We wanted to make you aware of a continuing education opportunity offered by the Tennessee Department of Health that will satisfy the state licensure requirements for controlled substance credits.

The following courses are being offered for 2025:

  1. Preventing Opioid Deaths & Overdoses - 3.5 Class A Credits | 3.5 Pharmacology Credits
  2. Opioid Misuse in Adolescents - 2 Class A Credits | 2 Pharmacology Credits
  3. Opioid Misuse in Geriatrics - 2 Class A Credits | 2 Pharmacology Credits

These courses are being offered as a novel spaced learning activity that will deliver one quiz question to your mobile device or laptop each weekday over a period of 10 – 20 weekdays.  This has been shown to be a highly effective way of learning. Upon completion of the course with a passing rate of 80%. Last date of enrollment for each course is Friday, December 1, 2025.

You can only complete each course ONE TIME during the 2025 calendar!

Please refer below for details on access to this opportunity provided by Vanderbilt University Medical Center.

Welcome to the 2025 Course Schedule!

Create a CloudCME Account

For VUMC learners that do not have a Cloud-CME account, please follow the instructions below:
  1. Go to https://vumc.cloud-cme.com
  2. Select Sign In on the left side of the blue ribbon at the top of the screen.
  3. Select VUMC Faculty and Staff.
  4. Sign in with your VUMC ID and password.
  5. Click on the MyCE tab on the right side of the blue ribbon at the top of the screen.
  6. Click on the profile box and complete all required fields (make sure to enter your mobile number to be able to text in for attendance).
    1. For “Degree” you must select “CRNA” for reporting requirements
  7. Click submit at the bottom of the page to save.
  8. Pair your mobile device to your Cloud-CME account that you just created.
  9. Do this by texting the email address you entered in your Cloud-CME profile to 1-855-776-6263.
  10. You will receive a text message that states your phone number has been updated. This is a one-time operation.

For Non-VUMC learners that do not have a Cloud-CME account, please follow the instructions below:

    1. Go to https://vumc.cloud-cme.com
    2. Select Sign In from the upper left corner of the blue ribbon.
    3. Select Non-Vanderbilt University Medical Center.
    4. Select Don't have an account at the bottom left side of the screen.
    5. Fill out the required fields and select Create Account at the bottom of the screen.
    6. Select OK when the window with your email address pops up.
    7. Select Sign In from the upper left corner of the blue ribbon.
    8. Select Non-Vanderbilt University Medical Center.
    9. Sign in with the credentials you created in the above steps.
    10. Click on the MyCE tab on the right side of the blue ribbon.
    11. Click on the profile box and complete all required fields (make sure to enter your mobile number in order to be able to text in for attendance).
        1. For “Degree” you must select “CRNA” for reporting requirements
    12. Click submit at the bottom of the page to save.
    13. Pair your mobile device to your Cloud-CME account that you just created.
    14. Do this by texting the email address you entered in your Cloud-CME profile to 1-855-776-6263.
    15. You will receive a text message that states your phone number has been updated. This is a one-time operation.

Steps for Enrollment

  • Enroll and complete the course of your choice at https://preventopioiddeaths.org/.
  • System enrollment in the course happens either on Friday afternoon or Sunday evening.
  • Receive a Welcome to QuizTime email message. The learner will receive this message only if they have never taken a QuizTime Course before. If this scenario applies, the email will come from [email protected].
  • Receive an email message letting the learner know that they’ve been enrolled. This message will come from [email protected].
  • Receive an additional email with the Start of Course Announcement.

Nurse Anesthetists CE Credit - must be completed to receive AANA credit

Upon completion of this course powered by QuizTime, you will receive a numeric text code to record your attendance, instructions for completing an evaluation, and a REDCap link to complete the evaluation:

***Course Reminder: This QuizTime activity has been approved for up to 2-4 CE credits by the AANA for a correct score of 80% or more. Each question has two attempts, and you have 24 hours to answer the question. Any questions that were not attempted and/or inadvertently missed will be re-sent at the end of the quiz with a final 24-hour window to complete all questions not attempted during the course of the module.

This course required you to meet certain criteria to earn credit for the course. Please ensure that you have met the course credit requirements before claiming credit or your credit WILL be revoked. To determine if you've earned credit in your course, you may look in the "My Activity" section of QuizTime. There you will find a list of all courses in which you've enrolled as well as the number of credits you've earned.

  1. Ensure that you have a Cloud-CME account with your mobile phone number. Note that this step is NOT required if you already have an account at https://vumc.cloud-cme.com that includes your mobile phone number. If you have previously obtained credit under your mobile phone number for another QuizTime course, then you may skip this step.
  2. Text the following codes to 855-776-6263 within 14 days - this registers your attendance to the course:
    • Preventing Opioid Deaths & Overdoses: 103943
    • Opioid Misuse in Adolescents: 103944
    • Opioid Misuse in Geriatrics: 104129
  3. Complete the corresponding evaluation for the course you completed to receive Class A credit:

Once the above steps have been completed, you will receive an emailed Certificate of Completion pdf file that you will need to retain. This document will be utilized to provide proof to the Tennessee Board of Nursing if audited. You will also be able to see the course on your Cloud-CME transcript and can also download a certificate from https://vumc.cloud-cme.com for proof of completion – if passing with 80%.

You MUST complete the evaluation to receive AANA Class A credit for the modules. Once the evaluation is completed, it will be reported to the AANA for you – DO NOT ATTEMPT TO REPORT YOUR CREDITS TO THE AANA – it will be rejected. The credits will be posted to AANA the following month from when you complete the post module evaluation (ie if complete course and evaluation in February – credits will be posted to AANA in March). These evaluations are a requirement of the AANA to receive Class A credit.

*These courses satisfy the 2-year requirement by the Tennessee Board of Nursing and will need to be repeated every 2 years. The recommendation is to complete this prior to your RN and APRN license renewal period.

Course Information

  • For QuizTime support, please contact the Center for Advanced Mobile Healthcare Learning (CAMHL) at [email protected].
  • Course Director: Tyler Barrett, MD, MSCI, FACEP, FHRS;
  • Content Expert: Tyler Barrett, MD, MSCI, FACEP, FHRS;
  • Course Item Writers: Tyler Barrett, MD, MSCI, FACEP, FHRS and Brian F. Allen, MD
  • Course Reviewers: Lori Deitte, MD; Chase J. Webber DO
  • CME Activity Director: Chase J. Webber DO
  • CME/CE Associate; CME Activity Coordinator: Joseph Clemente, PMP, MBA
  • ANCC Provider Unit Nurse Planner: Jillian Russell, MSN, RN
  • Quiz Coordinator: Matt Fosnot, DNAP, CRNA

Faculty, course directors, course item writers, course reviewers, CME Activity Director, and CMA Activity Coordinator indicated they have no financial relationships related to the content of these activities to disclose.

Click here for other opportunities in Tennessee to virtually receive your two hours on Controlled Substance Prescribing

State Requirements for Certificates of Fitness

Many TANA members hold a Certificate of Fitness for Prescriptive Authority, so it is important for you to review the following information!  Link here for a helpful guide for requirements for those CRNAs with a CF, and those without. 

The Board of Nursing Rule for Renewing an APRN Certificate of Fitness

Board of Nursing Rule 1000-04-.05 - To renew a Certificate of Fitness, APRNs must successfully complete a minimum of two (2) contact hours of continuing education to address controlled substance prescribing practices.The continuing education must include instruction in the Tennessee Department of Health's treatment guidelines on opioids, benzodiazepines, barbiturates, and carisoprodol, and may include such other topics as medicine addiction and risk management tools.

Certificate of Fitness & APRN Prescriptive Authority in Tennessee

CRNAs are not required to have prescriptive authority (TCA 63-6-123) to provide anesthesia services in Tennessee; however, CRNAs do meet the requirements for a Certificate of Fitness to Prescribe.

Board of Nursing Rules 1000-04-.04

  1. Click here for current Requirements for Certificate of Fitness (CF) to prescribe in Tennessee. 
  2. Those applicants intending to prescribe, issue or administer controlled substances shall also maintain their Drug Enforcement Administration Certificate (DEA) to prescribe controlled substances.
  3. Those applicants intending to prescribe must also maintain evidence of a copy of a Collaborative Request/APRN Supervisory Request (formerly Notice and Formulary).

Frequently Asked Questions the Board of Nursing Shared

Q. Where can I obtain the required two hours of continuing education?
A. See above the Symposia locations, and the link to the flyer provided by the Department of Health.

Q. I have completed my two hours of continuing education; do I send it to the Board of Nursing?
A. No, only upon request of the board.

Q. If I have a Certificate of Fitness (CoF), how often do I need to take this two-hour course?
A. Every two years.

Q. If I move to Tennessee from out of state, will I be given a Certificate of Fitness?
A. Per the Board of Nursing, the “COF is automatic with the APRN licensure”. There is not a separate application. Someone coming in from out of state would receive a COF as a part of their APRN license/certificate

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