Alabama Nurse Practitioner Collaborative Agreement

A: The legend and the controlled medications that a nurse can prescribe are indicated in the cooperation agreements and forms. To prescribe controlled substances, nurses must apply for and be licensed. To prescribe List II controlled substances, a nurse must also apply for and be approved by a nurse. For more information, visit the Board`s website on controlled substance certificates. Currently, nurses can only prescribe certain medications to treat obesity. See board Rules, Chapter 540-X-17 for more information on prescribing obesity/weight loss. Nurses who practice in Alabama have only limited prescribing power. They can only do this in collaboration with doctors. The name, address of the practice and telephone number of the cooperating doctor must appear on each prescription written by the NP. Nurses should not prescribe for themselves, immediate family members or those who are not patients in their office.

Q: How much time should a doctor spend with a nurse? Q: How many nurses can a doctor supervise? With the fourth highest obesity rate in our country and more than 25 percent of its residents` smokers, it is believed that Alabama needs nurses more than ever to fight chronic diseases. However, Alabama is infamous for laws that limit the scope of NP practice and miss the benefits nurses have to offer. How do laws in Alabama regulate NPs? Alabama state law requires that a cooperating physician be available to the NP, either in person or by telephone, for consultation. Cooperating physicians must also have at least one year of experience in the practice of medicine. A: The determination is not based on the number of people. The Board of Directors limits one physician to the supervision of a total of 160 „full-time equivalents“ (RTDs) hours per week by mid-level practitioners. Mid-level practitioners include RNPs, NJCs and P.A. County and state health authorities are exempt from this rule. Please contact our office if you have any further questions about this.

NPS with a cooperation agreement may prescribe prescription drugs, provided that the nature, dosage, quantity prescribed and number of refills have been approved in an approved protocol signed by the cooperating physician and the drug on the list of drugs recommended by the joint committee and accepted by the State Board of Medical Examins and the Board of Nursing. A NP may also prescribe schedules III-V controlled substances. Ala. Code §34-21-86, Ala. Code §20-2-253 Certified nurses are subject to cooperation agreements with a doctor. . . .