tennessee nurse practice act delegation

The delegator is a registered nurse who distributes a portion of patient care to the delegatee. I currently reside in Indiana which is a collaborative practice state. Once you hit submit, you will receive an email asking you toverify your email address. Together the NPA and rules/regulations guide and govern nursing practice. NCSBN's position papers on delegation and working withothers: National Guidelines for Nursing Delegation. ~__V9Sfx9oaU# EuYsREm6%QA)zlg;0', %xLDc?Si9oIiZ`jMq* n)!8L1VC~}(*wN@3 pF\uj2LP#[{Df*[]cc6hFZ#]i!B1/J7j.Kx?v -*L',FNt:wX9+xDDJw]LEUUB$Jb\=iN9C;+h:YTd[b#MXa1 )Bsm? Cecil G. Sheps Center for Health Services Research, according to the Association of American Medical Colleges, the weekly opinion newsletter for insightful and thought provoking columns, Your California Privacy Rights/Privacy Policy. Establish and maintain a therapeutic nurse/client relationship. These National Guidelines for Nursing Delegation build on previous work by NCSBN and the American Nurses Association, and provide clarification on the responsibilities associated with delegation. The relief from collaborative practice agreements that was briefly granted from March to May 2020 in Executive Orders 15 (provision 5) and 28 (provision 5.1) proved to be an effective and necessary part of Tennessees COVID-19 relief efforts. Since 2010, 163rural hospitals have closed in the United States according to the Cecil G. Sheps Center for Health Services Research. Health care prescribers will be notified via the email address provided by the health care prescriber of the Commissioners approval or denial of the waiver request. This bill grants the nurse immunity from liability for any action performed in the course of the nurse's delegation duties; and grants immunity form liability to an unlicensed person following written delegation instructions from a registered nurse, and performing the delegated task or tasks in accordance with such instructions. See Page 1. delegation, however, does not permit practice outside of your scope of practice. Assigned to General Subcommittee of Senate Health and Welfare Committee, Placed on Senate Health and Welfare Committee calendar for 3/16/2016, Passed on Second Consideration, refer to Senate Health and Welfare Committee, Introduced, Passed on First Consideration, Taken off notice for cal in s/c Health Subcommittee of Health Committee, Placed on s/c cal Health Subcommittee for 3/15/2016, Action Def. The Tennessee Nurses Association will be introducing state legislation to update the Nurse Practice Act to give nurses the ability to provide direct patient care without the need for. Rules of Procedure for Hearing Contested Cases. Professional Nursing. 1660 0 obj <>stream Delegation: "(Nursing). Sub-delegation occurs when an individual who accepts a delegation then delegates the same act to another person. Rules and Regulations of Licensed Practical Nurses. Years Rules and regulation of RNs; interpretations of these state laws. A nurse who works in the community can delegate the administration of heparin by injection to an unregulated care provider who is providing care in the patients home. Nurses, Nursing - As introduced, enacts the "Tennessee Nursing Delegation Act for Home and Community Living," which authorizes a registered nurse to delegate certain health maintenance tasks to an unlicensed person if the nurse adheres to a delegation process; limits liability of such nurses and unlicensed persons. Act 472: An Act to Authorize Physicians and Podiatrists to Delegate the Performance of Some Simple Procedures to Employees; and for Other Purposes Regulation 31: Physician Delegation Regulation California Medical Board of California: Physicians and SurgeonsMedical Assistants The National Cabinet of State Boards of Nursing (NCSBN) can a not-for-profit organization whose purpose is to provide an organization through welche boards of nursing act furthermore counsel together on matters of common interest both concern affecting the public health, safety and welfare, including the development concerning licensing examinations in krankenpfleger. Delegation involves at least two individuals: the delegator, and the delegatee. in the state of TN, both the nurse practice act and Tennessee administrative rules determine the element of RN delegation (T/F) true an example of appropriate tasks for the RN to delegate to an unlicensed staff member includes vital signs and totaling intake and output The RN has the duty to answer for personal actions relating to the nursing process. The application for waiver can be found at: Please complete the electronic fillable form below andensure your contact information and reason for requesting the waiver are filledin. TN S 1171 : Medical Occupations - Expands the scope of practice for physician assistants, subject to. Hear more Tennessee Voices: Get the weekly opinion newsletter for insightful and thought provoking columns. %%EOF &8k. hbbd``b`k#?` LU `e)Y"A b @B*#D 3 0 obj This part is required for advanced practice nurses pursuant to 1000-04.03. Sub-delegation occurs when an individual who accepts a delegation then delegates the same act to another person. p Both have the force of law and may be used in the regulation of a profession. The employer must identify a nurse leader responsible for oversight of delegated responsibilities for the facility. jDv46 ba #? dfi Tennessee Voices: A conversation with Tina Gerardi. 1637 0 obj <> endobj A "health maintenance task" is a task that can safely be performed according to exact directions, with no need to alter the standard procedure, and the results of which are predictable. Defibrillation falls under the controlled act of applying a form of energy.". Click hereto review theTennessee Code Annotated. "*+QYOI1NI.c~xDnQu?GukvxE!So-Q~O;A_nojXM qtX Delegation provides the legal authority to perform a controlled act. 0CR>`X@Cs*FS ) S$S/K0z[ Hear more Tennessee Voices: Get the weekly opinion newsletter for insightful and thought provoking columns. (Ala. Code. NCSBN and ANA Position Paper on the National Guidelines for Nursing Delegation. The regulation also prohibits delegating certain controlled acts (for example, NPs cannot delegate setting a fracture). The statutes pertaining to this Board are found at T. C. A. Nurses can only delegate controlled acts that they are trained or competent to perform. Click hereto review theTennessee Code Annotated. The Board, following specific notice requirements and hearings, adopts rules. All available data supports the fact that nurse practitioners have the professional acumen to match the primary care provided by physicians. Both have the force of law and may be used in the regulation of a profession. In early 2015, NCSBN convened two panels of experts representing education, research, and practice to discuss the delegation literature and key issues, and evaluate findings from delegation research funded through NCSBNs Center for Regulatory Excellence Grant Program. Once you verify your email address you will receivea second email confirming receipt of your waiver. A number of requirements need to be met to ensure the delegated procedure is performed safely. 1000-01. Nurses are accountable for ensuring that delegation is supported by setting specific legislation, for example Fixing Long-Term Care Homes Act or your employer policies. The Board, following specific notice requirements and hearings, adopts rules. This aligns with the economic objectives of the Tennessee General Assemblys Rural Caucus. Yes (Ala. Code 1975 34-21-81 (3)). The time is now to act and open access to quality care to create more free-market options and choices. The application for waiver can be found at: Tennessee Department of Health Publications. 1000-03. It begins with decisions made at the administrative level of the organization and extends to the staff responsible for delegating, overseeing the process, and performing the responsibilities. If you support our nurses and the long-term health of our citizens, I urge you to contact your state legislators and ask them to support the Tennessee Nurses Association update to the Nurse Practice Act. The solution is to clear the way for advanced practice registered nurses (nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists) to do what they are educated and trained to do: serve communities and patients independently. A 2019 study on the macroeconomic benefits of granting APRNs Full Practice Authority in Tennessee projected an increase of 69,263 additional jobs and $8.63 billion in economic growth over the next eight years proving that freedom from collaborative practice agreements would have significant economic impact. To learn more about controlled acts, seeRHPA: Scope of Practice, Controlled Acts Model. One of the ways to ensure this is through teaching. * References are available upon request by contacting TNA at tna@tnaonline.org. %PDF-1.6 % <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Your working knowledge of acceptable delegation practices in Tennessee enhances your ability to provide safe and efficient patient care. NPs cannot delegate the following controlled acts: Nurses in the Temporary Class cannot delegate or accept delegation. Sub-delegation is prohibited. <> categories and classes of nurses who can delegate (for example, RNs and RPNs in the general class and NPs), requirements to delegate and to accept delegation (for example, considering the best interests of the client), and. to Health Committee--Government Operations for review. This is a waste of talent and training one that unfairly limits our advanced practice registered nurses and also undermines quality of care. This isnt just about nurses, but the right of Tennesseans across the state to access credible, capable, and affordable care wherever they may live. It involves effective communication, empowering staff to make decisions based on their judgment and support from all levels of the health care setting. in s/c Health Subcommittee to 3/15/2016, Placed on s/c cal Health Subcommittee for 3/8/2016, P2C, ref. Advanced Practice Nurses and Certificates of Fitness to Prescribe. 0 2 0 obj authorize such person to represent him/herself as an advanced practice nurse under the appropriate category of nurse practitioner, nurse anesthetist, nurse midwife or clinical nurse specialist. (This link will take you to a website that is not maintained by the Tennessee Department of Health). Requires substantial specialized judgement and skill: responsible supervision of pts, promote/restore/maintain health or . 7. The employer/nurse leader, individual licensed nurse, and delegatee all have specific responsibilities within the delegation process. This is not allowed because the individual who is sub-delegating does not have legal authority to perform the act. 1752 0 obj <>/Filter/FlateDecode/ID[<13538EBF70D11A49A5159B620F1C8F1D><662D58F74326C2489FBF9DC6688C5729>]/Index[1736 22]/Info 1735 0 R/Length 82/Prev 392476/Root 1737 0 R/Size 1758/Type/XRef/W[1 2 1]>>stream Nurse Practice Act: History and Overview Before the nurse practice act was introduced, nurses were unlicensed and unregistered. In fact, nurse practitioners were found to outperform doctors in measures of consultation time, patient follow-up, and patient satisfaction. 101 Davenport Road Toronto, ON Canada M5R 3P1. Following the education session, the nurses will have the competence but they willnothave the authority to perform the controlled act until it is delegated by an authorized practitioner, such as a physician. Article 2. The granting of this application provides a waiver from the electronic prescription requirement and is effective from January 1, 2023 until December 31, 2023. An order outlines how to perform that controlled act. RNs and RPNs cannot delegate the controlled act of dispensing a drug or treating, by means of psychotherapy technique. These groups describe delegation as the process for a nurse to direct another person to perform nursing tasks and activities. 63-1 (Division of Health Related Boards) and T.C.A. TENNESSEE BOARD OF MEDICAL EXAMINERS Policy Statement: Delegation of Medical Services This policy does not apply to the delegation of medical services to an advanced practice registered nurse practitioners/prescription writers and physician assistants. <>>> These agreements require monthly payment of thousands of dollars for a doctor to validate an APRNs patient care, making it financially difficult for them to establish their own practices in areas that would greatly benefit from the added access to care. It also lists the 7 requirements nurses must meet when accepting delegation. Our state law requires career-long oversight and delegation or team management by another health provider in order for the advanced practice registered nurse to provide patient care. The Board, following specific notice requirements and hearings, adopts rules. 63-1 (Division of Health Related Boards) and T.C.A. Nurses in the Special Assignment Class cannot delegate the authority to perform controlled acts to others, but may accept delegation. Delegation is a process by which a health care professional who has legal authority to perform a controlled act transfers that authority to an unauthorized person. Board of Nursing Statutes Statutes are proposed and made law by the Tennessee State General Assembly (Legislature). Both have the force of law and may be used in the regulation of a profession. An NP's scope of practice can include assessing a patient's condition, ordering tests, interpreting results and making diagnoses, prescribing medication, and ordering treatments. Click herefor Rules and Regulations pertaining to the Tennessee Board of Nursing, Click here for Rules related to Drug Testing and Reporting, Enhanced Nurse Licensure Compact Final Rules Effective January 19, 2018, Tennessee Department of Health Publications. Click herefor Rules and Regulations pertaining to the Tennessee Board of Massage Licensure, Tennessee Department of Health Publications. The fact is nurse practitioners are already trained and qualified to perform many primary care tasks. Decrease State Expenditures - Exceeds $677,300/FY16-17 Nurse-related Principles: The RN may delegate elements of care but does not delegate the nursing process itself. . x\[o8~-l` v2Ygr& wnHwwE7.$E]{y)].B(WREI&LEy)n*~=~7B\|Yo|'b,U"RqL<5_IdiT$Zuzj8Dd*Jwp^#KK8@qCHz''"J3gqDr+J~=?#UEyh!OEEJgJI+IU^M,x9q%Y"[/rRZK^$REL,z9iRQ.o_gh_PHODA[ !T)\D75"_fi>ZBFIuEwP*C9*!HoG a l_~Q5/dr' >C?lEw/noHfT'8Lo98^yfPK.Nm$ Q0$LKkBf+3n< Researchers have found that patients of both groups had comparable health outcomes. This statementreplaces the NCSBN and ANA 2010 Joint Statement on Delegation. CNOsAuthorizing Mechanismspractice guidelinelists the 10 requirements nurses must meet when delegating to others. 5. Statutes are proposed and made law by theTennessee State General Assembly(Legislature). Votes for Bill HB2395 by the House are not available. endstream endobj 1638 0 obj <. Teaching may be part of the delegation process but it is not equivalent to delegating. licensure, unless an applicant declines. In the state of Indiana, nurse practitioners can prescribe schedule II-V controlled substances. Board of Nursing E-Prescribing Waiver Information and Application T.C.A. 1736 0 obj <> endobj If the COVID-19 pandemic has taught us anything, it is that nurses are the backbone of our healthcare system and any laws limiting their ability to provide direct and focused patient care is a detriment to Tennesseans everywhere. In this example, the nurse is delegating the controlled act of administering a substance by injection., In another example, a nurse who provides home care to a patient requiring dressing changes for a wound extending below the dermis can delegate the controlled act to the patients spouse. Tennessee has had 13 hospitals close during this time, the second most of any state. This legislative session, the Tennessee Nurses Association will be introducing state legislation to update the Nurse Practice Act and do just that. 63-1-160 requires that on or after January 1, 2021, any prescription for a Schedule II, III, IV or V controlled substance issued by a prescriber who is authorized by law to prescribe the drug must be issued as an electronic prescription from the person issuing the prescription to a pharmacy. (E) Accept responsibility for judgments, individual nursing actions, competence, decisions and behavior; (F) Maintain continued competence through ongoing learning and application of knowledge to nursing practice; (G) Report unfit or incompetent nursing practice to recognized legal authorities; Rules and Regulations of Registered Nurses. endstream endobj startxref So, the challenge is the State of Tennessee is one of 11 states with the highest level of restrictions placed on advanced practice registered nurses. T.C.A. official report and a license to practice nursing in Tennessee . Tennessee Administrative Code. 4-5-202, 45-204, 63- 7-105, 63- 7-106, and 63- 7-207.- . Scope of practice varies by state. Title 1000 - Nursing. For all other purposes, this bill will take effect January 1, 2017. For the purpose of rule promulgation, this bill will take effect upon becoming a law. Substance Use Disorder Educational Materials, Scope of Practice Decision-Making Framework. The Increased Access to Care legislation through Full Practice Authority for APRNs would also yield major economic benefits and employment opportunities. The transfer to a competent individual of the authority to perform a selected nursing activity in a selected situation, with the nurse retaining accountability for the outcome. Safe, competent nursing practice is grounded in the law as written in the state nurse practice act (NPA) and the state rules/regulations. endobj 1000-02. Study with Quizlet additionally erinnern flashcards includes terms like the act of delegation includes passing responsibility not reporting (T/F), when the RN assigns tasks to in unlicensed staff member, this following is true:, supervision includes any of the following: plus other. Nursing delegation is governed by the nurse practice act and rules and regulations of the state board of nursing." (Schwab, 2001). Exceeds $1,354,600/FY17-18 and Subsequent By definition, a controlled act can cause harm if it is performed by an individual who is not competent. This means that every day access to care and options for care are becoming a greater challenge to Tennesseans across the state. There is no fee for this application. This bill defines "delegation process" as the registered nurse completing a nursing assessment of the patient's healthcare needs, evaluating the ability of the unlicensed person to perform the health maintenance task, teaching the health maintenance task to the unlicensed person, ensuring supervision of the unlicensed person, and re-evaluating the health maintenance task performed by the unlicensed person at regular intervals. So, the challenge is the State of Tennessee is one of 11 states with the highest level of restrictions placed on advanced practice registered nurses. that prepares nurses for advanced practice roles and has been certified by the Board of Nursing to engage in the practice of advanced practice nursing. American Nurses Association8515 Georgia Avenue, Suite 400Silver Spring, MD 20910-3492 1-800-274-4ANA www.Nursingworld.org Published by: www.Nursesbooks.org 2012 American Nurses Association. Years. Tina Gerardi is executive director of the Tennessee Nurses Association. The Tennessee Nurses Association will be introducing state legislation to update the Nurse Practice Act to give nurses the ability to provide direct patient care without the need for costly oversight of their practice by a physician. This bill authorizes a registered nurse who is licensed in this state to delegate, contingent upon the registered nurse adhering to a delegation process, health maintenance tasks required by a patient receiving long-term services and support (LTSS) to an unlicensed person paid to provide services under a home and community-based services program in this state. Both have the force of law and may be used in the regulation of a profession. hb```, cbXBC SwP(8'dxY:V)u(R0|Er>Xl`]|9\~7 2~zjqEGU;L[Y oos] 7^lQJp0RfR4PJp9(2JQdB0KLfVmZjd7^pU?S%/dE^)Q@Dn'53,) aY)0p4p000vt0() c D 4 Ph`Rh`h`6 L 2 l( D3 With our states hospitals and health systems already stressed by the unprecedented number of COVID-related hospitalizations, it is vital that Tennessees advanced practice registered nurses (APRNs) be able to use the full extent of their education and training to provide direct treatment to patients and bring Tennessees infection rate down to a manageable level. endstream endobj 1737 0 obj <. Terms in this set (19) Tennessee Nurse Practice Act. 0 1650 0 obj <>/Filter/FlateDecode/ID[<7C479A248FCA2544A8B1690D5F6D8E80><5A919E3874B56B4DAB25C70888B98F67>]/Index[1637 24]/Info 1636 0 R/Length 72/Prev 106650/Root 1638 0 R/Size 1661/Type/XRef/W[1 2 1]>>stream There shall be four categories of advanced practice nurses: CRNP, CNM, CRNA, and CNS. Our state law requires career-long oversight . APRNs can also provide care in urban areas of the state designated as practitioner shortage areas. (This link will take you to a website that is not maintained by the Tennessee Department of Health). endobj All rights reserved. For example, a nurse educator with the appropriate knowledge, skill, and judgement may teach a group of nurses how to adjust a pacemaker. The arrangement means that advanced practice registered nurses have to pay thousands of dollars monthly to have their patient care validated by doctors. Please see NASN's Health and Practice topic page on delegation and our S081 - Principles for Practice: Nursing Delegation to Unlicensed Assistive Personnel in the School Setting 2nd Edition resource. On behalf of Tennessees nurses, who are undeniably our strongest resource in the fight against this pandemic, I urge you to contact your state legislators and ask them to support the Tennessee Nurses Associations update to the Nurse Practice Act. 63-18 (Massage). To help you navigate through delegation dilemmas with confidence, we've created a decision tree to guide you through the process of deciding whether to assign a task to UAP. Regulating nursing in the public interest. requirements for documenting the delegation. 63-1 (Division of Health Related Boards . Nurses can only delegate controlled acts that they are trained or competent to perform. Since the pandemic began almost one year ago, Tennessee nurses have been battling more than 700,000 cases across the state. hb``` ,aB 0m S0+uoDes?y11V: %%pB0 , ``( Pd`=$:62[V0*10:ieF@Z!+s!u Ra>O Licensing A.R.S. The goal was the development of national guidelines to facilitate and standardize the nursing delegation process. Additionally, these guidelines are meant to address delegation with respect to the various levels of nursing licensure (i.e., APRN, RN, and LPN/VN, where the state NPA allows). These challenges arent just with closing hospitals, but physician supply and capacity to meet the needs of an aging population. Luckily for Tennesseans, there is an achievable solution in the immediate term and the only thing that stands in its way is outdated, unnecessary, costly regulation. Ultimately, this is anti-choice and anti-free market for the patients of Tennessee. In this instance, the nurse is delegating the controlled act of performing a procedure below the dermis., Also, a nurse may accept the authority to defibrillate through delegation from a physician. endstream endobj startxref 1757 0 obj <>stream Guidelines for Delegation Employer/Nurse Leader Responsibilities 1. . If a nurse receives an order for a controlled act procedure that they already have authority to perform through theNursing Act, 1991(for example, the administration of a substance by injection), the nurse does not need delegation. The problem is, however, Tennessee state laws do not permit them to do so except with physician oversight. A health care prescriber that is unable to comply with the electronic prescription requirement for a Schedule II, III, IV or V prior to January 1, 2021, may apply for a waiver from the requirement based on economic hardship or technological limitations that are not reasonably within the control of the health care prescriber or other exceptional circumstance demonstrated by the health care prescriber. 63-1-160 requires that on or after January 1, 2021, any prescription for a Schedule II, III, IV or V controlled substance issued by a prescriber who is authorized by law to prescribe the drug must be issued as an electronic prescription from the person issuing the prescription to a pharmacy. Delegation and orders are two different authorities. Tennessee as a student, even though his educational program here involves nursing practice; however, such a person may not be employed in professional nursing in The RN takes into account the knowledge and skills of any individual to whom the RN may delegate elements of care. I8 UAxK.p-@D7wr~ y0|}jU^cA4#-F@!8"8V9%_3 The regulation also prohibits delegating certain controlled acts (for example, NPs cannot delegate setting a fracture). practice for more than the past 5 years must complete 45 hours of pharmacotherapeutics CE within 1 year prior to application in addition to the advanced practice nursing refresher program. Exceeds $2,513,800/FY17-18 and Subsequent There is no fee for this application. (3) The Nurse Practice Act, T.C.A. The delegation process is multifaceted. Nurses had no formal training, and anyone could claim. TN S 671 : Medical Occupations - Makes various changes to laws regulating physician assistants. If there is only one licensed nurse within the practice setting, that licensed nurse must be responsible for oversight of delegated responsibilities for the facility. If the nurse receives an order for a controlled act procedure for which they are not authorized to perform (for example, managing a labour or conducting the delivery of a baby), then the nurse needs delegation from an authorized individual, such as a physician, as well as an order for the procedure. National Council of State Boards of Nursing, Inc. All Rights Reserved. 1000-04. Authority: T.C.A. 637-101, et seq., requires a certification process for a - nurse practitioner to prescribe and/or issue legend . As the rule title indicates, Rule 224 Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel for Clients with Acute Conditions or in Acute Care . The higher your degree, the higher the law will hold you to a standard when delegating. (See Delegation Model below.) Nursing Delegation in the School Setting This NASN Position Statement was retired in January 2022. It is crucial to understand that states/jurisdictions have different laws and rules/regulations about delegation, and it is the responsibility of all licensed nurses to know what is permitted in their state NPA, rules/regulations, and policies. The Tennessee Nurses Association intends to fight for this right. Tennessee maintains the second highest rate, Tennessee General Assemblys Rural Caucus, Your California Privacy Rights/Privacy Policy. hbbd``b`z $WW D j D8 $n301}!` p The RN delegation rules have been revised on several occasions with the most recent revisions in effect on February 19, 2015. As one of 11 states with the highest level of restrictions for APRNs, Tennessee has subjected our states healthcare professionals to antiquated laws that place an administrative and financial hold through a collaborative practice agreement. 4 0 obj Safely implement the plan of care/action either directly or by delegation. prescribing, dispensing, selling or compounding medication, ordering the application of a form of energy, treating by means of psychotherapy technique. - Amends TCA Title 63 and Title 71. Leading in regulatory excellence. Statutes are proposed and made law by the Tennessee State General Assembly (Legislature). Our state, our citizens, and your health cant afford to wait any longer to improve access to care. endobj 32-1636 (2003) Only a person who holds a valid and current license to practice professional nursing in this state or in a party state pursuant to section 32-1668 may use the title "nurse", "registered nurse, "graduate nurse", or "professional nurse" or the abbreviation "RN". Our state and its patients can no longer afford to sit back and wait for a solution. by Shelley Cohen, BS, RN, CEN COPYRIGHT 2009 Tennessee Nurses Association Health care prescribers will be notified via the email address provided by the health care prescriber of the Commissioners approval or denial of the waiver request. Tennessee Board of Nursing. The Board, following specific notice requirements and hearings, adopts rules. One of the requirements is being satisfied that the delegatee has the knowledge, skill and judgment. Practice - Delegation Resource Packet. APRNs are highly trained registered nurses who have completed either a masters or doctoral degree program and received credentials from national boards including the American Nurses Credentialing Center (ANCC) and the American Association of Nurse Practitioners (AANP). Delegation In early 2015, NCSBN convened two panels of experts representing education, research, and practice to discuss the delegation literature and key issues, and evaluate findings from delegation research funded through NCSBN's Center for Regulatory Excellence Grant Program. TN H 1080 : Physician Assistants Act - Relates to medical professionals, relates to the Physician Assistants Act,.