North Carolina Administrative Code

21 NCAC 36 .0605 FEES The fee for both an initial Certificate of Registration and renewal is the maximum allowable fee as set forth in G.S. 57D. History Note: Authority G.S. 55B-10; 55B-11; 57D; 90-171.23; Eff. August 1, 1998; Amended Eff. November 1, 2008; Pursuant to G.S. 150B-…

SECTION .0800 - APPROVAL AND PRACTICE PARAMETERS FOR NURSE PRACTITIONERS 21 NCAC 36 .0801 DEFINITIONS The following definitions apply to this Section: (1) "Approval to Practice" means authorization by the Joint Subcommittee of the Medical Board and the Board of Nursing for a nurs…

21 NCAC 36 .0802 SCOPE OF PRACTICE The nurse practitioner's scope of practice is defined by academic educational preparation and national certification and maintained competence. A nurse practitioner shall be held accountable by both Boards for a broad range of personal health se…

21 NCAC 36 .0803 NURSE PRACTITIONER REGISTRATION (a) The Board shall register an applicant as a nurse practitioner who: (1) has an active unencumbered license or privilege to practice as a registered nurse in North Carolina or compact state and, when applicable, an active unencum…

21 NCAC 36 .0804 PROCESS FOR APPROVAL TO PRACTICE (a) Prior to the performance of any medical acts, a nurse practitioner shall: (1) meet registration requirements as specified in 21 NCAC 36 .0803; (2) submit an application for approval to practice; (3) submit any additional infor…

21 NCAC 36 .0805 EDUCATION AND CERTIFICATION REQUIREMENTS FOR REGISTRATION AND APPROVAL AS A NURSE PRACTITIONER (a) A nurse practitioner applicant seeking registration or first-time approval to practice after January 1, 2000, shall provide evidence of current certification as a n…

21 NCAC 36 .0806 ANNUAL RENEWAL OF APPROVAL TO PRACTICE (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 no later than the last day of the nurse practitioner's birth month by:…

21 NCAC 36 .0807 CONTINUING EDUCATION (CE) (a) In order to maintain nurse practitioner approval to practice, the nurse practitioner shall earn 50 contact hours of continuing education activity every two years, beginning with the first renewal after initial approval to practice ha…

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 the Board in writing. (b) A nurse practitioner with an inactive approval to practice status shall not practice as a nurse practitione…

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 b…

21 NCAC 36 .0810 QUALITY ASSURANCE STANDARDS FOR A COLLABORATIVE PRACTICE AGREEMENT The following are the quality assurance standards for a collaborative practice agreement: (1) Availability: The primary or back-up supervising physician(s) and the nurse practitioner shall be cont…

21 NCAC 36 .0811 METHOD OF IDENTIFICATION When providing care to the public, the nurse practitioner shall identify herself/himself as specified in G.S. 90-640 and 21 NCAC 36 .0231. History Note: Authority G.S. 90-18(14); 90-640; Recodified from 21 NCAC 36 .0227(j) Eff. August 1, …

21 NCAC 36 .0812 DISCIPLINARY ACTION (a) After notice and hearing in accordance with provisions of G. S. 150B, Article 3A, disciplinary action may be taken by the appropriate Board if one or more of the following is found: (1) violation of G.S. 90-18 and G.S. 90-18.2 or the joint…

21 NCAC 36 .0813 FEES (a) An application fee of one hundred dollars ($100.00) shall be paid at the time of initial application for approval to practice and each subsequent application for approval to practice. The application fee shall be twenty dollars ($20.00) for volunteer app…

21 NCAC 36 .0814 PRACTICING DURING A DISASTER (a) A nurse practitioner approved to practice in this State or another state may perform medical acts, as a nurse practitioner under the supervision of a physician licensed to practice medicine in North Carolina during a disaster in a…

21 NCAC 36 .0815 REPORTING CRITERIA (a) The Department of Health and Human Services ("Department") may report to the North Carolina Board of Nursing ("Board") information regarding the prescribing practices of those nurse practitioners ("prescribers") whose prescribing: (1) falls…

21 NCAC 36 .0816 DEFINITION OF CONSULTATION FOR PRESCRIBING TARGETED CONTROLLED SUBSTANCES For purposes of G.S. 90-18.2(b), the term "consult" shall mean a meaningful communication, occurring either in person or electronically, between the nurse practitioner and a supervising phy…

21 NCAC 36 .0817 COVID-19 DRUG PRESERVATION RULE History Note: Authority G.S. 90-8.2; 90-171.23(b)(14); Emergency Adoption Eff. April 21, 2020; Temporary Adoption Eff. June 26, 2020; Temporary Adoption Expired Eff. June 26, 2020; Eff. June 1, 2021; Repealed Eff. April 1, 2023.

CHAPTER 37 - BOARD OF EXAMINERS FOR NURSING HOME ADMINISTRATORS SUBCHAPTER 37A - BOARD OF NURSING HOME ADMINISTRATORS SECTION .0100 - GENERAL PROVISIONS 21 NCAC 37A .0101 COPIES OF RULES History Note: Authority G.S. 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Reado…

21 NCAC 37A .0105 PRACTICE OF NURSING HOME ADMINISTRATION History Note: Authority G.S. 90-285; Eff. February 1, 1976; Readopted Eff. October 1, 1981; December 15, 1977 Transferred and Recodified to 21 NCAC 37B .0204 Eff. April 1, 1996.

21 NCAC 37A .0108 RELATED HEALTH CARE ADMINISTRATION History Note: Authority G.S. 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. May 1, 1989; Repealed Eff. April 1, 1996.

21 NCAC 37A .0109 PRECEPTOR History Note: Authority G.S. 90-285; Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Repealed Eff. May 1, 1989.

21 NCAC 37A .0110 REFUSAL History Note: Authority G.S. 90-285; 90-285.1; Eff. April 15, 1980; Readopted Eff. October 1, 1981; Amended Eff. May 1, 1989; December 30, 1981; Repealed Eff. April 1, 1996.

21 NCAC 37A .0208 EXAMINATIONS History Note: Filed as a Temporary Amendment Eff. July 13, 1982 for a period of 120 days to expire on November 9, 1982; Authority G.S. 90-278; 90-280; Eff. February 1, 1976; Amended Eff. August 1, 1977; Readopted Eff. December 15, 1977; Amended Eff.…

21 NCAC 37A .0211 ORAL INTERVIEW History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1980; Readopted Eff. October 1, 1981; Amended Eff. August 2, 1993; February 1, 1991; Repealed Eff. April 1, 1996.

SECTION .0300 - APPLICATION FOR LICENSE 21 NCAC 37A .0301 APPLICATION History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. February 1, 1991; May 1, 1989; December 1, 1983; Transferred and Recodified to…

21 NCAC 37A .0302 INITIAL LICENSURE FEE History Note: Filed as a Temporary Amendment Eff. July 13, 1982 for a period of 120 days to expire on November 9, 1982; Authority G.S. 90-280; Eff. February 1, 1976; Amended Eff. August 1, 1977; Readopted Eff. October 1, 1981; December 15, …

21 NCAC 37A .0303 REFERENCES History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. August 2, 1993; February 1, 1991; May 1, 1989; Transferred and Recodified to 21 NCAC 37D .0203 Eff. April 1, 1996.

21 NCAC 37A .0304 FELONIES AND/OR MISDEMEANORS History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. February 1, 1991; May 1, 1989; Transferred and Recodified to 21 NCAC 37D …

21 NCAC 37A .0305 PROOF OF ABILITY History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. December 30, 1981; Repealed Eff. May 1, 1989.

21 NCAC 37A .0306 PHOTOGRAPH History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Readopted Eff. October 1, 1981; December 15, 1977; Repealed Eff. April 1, 1996.

21 NCAC 37A .0307 INTERVIEW History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Readopted Eff. October 1, 1981; December 15, 1977; Repealed Eff. May 1, 1989.

21 NCAC 37A .0308 RECEIPT OF APPLICATIONS History Note: Authority G.S. 90-285; Eff. May 1, 1989; Amended Eff. August 2, 1993; Repealed Eff. April 1, 1996.

SECTION .0400 - COURSES OF STUDY 21 NCAC 37A .0401 REGISTRATION OF INSTITUTIONS AND COURSES OF STUDY History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Repealed Eff. April 8, 1977.

21 NCAC 37A .0402 APPROVAL OF PROGRAMS OF STUDY IN ACCREDITED INSTITUTIONS History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. February 1, 1991; May 1, 1989; Transferred an…

21 NCAC 37A .0403 JOINTLY SPONSORED PROGRAMS OF STUDY History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Repealed Eff. May 1, 1989.

21 NCAC 37A .0404 CONTINUING EDUCATION PROGRAMS OF STUDY History Note: Authority G.S. 90-278; 90-280; 90-285; 90-286; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. December 15, 1977; Readopted w/change Eff. October 1, 1981; Amended Eff. August 2, 1993; Februar…

21 NCAC 37A .0405 VERIFICATION OF ATTENDANCE History Note: Authority G.S. 90-278; 90-285; 90-286; Eff. February 1, 1976; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. February 1, 1991; May 1, 1989; Transferred and Recodified to 21 NCAC 37H .0103 Eff. April 1, 19…

21 NCAC 37A .0408 INSUFFICIENT PROGRAMS History Note: Authority G.S. 90-278; 90-280; 90-285; Eff. February 1, 1976; Amended Eff. August 1, 1977; Readopted Eff. December 15, 1977; Readopted with Change Eff. October 1, 1981; Amended Eff. December 1, 1983; Repealed Eff. May 1, 1989.

SECTION .0500 - ADMINISTRATOR-IN-TRAINING 21 NCAC 37A .0501 TRAINING REQUIREMENT History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. December 15, 1977; Amended Eff. February 1, 1980; Readopted Eff. October 1, 1981; Amende…

21 NCAC 37A .0502 APPLICATION TO BECOME ADMINISTRATOR-IN-TRAINING History Note: Authority G.S. 90-278; 90-280; 90-285; Eff. February 1, 1976; Amended Eff. August 1, 1977; April 8, 1977; Readopted Eff. December 15, 1977; Amended Eff. February 1, 1980; Readopted Eff. October 1, 198…

21 NCAC 37A .0503 ORAL REVIEW History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Readopted Eff. October 1, 1981; December 15, 1977; Repealed Eff. May 1, 1989.

21 NCAC 37A .0504 TRAINING PERMIT History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. August 2, 1993; May 1, 1989; Transferred and Recodified to 21 NCAC 37D .0403 Eff. Apri…

21 NCAC 37A .0505 ADMINISTRATOR-IN-TRAINING SELECTION History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. August 2, 1993; February 1, 1991; May 1, 1989; Transferred and Rec…

21 NCAC 37A .0506 GOVERNING BOARD OR OWNERSHIP RESPONSIBILITIES History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. May 1, 1989; Repealed Eff. April 1, 1996.

21 NCAC 37A .0507 APPLICATION FOR PRECEPTOR CERTIFICATION History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. October 1, 1981; December 15, 1977; Amended Eff. February 1, 1991; May 1, 1989; December 1, 1983; Transferred a…

21 NCAC 37A .0508 PRECEPTOR QUALIFICATIONS History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. December 15, 1977; Amended Eff. February 1, 1980; Readopted with Change Eff. October 1, 1981; Amended Eff. August 2, 1993; Feb…

21 NCAC 37A .0509 PROGRAM AND CURRICULUM History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. December 15, 1977; Amended Eff. February 1, 1980; Readopted Eff. October 1, 1981; Amended Eff. February 1, 1991; May 1, 1989; De…

21 NCAC 37A .0510 MONTHLY REPORTS History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. December 15, 1977; Amended Eff. February 1, 1980; Readopted Eff. October 1, 1981; Amended Eff. May 1, 1989; Transferred and Recodified …

21 NCAC 37A .0511 QUARTERLY REPORTS History Note: Authority G.S. 90-278; 90-285; Eff. February 1, 1976; Amended Eff. April 8, 1977; Readopted Eff. December 15, 1977; Repealed Eff. February 1, 1980.