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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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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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34-21-86
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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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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34-21-83
Section 34-21-83 State Board of Medical Examiners to establish qualifications for physicians
engaged in collaborative practice with advanced practice nurses. The State Board of Medical
Examiners shall establish the qualifications for physicians who are engaged in collaborative
practice with certified registered nurse practitioners and certified nurse midwives. The board
may adopt rules and regulations to accomplish the purposes of this section. (Acts 1995, No.
95-263, p. 464, ยง4.)...
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34-21-92
Section 34-21-92 Waiver of requirements until adoption of rules and regulations. Until the
State Board of Medical Examiners and the Board of Nursing adopt the rules and regulations
necessary to effectuate the provisions of this article, the State Board of Medical Examiners
and the Board of Nursing shall waive the requirements of Sections 34-21-84 and 34-21-85 and
shall grant the appropriate certification to any nurse practitioner or nurse midwife who is
currently certified or is eligible for certification to be a certified registered nurse practitioner
or certified nurse midwife and will continue to engage in practice under the existing rules
and regulations. Until the State Board of Medical Examiners and the Board of Nursing adopt
the rules and regulations necessary to effectuate the provisions of this article, the State
Board of Medical Examiners and the Board of Nursing shall waive the requirements of Sections
34-21-84 and 34-21-85 and shall grant the appropriate approval to a...
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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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20-2-251
Section 20-2-251 Certifying board; advisory committee; access to records; protocols, formularies,
medical regimens. (a) The Board of Medical Examiners is hereby designated as the certifying
board for the registration and approval of a certified registered nurse practitioner (CRNP)
or a certified nurse midwife (CNM) in obtaining or renewing a Qualified Alabama Controlled
Substances Registration Certificate (QACSC). The board may adopt regulations concerning the
application procedures, fees, and grounds for the restriction, limitation, suspension, or
revocation of a QACSC, excluding the charge of expenses for conducting an investigation or
expenses of a hearing, and to provide for hearings in connection with the same. The board
shall establish a unique QACSC number that identifies the particular applicant as a certified
registered nurse practitioner or certified nurse midwife with a valid QACSC. However, nothing
in this article shall permit the board to encroach on the powers, duties,...
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34-21-93.1
Section 34-21-93.1 Signature authority for health care forms, etc. (a) When any law or rule
requires a signature, certification, stamp, verification, affidavit, or endorsement by a physician,
the document shall be deemed to authorize a signature, certification, stamp, verification,
affidavit, or endorsement by a certified registered nurse practitioner or certified nurse
midwife for the items listed in this section. The authority in this section for a certified
registered nurse practitioner and a certified nurse midwife shall be subject to an active
collaboration agreement. This section applies to all of the following: (1) Certification of
disability for patients to receive special access parking or disability access parking tags
or placards. (2) A signature required for any of the following: a. The following documents
that require a complete history and physical examination consistent with the examining provider's
scope of practice and certification: 1. Physicals for bus drivers in...
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