Association of periOperative Registered Nurses

Tennessee  Government Affairs

State Coordinator

Skip Rue

Regional Coordinator

Bonnie Vencill
(804) 526-3704

RN Circulator Laws and Language

Hospital: RULES AND REGULATIONS OF THE STATE OF TENNESSEE DEPARTMENT OF HEALTH AND TENNESSEE DEPARTMENT OF ENVIRONMENT AND CONSERVATION BUREAU OF MANPOWER AND FACILITIES; DIVISION OF HEALTH CARE FACILITIES CHAPTER 1200-8-1 STANDARDS FOR HOSPITALS 1200-8-1-.07 OPTIONAL HOSPITAL SERVICES (1) Surgical Services. (c) The operating rooms must be supervised by an experienced registered nurse or a doctor of medicine or osteopathy. (d) Licensed practical nurses (LPNs) and surgical technologists (operating room technicians) may serve as "scrub nurses" under the supervision of a registered nurse. (e) Qualified registered nurses may perform circulating duties in the operating room. In accordance with applicable state laws and approved medical staff policies and procedures, LPNs and surgical technologists may assist in circulatory duties under the supervision of a qualified registered nurse who is immediately available to respond to emergencies.
ASC: RULES AND REGULATIONS OF THE STATE OF TENNESSEE TENNESSEE DEPARTMENT OF ENVIRONMENT AND CONSERVATION BUREAU OF MANPOWER AND FACILITIES; DIVISION OF HEALTH CARE FACILITIES CHAPTER 1200-8-10 STANDARDS FOR AMBULATORY SURGICAL TREATMENT CENTERS 1200-8-10-.06 BASIC SERVICES (1) Surgical Services. (e) The operating rooms must be supervised by an experienced registered nurse or a doctor of medicine or osteopathy. (f) Licensed practical nurses (LPNs) and surgical technologists (operating room technicians) may serve as "scrub nurses" under the supervision of a registered nurse. (g) Qualified registered nurses may perform circulating duties in the operating room. In accordance with applicable State laws and approved medical staff policies and procedures, LPNs and surgical technologists may assist in circulatory duties under the supervision of a qualified registered nurse who is immediately available to respond to emergencies.

Registered Nurse First Assistants (RNFAs)

Reimbursement:  None
Definition:  None
Scope:  Tennessee Board of Nursing, Position Statements, 6/87, Reaffirmed 12/01 – Page 9 – First Assistants. The Tennessee Board of Nursing believes the RN surgical first assistant is a category in which the RN functions in a role that is an extension of an M.D. surgeon or dentist and that the RN first assistant is performing a delegated medical function during surgical procedures. To reiterate, we believe the RN first assistant is performing a delegated medical function during a surgical procedure. The Board, in considering the entire perioperative period, takes the position that the pre and post operative instruction of client and family is a nursing function and is addressed in the Nurse Practice Act of the State of Tennessee.

Legislative Tracking

TN H 1656 — 2014 Certification of RNFAs
Authorizes the certification of RNFAs
Comments
http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber=HB1656 
Sponsor(s):
Sexton (R) 
General Topic:
RNFA 
Status:
Failed -Adjourned  
TN S 1768 — 2014 Certification of RNFAs
Authorizes the certification of RNFAs
Comments
http://wapp.capitol.tn.gov/apps/BillInfo/Default.aspx?BillNumber= SB1768&GA=108 
Sponsor(s):
Burks (D) 
General Topic:
RNFA 
Status:
4/21/2014: Eligible for Governor 

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