Advanced Practice Template Assignment

1. Who is the regulating body in your state over Advanced Practice Nursing?

Advanced Practice Registered Nurses (APRNs) in Alabama are regulated by the Alabama Board of Nursing (ABN) and the State Board of Medical Examiners (Code of Ala. 1975, 2022, § 34-21-80). The Board is accountable for APRN licensure, certification, continuing education, and scope of practice in Alabama. The ABN maintains oversight to ensure APRNs comply with Alabama legislation and professional ethics and deliver quality care to patients (Boehning & Haddad, 2023): Advanced Practice Template Assignment.

2. How often and when do you renew your Advanced Practice license?

The Advanced Practice Nursing license must be renewed every two years. The renewal period begins on September 1st and ends on December 31st of the renewal year. You are required to complete 24 hours of Continuing Education (CE) within this two-year period, which includes 6 hours of Pharmacology for Advanced Practice Nurses.

3. How many continuing education credits are required for your state, and how often do you have to obtain them?

In Alabama, 24 hours of Continuing Education (CE) are required every two years for Advanced Practice Nurses (APNs). Of these 24 hours, 6 hours must be in Pharmacology.

For other nurses (Registered Nurses, RNs, and Licensed Practical Nurses, LPNs), the total CE requirement is also 24 hours every two years, but there is no specific Pharmacology requirement for them.​

4. How often do you renew your National Certification?

National certification for Advanced Practice Nurses (APNs) is typically renewed every 5 years. This applies to certifying bodies like the American Nurses Credentialing Center (ANCC) and the American Association of Nurse Practitioners (AANP). Requirements vary by organization, so it’s essential to verify specific renewal guidelines.

5. What are the requirements to renew your National Certification?

To renew your ANCC National Certification, you need 75 hours of Continuing Education (CE), document 1,000 practice hours, pay a renewal fee, and engage in professional development activities like research or precepting students. Requirements may vary by certification specialty.

6. What type of practice does your state allow? Independent? Collaborative? Supervisory? Other? Please elaborate and give details.

Alabama is founded upon a collaborative practice model where APRNs are mandated to practice in collaboration with an arrangement with a practicing physician. APRNs do not practice independently but are required to be supervised by or to work in conjunction with a physician, particularly while prescribing or administering certain medical interventions. The model ensures that the care of the patient is kept safe and legal (Hayes et al., 2023).

7. What type of Quality Monitoring is required by your state in your practice?

Nurse Practitioners (NPs) are required to submit a Quality Assurance Plan and Standard Protocol to the Alabama Board of Nursing (ABN). They must maintain a collaborative practice agreement with a licensed healthcare provider and document their practice regularly to ensure compliance with state regulations (Alabama Board of Nursing Administrative Code, 1975).

8. What fees are required by your state to practice/ advanced practice licensure?

In Alabama, to practice advanced practice nursing, the fees are as follows:

• RN license renewal: $100
• CRNP (Certified Registered Nurse Practitioner) renewal: $75
• A transaction fee of $3.50 is also applied.

Therefore, the total cost for both RN and CRNP renewal is $178.50​

9. Can an Advanced Practice Nurse own their practice in your state?

They must work under a collaborative agreement with a physician, particularly when prescribing medications or performing certain procedures. The collaborative model allows APRNs to run their practice while ensuring physician oversight (Alabama Board of Nursing Administrative Code, 1975).

10. Can Advanced Practice Nurses perform cosmetic injections such as Botox, Collagen, and Restylane in your state?

APRNs in Alabama can perform cosmetic injections, including Botox and dermal fillers like Restylane, as long as they complete the necessary training and certification. The procedure must be carried out under the regulations set by the Alabama Board of Nursing and, when applicable, under the supervision or collaboration of a physician (Alabama Board of Nursing Administrative Code, 1975).

11. How do you apply for initial approval as a CRNP in your state? What are the requirements?

To apply for initial approval as a Certified Registered Nurse Practitioner (CRNP) in Alabama, an applicant must:

• Application: Complete the CRNP application form, which can be found on the Alabama Board of Nursing (ABN
• Application Fee: Submit a non-refundable fee of $100​
• Educational Documentation: Provide official transcripts from your nursing program
• National Certification: Verify your national certification from the certifying agency
• Collaborative Agreement: You must enter into a collaborative practice agreement with a licensed physician in Alabama​.

12. What are the prescribing rules and restrictions for CRNPs in your state?

CRNPs in Alabama can prescribe medications, including controlled substances, under a collaborative agreement with a licensed physician. The agreement specifies the medications the CRNP can prescribe. CRNPs are authorized to prescribe Schedule II-IV drugs, with additional training required for Schedule II prescriptions.
There are restrictions on quantity and duration, and CRNPs must register with the Alabama Prescription Drug Monitoring Program (PMP). Prescribing is limited to the CRNP’s specialty within the collaborative agreement (Boehning & Haddad, 2023).

13. Does your state require a CRNP to have controlled substance certification? If yes, what is required for an NP to apply?

Yes, Alabama requires CRNPs to obtain a Controlled Substance Certificate to prescribe controlled substances. To apply, CRNPs must apply to the Alabama Board of Nursing and provide proof of their national certification. The application is reviewed, and the CRNP must also maintain its collaborative agreement with a physician for prescribing (Hayes et al., 2023).

14. In your state, how many CRNPs can one doctor supervise? (If supervision/collaboration is required)

In Alabama, a physician can supervise up to four full-time equivalent (FTE) CRNPs under a collaborative agreement. One FTE equals 40 hours per week, and the total supervision limit is 360 hours per week (nine FTEs). Monthly quality assurance reviews are required for more than four FTEs (Hayes et al., 2023).

15. What are the requirements for performing physical examinations and medical reports for DOT?

CRNPs in Alabama are authorized to perform physical examinations and complete medical reports for the Department of Transportation (DOT). They must complete specific training required by the Federal Motor Carrier Safety Administration (FMCSA) to ensure compliance with DOT regulations.

16. How do you request special skills that are not listed in your standard scope of practice?

To request special skills, CRNPs must submit a request to the Alabama Board of Nursing, including proof of additional training and certification. If approved, these skills can be incorporated into the APRN’s practice.

17. What constitutes a practice site?

A practice site is any location where an APRN provides patient care, such as a clinic, hospital, or home healthcare setting. The site must meet safety standards and be licensed as required by the Alabama Board of Nursing (Hayes et al., 2023).

18. In your state, is an NP allowed to perform sports physicals? Sign a death certificate? Order Physical therapy? Complete disability paperwork?

Yes, APRNs in Alabama can perform sports physicals, sign death certificates, order physical therapy, and complete disability paperwork, provided they do so within their scope of practice and in compliance with their collaborative agreement with a physician.

19. Will your certifying body automatically send a notification to your Board of Nursing? How will they get it?

No. One has to visit the website for your certifying agency and follow their instructions to request that written verification be sent directly to the ABN via email or mail, as they do not receive automatic updates from certifying agencies.

20. After graduation and certification, how does your certifying body recommend displaying credentials?

After certification, APRNs should display their credentials as “CRNP” (Certified Registered Nurse Practitioner) following their name. For example, Jane Doe, CRNP, FNP-C. This indicates the APRN’s qualifications and specialty area.

References

Alabama Board of Nursing Administrative Code §§ Chapter 610-X-5-.10 (1975 & Supp. 2015).

Boehning, A. P., & Haddad, L. M. (2023, July 17). Nursing Practice Act. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559012/

Hayes, W., Baker, N. R., Benson, P., & O’Keefe, L. C. (2023). The state of advanced practice registered nursing in Alabama. Journal of Nursing Regulation, 13(4), 44–53. https://doi.org/10.1016/S2155-8256(23)00030-3

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For this assignment you will provide answers for the attached questions. Please use complete sentences and fully explain your answer. You will be required to reference your information.

At least two professional citations are required. Please do not forget to place your name on the document or add a cover page. Please see attached grading rubric and template.

Client’s Notes:

1. Who is the regulating body in your state over Advanced Practice Nursing?
2. How often and when do you renew your Advanced Practice license?
3. How many continuing education credits are required for your state and how often do you have to obtain them?
4. How often do you renew your National Certification?
5. What are the requirements to renew your National Certification?
6. What type of practice does your states allow? Independent? Collaborative? Supervisory? Other? Please elaborate and give details.
7. What type of Quality Monitoring is required by your state on your practice?
8. What fees are required by your state to practice/ advanced practice licensure?
9. Can an Advanced Practice Nurse own their own practice in your state?
10. Can Advanced Practice Nurses perform cosmetic injections such as Botox, Collagen, Restylane in your state?
11. How do you apply for initial approval as a CRNP in your state? What are the requirements?
12. What are the prescribing rules and restrictions for CRNP’s in your state?
13. Does your states require a CRNP to have controlled substance certificate? If yes, what is required for a NP to apply?
14. In your state, how many CRNP’s can one doctor supervise? (If supervision/collaboration is required)
15. What are the requirements for performing physical examinations and medical reports for DOT?
16. How do you request special skills that are not listed in your standard scope of practice?
17. What constitutes a practice site?
18. In your state, is a NP allowed to perform sports physicals? Sign a death certificate? Order Physical therapy? Complete disability paper work?
19. Will your certifying body automatically send notification to your Board of Nursing? How will they get it?
20. After graduation and certification, how does your certifying body recommend for displaying credentials?