alabama state board of medical examiners ......abme public agenda april 11, 2019 1 alabama state...

ABME Public Agenda April 11, 2019 1

ALABAMA STATE BOARD OF MEDICAL EXAMINERS PUBLIC AGENDA

April 11, 2019

MINUTES Public Minutes of March 20, 2019 CURRENT BUSINESS (2) 1. Admin. Rule 540-X-1-.03, Meetings of the Board – Final Adoption (5) 2. Admin. Rule 540-X-1-.15, Fee for Application Packets – Final Adoption (7) 3. Admin. Rule Chapter 540-X-3, Appendix A, App for COQ – Final Adoption (12) 4. Admin. Rule 540-X-3-.16, COQ Issued w/o Exam – Final Adoption (18) 5. Admin. Rule 540-X-4-.09, Risk and Abuse Mitigation Strategies – Amendment Admin. Rules 540-X-12-.18; 18-.15, and 20-.09, Risk and Abuse Mitigation Strategies – Creation of new rules (36) 6. Admin. Rule 540-X-6-.04, Conduct of Hearings – Approval to Publish (42) 7. Admin. Rule 540-X-19-.02, Definitions – Approval to Publish Admin. Rule 540-X-19-.04, Ownership and Operation – Approval to Publish Admin. Rule 540-X-19-.05, Medical Director – Approval to Publish(50) 8. Admin. Rule 540-X-19-.03, Pain Management Required – Final Adoption (56) 9. Admin. Rule Chapter 540-X-23, Physician Reentry into Practice – Final Adoption (63) 10. Admin. Rule Chapter 540-X-24, PA Reentry into Practice – Approval to Publish (69) 11. Interstate Medical Licensure Compact Appointment (70) 12. Physician Assistants’ Advisory Committee Appointment (71) 13. QACSC CME: Conquering the Crisis: Fighting Substance Misuse in Alabama presented by the Auburn University Harrison School of Pharmacy (SA) 14. Employee Policies and Procedures – Vacation Policy (SA) 15. Scheduling of Tianeptine (Tianaa) (Add) 16. Use of Advanced Practice Providers in Rural Emergency Departments


ENDORSEMENT Name Medical School Endorsement

1. Muammar Abdelkarim Arida University of Damascus USMLE/PA

2. Christopher Michael Bannon University of Alabama School of Medicine Birmingham USMLE

3. Brittani Linnea Barrett Harlow Medical College of Georgia School of Medicine USMLE

4. Bailey Erin Callahan William Carey University College of Osteopathic Medicine COMLEX

5. Adrian Alton Cargill Jr. University of The West Indies, Jamaica USMLE

6. Luke Tine Chiou Lake Erie College of Osteopathic Medicine COMLEX/FL

7. Il Gyu Cho University of Colorado School or Medicine USMLE/NC

8. Morgan Lane Collom University of North Texas Health Science Center COMLEX

9. Dominique Juanita Crain University of Alabama School of Medicine Tuscaloosa USMLE

10. Girish Dhall Grant Medical College, University of Mambai USMLE/NJ

11. Lee Anthony Dinning Philadelphia College of Osteopathic Medicine COMLEX

12. Megan Elizabeth Flynn Georgetown University School of Medicine USMLE

13. Maurice Furdge East TN State University James H Quillen COM USMLE/MS

14. Lauren Marie Gibson University of Alabama School of Medicine Birmingham USMLE

15. Jason K. Greenhagen Lincoln Memorial Univ Debusk College of Osteo Medicine COMLEX/NJ

16. Jordan Matthew Gunn University of Mississippi School of Medicine USMLE/MN

17. Frances Jariel Hairston University of Mississippi School of Medicine USMLE/MS

18. John D. Hammock Southern Illinois University School Of Medicine USMLE/IL

19. Abbey Joy Hardy-Fairbanks Creighton University School of Medicine USMLE/IA

20. Alexandra Lillis Healy University of Louisville School of Medicine USMLE

21. Margie Joanne Hill Kirksville College of Osteopathic Medicine COMLEX

22. Katherine Theresa Hrynewycz Indiana University School of Medicine Indianapolis USMLE

23. Hirenkumar D. Italia B J Medical College, Gujarat University USMLE/NC

24. Shari Marie Jackson University of Washington School of Medicine USMLE/NC

25. Kaushik K Jain Midwestern University, Downers Grove COMLEX/MO

26. Sean Leonard Johnston Mayo Medical School USMLE/CA

27. Rutwij Kautilya Joshi K.J. Somaiya Medical College USMLE/MA

28. Farnaz Khalafi Windsor University USMLE

29. Stephen William Knight Louisiana State University Medical Center In Shreveport USMLE/MI

30. Nabilah Fairuz Lari Meharry Medical College School of Medicine USMLE/TN

31. Jeffrey Lee Love Wright State University School of Medicine USMLE/OH

32. Patrick Tate Maddox Brody School of Medicine at East Carolina University USMLE/VT

33. Christopher Joseph Maranto Louisiana State University Medical Center In Shreveport USMLE

34. Kelvin Paul McDaniel Jr. Kirksville College of Osteopathic Medicine COMLEX/MO

35. Jack Edward McKay University of Alabama School of Medicine Birmingham USMLE/FL

36. Marijo-Anne Lopez Molina University of Santo Tomas USMLE/IL

37. Noel Caliboso Molina University of the Philippines USMLE/IL

38. Daniel Joseph Monlux Uniformed Services University USMLE/VA

39. Vincent Anthony Morella Jr. Louisiana State University Medical Center In Shreveport USMLE


40. Amanda Beth Moyer Pennsylvania State University College of Medicine USMLE/TX

41. Matthew David Nicholls University of Alabama School of Medicine Birmingham USMLE

42. Ajsa Ana Sofija Nikolic University of Vienna USMLE/FL

43. Charles Christopher Peyton Medical University of South Carolina College of Medicine USMLE

44. Matthew Christopher Pflederer Indiana University School of Medicine Indianapolis USMLE/KS

45. Lidianny Carolina Polanco Touro University College Of Osteopathic Medicine COMLEX/NY

46. Ivan Michael Robbins Case Western Reserve University School of Medicine FLEX/NY

47. Carrie Elizabeth Rothermel Temple University School of Medicine USMLE/VA

48. Antonia Schmitt-Rheinbay Philadelphia College of Osteopathic Medicine COMLEX

49. Kevin Wayne Schreiber Indiana University School of Medicine Indianapolis USMLE/IN

50. Min Shen Tongji Medical University USMLE/NC

51. Peyman Shirani Isfahan University of Medical Sciences USMLE/CA

52. James Mark Shockley University of South Alabama College of Medicine USMLE/MS

53. Nirmal B. Singh De La Salle University Health Sciences Campus USMLE/HI

54. Gopi Kiran Reddy Sirineni Osmania Medical College USMLE/NE

55. Kamilah Spencer University of The West Indies, Jamaica USMLE

56. Zachary Lloyd Stevenson U of Med and Health Sciences U Autonoma De Guadalajara USMLE/AR

57. Daniel Susanto Medical College of Wisconsin USMLE/WA

58. Daniel Joseph Teague University of South Carolina School of Medicine USMLE/SC

59. Matthew Joseph Toth Georgetown University School of Medicine USMLE/FL

60. Purnima Rani Tripathy Osmania Medical College USMLE/IN

61. Tina Chen Twu University of California, San Francisco School of Medicine USMLE/CA

62. Gretchen Hillary Vandiver University of South Alabama College of Medicine USMLE/SC

63. Leelasri Vanguru Narayana Medical College USMLE

64. Chelsea Meredith Venditto Augusta University USMLE/WI

65. Ashley Meghan Wiltshire University of Cincinnati College of Medicine USMLE

66. Udit Yadav King Georges Medical University NBME/USMLE/IL

ENDORSEMENT FOR RATIFICATION Name Medical School Endorsement

1. Jodilyn Jelsema Wayne State University SOM USMLE/MI 2. Guillermo Sanabria U Guadalajara U Miami SOM NBME/FL 3. Roger Allen Smith IN Medical College SOM of Perdue U FLEX/TX 4. Steven George Tucker U Guadalajara Loyola U Chicago SOM NBME/FL

SPECIAL PURPOSE LICENSE Name Location Type of Practice

1. John David Wylie Charlotte, NC Teleradiology


LIMITED LICENSE Limited License Type Key: DP: Distinguished Professor SI: State Institution (Penal or Mental Institution) F: Fellow SP: Specialty Professor R: Resident VP: Visiting Professor Name Medical School Endorsement Practice Location License Type

1. Hema Balina Kasturba Med Col Manipal U LL/AL UAB Montg IM R

2. Harishanker Jeyarajan Monash University LL/AL UASOM SP

3. Christopher R. Miller UASOM Birmingham LL/AL UA Dept of Pathology SP

PHYSICIAN ASSISTANTS / ADVANCED PRACTICE NURSES P.A. License Name School NCCPA

1. Catherine Harris, PA UAB 1160709 2. Pooja Peters, PA University of New York at Stony Brook 1093599 3. Steven Richardson, PA Western University 1083924 4. Johrnee Washington, PA UAB 1160730

P.A. / A.A. Registration Within Protocol

PA / Physician Registration Recommendation

1. Ashley Anyadike, PA Njideka Obiekwe, M.D. Specialty: Obstetrician/Gynecology

Registration Formulary: Birth Control Drugs and Devices Approval to Train: Endometrial Biopsy Colposcopy Surgical Wound Closure Standard Language is available

2. Mona Barlow, PA Zachary Reardon, M.D. Specialty: Urology

Registration Remote site Formulary: Antineoplastic Agents

3. Jennifer Boyd, PA Roger Coomer, M.D. Specialty: Nephrology

Registration



4. Rebecca Brajak, PA Jay Long, M.D Specialty: General Surgery

Registration Formulary: Birth Control Drugs and Devices

5. Chase Brown, PA Christopher Roth, M.D. Specialty: Cardiology

Registration

6. Michelle Brown, PA Willie Gilford Jr., M.D. Specialty: Emergency Medicine


7. Katie Butler, PA Robert Hill, M.D Specialty: Otolaryngology

Registration Formulary: Antineoplastic Agents Approval to Train: Flexible Fiberoptic Diagnostic Laryngoscopy/Stroboscopy; Flexible Nasopharyngoscopy; and Diagnostic Nasal Endoscopy (flexible and rigid) Standard Language is available

8. Jeffrey Davis, PA Trent Howard, D.O. Specialty: Cardiovascular Surgery

Registration

9. Taylor Davis, PA Daryl Dykes, M.D. Specialty: Orthopedic

Registration Approval to Train: Joint Injections- Arthrocentesis; Shoulder; Elbow (Olecranon Bursa); Knee; and Greater Trochanteric Bursa Standard Language is available

10. Jacob Dobbs, PA Kent Taub, M.D. Specialty: Emergency Medicine


11. Marcelo Gerjoi, PA Walter Rusyniak Jr., M.D. Specialty: Neurological Surgery

Registration Formulary: *Birth Control Drugs and Devices Approval to Train: All Skills Previously Approved CSF Shunt Tap Shunt Interrogation and Programming *Removal of intracranial / interventricular pressure monitor/drain *Standard Language is available

12. Audrey Guthrie, PA Robert Nelson, M.D. Specialty: Family Medicine


13. Caitlin Hastings, PA Robert Murray, M.D. Specialty: Internal Medicine

Registration Remote site



14. Paxton Johanson, PA Kyle Eudailey, M.D. Specialty: Cardiovascular Surgery

Registration Approval to Train: Central Venous Lines: Internal Jugular; Central Venous Lines: Femoral; Central Venous Line: Subclavian; Central Venous Line, Remove and Replace over Guide Wire; Arterial Line Insertion: Radial; Arterial Line Insertion: Femoral; Intra‐Aortic Balloon Insertion; Radial Artery Harvest; Sternal Closure; Primary Sternotomy; Primary Thoracotomy; Thoracostomy Tube Insertion; Removal of Pacing Wires; Removal of Left Atrial Catheter; Removal of Mediastinal Chest Tubes; Removal of Pulmonary Artery Catheter (Swan‐Ganz Catheter); Removal of Intra‐Aortic Balloon Pump

15. Isabel Kessler, PA Elias Chalhub, M.D. Specialty: Neurology

Registration

16. Shelly Kindahl, PA Joseph Hanson, M.D. Specialty: Dermatology

Registration Remote site Formulary: Biologics Approval to Train: All Skills Previously Approved Cryotherapy Shave and Punch Biopsy Electrodesciation and Curettage (ED&C) Standard Language is available

17. Cora Kuhns, PA Larry Mellick, M.D. Specialty: Emergency Medicine


18. Laura Martin, PA Bryant Poole, M.D. Specialty: Urology

Registration Formulary: Biologics Standard Language is available

19. Sandra McCord, PA Donald Williams, M.D. Specialty: Emergency Medicine


20. Scott Morrison, PA Matthew Barber, M.D. Specialty: Orthopedic Surgery


21. Kaleigh Naylor, PA Registration



Jennifer De Los Santos, M.D. Specialty: Radiation Oncology

22. Julie Nguyen, PA Casey McIntosh, M.D. Specialty: Emergency Medicine


23. Mallory Nottenkamper, PA Keith Kowal, M.D. Specialty: Ear, Nose and Throat


24. Jessica Pearlstein, PA Robert Liljeberg, M.D. Specialty: Orthopedic


25. Noren Salehani, P.A. Elizabeth Averyt Gray, M.D. Specialty: Emergency Medicine

Registration

26. Lauren Searcy, PA Lawrence Lemak, M.D. Specialty: Orthopedic

Registration Formulary: Birth Control Drugs and Devices Approval to Train: Joint Injections- Arthrocentesis; Shoulder; Elbow (Olecranon Bursa); Knee; and Greater Trochanteric Bursa Standard Language is available

27. Rachel Stallman Parker Hu, M.D. Specialty: Surgery

Registration

28. Richard Stephens, PA Clifton Lewis, M.D. Specialty: Cardiovascular Surgery

Registration Formulary: Birth Control Drugs and Devices Approval to Train: Central Venous Lines: Internal Jugular; Central Venous Lines: Femoral; Central Venous Line: Subclavian; Central Venous Line, Remove and Replace over Guide Wire; Arterial Line Insertion: Radial; Arterial Line Insertion: Femoral; Intra‐Aortic Balloon Insertion; Radial Artery Harvest; Sternal Closure; Primary Sternotomy; Primary Thoracotomy; Thoracostomy Tube Insertion; Removal of Pacing Wires; Removal of Left Atrial Catheter; Removal of Mediastinal Chest Tubes; Removal of Pulmonary Artery Catheter (Swan‐Ganz Catheter); Removal of Intra‐Aortic Balloon Pump Standard Language is available



29. Megan Wakefield, PA Payton Carley, M.D. Specialty: Internal Medicine


30. Jacqueline Glassman-York, PA David DiSanto, M.D. Specialty: Anesthesiology/Pain Management

Registration Approval to Train: Joint Injections: Shoulder; Elbow; and Knee Standard Language is available

P.A. / A.A. Miscellaneous Requests / Reports Within Protocol

PA / Physician Request Recommendation

1.

Dorothy Bailey, PA Clayton Lane, M.D. Specialty: Sports Medicine/ Orthopedic Surgery

Approval to Train: Joint Injections: Arthrocentesis; Shoulder; Elbow (Olecranon Bursa); Knee; and Greater Trochanteric Bursa

2. Rebecca Brown, PA Robert Howell, M.D. Specialty: Orthopedic Surgery

Approval for Supervised Practice: Joint Injections: Knee; Greater Trochanteric Bursa; and Shoulder

3. Miranda Frith, PA Christopher Harmon, M.D. Specialty: Dermatology

Approval to Train: Skill Previously Approved Removal of benign and biopsy proven malignant lesions

4. Carly Garvey, PA Matthew Bennett, M.D. Specialty: Anesthesiology/ Pain Management

Approval for Supervised Practice: Trigger Point Injections (below T-12 only)

5. Theresa Rehm- Hamilton, PA Mark Haygood, D.O. Specialty: Psychiatry

Remote Site:

Crowne Healthcare of Citronelle

19225 N. 4th Street

Citronelle, AL 26522

Fairhope Health and Rehab

108 South Chruch St.

Fairhope, AL 36532

Eastern Shore Rehabilitation and Health Center

101 Villa Drive

Daphne, AL 36526

Springhill Senior Residence

3717 Dauphin Street

Mobile, AL 36608



Blue Ridge Healthcare Montrose Bay

22670 Main Street

Fairhope, AL 36532

Diversicare of Foley

1701 N. Alston Street

Foley, AL 36535

6. Alayna Holderfield, PA Ahmed Kamel Abdel Aal, M.D. Specialty: Diagnostic Radiology

Approval to Train: All Skills Previously Approved Abscess drain catheter check and change; Biliary Catheter check and change; Nephrostomy drainage catheter check and change; Lumbar puncture with or without intrathecal chemotherapy; Gastrostomy catheter; Gastrojejunostomy catheter check and change

7. Kathryn Kings, PA Anthony Martino, M.D. Specialty: Neurological Surgery

Approval for Supervised Practice: CSF Shunt Tap

8. Jessica Marshman, PA Matthew Bennett, M.D. Specialty: Anesthesiology/ Pain Management

Approval for Supervised Practice: Joint Injections: Arthrocentesis; Shoulder; Elbow (Olecranon Bursa); Knee; and Greater Trochanteric Bursa Trigger Point Injections

9. Emily Mullady, PA Michael Blum, M.D. Specialty: Orthopedic Surgery

Approval to Train: Joint Injections: Arthrocentesis; Shoulder; Elbow (Olecranon Bursa); Knee; and Greater Trochanteric Bursa

Outside Protocol


1. (14)

Amy Christensen, PA Ricardo Colberg, M.D.

Request for Consideration: Hip Injections

2. (16)

Katherine Lewis, PA Joshua Smith, M.D.

Request for Consideration: Extension for previously approved training for CVL: Internal Jugular and Femoral; and Radial Arterial Line Placement

P.A. QACSC Registration


PA Physician

1. Derok Cornwell, PA James Smith III, M.D. 2. Jessica Kantrales, PA Jonathan Siegel, M.D. 3. Kaylee Perkins, PA Lauren Linken, M.D. 4. Tonya Weidman, PA Curtis Turner, M.D.

P.A. Limited Purpose Special Permit

PA / Physician / Specialty Formulary Request Brief Indication Recommendation Approve Deny

1.

Lauryn Borgschulte, PA George Booker, M.D. Specialty: Orthopedic Surgery

Hydrocodone Combinations Oxycodone-Immediate Release Tapentadol

Pre and Post operative management

2. Margaret Duda, PA John Kirchner, M.D. Specialty: Orthopedic Surgery

Hydrocodone Combinations Oxycodone-Immediate Release Tapentadol

Post operative pain management. Pain management for acute muscle / skeletal injuries and fractures.

3. Audrey Guthrie, PA Theodore Woods, M.D. Specialty: Preventive/Family Medicine

ADHD Medications Hydrocodone Combinations Hydrocodone (Cough Preparations) Oxycodone- Immediate Release

Only for occasional refills in rare instances if initial prescribing doctor is not available Occasional acute pain or rare instance if refill needed and initiating doctor is not available Occasional use for cough not responding to other preparations Occasional acute pain or rare refills when initiating prescriber is not available

4. Michael Jordan, PA Larry Parker, M.D. Specialty: Orthopedic Surgery

Hydrocodone Combinations Morphine Sulfate- Immediate Release Oxycodone-Immediate Release

Treatment of Pre/Post operative lumbar / cervical pain


Collaborative Practice / APN QACSC Registration (SA) Collaborative Practice Registrations (SA) Collaborative Practice Modifications (SA) Collaborative Practice Covering Physician Applicants (SA) Limited Protocol Applicants (SA) CRNP / CNM QACSC Registration Applicants APN Miscellaneous Requests / Reports Within Protocol

Physician /APN Request Recommendation 1. Mustafa Ahmed, M.D.

Anna Evatt, CRNP Physician specialty: Cardiology NP Specialty: Adult-Gerontology, Acute Care NP

To Train: Critical Care Specialty Protocol-Central Venous Line insertion, Internal Jugular and Fem; CVL remove and replace over guidewire; Arterial Line, Femoral; Insertion of Intra-aortic balloon pump; Removal of percutaneous CVL, pacing wires, pulmonary artery catheters, and IABP

2. Michael Allemand, M.D. Caitlin Shoemake, CRNP Physician Specialty: OB/GYN NP Specialty: Adult-Gerontology, Primary Care NP

Approve Supervised Practice: Sonar Insufflation Studies (SIS)

3. Jeremy Wayne Allen, D.O. Jonathan M. Windham, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP

To Train: Orthopedic Specialty Protocol-Arthrocentesis; Joint Injections of the shoulder, elbow (olecranon bursa only), greater trochanteric bursa and knee

4. Steven Thomas Coppock, M.D. David Clark Bailey Jr, CRNP Physician Specialty: Emergency Medicine NP Specialty: Family NP

To Train: trigger point injections below T-12

5. James Ryan Conner, M.D. Robert J. Barnowsky, CRNP Physician Specialty: Surgery NP Specialty: Family NP

To Train: Administration and supervision of Hyperbaric Oxygen Therapy for treatment of wounds.


Physician /APN Request Recommendation 6. Andrew Tyler Smith, M.D.

James Franklin Crumb, CRNP Physician Specialty: Family Medicine NP Specialty: Adult Gerontology, Acute Care

To Train: Orthopedic Specialty Protocol- arthrocentesis; joint injections of shoulder, elbow(olecranon bursa only), greater trochanteric bursa and knee

7. Stanton Bailey Neely Davis, M.D. Keith Michael Kunze, CRNP Physician Specialty: Orthopedic Surgery NP Specialty: Adult Gerontology, Acute Care


8. Janaki R. Prasad Earla, M.D. Darlene Santamour, CRNP Physician Specialty: Internal Medicine NP Specialty: Adult NP

To Train: Trigger point injections below T-12

9. Frederick S. Graham, M.D. Mari Spencer, CRNP Physician Specialty: Pain Medicine NP Specialty: Family NP

To Train: Orthopedic Specialty Protocol- all joints in approval grid To Train: Trigger Point Injections below T-12

10. Richard Edwin Jones, M.D. Jillian Barnette, CRNP Mary E. Loomis, CRNP Lisa C. Ryan, CRNP Physician Specialty: Rheumatology NP Specialty: Family NP


11. Richard Edwin Jones, M.D. Melissa Harrison, CRNP Physician Specialty: Rheumatology NP Specialty: Family

Continue Training: To add Elbow( Olecranon bursa) and AC joint of shoulder to currently approved Orthopedic Specialty Protocol

12. Adam Ross Kessler, M.D. Evan Earl Thomas, CRNP Physician Specialty: Internal Medicine NP Specialty: Adult Gerontology, Acute Care

Continue Training: Critical Care Specialty Protocol- Central Venous Line, Femoral

13. Robert Allan Maples, M.D. Craig Reeves, CRNP Physician Specialty: Orthopedic Surgery NP Specialty: Family NP

Approve Supervised Practice: Joint Injections of the Shoulder, Olecranon Bursa; Greater Trochanteric Bursa and knee

14. Shahana Masood, M.D. Jordan H. Teal, CRNP Physician Specialty: Pulmonary Disease NP Specialty: Adult-Gerontology, Acute Care NP

To Train: Critical Care Specialty Protocol-Central Venous Line insertion, Internal Jugular and Femoral; Arterial line femoral


Physician /APN Request Recommendation 15. David Andrew McLain, M.D.

Mallory M. Nabors, CRNP Physician Specialty: Rheumatology NP Specialty: Family NP

Approve Supervised Practice: joint injections of the shoulder(5); elbow-olecranon bursa (3); greater trochanteric bursa (5) and knee (12)

16. David W. Miller, M.D. Alexandra Lentz, CRNP Physician Specialty: Anesthesiology/Critical Care NP Specialty: Acute Care NP

To Train: Critical Care Specialty Protocol –Central Venous Line insertion, Internal Jugular

17. Leonard T. Pynes, M.D. Susanna L. Davis, CRNP Physician Specialty: Dermatology NP Specialty: Family NP

Chemical Peels-Superficial

18. Jonathan Clay Rainer, M.D. Daniel Lee Rohrer, CRNP Physician Specialty: Physical Medicine /Rehabilitation NP Specialty: Adult Gerontology, Primary Care

To Train: Orthopedic Specialty Protocol-joint injections of the shoulder, elbow (olecranon bursa), greater trochanteric bursa and knee

19. Jose Tallaj, M.D. Elizabeth Clark, CRNP Physician Specialty: Cardiology NP Specialty: Acute Care NP

To Train: Critical Care Specialty Protocol- central venous line insertion, internal jugular and femoral; central venous line , remove and replace over guidewire; arterial line insertion; removal of pacing wires, mediastinal chest tubes, pulmonary artery catheter (Swan Ganz)

20. Charles Henry Wilson IV, M.D. Michael T. Brasher, CRNP Physician Specialty: Orthopedic Surgery NP Specialty: Family NP

Approve: Supervised practice for arthrocentesis (4) and joint injections of the knee (24) with one (1) greater trochanteric bursa injection.

Outside Protocol

Physician / APN Request Recommendation

1. (18)

Charles Garrison Cloutier, M.D. Christopher Pritchett, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP

Approve Supervised Practice: Arthrocentesis and joint injections of knee and shoulder; and approve to be performed at remote site

2. (25)

Chauncey B. Thuss, M.D. Jessica Palmer Voss, CRNP Physician specialty: Internal Medicine NP Specialty: Family NP

Transfer approval-Orthopedic Specialty Protocol including previously approved supervised practice Request permission for CRNP to perform skills at a remote site


APN Limited Purpose Special Permit Within Protocol

Physician / APN / Specialty Formulary Request Brief Indication Recommendation Approve Deny

1.

Ahmad Alkilani, M.D. Robin St. Pierre, CRNP Physician Specialty: Pediatrics NP Specialty: Pediatric NP

ADHD Medications

ADD, ADHD maintenance meds

2.

Andrew Bright, D.O. Jennifer Firestone, CRNP Physician Specialty: Surgery NP Specialty: Adult-Gerontological Acute Care NP

Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol

Acute pain; Post burn/traumatic injury; Acute pain post-surgical

3. Cassie Burns, M.D. Tara McDonald, CRNP Physician Specialty: Anesthesiology/ Pain Management NP Specialty: Family NP

Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR Tapentadol

Treatment of chronic pain patients

4. Steven Coppock, M.D. David Bailey Jr., CRNP Physician Specialty: Emergency Medicine Current Practice: Tuscaloosa Primary Care NP Specialty: Family NP

ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR

ADD; Acute pain; Acute cough

5. William Craig IV, M.D. Micah Morgan, CRNP Physician Specialty: Physical Medicine and Rehab NP Specialty: Adult-Gerontological Primary Care NP

Hydrocodone Combinations Oxycodone IR Tapentadol

Pre, concurrent, and post-op management of patients

6. Rachel Fargason, M.D. Andrea James, CRNP Physician Specialty: Psychiatry NP Specialty: Family Psychiatric & Mental Health NP

ADHD Medications

ADHD patients



7. Allyson Gilstrap, M.D. Emily Pitts, CRNP Physician Specialty: Family Medicine NP Specialty: Adult-Gerontological Primary Care NP

ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Fentanyl LA

ADHD; Pain treatment; Cough

8. Susan Guzman, M.D. Leona Rose, CRNP Physician Specialty: Psychiatry NP Specialty: Family NP

ADHD Medications Community Mental Health Center

9. Charles Hayden Jr., M.D. Angela Caires, CRNP Physician Specialty: Psychiatry NP Specialty: Family NP

ADHD Medications

ADHD patients

10. Michael Johnson, M.D. Tonia Butler, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP

Hydrocodone Combinations Oxycodone IR

Acute and chronic pain

11. Benjamin Ladner, M.D. Jennifer Christopher, CRNP Physician Specialty: Anesthesiology/ Pain Management NP Specialty: Family NP

Hydrocodone Combinations Oxycodone IR Tapentadol Hydromorphone

Needed for brief therapy to control severe and uncontrolled pain until seen by the collaborating or covering physician; any prescription will be discussed at the time with collaborating/ covering physician

12. Marty McDonald DO Donna Beck, CRNP Physician Specialty: Internal Medicine NP Specialty: Family NP

Hydrocodone Combinations Hydrocodone Cough Preps

Urgent Care

13. Lacy Smith, M.D. Kathryn Ahalt, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP

ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR Tapentadol

Rural family medicine; ADHD; pain; cough



14. Joshua Adam Stephens DO Susan Nix, CRNP Physician Specialty: Psychiatry NP Specialty: Family Psychiatric & Mental Health NP

ADHD Medications Community Mental Health Center

15. Peter Strogov, M.D. Sarah Gilreath, CRNP Physician Specialty: Pediatrics NP Specialty: Family Psychiatric & Mental Health NP

ADHD Medications ADD/ ADHD patients

16. William Sullivan, M.D. Freda Rogers Smith, CRNP Physician Specialty: Rheumatology NP Specialty: Family NP

Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol

Rheumatology practice with some patients with chronic narcotic therapy

17. Andrea Thomas, M.D. Tiffany Waller, CRNP Physician Specialty: Psychiatry NP Specialty: Family Psychiatric & Mental Health NP

ADHD Medications ADHD patients

18. James Thomas III, M.D. Jordan Hammock, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP


ADHD; injuries; urgent and acute care

19. Wilson Larry Tucker, M.D. Connie Geimer, CRNP Physician Specialty: Family Medicine NP Specialty: Acute Care NP and Family NP


ADHD; short-term pain; cough


PERSONNEL 1. Termination of Board Investigator EXECUTIVE SESSION HEARINGS (2) ABME Hearing Schedule None

alabama state board of medical examiners ......abme public agenda april 11, 2019 1 alabama state...

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