Relates to profession of nurse anesthetist; defines "certified registered nurse anesthetist"; requires the department of education to certify such nurses.
TITLE OF BILL: An act to amend the education law, in relation to the practice of registered professional nursing by a certified registered nurse anesthetist
PURPOSE OR GENERAL IDEA OF BILL:
To grant limited prescriptive authority to certified registered nurse anesthetists
SUMMARY OF SPECIFIC PROVISIONS:
The bill amends section 6902 of the education law to provide that the practice of registered professional nursing by a certified registered nurse anesthetist may include the ability to prescribe during the peri-anesthetic period. The certified registered nurse anesthetist must complete a program approved by the Department of Education and obtain a certificate.
The term "certified registered nurse anesthetists" is defined as a registered professional nurse licensed in this state who has satisfactorily completed educational preparation for the provision of anesthesia services in a program accredited by a national accrediting body recognized by the Department of Education or determined to be the equivalent and who submits evidence of certification or recertification to the Department.
Certified Registered Nurse Anesthetists (CRNAs) are Registered Professional Nurses, experienced in critical care nursing, who have completed a rigorous educational program at the graduate level that contains both clinical and didactic education. Upon successful completion of their educational program they must pass a national certification exam in order to obtain certification. CRNAs are required by this national certifying body to complete continuing educational requirements and recertify every two years in order to maintain this national certification.
CRNAs provide safe and cost-effective anesthesia services to all types of patients, for all types of procedures in all settings. To effectively deliver these services, the proper functions of a nurse anesthetist often include ordering and administering anesthetic drugs, laboratory tests, medical consultations, related supportive measures, or devices.
Although CRNAs do not issue written prescriptions to their patients, some regulators have characterized the aforementioned functions as "prescribing" under current law.
This bill recognizes the current and normal practice of CRNAs including their necessary interaction with controlled substances such as anesthetic drugs and supporting measures, devices and agents. In the instance of anesthesia, it is the physician who prescribes by his or her determination to provide anesthesia and normally, the nurse anesthetist is then allowed to determine specifics without the need to
obtain further written prescription. Yet, in New York State, the CRNAs absence of prescriptive privileges can impede their ability to carry out a plan of care. This bill seeks to address this by providing that a certified registered nurse anesthetist may include the ability to prescribe during the perinesthetic period.
PRIOR LEGISLATIVE HISTORY:
2011-2012: A.8225 referred to Higher Education committee 2013 - 2014 S.5095 (LATIMER) REFERRED TO HIGHER EDUCATION 2013 - 2014 A.4383 (Gottfried) referred to higher education
LOCAL FISCAL IMPLICATIONS:
STATE OF NEW YORK ________________________________________________________________________ 2598 2015-2016 Regular Sessions IN SENATE January 26, 2015 ___________Introduced by Sen. LATIMER -- read twice and ordered printed, and when printed to be committed to the Committee on Higher Education AN ACT to amend the education law, in relation to the practice of regis- tered professional nursing by a certified registered nurse anesthetist THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 6902 of the education law is amended by adding a new subdivision 4 to read as follows: 4. (A) THE PRACTICE OF REGISTERED PROFESSIONAL NURSING BY A CERTIFIED REGISTERED NURSE ANESTHETIST MAY INCLUDE THE ABILITY TO PRESCRIBE DURING THE PERI-ANESTHETIC PERIOD. THE CERTIFIED REGISTERED NURSE ANESTHETIST SHALL OBTAIN A CERTIFICATE FROM THE DEPARTMENT UPON SUCCESSFULLY COMPLETING A PROGRAM INCLUDING AN APPROPRIATE PHARMACOLOGY COMPONENT, OR ITS EQUIVALENT, AS ESTABLISHED BY THE COMMISSIONER'S REGULATIONS, PRIOR TO PRESCRIBING UNDER THIS SUBDIVISION. THE CERTIFICATE SHALL STATE WHETHER THE CERTIFIED REGISTERED NURSE ANESTHETIST HAS SUCCESSFULLY COMPLETED SUCH A PROGRAM OR EQUIVALENT AND IS AUTHORIZED TO PRESCRIBE UNDER THIS SUBDIVISION. (B) FOR PURPOSES OF THIS ARTICLE THE TERM "CERTIFIED REGISTERED NURSE ANESTHETIST" SHALL MEAN A REGISTERED PROFESSIONAL NURSE LICENSED IN THIS STATE: WHO HAS SATISFACTORILY COMPLETED EDUCATIONAL PREPARATION FOR THE PROVISION OF ANESTHESIA SERVICES IN A PROGRAM REGISTERED BY THE DEPART- MENT OR IN A PROGRAM ACCREDITED BY A NATIONAL BODY RECOGNIZED BY THE DEPARTMENT OR DETERMINED BY THE DEPARTMENT TO BE EQUIVALENT; AND WHO SUBMITS EVIDENCE IN A MANNER AND FORM PRESCRIBED BY THE DEPARTMENT OF CURRENT CERTIFICATION OR RECERTIFICATION BY A NATIONAL CERTIFYING BODY RECOGNIZED BY THE DEPARTMENT. S 2. This act shall take effect immediately.EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02788-01-5