SB 910 - This act provides that certified registered nurse anesthetists ("CRNA") may select, issue orders for, and administer certain controlled substances to a patient for and during the course of providing anesthesia care for a surgical, obstetrical, therapeutic, or diagnostic procedure or treatment, but this act does not authorize the CRNA to prescribe such controlled substances and collaborative practice arrangements shall not delegate the authority to prescribe such controlled substances for the purpose of inducing sedation or general anesthesia. Additionally, a CRNA shall not be required to enter into a collaborative practice arrangement for the provision of anesthesia care, provide anesthesia service under the supervision of a physician, dentist, or podiatrist, or obtain a certificate of controlled substance prescriptive authority from the Missouri State Board of Nursing.
CRNAs shall have the authority, in addition to the other functions and duties of a CRNA, to:
(1) Provide pre- and post-anesthesia care assessment;
(2) Develop a plan of anesthesia care for the procedure or treatment;
(3) Initiate and perform patient-specific anesthesia in accordance with the plan;
(4) Cooperate with the physician, dentist, or podiatrist for the provision of patient care;
(5) Order necessary tests and interpret diagnostic procedures during the period of anesthesia care; and
(6) Select, issue orders for and administer certain controlled substances during the period of anesthesia care or cause the same to be administered or dispensed during the period of care by a licensed professional or practical nurse.
Furthermore, nothing in this act shall be construed to exempt a CRNA from complying with a health care facility's policies, protocols, standing orders, or staff bylaws for the provision of anesthesia care. Nor shall this act be construed as a designation of the entirety of a CRNA's scope of practice nor as any limitation on a CRNA to function and clinically perform all such health care services that are within the scope of practice and consistent with the CRNA's licensure, education, training, knowledge, skill, and competence.
Finally, this act provides that a CRNA may provide infusion therapy and chronic pain management treatment, as defined in the act, if the CRNA enters into a collaborative practice arrangement with a physician for the delivery of such therapy or treatment or provides such services under the supervision of a physician.
This act is substantially similar to HB 1561 (2024) and is similar to HB 1881 (2024) and SB 27 (2023).
KATIE O'BRIEN