No. SB 462
Filed under Healthcare.
Autonomous Practice by a Certified Registered Nurse Anesthetist; Revising requirements for clinical privileges for certain certified registered nurse anesthetists; authorizing certain certified registered nurse anesthetists to perform specified acts under certain circumstances; authorizing certain autonomous advanced practice registered nurses to perform specified acts as part of their autonomous practice, etc.
Plain English Summary
AI-GENERATEDA certified registered nurse anesthetist who is also registered as an autonomous advanced practice nurse under existing law no longer needs a hospital's medical-staff-approved protocol to perform most anesthesia-related duties.
Facilities can still choose to require such a nurse anesthetist to follow an approved protocol anyway, and the statute that normally requires physician medical direction no longer applies to this group.
One specific act keeps a physician tied in: choosing the type of anesthesia to use still requires the consent of the responsible physician, even for a nurse anesthetist practicing without a protocol.
Regardless of protocol status, a nurse anesthetist practicing autonomously may only perform acts already authorized under the nurse practice act, and the new authority is added to the state's autonomous-practice framework.
AIA certified registered nurse anesthetist who is also registered as an autonomous advanced practice registered nurse may perform most anesthesia-related duties without an established protocol approved by the facility's medical staff.
AIThe hospital clinical-privileges statute's requirement of physician medical direction and an approved protocol no longer applies to an autonomous advanced practice registered nurse who is a certified registered nurse anesthetist.
AIEven for a nurse anesthetist practicing without a protocol, determining the appropriate type of anesthesia to use still requires the consent of the responsible physician under the amended statute's own wording.
AIThe law governing autonomous APRN practice now explicitly lists the anesthesia-related acts in s. 464.012(4)(b) as something a registered certified registered nurse anesthetist may perform as part of autonomous practice.
AIEven though the statutory protocol mandate no longer applies, a facility may still require a certified registered nurse anesthetist practicing under the autonomous track to follow a protocol approved by its medical staff or governing board.
AIA certified registered nurse anesthetist practicing under the autonomous track without a protocol may perform only acts already authorized under Part I of chapter 464, the nurse practice act, not any broader scope.