The Board of
Nursing may grant a certificate of qualification for advanced practice nursing
as a certified registered nurse practitioner to applicants who meet the
Use of the designation "CRNP"
or of any titles that imply that they are certified registered nurse
practitioners shall be restricted to those registered nurses who:
(a) Have been issued certificates of
qualification by the Board of Nursing and
(b) Have current approval for collaborative
practice in the State of Alabama; or
(c) Are employed by the United States
government and working in federal facilities; or
(d) Hold teaching positions in nurse
practitioner education programs recognized by the Alabama Board of
(e) Prior to approval as a
certified registered nurse practitioner, the registered nurse may use only the
designation or title granted by the specialty certifying agency.
When for any reason the
collaborative practice agreement with the physician designated in the
application for approval is terminated, then approval of such certified
registered nurse practitioner and collaborating physician designated in the
application is automatically withdrawn.
The certified registered nurse practitioner and the physician shall each inform
their respective board in writing of the effective date of the termination of
the collaborative practice agreement and the reasons for such termination.
Failure to notify the respective board of termination may be considered a
violation of these rules and regulations.
(b) The certified registered nurse
practitioner shall notify the Board of Nursing using the on-line form
"Terminate an Existing Collaboration."
(c) A certified registered nurse practitioner
in a collaborative practice which is voluntarily terminated by either part is
responsible for notifying the Board of Nursing of the date on which the
collaborative practice agreement terminates. Notification to the Board of
Nursing by the Alabama Board of Medical Examiners that a physician has
voluntarily terminated a collaborative practice agreement will meet the
notification requirement and will result in termination of the certified
registered nurse practitioner's approval to practice under the collaborative
The advanced practice approval shall expire prior to the RN license if the
nurse practitioner national specialty certification expires during the license
Approval for advanced
practice may be continued at the time of renewal, upon verification of:
(b) Continued collaboration with the approved
physician(s) or eligibility for continued exemption from
(c) Payment of the
advanced practice renewal fee.
Six contact hours of pharmacology content specific to prescriptive practice in
the approved area for collaborative practice. Graduate pharmacology academic
credit earned during the nurse practitioner educational program prior to
initial approval as a CRNP does not qualify as pharmacology continuing
education for renewal of approval as a CRNP.
(e) Effective January 1, 2024, documented
evidence of completion of continuing medical education prescribed by the Board
of Nursing regarding the rules and statues governing collaborative practice in
Alabama, not more than forty-eight (48) months prior to or within twelve (12)
months of commencement of the collaborative practice.
(6) Failure to meet the requirements for
renewal shall result in lapse of the advanced practice approval.
A nurse who fails to attain or maintain
specialty certification as a nurse practitioner from a specialty certification
(a) Immediately notify the Board
(b) Not practice as or
use the title of certified registered nurse practitioner until approved by the
Board of Nursing.
Ala. Admin. Code r.
New Rule: Filed August 25,
2003; effective September 29, 2003.
Administrative Monthly Volume XXXIII, Issue No. 10, July 31,
2015, eff. 8/6/2015.
Administrative Monthly Volume XXXIV, Issue No. 10, July 29, 2016,
Administrative Monthly Volume XXXVII, Issue No. 01, October 31,
2018, eff. 12/2/2018.
Administrative Monthly Volume XXXVII, Issue No. 11, August 30,
2019, eff. 10/7/2019.
Administrative Monthly Volume XXXVIII, Issue No. 03, December 31,
2019, eff. 2/14/2020.
Administrative Monthly Volume XXXIX, Issue No. 07, April 30,
2021, eff. 6/14/2021.
Author: Alabama Board of Medical
Code of Ala.