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Important Document Outlining APNs’ Scope of Practice

By on Jun 20, 2014 in Notes from the President, Update from the Hill | 2 comments

With changes happening on a regular basis in our state and nation, and with our current healthcare environment regarding licensing, reimbursement, and practice standards, it is essential that TANA keep you informed. Please read the following article related to APN practice by clicking the link below.  Also know that your TANA board, lobbyists, and management staff are constantly making sure that you are well represented in all matters.  Please feel free to contact us with any questions. Policy Perspectives – Competition and the Regulation of Advanced Practice Nurses Sincerely, Mark J. Haffey CRNA, MSN, APN TANA President

Important: Read This Before You Get Audited!

By on Jun 3, 2014 in Notes from the President | 1 comment

To all TANA members: I would like to reiterate the importance of this letter as it DOES pertain to your LICENSURE and ability to practice: Recently, a CRNA was audited by the Board of Nursing (BON) in regard to their APN Licensure. We have received new information, and confirmation from the BON that there will be an increase in the number of audits for APNs in light of the recent issues regarding the prescribing of pain medicines. What each CRNA must be aware of is that the requirements changed in 2013. I have included these changes in the following section: The following rule for APN prescribers that requires a one-hour board approved course addressing controlled substance prescribing practices became effective March 20, 2013. 1000-04-.05 Renewal of Certificate and Demonstration of Competency. All advanced practice nurses who hold a Tennessee registered nurse license must biennially renew their Tennessee registered nurse license pursuant to Rule 1000-.01-.03 and must demonstrate competency as a registered nurse pursuant to Rule 1000-01-.14. Additionally, to demonstrate competency to hold and/or renew an Advanced Practice Nurse Certificate, an advanced practice nurse shall: (1) Have initially obtained or maintained, during the most recent biennial renewal period, certification from a nationally recognized certification body appropriate to the nurse’s specialty area; and (2) If in possession of a Certificate of Fitness pursuant to Rule 1000-04-.04, have successfully completed a minimum one (1) contact hour course designed specifically to address controlled substance prescribing practices and offered through a continuing education provider approved by any certifying board of an advanced practice nurse, as the term advanced practice nurse is defined in T.C.A. § 63-7-126(a). So what does this mean for you as a CRNA? 1) This change only affects those CRNAs who have a Certificate of Fitness (COF) (even if you do not have a DEA number). 2) You must complete 1 CE in Controlled Substance Prescribing during each recertification cycle. If the required course is not completed and you are audited, will you will be subject to penalties. 3) Each CRNA must still meet the 40 CE requirements for recertification, although one of these can be your Controlled Substance Provider Class. 4) If a CRNA does possess a DEA number and currently prescribes, they will be required to complete a second CE in Controlled Substance Providing during each recertification cycle. 5) Each CRNA with COF can take the class online at www.tnpap.org. Also TANA will be looking at opportunities to provide the class at future TANA Annual Meetings or district meetings. Note that TANA has been in discussions with the BON, and CRNAs will not be able to be exempt from this requirement. Your TANA Board of Directors, Lobbyist’s, and Executive Director have worked very hard to address this issue and what alternatives we may have as CRNAs. The only option currently is for CRNAs to complete the class. Please feel free to email with questions. We will try and answer these in a timely manner. Have a great day. Sincerely, Mark J. Haffey MSN, CRNA, APN TANA...

What Has PAC Done for You Lately?

By on Jun 3, 2014 in Making an imPACt, Uncategorized | 1 comment

Let me ask you a question.  Do you have malpractice insurance, health insurance, auto or home insurance, life or disability insurance? While some individual circumstances may vary, I would venture to guess that close to 100% of you have most, if not all, of the listed insurances.  You recognize the value of things like your health, your home, and your income.  Why wouldn’t you want to make sure those important assets were protected from risks beyond your control? Now let me ask you another question.  Why not insure that your profession as a CRNA is equally protected from unforeseen attacks?  Isn’t your investment in your career worth the minimal cost?  I imagine you’d agree that it is. Just to give you an idea of some of the issues that exist to threaten your practice, here are some of the issues that PACs have addressed in the past: CRNAs’ ability to practice under physician supervision, not just anesthesiology supervision CRNAs’ ability to directly bill Medicare for our professional services Defense of CRNAs’ ability to practice using our full scope Ability to Opt Out of supervision Promotion of CRNAs as cost-effective anesthesia providers during this period of healthcare reform And the fight continues.  Here are some of the current issues that PACs are addressing: Ensuring there are enough CRNAs to handle the influx of patients resulting from the Affordable Care Act The threat of Anesthesia Assistants Maximizing CRNAs’ scope of practice, such as: VA hospitals Pain management Prescriptive authority These are all important issues that greatly affect your practice and profession.  They’re also ones that you can’t effectively fight on your own. That’s why TANA-PAC exists…to protect and defend the rights of CRNAs in our state.  By contributing to the PAC, you’re insuring your career against risks like these and many more.  We think that protection, for a recommended donation of $50 per month (or $600 per year), is a great value! Visit www.tncrna.com and contribute by clicking on the “Donate Now” banner.  We hope to raise $10,000 by July 1, 2014, and thanks to the donations we’ve received thus far we’re much closer to that target!  Please help us reach our goals so that we can continue to provide you with the best protection possible. Thank you, David Klappholz CRNA TANA-PAC Chair...