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34-21-86
Section 34-21-86 Prescribing legend drugs; initiating call-in prescriptions; administering
legend drugs. (a) Certified registered nurse practitioners and certified nurse midwives, engaged
in collaborative practice with physicians practicing under protocols approved in the manner
prescribed by this article may prescribe legend drugs to their patients, subject to both of
the following conditions: (1) The drug type, dosage, quantity prescribed, and number of refills
shall be authorized in an approved protocol signed by the collaborating physician; and (2)
The drug shall be on the formulary recommended by the joint committee and adopted by the State
Board of Medical Examiners and the Board of Nursing. (b) A certified registered nurse practitioner
or a certified nurse midwife may not initiate a call-in prescription in the name of a collaborating
physician for any drug, whether legend or controlled substance, which the nurse practitioner
or certified nurse midwife is not authorized to...
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34-21-81
Section 34-21-81 Definitions. As used in this article, the following terms shall have the following
meanings: (1) BOARD OF MEDICAL EXAMINERS. The State Board of Medical Examiners established
pursuant to Section 34-24-53. (2) BOARD OF NURSING. The Board of Nursing established under
Section 34-21-2. (3) ADVANCED PRACTICE NURSE. A registered nurse that 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 certified by the Board of Nursing
to engage in the practice of advanced practice nursing. There shall be four categories of
advanced practice nurses: Certified registered nurse practitioners (CRNP), certified nurse
midwives (CNM), certified registered nurse anesthetists (CRNA), and clinical nurse specialists
(CNS). Certified registered nurse practitioners and certified nurse midwives are subject to
collaborative practice agreements with an Alabama physician....
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34-21-85
Section 34-21-85 Joint committee designated to recommend rules and regulations; requirements
to engage in advanced practice nursing. The joint committee shall be the state authority designated
to recommend rules and regulations to the State Board of Medical Examiners and the Board of
Nursing for the purpose of regulating the collaborative practice of physicians and certified
registered nurse practitioners and certified nurse midwives. No person may practice as a certified
registered nurse practitioner or a certified nurse midwife in this state unless that person
possesses a certificate of qualification issued by the Board of Nursing and practices under
written protocols approved by the State Board of Medical Examiners and the Board of Nursing
and signed by a qualified collaborating physician or physicians and certified registered nurse
practitioner or certified nurse midwife or is exempt from the requirement of a written protocol
according to rules promulgated by the State Board of...
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34-24-290
Section 34-24-290 Definitions. For the purposes of this article, the following words and phrases
shall have the following meanings: (1) APPROVED PROGRAM. A program for the education and training
of assistants to physicians which has been formally approved in writing by the board. (2)
ASSISTANT TO PHYSICIAN. A person who is a graduate of an approved program, is licensed by
the board, and is registered by the board to perform medical services under the supervision
of a physician approved by the board to supervise the assistant. (3) BOARD. The Board of Medical
Examiners of the State of Alabama. (4) LEGEND DRUG. Any drug, medicine, chemical, or poison,
bearing on the label the words, "Caution, Federal Law prohibits dispensing without prescription"
or similar words indicating that the drug, medicine, chemical, or poison may be sold or dispensed
only upon the prescription of a licensed medical practitioner, except that the term legend
drug shall not include any drug, substance, or compound...
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34-24-292
Section 34-24-292 Services performed by trainees and assistants. (a) Notwithstanding any other
provision of law, a licensed assistant to a physician may perform medical services when the
services are rendered under the supervision of a licensed physician or physicians approved
by the board; except, that no medical services may be performed under this article except
under the supervision of an ophthalmologist in the office in which the physician normally
actually practices his or her profession and nowhere else in any of the following areas: (1)
The measurement of the powers or range of human vision or the determination of the accommodation
and refractive state of the human eye or the scope of its functions in general or the fitting
or adaptation of lenses or frames for the aid thereof. (2) The prescribing or directing the
use of or using any optical device in connection with ocular exercises, visual training, or
orthoptics. (3) The prescribing of contact lenses for or the fitting or...
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34-23-1
Section 34-23-1 Definitions. For the purpose of this chapter, the following words and phrases
shall have the following meanings: (1) ASSOCIATION. The Alabama Pharmacy Association. (2)
BIOLOGICAL PRODUCT. Has the same meaning as the term as defined in 42 U.S.C. ยง262. (3) BOARD
or STATE BOARD. The Alabama State Board of Pharmacy. (4) CHEMICAL. Any substance of a medicinal
nature, whether simple or compound, obtained through the process of the science and art of
chemistry, whether of organic or inorganic origin. (5) DISPENSE. To sell, distribute, administer,
leave with, give away, dispose of, deliver, or supply a drug or medicine to the ultimate user
or his or her agent. (6) DRUGS. All medicinal substances, preparations, and devices recognized
by the United States Pharmacopoeia and National Formulary, or any revision thereof, and all
substances and preparations intended for external and internal use in the cure, diagnosis,
mitigation, treatment, or prevention of disease in man or animal...
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34-21-87
Section 34-21-87 Joint committee to recommend model practice protocols, formulary of legend
drugs, and certain rules and regulations. Notwithstanding any other provisions of this article,
the joint committee shall recommend model practice protocols to be used by certified registered
nurse practitioners and certified nurse midwives and a formulary of legend drugs that may
be prescribed by these advanced practice nurses, subject to approval by both the State Board
of Medical Examiners and the Board of Nursing. The joint committee shall also recommend rules
and regulations to establish the ratio of physicians to certified registered nurse practitioners
and certified nurse midwives; provided, however, that the rules and regulations shall not
limit the ratio to less than two nurse practitioners or midwives to one physician or one certified
registered nurse practitioner and one certified nurse midwife to one physician and shall provide
for exceptions. The joint committee shall also recommend...
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20-2-250
Section 20-2-250 Definitions. As used in this article, the following words shall have the following
meanings: (1) ADMINISTER. The direct application of a controlled substance whether by injection,
inhalation, ingestion, or any other means, to the body of a patient by any of the following:
a. A collaborating physician or, in his or her presence, his or her authorized agent. b. A
certified registered nurse practitioner or certified nurse midwife. c. The patient at the
direction and in the presence of the collaborating physician, certified registered nurse practitioner,
or certified nurse midwife. (2) BOARD. The Board of Medical Examiners of the State of Alabama.
(3) CERTIFIED NURSE MIDWIFE or CNM. An advanced practice nurse who is subject to a collaborative
practice agreement with a collaborating physician pursuant to Title 34, Chapter 21, Article
5, and who has advanced knowledge and skills relative to the management of women's health
care focusing on pregnancy, childbirth, the...
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20-2-214
Section 20-2-214 Limited access to database permitted for certain persons or entities. (a)
The following persons or entities shall be permitted access to the information in the controlled
substances database, subject to the limitations indicated below: (1) Authorized representatives
of the certifying boards; provided, however, that access shall be limited to information concerning
the licensees of the certifying board, however, authorized representatives from the Board
of Medical Examiners may access the database to inquire about certified registered nurse practitioners
(CRNPs), or certified nurse midwives (CNMs) that hold a Qualified Alabama Controlled Substances
Registration Certificate (QACSC). (2) A licensed practitioner approved by the department who
has authority to prescribe, dispense, or administer controlled substances. The licensed practitioner's
access shall be limited to information concerning himself or herself, registrants who possess
a Qualified Alabama Controlled...
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20-2-260
Section 20-2-260 Permit authorized. (a) The Board of Medical Examiners may at any future date
it chooses create a Limited Purpose Schedule II Permit (LPSP), and assess fees associated
with the permit, that, along with any other necessary registration, may permit assistants
to physicians, certified registered nurse practitioners, or certified nurse midwives to lawfully
prescribe, administer, authorize for administration, or dispense only those controlled substances
listed in Schedule II substances of Article 2 of Chapter 2 of this title in accordance, as
specified and limited by the permit, with rules adopted by the board and any protocols, formularies,
and medical regimens established by the board for regulation of a LPSP. Any protocols, formularies,
and medical regimens shall not be considered administrative rules under the Alabama Administrative
Procedure Act. (b) An assistant to physician, certified registered nurse practitioner, or
certified nurse midwife shall not utilize his or...
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