Keys to Unlocking Better Patient Outcomes

Former Lieutenant Governor Ron Ramsey and Speaker of the House Beth Harwell commissioned a Scope of Practice Task Force to change the conversation and the players in the ongoing debate about the need for and value of physician supervision of Advanced Practice Registered Nurses (APRNs) in the state. The 12,612 APRNs in Tennessee include 9,717 Nurse Practitioners (77.0 percent of the total), 2,564 Certified Registered Nurse Anesthetists (20.3 percent), 193 Certified Nurse Midwives (1.5 percent), and 138 Clinical Nurse Specialists (1.1 percent).

Currently APRNs who prescribe in Tennessee must have a physician supervisor review and sign 20 percent of the APRNs' patient charts (100 percent of charts when controlled substances are prescribed), prescribe from an approved formulary of drugs, and have a physician on-site visit every 30 days. This high level of physician supervision is why Tennessee is considered one of the 12 most restrictive states in the country regarding APRN practice.

Read more at NashvilleMedicalNews.com