Procedures Not Approved
for
Certified Registered Nurse Practitioners (CRNP)
& Certified Nurse Midwives (CNM)
The Joint Committee of
Advanced Practice Nursing of the Alabama Board of Nursing and the Alabama Board
of Medical Examiners reviews applications for collaborative practice and
requests for procedures, and submits recommendation for approval or denial to
the Board of Nursing and the Board of Medical Examiners. The committee includes
six members: one CRNP and one CNM in collaborative practice, one Board of
Nursing representative, three physicians including at least one physician in
collaborative practice.
The Standard
Protocols for CRNP and CNM are included in the Application for Approval of
Advanced Practice Nursing. The forms can be downloaded from the Applications
page of the ABN website,
www.abn.state.al.us
The following procedures are
not authorized for the practice of Certified Registered Nurse Practitioners and
Certified Nurse Midwives. Disallowed procedures are reviewed annually.
Administration of peripheral block anesthetics
Botox®, Collagen and Restylane injection; Mesotherapy
Central line insertion at subclavian and femoral sites.
Central venous line
insertion at jugular
site is permissible
and requires application with protocol, review by the Joint Committee
and approval by Board of Nursing and Board of Medical Examiners prior to
performing. Contact the Board of Nursing for parameters.
Complex suturing
Cryotherapy/Cyrosurgery
Cryotherapy of
superficial benign skin lesions
is permissible and requires application with protocol, review by the
Joint Committee and approval by Board of Nursing and Board of Medical
Examiners prior to performing.
Nasal endoscopy
Needle aspiration of breast mass
Paracentesis
Percutaneous liver biopsy
Shave/cautery of superficial lesions without biopsy.
Shave biopsy
is permissible and requires application with protocol, review by the
Joint Committee and approval by Board of Nursing and Board of Medical
Examiners prior to performing.
Sphenopalatine ganglion block with topical agent
Thoracentesis
Vacuum – assisted vaginal delivery
For additional
information, contact Charlene Cotton, Nurse Consultant for Advanced
Practice Nursing,
charlene.cotton@abn.state.al.us, 1-800-656-5318, or 334-242-4787.
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