Rules & Regulations of the State of Tennessee
Title 1000 - Nursing
Chapter 1000-04 - Advanced Practice Nurses and Certificates of Fitness to Prescribe
Section 1000-04-.04 - CERTIFICATE OF FITNESS

Current through September 24, 2024

(1) Certification by the Tennessee Board of Nursing to prescribe and/or issue legend drugs, pursuant to T.C.A. § 63-7-123, shall authorize a nurse practitioner to prescribe and/or issue such drugs. Any nurse who prescribes and/or issues drugs without proper certification by the Tennessee Board of Nursing shall be subject to disciplinary action by the Board of Nursing in accordance with the provisions of T.C.A. § 63-7-115.

(2) In order to be issued a certificate of fitness as a nurse practitioner with privileges to write and sign prescriptions and/or issue legend drugs, a nurse must meet all of the following requirements:

(a) A current, unencumbered license as a registered nurse under T.C.A. Title 63, Chapter 7;

(b) Preparation in specialized practitioner skills at the master's, post-master's, doctoral, or post-doctoral level, including, but not limited to, at least three (3) quarter hours of pharmacology instruction or its equivalent;

(c) A current national certification in the appropriate nursing specialty area; and

(d) Graduation from a program conferring a master's or doctoral degree in nursing.

(3) Those applicants intending to prescribe, issue or administer controlled substances pursuant to T.C.A. § 63-7-123(b)(2) shall maintain their Drug Enforcement Administration Certificate to Prescribe Controlled Substances at their practice location to be inspected by the Board or its authorized representative.

(4) A nurse who has been issued a certificate of fitness shall file a notice with the Board of Nursing containing:

(a) The nurse's full name;

(b) a copy of the formulary describing the categories of legend drugs to be prescribed and/or issued by the nurse; and

(c) the name of the licensed physician having supervision, control and responsibility for prescriptive services rendered by the nurse.

(5) Every nurse who has been issued a certificate of fitness shall be responsible for updating the information submitted pursuant to paragraph (4) within thirty (30) days of the change.

Authority: T.C.A. §§ 4-5-202. 4-5-204.63-7-123. and 63-7-207.

Disclaimer: These regulations may not be the most recent version. Tennessee may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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