for approval to practice as a certified nurse midwife may be granted temporary
approval for practice under the following stipulations until such time as the
application is approved or denied by the Board of Nursing and the Board of
The collaborating physician shall meet
the qualifications established in Rule
Temporary approval is limited to the
standard protocol and formulary, including oxytocics, approved by the Joint
Committee of the Alabama Board of Nursing and the Alabama State Board of
Medical Examiners and does not include the authority to:
Perform additional skills as provided in
2. Prescribe drugs other than oxytocics that
are defined in the standard formulary with "Restrictions."
Provisional Approval: A
registered nurse who meets the requirements of Rules
with the exception of national certification, and who has applied for initial
certification may be granted temporary approval under paragraph (1)(c) of this
rule with these additional stipulations.
Practice under the on-site supervision of an approved certified nurse midwife
or a licensed physician.
a minimum of the first thirty days of practice or until satisfactory clinical
skills are demonstrated, the collaborating physician or covering physician
shall be in attendance at all deliveries by the nurse midwife. The nurse
midwife shall contact the collaborating physician or the physician providing
(c) The nurse
midwife with provisional approval may use the designation "Graduate Nurse
to practice is limited to a maximum of six months and shall expire immediately
1. Notification of approval by the Board
2. Notification of
failing the certification exam.
(3) Interim Approval: If the relationship
with the collaborating physician is terminated, a certified nurse midwife
approved to practice under the provisions of these rules may continue in a
collaborative practice with an interim physician after application for approval
until such time as the new application is approved or denied, provided all
requirements and stipulations for temporary approval cited in paragraph (1) are
An applicant for approval
to practice as a certified nurse midwife may be granted temporary approval when
either the collaborating physician or certified nurse midwife applicant is
under investigation by a state or federal authority. The temporary approval
shall remain in force until the application has been approved, denied, or
withdrawn. However, the Board of Nursing or Board of Medical Examiners may
decline to approve the application until the investigation has been concluded.
The Board of Medical Examiners may withdraw temporary approval in accordance
Ala. Admin. Code r.
New Rule: Filed June 20,
1996; effective July 26, 1996. Repealed 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 XXXIX, Issue No. 07, April 30,
2021, eff. 6/14/2021.
Was previously Rule
renumbered as per certification filed April 23, 2004; effective May 28,
Author: Alabama Board of Medical
Code of Ala.