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...

The Two Best Ways You Can Take an Active Role as a TANA Member

By on May 14, 2014 in Announcements, Board Updates, Notes from the President | 0 comments

Dear TANA Members: The 2014 TANA election is approaching, and now is the time for you to represent and support your profession- Nurse Anesthesia.  CRNAs experience practice, reimbursement, and recognition threats annually, and the only way to procure and promote your profession, practice and livelihood is by being involved as an active TANA member. Ask yourself these important questions.  Is now the time for me to increase my involvement in TANA and gain exposure to the inner workings of the organization? Am I encouraged to evaluate the importance of my profession in my daily life? Am I giving back?  And can I do more? If you answered yes to any of those, here are two ways you can increase your involvement. First, take the time to serve on the TANA Board of Directors or as District Director.  Many CRNAs shy away from this and feel intimidated by the thought of serving.  They have strong reservation about the time commitment, and their own lack of experience.  This fear of the unknown is common but–like so many other new things–it often only takes a moment for those fears to dissipate and those initial apprehensions to be alleviated. This holds true to serving TANA as well.  Take the time to put your name on the ballot.  You never know if you will like something until you try it.  The reward will be invaluable.    This year the following positions are up for election: *        President Elect (must have served as a TANA board member to run for this office) *        District I Director- Memphis area.  Must live in the district. *        District III Director- Nashville/Middle TN area.  Must live in the district. *        District V Director- East TN.  Must live in the district. *        TANA Nominating Committee Member Click here to see which district you live in if you are uncertain. To run as a candidate, a TANA Intent to Serve Form must be submitted to the TANA office no later than July 15th per the TANA Bylaws.  Click here to fill out the online form. The second way you can get involved is by serving on or being the chair of a committee.  Click here to see a list of committees on the TANA website. Now is the time to be part of the process and keep TANA growing and moving forward.  Let’s have multiple CRNAs on the ballot for each position.  We are looking forward to getting to know you and serving with you! Mark J. Haffey MSN, CRNA, APN TANA...

Here’s Your Chance to Weigh in on the new Continued Professional Certification (CPC) Program

By on Apr 30, 2014 in Notes from the President | 0 comments

Virginia Commonwealth University’s Nurse Anesthesia Faculty Associates (NAFA) division is asking for YOUR input regarding the proposed changes to the CRNA recertification process.  Take a look at the following excerpt from their recent letter, and click on the link to complete the anonymous survey.  The additional links provided should answer some of the questions you may have about the new program.   Dear NAFA Colleagues: I sincerely hope this note finds you well! NAFA has received numerous inquiries from clients asking about our position on the recently proposed Continued Professional Certification Program (CPC) developed by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). This new program is currently scheduled to take effect on January 1, 2016 and will apply to all Certified Registered Nurse Anesthetists seeking recertification.  We need your help. Please take a few moments to answer the following anonymous survey. Following this NAFA has provided information deemed vital to practicing CRNAs and to NAFA’s future operations as a continuing education provider.  NAFA Anonymous Survey regarding the CPC Program (Please answer survey  before proceeding) What follows is a brief summary of the CPC program as well as some specifics that have more recently come to NAFA’s attention. These details should be of great interest as they describe some of the expectations, as we understand them at this time, which must be met by all CRNAs in order to recertify under this new program. As a service to you, our clients and friends, NAFA is choosing to bring this information to your attention.  Read More…   NBCRNA Competency Module Goals, Objectives and Sub-Objectives ...

Our Passion, Our Priority, Our Patients

By on Jan 20, 2014 in National Nurse Anesthetist Week, Notes from the President, Our Super Heroes | 0 comments

Certified Registered Nurse Anesthetists are dedicated to Tennesseans.  Appendicitis, Broken Bones, Gall Bladder, Heart Attack, Stroke … All are unexpected conditions that our citizens have every day, and all may require a surgical intervention. Because of experiencing fear regarding anesthesia is common, patients want to know that they are in experienced hands, someone to ensure that they will not feel pain and will have a great experience. In Tennessee, we have over 1,900 Certified Registered Nurse Anesthetists (CRNAs) who are all dedicated to making certain the citizens of Tennessee have access to excellent anesthesia care. Providing services are large university hospitals, urban and rural community hospitals, ambulatory surgery centers and office based clinics where CRNAs are an essential provider in Tennessee. Currently CRNAs are the primary provider of anesthesia services in Tennessee with 41 of the 95 counties in Tennessee having anesthesia services provided ONLY by nurse anesthetists. In 2014, Tennessee will undergo healthcare reform as legislators have vowed to address this issue during the legislative session. The question is, “how will CRNAs play a role in the new system”? Certified Registered Nurse Anesthetists are first, and foremost, passionate about being patient advocates. Our priority is to ensure that when one of our fellow Tennesseans arrives for a surgery, for which they feel fear of the unknown, we as CRNAs can ensure quality care. We will be with them throughout the entire procedure providing high quality and caring anesthesia care, ensuring that you have a thorough pre-op assessment, adequate pain control, vigilant monitoring, and a comfortable post operative experience. January 19-25 is National Nurse Anesthetists Week. There are currently 45,000 CRNAs providing approx. 34 million anesthetics each year in the United States covering anesthesia for obstetrics, pain management, pediatrics, transplants, cardiac care, neurosurgery, trauma, and many other cases.  Certified Registered Nurse Anesthetists are the primary provider of anesthesia services for our military serving in both the front line Medical Units, support hospitals, and in the VA system. As an anesthesia specialist for over 150 years, and as the first specialist dedicated solely to anesthesia care, CRNAs are here for our patients. We hope that you will take time this week and thank the CRNAs at your hospital or other facility. If you are having surgery this week, know that it is CRNAs who will be watching over you ensuring that you have the highest quality...

2014: A Year of Challenge and Change

By on Jan 6, 2014 in Notes from the President | 1 comment

As I contemplated and thought about the New Year, I thought about how we are pushed to make resolutions, goals, and life changes.  But then I thought about 2014, not in terms of MY goals and MY resolutions … whether I lose weight, work out more, try new hobbies, or eat less fruitcake (HaHa) … but I asked myself, “what does 2014 present”?   As I look into 2014 in regards to issues affecting CRNAs, a couple of themes come to mind. The first is Healthcare Reform and Medicaid expansion.  The legislators have already made it be known to all health oriented associations, that in 2014, Tennessee WILL fix Medicaid expansion and healthcare reform will take place.  The Tennessee Association of Nurse Anesthetists (TANA) is already using our lobbyists to ensure that CRNAs voice is heard and those issues regarding reimbursement for anesthesia services will have CRNAs concerns addressed.  This is also the year that rules in regards to Pain Management are enforced and new guidelines regarding prescribing Pain Medications are enforced.  TANA is working to ensure that language is favorable to CRNAs. Second, we are continually working to meet the interests and needs of CRNAs.  With the help of our PR firm, TANA is working hard to engage each CRNA, proving that their hard earned dues are being used to meet their needs.  We are presently redesigning the website, making it user friendly, allowing CRNAs to have the resources they need at their fingertips.  We have a blog that you currently are reading that allows you to comment and discuss those issues that are affecting you in your practice. Third, TANA is remaining aware of the national trends, insurance company policies, and trends in hospital and ASC reimbursement trends that are affecting CRNAs.  This year the AANA is encouraging each state to have a Reimbursement Specialist.  We have two, led by Abe Abuelouf as our representative to ensure that TANA is proactive in addressing reimbursement issues. Lastly, I would like to remind each CRNA to have a great year.  Enjoy the little things that bring a smile to your face.  Encourage your colleagues, your family, and friends.  Make 2014, a year to remember, a great year.  Be thankful for the big and small.  Thank you for being a Patient Advocate, for Providing Excellence in Anesthesia Care, and For Being a CRNA. Sincerely, Mark J . Haffey MSN, CRNA, APN TANA...