Ala. Admin. Code r. 540-X-18-.01 - Definitions

The following definitions shall apply to the rules in this chapter:

(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 herpresence, his or her authorized agent;
(b) A certified registered nurse practitioner (CRNP)or certified nurse midwife (CNM); or
(c) The patient at the direction and in the presence of the collaborating physician, certified registered nurse practitioner (CRNP) or certified nurse midwife (CNM).
(2) Board - The Alabama State Board of Medical Examiners.
(3) Certified Nurse Midwife (CNM) - An advanced practice nurse who is subject to a collaborative practice agreement with a collaborating physician pursuant to § 34-21-5,Code of Ala. 1975, as amended, and who has advanced knowledge and skills relative to the management of women's health care focusing on pregnancy, childbirth, the postpartum period, care of the newborn, family planning, and gynecological needs of women, within a health care system that provides for consultation, collaborative management, or referral as indicated by the health status of the patient.
(4) Certified Registered Nurse Practitioner (CRNP) -An advanced practice nurse who is subject to a collaborativepractice agreement with a collaborating physician pursuant to § 34-21-5, Code of Ala. 1975, as amended, and who has demonstrated by certification that he or she has advanced knowledge and skills in the delivery of nursing services within a health care system that provides for consultation, collaborative management, or referral as indicated by the health status of the patient.
(5) Collaborating Physician - A doctor of medicine or a doctor of osteopathy licensed to practice medicine in Alabama who agrees in writing to practice in collaboration with one or more certified registered nurse practitioners or certified nursemidwives in accordance with § 34-21-5, Code of Ala. 1975, as amended, and the rules and regulations adopted by the Alabama Board of Medical Examiners and the Alabama Board of Nursing.
(6) Dispense - To deliver a controlled substance to an ultimate user by or pursuant to the lawful order of a physician or CRNP or CNM, including the prescribing, administering, packaging, labeling or compounding necessary to prepare the substance for that delivery.
(7) Excessive Dispensing - A registrant may be considered to have excessively dispensed a controlled substance if the Board finds that either the controlled substance was dispensed for no legitimate medical purpose, or that the amount of the controlled substance dispensed is not reasonably related to the proper medical management of the patient's illness or condition. Drug addiction shall not be considered an illness or condition which would justify the continued dispensing of a controlled substance, except in gradually decreasing dosages administered to the patient for the purpose of curing the addiction.
(8) Prescribe or Prescribing - The act of issuing a prescription for a controlled substance.
(9) Prescription - Any order for a controlled substance written or signed or transmitted by word of mouth, telephone, telegraph, closed circuit television or other means of communication by a legally competent collaborating physician, certified registered nurse practitioner, or certified nursemid wife authorized by law to prescribe and administer the drug which is intended to be filled, compounded, or dispensed by apharmacist.
(10) QACSC - Qualified Alabama Controlled Substances Registration Certificate.

Notes

Ala. Admin. Code r. 540-X-18-.01
New Rule: Filed August 27, 2013; effective October 1, 2013.

Author: Alabama Board of Medical Examiners

Statutory Authority: Code of Ala. 1975, §§ 20-2-250, et. seq.; Act 2013-223

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