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(2)           request for change(s) in the scope of practice shall be submitted to the Joint Subcommittee.

(g)  Interim status for a nurse practitioner applicant shall be granted to: a registered nurse who has met the registration requirements as set forth in Rules .0803 and .0805 of this Section with the following limitations:

(1)           no prescribing privileges;

(2)           primary or back-up physicians shall be continuously available for ongoing supervision, collaboration, consultation and countersigning of notations of medical acts in all patient charts within two working days of nurse practitioner applicant-patient contact;

(3)           face-to-face consultation with the primary supervising physician shall be weekly with documentation of consultation consistent with Rule .0810(e)(3) of this Section; and

(4)           shall not exceed six months.

(h)  A registered nurse who was previously approved to practice as a nurse practitioner in this state who reapplies for approval to practice shall:

(1)           meet the nurse practitioner approval requirements as stipulated in Rule .0808(c) of this Section; and

(2)           complete the appropriate application.

(i)  Volunteer Approval to Practice.  Both Boards may grant approval to practice in a volunteer capacity to a nurse practitioner who has met the qualifications to practice as a nurse practitioner in North Carolina.

(j)  The nurse practitioner shall pay the appropriate fee as outlined in Rule .0813 of this Section.

(k)  A Nurse Practitioner approved under this Section shall keep proof of current licensure, registration and approval available for inspection at each practice site upon request by agents of either Board.

History Note:        Authority G. S. 90-18(13), (14); 90-18.2; 90-171.20(7); 90-171.23(b);

Recodified from 21 NCAC 36.0227(c) Eff. August 1, 2004;

Amended Eff. November 1, 2008; January 1, 2007; August 1, 2004.


A nurse practitioner applicant who completed a nurse practitioner education program prior to December 31, 1999 shall provide evidence of successful completion of a course of education that contains a core curriculum including 400 contact hours of didactic education and 400 hours of preceptorship or supervised clinical experience.

(1)           The core curriculum shall contain the following components:

(a)           health assessment and diagnostic reasoning including:

(i)            historical data;

(ii)           physical examination data;

(iii)          organization of data base;

(b)           pharmacology;

(c)           pathophysiology;

(d)           clinical management of common health problems and diseases such as the following shall be evident in the nurse practitioner's academic program:

(i)            respiratory system;

(ii)           cardiovascular system;

(iii)          gastrointestinal system;

(iv)          genitourinary system;

(v)           integumentary system;

(vi)          hematologic and immune systems;

(vii)         endocrine system;

(viii)        musculoskeletal system;

(ix)           infectious diseases;

(x)            nervous system;

(xi)           behavioral, mental health and substance abuse problems;

(e)           clinical preventative services including health promotion and prevention of disease;

(f)            client education related to Sub-items (1)(d) and (e) of this Rule; and

(g)           role development including legal, ethical, economical, health policy and interdisciplinary collaboration issues.

(2)           Nurse practitioner applicants exempt from components of the core curriculum requirements listed in Item (1) of this Rule are:

(a)           Any nurse practitioner approved to practice in North Carolina prior to January 18, 1981, is permanently exempt from the core curriculum requirement.

(b)           A nurse practitioner certified by a national credentialing body prior to January 1, 1998, who also provides evidence of satisfying Sub-items(1)(a) - (c) of this Rule shall be exempt from core curriculum requirements in Sub-Items (1)(d) - (g) of this Rule.  Evidence of satisfying Sub-Items (1)(a) - (c) of this Rule shall include:

(i)            a narrative of course content; and

(ii)           contact hours.

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