Current through Register Vol. 40, No. 6, March 31, 2022
beyond basic education that has not been previously approved by the Board, a
standardized procedure is required for the licensed nurse in any practice
(a) Approval is not required for an
acute care hospital prior to implementation, except for standardized procedures
related to rapid sequence intubation (RSI), provided that the facility submits
a standardized procedure application for each standardized procedure within
sixty (60) days of implementation.
(b) Practice beyond basic education in home
health, hospice, physician offices, and other locations outside a licensed
hospital requires approval by the Board prior to implementation.
A complete Standardized
Procedure Application shall be submitted to the Board for practice beyond basic
education preparation required in rule, practice not previously approved by the
Board, and shall include:
the submitting facility, as evidenced by signatures on the application form of:
1. The chief nursing officer or, if no such
position exists within a facility, an Alabama-licensed registered nurse who has
oversight responsibility for the procedure.
2. The Alabama-licensed chief medical officer
or an Alabama-licensed physician.
3. The chief executive officer for the
(b) The policy and procedure.
(c) The organized program of study by a
qualified instructor with the method of evaluation of learning
(d) The plan for
supervised clinical practice.
The plan for demonstration of competence, initially and at periodic intervals,
during which the nurse demonstrates the knowledge, skills, and ability to
perform the procedure safely and to manage any complications.
Any licensed nurse providing
patient care in a licensed hospital shall comply with the standardized
procedure(s) of that licensed hospital.
Any licensed nurse who has completed training and demonstrated competency
validation in a standardized procedure in a healthcare facility may perform the
standardized procedure in a new facility, provided that:
1. The licensed nurse demonstrates initial
training, through educational records.
2. The new facility validates the licensed
nurse's competency, based on the new facility's policy and procedure and
assesses the licensed nurse's knowledge, skills, and ability to perform the
procedure safely and to manage patient complications.
Board action on a proposed
standardized procedure may include, but is not limited to:
(b) Approval as a pilot project for a period
of time not to exceed twelve months, with reports to the Board at intervals
specified by the Board.
of the request.
Board may decline to consider a proposed standardized procedure, if the subject
of the proposed standardized procedure is the same or similar to the proposed
standardized procedure presented in another request that has been considered by
the Board within the previous twelve months.
(6) The chief nursing officer or, if no such
position exists within a facility, an Alabama-licensed registered nurse with
oversight responsibility for facility that employs licensed nurses in clinical
areas, with the exception of K-12 public schools, shall review the facility's
standardized procedure report and acknowledge the review, as specified by the
Ala. Admin. Code r.
New Rule: Filed February 3,
2004; refiled February 25, 2004; effective March 9, 2004.
Administrative Monthly Volume XXXIV, Issue No. 10, July 29, 2016,
Administrative Monthly Volume XXXVII, Issue No. 04, January 31,
2019, eff. 3/8/2019.
Author: Alabama Board of Nursing
Code of Ala.