Source: http://scopeofpracticepolicy.org/states/tn/
Timestamp: 2019-11-12 00:36:23
Document Index: 598160745

Matched Legal Cases: ['§68', '§0450', '§ 53', '§ 53', '§63', '§63', '§1200', '§63', '§63', '§63', '§63']

Tennessee Scope of Practice Policy - State Profile
Tennessee Scope of Practice Policy: State Profile
Tennessee credentials two types of addiction counselors. A Licensed Alcohol and Drug Counselor (LADC) I requires, at minimum, a high school diploma, 270 hours of relevant education courses and 6,000 hours of supervised experience. A LADC II must have a bachelor’s degree in behavioral health or a master’s degree in any field and complete 4,000… More »
Tennessee credentials two types of addiction counselors. A Licensed Alcohol and Drug Counselor (LADC) I requires, at minimum, a high school diploma, 270 hours of relevant education courses and 6,000 hours of supervised experience. A LADC II must have a bachelor’s degree in behavioral health or a master’s degree in any field and complete 4,000 hours of supervised experience.
Dental hygienists in Tennessee may provide the services as outlined by state law and as delegated by a licensed dentist. Many of the services provided by a dental hygienist may be performed under the general supervision of a dentist. Additional services, (e.g., root planning) must be done under direct supervision. Under Tennessee scope of practice laws, a dental hygienist with proper certification may administer nitrous oxide and local anesthesia under direct supervision. Pursuant to a written protocol, dental hygienists may provide preventive services, as outlined by law or regulation, to patients in nursing homes, skilled care facilities, nonprofit clinics and public health programs, under the general supervision of a dentist.
Dental hygienists may apply dental sealants or topical fluoride under the direction of a state or local health department without a dentist’s initial evaluation under a protocol established by the state or a metropolitan health department. No supervision is required for dental hygienists participating in preventive oral health education events and free health screenings. Tennessee scope of practice laws do not allow dental hygienists to prescribe medication and currently do not provide for the licensing of dental therapists.
In Tennessee, licensed professional counselors (LPCs) provide services to individuals, groups, organizations, or the general public. Counselors prevent, diagnose and treat mental, emotional or behavioral disorders and associated disorders that interfere with mental health. LPCs also conduct assessments and diagnoses for the purpose of establishing treatment goals and objectives and plan, implement and evaluate treatment plans.
Nurse practitioners (NPs) in Tennessee must practice under the supervision of a licensed physician. The Tennessee Board of Nursing must be notified of the supervisory relationship. The supervising physician also maintains responsibility and control of the NP’s prescriptive authority. A nurse practitioner who is issued a certificate of fitness by the Board of Nursing may prescribe Schedule II-V controlled substances and may only prescribe Schedule II-IV after consulting with the supervising physician. NPs are recognized as primary care providers in Tennessee.
In Tennessee, NPs are not permitted to prescribe buprenorphine-containing products to treat opioid use disorder. Licensed physicians are the only healthcare providers authorized to dispense buprenorphine-containing products for medication-assisted treatment.
In Tennessee, the certification standards and procedures for peer recovery specialists are developed and administered by the state’s Department of Mental Health and Substance Abuse Services. The standards include requirements for experience, training, examination and continued education.
Tennessee physician assistants (PAs) may provide selected medical services under the supervision of a licensed supervising physician and pursuant to a written protocol. Supervising physicians must provide active and continuous overview of the PA’s activities but need not maintain a constant physical presence. A supervising physician must also review the charts of patients examined by the PA as outlined by state regulation. A PA may prescribe drugs and Schedules II-V controlled substances if delegated by the supervising physician. PAs are recognized as primary care providers in Tennessee.
In Tennessee, PAs are not permitted to prescribe buprenorphine-containing products to treat opioid use disorder. Licensed physicians are the only health care providers authorized to dispense buprenorphine-containing products for medication-assisted treatment.
Tennessee SOP Legislation
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Education Required for Addiction Counselor Credentialing
Tennessee credentials addiction counselors as Licensed Alcohol and Drug Counselors (LADCs) I and II. A LADC I requires, at minimum, a high school diploma. A LADC II requires, at minimum, a bachelor’s degree. Tenn. Code Ann. §68-24-601 and Tennessee Board of Alcohol and Drug Abuse Counselors
Licensed Professional Counselor Ability to Diagnose
Licensed professional counselors may diagnose mental, emotional or behavioral disorders and associated disorders which interfere with mental health. Tenn. Gen. Rules §0450-01-.01(30)
Number of Nurse Practitioners Prescribing Buprenorphine
While NPs in Tennessee are not authorized to prescribe buprenorphine-containing products to treat opioid use disorder, there is one NP who does possess a DEA waiver. Tenn. Code Ann. § 53-11-311
Number of Physician Assistants Prescribing Buprenorphine
As of August 2018, no PAs in Tennessee have received a federal waiver to treat opioid dependency with buprenorphine-containing products. In Tennessee, PAs are not permitted to prescribe buprenorphine-containing products to treat opioid use disorder. Licensed physicians are the only healthcare providers authorized to dispense buprenorphine-containing products for medication-assisted treatment. Tenn. Code Ann. § 53-11-311
Peer Support Specialist Certification or Credentialing Authority
The certification standards and procedures for peer recovery specialists are developed and administered by the state’s Department of Mental Health and Substance Abuse Services.
Physician supervision is required. The physician has control and responsibility for prescriptive services rendered by the NP. Tenn. Code Ann. §63-7-123
NPs may prescribe Schedules II-V controlled substances upon receiving a certificate of fitness from the State Board of Nursing and adoption of physician supervisory rules. Schedules II-IV may only be prescribed after consultation with the physician. Tenn. Code Ann. §63-7-123
Nurse Practitioner as a Primary Care Provider
NPs are recognized in state policy as primary care providers. Primary care providers are health care professionals capable of providing a wide variety of basic health services. Primary care providers include practitioners of family, general or internal medicine; pediatricians and obstetricians; nurse practitioners; midwives; and physician assistants in general or family practice. Tenn. Admin. Code §1200-13-13.01(98)
Dental Hygienists with Direct Access
A dental hygienist may apply dental sealants or topical fluoride in a setting under the direction of a state or local health department without requiring an evaluation by a dentist before application under a protocol established by the state or a metropolitan health department. Tenn. Code Ann. §63-5-109
Dental Hygienists with Prescriptive Authority
Dental hygienists do not have prescriptive authority.
Statute does not identify dental therapists as an oral health provider.
A written protocol is required between a PA and a supervising physician. The Board of Medical Examiners regulates the supervising physician’s review of the information in the charts of patients examined by the PA. Tenn. Code Ann. §63-19-106
Prescriptive Authority for Physician Assistants
A PA may prescribe drugs and Schedules II-V controlled substances if delegated by the supervising physician. Tenn. Code Ann. §63-19-107(2)
Scope of Practice Determination
The range of services that a PA may provide is determined in the written protocol. A PA may only perform those tasks that are within the PA’s skills and competence and within the usual scope of practice of the supervising physician. Tenn. Code Ann. §63-19-106