinstatement Of A Lapsed License

Current through Register Vol. 42, No. 9, June 28, 2024
A lapsed license may be reinstated upon submission of an
				electronic completed application and compliance with the following:
(1) Payment of current renewal and
			 reinstatement fees, outstanding fees and fines.
(2) Evidence of completion of twenty-four
			 contact hours of approved continuing education within the twenty-four months
			 preceding application.
(a) Contact hours
			 earned for reinstatement of a lapsed license may not be used toward the
			 continuing education requirement for the next license renewal.
(b) A licensed nurse whose license is
			 reinstated shall accrue for license renewal one contact hour for each calendar
			 month remaining in the license period.
(c) If the reinstatement of a lapsed license
			 occurs during the renewal period for that license type, the expiration of the
			 license shall be the end of the next license period.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.11 - Notice Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 applicant, or licensed nurse 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 license. 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-4 - LICENSURE › Section 610-X-4-.12 - Lost Continuing Education Card

Current through Register Vol. 42, No. 9, June 28, 2024
The licensee shall promptly report, in writing, the loss of a
				continuing education card to the Board. A duplicate continuing education card
				requires an electronic completed application and appropriate
				fee(s).
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-23.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.13 - Verification Of Alabama Licensure

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
			 license.
(2) Upon receipt of an
			 electronic written request and payment of the required fee, the Board's
			 designee shall provide written verification of Alabama licensure.
(3) The Board provides primary source
			 verification to employers of nurses through an online subscription service and
			 through license look-up services. Organizations that do not employ licensed
			 nurses but subscribe to the online verification service are not designated
			 primary source agents of the Board for verification purposes.
(4) Upon request and payment of appropriate
			 fees by a nurse holding a multistate license issued by the board, the board
			 shall provide a verification report including all data regarding the nurse
			 maintained by the coordinated licensure information system, unless:
(a) Such information is not otherwise
			 available to the board, or
(b) The
			 information is not available to the nurse under the laws of the state
			 contributing the information to the coordinated licensure information system;
			 or
(c) The information has been
			 designated as available only to other boards of nursing by the state
			 contributing the information to the coordinated licensure information
			 system.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.14 - 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 licensed nurse's 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.
(d) Fees for license verification and
			 Voluntary Disciplinary Alternative Program (VDAP).
(e) Fines.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.15 - Annual Report Of Employing Agencies

Current through Register Vol. 42, No. 9, June 28, 2024
(1) No later than January 31 of each year,
			 each employing agency's director of nursing or other appropriate authority
			 shall submit an annual report that includes all persons employed as licensed
			 nurses, including, but not limited to, personnel practicing nursing in Alabama
			 under a multistate license, a single state license, or multistate licensure
			 privilege, according to guidelines provided by the Board. Subscription to the
			 Board's group online license service shall serve as the annual report of
			 employing agencies.
(2) Healthcare
			 organizations that employ multistate licensees shall verify licensure through
			 the Coordinated License Information system. The Board shall provide access to
			 the Coordinated License Information System through its website.
The previous Chapter 610-X-4, Licensure (contained 19 rules)
				  was repealed in its entirety and replaced with new Chapter 610-X-4, Licensure
				  as per certification filed May 29, 2001; effective July 3,
				  2001.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2(6).
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.17 - Multistate Licensure Privilege

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The holder of a multistate licensure
			 privilege practicing in Alabama shall comply with the practice laws of the
			 state in which the client is located at the time the service is provided. The
			 practice of nursing is not limited to patient care, and shall include all
			 nursing practice.
(2) The practice
			 of nursing in Alabama under a multistate licensure privilege shall subject the
			 nurse to the jurisdiction of the Alabama Board of Nursing, Alabama courts, and
			 the laws of the party state in which the client is located at the time service
			 is provided.
(3) If adverse action
			 is taken by the home state against the multistate license of a nurse, the
			 nurse's multistate licensure privilege to practice in Alabama shall be
			 deactivated until all encumbrances have been removed from the multistate
			 license. Deactivation of a multistate licensure privilege based on this section
			 occurs by operation of law.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-2(6).
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-4 - LICENSURE › Section 610-X-4-.18 - Coordinated Licensure Information System

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Regarding all licensed registered nurses
			 and licensed practical nurses, the board shall participate in the coordinated
			 licensure information system, to include licensure and disciplinary history of
			 each nurse.
(2) The board shall
			 promptly report to the coordinated licensure information system an adverse
			 action, any current significant investigative information, denials of
			 applications with the reasons for the denials, and the nurse's current
			 participation in the Voluntary Disciplinary Alternative Program, if applicable.
(a) Information regarding the participation
			 of a licensee in the Voluntary Disciplinary Alternative Program shall be made
			 available solely to other state boards of nursing and shall not be disclosed to
			 the public by the coordinated licensure information system.
(b) Upon successful completion of the
			 Voluntary Disciplinary Alternative Program, all information regarding
			 participation of the licensee in the Voluntary Disciplinary Alternative Program
			 shall be expunged from the coordinated licensure information system.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.01 - Definitions

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 in Collaborative
			 Practice: A registered nurse who has gained additional knowledge and skills
			 through successful completion of an organized program of nursing education that
			 prepares nurses 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 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.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
, Section
			 34-21-80 et seq.
(2) The physician members
			 of the Joint Committee shall be appointed to three year terms by the State
			 Board of Medical Examiners in accordance with
Code of Ala.
			 1975
, Section
			 34-21-80 et seq.
(3) Terms of Joint
			 Committee members shall begin on 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 recommend to the Board of Nursing and State Board of Medical
			 Examiners:
(a) Rules and regulations
			 governing the collaborative relationship between physicians and certified
			 registered nurse practitioners and certified nurse midwives engaged in advanced
			 practice nursing.
(b) Model
			 practice protocols to be used by the certified registered nurse practitioner
			 and certified nurse midwife.
(c) A
			 formulary of legend drugs that may be prescribed by a certified registered
			 nurse practitioner and a certified nurse midwife.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.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 4 of these rules, unless
			 authorized by the Board.
(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.
(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
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.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 have:
(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.
(d) Paid all collaborative practice fees due
			 to the Board of Medical Examiners and submitted to the Board of Medical
			 Examiners the appropriate form.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.05 - Limitations Upon Utilization Of Certified Registered Nurse Practitioners

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A physician may
			 enter into collaborative agreements with certified registered nurse
			 practitioners not exceeding a cumulative three hundred and sixty (360) hours
			 (nine FTEs) per week. The physician shall not collaborate with or supervise any
			 combination of certified registered nurse practitioners, certified nurse
			 midwives and/or Physician Assistants exceeding three hundred and sixty (360)
			 hours per week (nine full-time equivalent positions). "One full- time
			 equivalent" (FTE) is herein described as a person/persons collectively working
			 forty hours a week, excluding time on call.
(a) A physician collaborating with more than
			 four FTEs per week shall engage in documented quality assurance review with
			 each CRNP every month for six (6) months following the commencement of a
			 collaborative practice with a new CRNP.
(b) A physician shall disclose to the Board
			 of Medical Examiners the existence of all collaborative and supervisory
			 agreements to which the physician is a 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 Physician Assistants 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 Physician Assistants in multiple
			 states shall only be counted once for purposes of calculating the total number
			 of full-time equivalent positions.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.06 - Application 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 submit to the 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 as provided for in Rule
			 610-X-5-.07.
(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
			 educational preparation, proposed clinical area of practice, and proposed
			 collaborating physician's area of practice.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.07 - 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
			 610-X-5-.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 have been issued certificates of
			 qualification by the Board of Nursing and either:
(a) Have current approval for collaborative
			 practice in the state of Alabama;
(b) Are employed by the United States
			 government and working in federal facilities; or
(c) Hold teaching positions in nurse
			 practitioner education programs recognized by the Alabama Board of Nursing.
Prior to approval as a CRNP, the registered nurse may use only
				the designation or title granted by the national certifying agency.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.08 - 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
			 610-X-5-.03 and
			 610-X-5-.06
(b) The collaborating physician
			 shall meet the qualifications established in Rule
			 610-X-5-.04.
(c) Temporary approval is limited to the
			 standard protocol and formulary approved by the Joint Committee of the Alabama
			 Board of Nursing and the Alabama Board of Medical Examiners and does not
			 include the authority to:
(i) Perform
			 additional skills as provided in Rule
			 610-X-5-.11.
(ii) Prescribe drugs that are listed in the
			 standard formulary with "Restrictions."
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.09 - Requirements For Collaborative Practice By Physicians And Certified Registered Nurse Practitioners

Current through Register Vol. 42, No. 9, June 28, 2024
Physicians And Certified Registered Nurse
				Practitioners
.
(1) The
			 collaborating physician shall:
(a) Provide
			 professional medical oversight and direction to the certified registered nurse
			 practitioner.
(b) Be readily
			 available for direct communication or by radio, telephone or
			 telecommunications.
(c) Be readily
			 available for consultation or referrals of patients from the certified
			 registered nurse practitioner.
(d)
			 Be readily available at each remote practice site.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.10 - Standards Of Practice For Certified Registered Nurse Practitioners

Current through Register Vol. 42, No. 9, June 28, 2024
The certified registered nurse practitioner shall practice in
				accordance with national standards and functions identified by the appropriate
				specialty-certifying agency as recognized by the Board of Nursing and as
				congruent with Alabama law.
Rule .09 was renumbered to .10 as per certification filed
				  July 2, 2015; effective August 6, 2015.
Author:
Alabama Board of Nursing
Statutory Authority:
Code of Ala.
				  1975
, §
										34-21-81.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.11 - Functions And Activities Of Certified Registered Nurse Practitioners

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The certified
			 registered nurse practitioner is responsible and accountable for the continuous
			 and comprehensive management of a broad range of health services for which the
			 certified registered nurse practitioner is educationally prepared and for which
			 competency is maintained, with physician collaboration as described in these
			 rules. These services include but are not restricted to the following:
(a) Evaluate current health status and risk
			 factors of individuals based on comprehensive health history and comprehensive
			 physical examinations and assessments.
(b) Formulate a working diagnosis, develop
			 and implement a treatment plan, evaluate and modify therapeutic regimens to
			 promote positive patient outcomes.
(c) Prescribe, administer and provide
			 therapeutic measures, tests, procedures, and drugs.
(d) Counsel, teach and assist individuals and
			 families to assume responsibility for self-care in prevention of illness,
			 health maintenance, and health restoration.
(e) Consult with and refer to other health
			 care providers as appropriate.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.12 - Prescriptions And Medication Orders By Certified Registered Nurse Practitioners

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
			 Certified registered nurse practitioners engaged in collaborative practice with
			 physicians may be granted prescriptive authority upon submission of evidence of
			 completion of an academic course in pharmacology or evidence of integration of
			 pharmacology theory and clinical application in the certified registered nurse
			 practitioner curriculum.
(2)
			 Certified registered nurse practitioners practicing under protocols approved in
			 the manner prescribed by
Code of Ala. 1975
, section
			 34-21-80 et seq. may prescribe legend drugs to their patients, subject to the following
			 conditions:
(a) The drug shall be included in
			 the formulary recommended by the Joint Committee and adopted by the Board of
			 Nursing and the State Board of Medical Examiners.
(b) The drug type, dosage, quantity
			 prescribed, and number of refills shall be authorized in an approved protocol
			 signed by the collaborating physician and the certified registered nurse
			 practitioner. This requirement may be met if written prescriptions adhere to
			 the standard recommended doses of legend drugs as identified in the Physician's
			 Desk Reference or Product Information Insert, and do not:
(i) Exceed the recommended treatment regimen
			 periods.
(ii) Include United States
			 Food and Drug Administration (FDA) non-approved supplements, drug products,
			 medication, and off label medications.
(c) Drugs and medications that do not have
			 FDA approval may be prescribed through protocol registration in a United States
			 Institutional Review Board or Expanded Access authorized clinical
			 trial.
(d) "Off Label" use or
			 prescription of FDA-approved medications for uses other than that indicated by
			 the FDA, is permitted when such practices are:
(i) Within the current standard of care for
			 treatment of disease or condition.
(ii) Supported by evidence-based
			 research.
(iii) Approved by the
			 collaborating physician and entered into the patient record.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.13 - 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 4 of these rules.
(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 prescriptive practice in the
			 approved area for collaborative practice earned within the 24 months
			 immediately preceding application.
Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-5 - ADVANCED PRACTICE NURSING - COLLABORATIVE PRACTICE › Section 610-X-5-.14 - Qualifications For Approval As A Certified Nurse Midwife

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The applicant for approval to practice as
			 a certified nurse midwife shall have:
(a) An
			 active Alabama registered nurse license, or a multistate registered nurse
			 license issued by a party state, as defined in Chapter 4 of these rules, unless
			 authorized by the Board.
(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 midwives 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.
			 The applicant for initial approval as a nurse midwife who meets one of the
			 following criteria is exempt from the requirement for a master's degree in
			 nursing:
(i) Graduation prior to 1996 from a
			 Board recognized post-baccalaureate program preparing nurse midwives.
(ii) Graduation prior to 1984 from a
			 non-baccalaureate program preparing nurse midwives.
(iii) The Board of Nursing may grant a waiver
			 of the master's degree requirement at its discretion.
(d) Current certification as a certified
			 nurse midwife by the American Midwifery Certification Board.
(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.