Working as a CRNA in Tennessee

Tennessee continues to experience a growing demand for anesthesia providers across hospitals, ambulatory surgery centers, and pain management clinics. CRNAs in Tennessee may administer anesthesia without a collaborative practice agreement, but physician involvement remains required for anesthesia services in most settings. A collaborative agreement is only necessary if a CRNA prescribes medications. This regulatory structure still provides CRNAs with a considerable degree of clinical autonomy when compared to other states.

Tennessee offers a broad range of professional opportunities due to expanding healthcare networks such as Vanderbilt University Medical Center, Ascension Saint Thomas, and Methodist Le Bonheur Healthcare. Competitive salaries and career progression opportunities are widely available, especially in underserved and rural regions where CRNAs frequently serve as primary anesthesia providers.

Tennessee also provides a favorable cost of living and an appealing quality of life. Cities such as Nashville, Knoxville, and Chattanooga are known for strong medical communities and expanding healthcare systems, while more rural areas offer high professional demand and leadership opportunities. With a combination of practice autonomy, strong employment prospects, and career stability, Tennessee remains an attractive option for CRNAs.

Education and Certification

• Educational Requirement: CRNAs must complete a doctoral degree from an accredited nurse anesthesia program.
• Certification: Candidates must pass the National Certification Examination (NCE) administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) after graduation.

Licensure

• Tennessee License: CRNAs must hold a valid Tennessee Registered Nurse (RN) license and apply for certification through the Tennessee Board of Nursing.
• Renewal: The NBCRNA Recertification Process for All Practicing CRNAs .

Scope of Practice

• Autonomy: Tennessee does not allow CRNAs to practice independently. CRNAs must be supervised by a licensed physician.
• Prescriptive Authority: CRNAs may have the authority to prescribe medications related to anesthesia and patient care.

State Regulations

CRNAs should stay updated on changes in state laws and regulations affecting their practice. For the most current information, check out the Tennessee Association of Nurse Anesthetists: TANA and Tennessee Department of Health as well as other relevant professional organizations.