Ala. Admin. Code r. 610-X-6-.12

Current through Register Vol. 43, No. 1, October 31, 2024

Section 610-X-6-.12 - Practice Beyond Basic Nursing Education: Standardized Procedures

(1) For practice beyond basic education that has not been previously approved by the Board, a standardized procedure is required for the licensed nurse in any practice setting.

(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.

(2) 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:

(a) Approval from 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 Alabama organization.

(b) The policy and procedure.

(c) The organized program of study by a qualified instructor with the method of evaluation of learning specified.

(d) The plan for supervised clinical practice.

(e) 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.

(3) Any licensed nurse providing patient care in a licensed hospital shall comply with the standardized procedure(s) of that licensed hospital.

(a) 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.

(4) Board action on a proposed standardized procedure may include, but is not limited to:

(a) Approval.

(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.

(c) Denial of the request.

(5) The 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 Board.

Ala. Admin. Code r. 610-X-6-.12

New Rule: Filed February 3, 2004; refiled February 25, 2004; effective March 9, 2004.

Adopted by Alabama Administrative Monthly Volume XXXIV, Issue No. 10, July 29, 2016, eff. 9/8/2016.

Amended by Alabama Administrative Monthly Volume XXXVII, Issue No. 04, January 31, 2019, eff. 3/8/2019.

Author: Alabama Board of Nursing

Statutory Authority:Code of Ala. 1975, §§ 34-21-1(3)(a), 34-21-1(3) (b), 34-21-2(c) (21).