registered nurse practitioner is responsible and accountable for the continuous
and comprehensive management of a broad range of health services for which the
certified registered nurse practitioner is educationally prepared and for which
competency is maintained, with physician collaboration as described in these
rules. These services include but are not restricted to the following:
(a) Evaluate current health status and risk
factors of individuals based on comprehensive health history and comprehensive
physical examinations and assessments.
(b) Formulate a working diagnosis, develop
and implement a treatment plan, and evaluate/modify therapeutic regimens to
promote positive patient outcomes.
(c) Prescribe, administer and provide
therapeutic measures, tests, procedures, and drugs.
(d) Counsel, teach and assist
individuals/families to assume responsibility for self-care in prevention of
illness, health maintenance, and health restoration.
(e) Consult with refer to other health care
providers as appropriate.
(2) A standard protocol approved by the Board
of Nursing and Board of Medical Examiners shall address permissible functions
and activities specific to the advanced practice of the certified registered
(3) A certified
registered nurse practitioner may, after the successful completion of an
organized program of study and supervised clinical practice, carry out
functions beyond the nurse practitioner educational preparation provided the
functions are approved by the Board of Nursing as being within the legal scope
of practice for a certified registered nurse practitioner. Such functions will
be submitted to the Joint Committee for consideration for inclusion on the
(4) Requests for
additional functions to be added to the protocol may be submitted to the Joint
Committee for consideration.
certified registered nurse practitioner may write admission orders for
inpatients as directed by the physician and subsequent orders in accordance
with established protocols and institutional policies.
Ala. Admin. Code r.
New Rule: Filed June 20,
1996; effective July 26, 1996. Amended: Filed August 25, 2003; effective
September 29, 2003. Amended: Filed September 11, 2008; effective October 16,
Author: Patricia E. Shaner, Attorney for the
Board of Medical Examiners
Code of Ala.