State statutory research on CRNA practice requirements for the administration of anesthesia

September 29, 2024 State statutory research on CRNA practice requirements for the administration of anesthesia Forty-three states do not require supervision in the scope of practice language (BON or nurse practice act)

This includes ten that have no CRNA practice qualifiers at all, seven say CRNAs should practice according to their national scope, and nineteen use consultation or collaboration. Seven state statues use the term direction.

• • CRNAs should practice according to their national scope (7): California, Colorado, Delaware, Iowa, Kentucky, Massachusetts, and North Dakota
  • No practice language at all in statutes (10): Alaska, Hawaii, Minnesota, Montana, New Hampshire, New York, Tennessee, Utah, Wisconsin, and Wyoming
  • Consultation or collaboration (19): Arkansas, Connecticut, District of Columbia, Idaho, Illinois, Kansas, Maryland, Michigan, Mississippi, Nebraska, New Mexico, North Carolina, Oklahoma, Oregon, Rhode Island, South Dakota, Texas, Vermont, and Washington
  • Direction: Alabama, Arizona, Georgia, Indiana, Nevada, New Jersey, Pennsylvania
  • Maine statutes say a CRNA is responsible to a physician except in rural areas.

Statement of Physician Liability Five states say either a physician is not liable for the acts of a CRNA or that CRNAs are liable for their own action. This includes Arizona, Arkansas, Delaware, Massachusetts, and Washington. Statement on Anesthesia Model Decision Left to the Facility Two states say facilities may choose the anesthesia service model best for them. This includes Michigan and Pennsylvania. Qualifiers for Independent Practice

• Ten states do not have any qualifiers for CRNA practice.
• Only two states have steps to independent practice: Michigan, Connecticut.

From the office of Derek Owens DrAP, CRNA Assistant Professor, Director of Curriculum, Nurse Anesthesiology Program Murphy Deming College of Health Sciences Mary Baldwin University (850) 384-3901 (c) [email protected]