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History Note:        Authority G.S. 90-18(14); 90-171.42;

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

Amended Eff. December 1, 2006; August 1, 2004.

21 NCAC 36 .0806             ANNUAL RENEWAL

(a)  Each registered nurse who is approved to practice as a nurse practitioner in this state shall annually renew each approval to practice with the Board of Nursing no later than the last day of the nurse practitioner's birth month by:

(1)           Maintaining current RN licensure;

(2)           Submitting the fee required in Rule .0813 of this Section; and

(3)           Completing the renewal application.

(b)  A nurse practitioner with first-time approval to practice after January 1, 2000, shall provide evidence of certification or recertification by a national credentialing body.

(c)  If the nurse practitioner has not renewed by the last day of her/his birth month, the approval to practice as a nurse practitioner shall lapse.

History Note:        Authority G.S. 90-6; 90-18(14) 90-171.23(b); 90-171.83;

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

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

21 NCAC 36 .0807             CONTINUING EDUCATION (CE)

In order to maintain nurse practitioner approval to practice, the nurse practitioner shall earn 50 contact hours of continuing education each year beginning with the first renewal after initial approval to practice has been granted.  Continuing Education hours are those hours for which approval has been granted by the American Nurses Credentialing Center (ANCC) or Accreditation Council on Continuing Medical Education (ACCME), other national credentialing bodies or practice relevant courses in an institution of higher learning.  Documentation shall be maintained by the nurse practitioner and made available upon request to either Board.

History Note:        Authority G.S. 90-6; 90-18(14); 90-171.23(b)(14); 90-171.42;

Recodified from 21 NCAC 36 .0227(f) Eff. August 1, 2004;

Amended Eff. April 1, 2008; August 1, 2004.

21 NCAC 36 .0808             INACTIVE STATUS

(a)  Any nurse practitioner who wishes to place her or his approval to practice on an inactive status shall notify both Boards by completing the form supplied by both Boards.

(b)  A nurse practitioner with an inactive approval to practice status shall not practice as a nurse practitioner.

(c) A nurse practitioner with an inactive approval to practice status who reapplies for approval to practice shall meet the qualifications for approval to practice as stipulated in Rules .0803(a)(1), .0804(a), .0806(b), .0807, and .0810 of this Section and receive notification from both Boards of approval prior to beginning practice.

(d)  A nurse practitioner with an inactive approval to practice status of greater than five years shall complete a nurse practitioner refresher course approved by the Board of Nursing in accordance with Paragraphs (o) and (p) of 21 NCAC 36 .0220 and consisting of common conditions and their management directly related to the nurse practitioner's area of education and certification.

History Note:        Authority G.S. 90-18(13); 90-18.2; 90-171.36; 90-171.83;

Recodified from 21 NCAC 36 .0227(g) Eff. August 1, 2004;

Amended Eff. December 1, 2006; August 1, 2004.

21 NCAC 36 .0809             PRESCRIBING AUTHORITY

(a)  The prescribing stipulations contained in this Rule apply to writing prescriptions and ordering the administration of medications.

(b)  Prescribing and dispensing stipulations are as follows:

(1)           Drugs and devices that may be prescribed by the nurse practitioner in each practice site shall be included in the collaborative practice agreement as outlined in Rule .0810(b) of this Section.

(2)           Controlled Substances (Schedules II, IIN, III, IIIN, IV, V) defined by the State and Federal Controlled Substances Acts may be procured, prescribed or ordered as established in the collaborative practice agreement, providing all of the following requirements are met:

(A)          the nurse practitioner has an assigned DEA number which is entered on each prescription for a controlled substance;

(B)           dosage units for schedules II, IIN, III, and IIIN are limited to a 30 day supply; and

(C)           the prescription or order for schedules II, IIN, III, and IIIN may not be refilled.

(3)           The nurse practitioner may prescribe a drug or device not included in the collaborative practice agreement only as follows:

(A)          upon a specific written or verbal order obtained from a primary or back-up supervising physician before the prescription or order is issued by the nurse practitioner; and

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