The Board of Nursing may grant a
certificate of qualification for advanced practice nursing as a nurse midwife
to applicants who meet all requirements of
Use of the designation "CNM" or of any
titles that imply that they are certified nurse midwives shall be restricted to
those registered nurses who:
(a) Have been
issued a certificate 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 midwife
education programs recognized by the Alabama Board of Nursing.
(e) Prior to approval as a CNM, the
registered nurse may use only the designation or title granted by the national
When for any reason the collaborative practice agreement with the physician
designated in the application for approval is terminated, then approval of such
certified nurse midwife and collaborating physician designated in the
application is automatically withdrawn.
The certified nurse midwife 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.
The certified nurse midwife shall notify the Board of Nursing using the on-line
form "Terminate an Existing Collaboration."
(c) A certified nurse midwife in a
collaborative practice which is voluntarily terminated by either party 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 nurse
midwife's approval to practice under the collaborative practice
advanced practice approval shall expire prior to the RN license if the advanced
practice 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 nursing renewal fee.
(d) 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 midwife
educational program prior to initial approval as a CNM does not qualify as
pharmacology continuing education for renewal of approval as a CNM.
(e) Effective January 1, 2024, documented
evidence of completion of continuing education prescribed by the Board of
Nursing regarding the rules and statutes governing collaborative practice in
Alabama, earned 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 midwife form the American College of Nurse
Midwives Certification Council shall:
Immediately notify the Board of Nursing.
(b) Not practice or use the title of
certified nurse midwife until approved by the Board of Nursing.