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AMA Scope of Practice Data Series - Tennessee Nurses Association

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Figure 2. State scope of practice for nurse practitionersStateAlabamaAlaskaRequirements forphysician involvementin NP practice(diagnosis andtreatment)Yes. Must have acollaborative practiceagreement with alicensed Alabamaphysician.No. NPs havecomplete autonomy inthe diagnosis andtreating aspects ofpractice.# of NPs aphysician cansuperviseSilent.Silent.Requirements forphysicianinvolvement in NPprescribingYes. Must have awritten standardprotocol includingformulary.No. NPs havecomplete autonomyin prescribing.Separateapplicationprocess requiredfor NP Rxauthority?No separateapplicationrequired forprescribingauthorization.The board [ofNursing] will, inits discretion,authorize anadvanced nursepractitioner or"ANP" toprescribe anddispense legenddrugs inaccordance withapplicable stateand federal laws.(12 AAC 44.440)Legenddrugs?Yes. (Ala.Admin. Code540-X-8-.11)Yes. (12AAC 44.445)Schedule Vcontrolledsubstances?No. (Phone callto Board 5/3/07)Yes, at thediscretion of theBoard. (12 AAC44.445)Schedule IVcontrolledsubstances?No. (Phone call toBoard 5/3/07)Yes, at thediscretion of theBoard. (12 AAC44.445)Schedule IIIcontrolledsubstances?No. (Phone callto Board 5/3/07)Yes, at thediscretion of theBoard. (12 AAC44.445)Schedule IIcontrolledsubstances?No. (Phone call toBoard 5/3/07)Yes, at thediscretion of theBoard. (12 AAC44.445)Pharmacologyeducation requirementsCertified registered nursepractitioners engaged incollaborative practicewith physicians may begranted prescriptiveauthority uponsubmission of evidenceof completion of anacademic course inpharmacology orevidence of integration ofpharmacology theory andclinical application in thecertified registered nursepractitioner curriculum.(Ala. Admin. Code r.540-X-8-.11)Applicants shall provideevidence of completionof 15 contact hours ofeducation inpharmacology andclinical management ofdrug therapy within thetwo-year periodimmediately before thedate of application. (12AAC 44.440)Continuingeducationrequirementsrelated toprescribingCertified registerednursepractitioners...withprescriptive authorityshall earn, as part ofthe required twentyfour(24) Boardapprovedor Boardrecognizedcontinuing educationcontact hours forlicense renewal, sixcontact hours ofpharmacologycontent specific toprescriptive practicein the approved areafor collaborativepractice. (Ala.Admin. Code r. 610-X-4-.08)ANP prescriptiveauthority must berenewed bienniallywith the ANPauthorization.Documentation ofeight contact hours ofpharmacology duringthe previous twoyears must besubmitted at the timeof renewal. (12 AAC44.440)

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