Important

Figure 2. State scope of practice for nurse practitionersStateTennesseeTexasRequirements forphysician involvementin NP practice(diagnosis andtreatment)Yes. There is nostatutory authority toperform acts of medicaldiagnosis or develop amedical plan of careand therapeutics for apatient withoutphysician supervision.Yes. NP may practiceunder physiciandelegation via writtenauthorization from asupervising physician.# of NPs aphysician cansuperviseSilent.Silent.Requirements forphysicianinvolvement in NPprescribingYes. NPs must havea supervisingphysician.Yes, under writtenauthorization froma supervisingphysician, and inaccordance withBoard of Medicinepromulgatedsupervisoryrequirements.Separateapplicationprocess requiredfor NP Rxauthority?Certification bythe TennesseeBoard of Nursingto prescribeand/or issuelegend drugs shallauthorize a nursepractitioner toprescribe and/orissue such drugs.(Tenn. R.R. 1000-4-.04, Tenn.Code. Ann. 63-7-123)To be approvedby the board tocarry out or signprescription drugorders and issueda prescriptionauthorizationnumber, a NPmust file acompleteapplication forPrescriptiveAuthority andsubmit suchevidence asrequired by theboard to verifyeducationalqualifications.(T.A.C. 222.2)Legenddrugs?Silent.Yes. (Phonecall to board5/4/07)Schedule Vcontrolledsubstances?Yes. (Tenn.Code. Ann. 63-7-123)Yes. (T.A.C.222.2)Schedule IVcontrolledsubstances?Yes. (Tenn. Code.Ann. 63-7-123)Yes. (T.A.C.222.2)Schedule IIIcontrolledsubstances?Yes. (Tenn.Code. Ann. 63-7-123)Yes. (T.A.C.222.2)Schedule IIcontrolledsubstances?Yes. (Tenn. Code.Ann. 63-7-123)Yes. (T.A.C.222.2)Pharmacologyeducation requirementsAt least 3 quarter hoursof pharmacologyinstruction or itsequivalent. (Tenn. R.R.1000-4-.04)To be eligible forPrescriptive Authority,advanced practice nursesmust have successfullycompleted courses inpharmacotherapeutics.Nurse Practitioners willbe considered to havemet the courserequirements of thissection on the basis ofcourses completed in theadvanced educationalprogram. (T.A.C. 222.2)Continuingeducationrequirements relatedto prescribingNone specifically forprescribing authorityrenewal.None specifically forprescribing authorityrenewal.