1. (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.

   1. (a) The applicant shall meet the requirements of Rules 540-X-8-.03 and 540-X-8-.05.
   2. (b) The collaborating physician shall meet the qualifications established in Rule 540-X-8-.04.

   3. (c) Temporary approval is limited to the standard protocol and formulary approved by the Joint Committee of the Alabama Board of Nursing and the Board of Medical Examiners and does not include the authority to:

      1. 1. Perform additional skills as provided in Rule 540-X-8-.10.
      2. 2. Prescribe drugs that are listed in the standard formulary with “Restrictions.”

2. (2) Provisional approval: A registered nurse who meets the requirements of Rules 540-X-8-.03 and 540-X-8-.05 with the exception of national certification, and who has applied for initial certification may be granted temporary approval under paragraph (1)(c) of this rule with these additional stipulations.

   1. (a) Practice under the on-site supervision of an approved certified registered nurse practitioner or a licensed physician.
   2. (b) During the period of provisional approval, there shall be one hundred percent review of patient cases by the collaborating physician.
   3. (c) The nurse practitioner with provisional approval may use the designation “Graduate Registered Nurse Practitioner.”

   4. (d) Provisional approval to practice is limited to a maximum of six months and shall expire immediately upon:

      1. 1. Notification of approval by the Board of Nursing.
      2. 2. Notification of failure of the certification examination.
3. (3) Interim: If the relationship with the collaborating physician is terminated, a certified registered nurse practitioner approved to practice under the provisions of these rules may continue in a collaborative practice with an interim physician after application for approval until such time as the new application is approved or denied, provided the interim physician meets the qualifications established in Rule 540-X-8-.04.
4. (4) An applicant for approval to practice as a certified registered nurse practitioner may be granted temporary approval when either the collaborating physician or certified registered nurse practitioner applicant is under investigation by a state or federal authority. The temporary approval shall remain in force until the application has been approved, denied, or withdrawn. However, the Board of Nursing or Board of Medical Examiners may decline to approve the application until the investigation has been concluded. The Board of Medical Examiners may withdraw temporary approval in accordance with Rule 540-X-8-.13.

Author: Alabama Board of Medical Examiners

Statutory Authority: Code of Ala. 1975, §§34-24-53, 34-21-84, 34-21-85.

History: New Rule: Filed June 20, 1996; effective July 26, 1996. Repealed and New Rule: Filed August 25, 2003; effective September 29, 2003. Amended: Filed July 2, 2015; effective August 6, 2015. Amended: Published April 30, 2021; effective June 14, 2021.