New rule is coming on supervision of CRNAs
The rule developed by the Clinton administration eliminating the requirement for physician supervision of certified registered nurse anesthetists (CRNAs) has been rejected by the Bush administration, which is going to issue a new rule by the end of the year, according to national anesthesia groups. The new rule will keep the previous requirement for physician supervision, but it will allow state governors to dismiss the requirement under the following conditions:
• The state boards of medicine and nursing are consulted.
• The state law permits CRNAs to work without physician supervision.
• The governor demonstrates that it is in the best interests of the citizens of the state that the CRNAs work without physician supervision.
In addition, the new rule calls for the Department of Health and Human Services to conduct a study of patient outcomes based on different states’ practices involving supervision of nurse anesthetists.
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