69th OREGON LEGISLATIVE ASSEMBLY--1997 Regular Session
Enrolled
Senate Bill 412
Sponsored by Senator BAKER; Senators BROWN, FISHER, SHANNON,
WILDE, Representatives CARTER, JONES, MONTGOMERY
CHAPTER ................
AN ACT
Relating to nurse anesthetists.
Be It Enacted by the People of the State of Oregon:
SECTION 1. { + As used in sections 1 to 5 of this Act:
(1) 'Anesthesiologist' means a physician who has completed a
residency program in anesthesiology that meets or exceeds the
standards adopted by the Board of Medical Examiners.
(2) 'Certified registered nurse anesthetist' means a registered
nurse licensed by the Oregon State Board of Nursing as a
certified registered nurse anesthetist.
(3) 'Medical collaboration' means approval of the anesthesia
plan by an anesthesiologist and an anesthesiologist being readily
available during the administration of anesthetic agents until
the patient's post-anesthesia condition is satisfactory and
stable.
(4) 'Physician' means a doctor of medicine or osteopathy
licensed in Oregon under ORS chapter 677.
(5) 'Procedure' means surgery, labor and delivery or other
medical services in a hospital or ambulatory surgical center, as
defined in ORS 442.015, rendered by a physician or other health
care provider qualified by appropriate state license and hospital
or center privileges or hospital or center written authorization
to render such services. + }
SECTION 2. { + (1) Except as provided in subsection (2) of
this section, anesthesia care in an ambulatory surgical center
shall be delivered by an anesthesiologist or by a certified
registered nurse anesthetist acting with the medical
collaboration of an anesthesiologist.
(2) When no anesthesiologist is readily available for medical
collaboration on anesthesia services for a procedure performed in
an ambulatory surgical center, a certified registered nurse
anesthetist may deliver the following services without medical
collaboration:
(a) Assessment of the health status of the patient as that
status relates to the relative risks associated with anesthetic
management of the patient;
(b) Determination and administration of an appropriate
anesthesia plan, including but not limited to selection, ordering
and administration of anesthetic agents, airway management and
monitoring and recording of vital signs, life support functions,
mechanical support use, fluid management and electrolyte and
blood component balance;
Enrolled Senate Bill 412 (SB 412-A) Page 1
(c) Action necessary to counteract problems that may develop
during implementation of the anesthesia plan; and
(d) Necessary or routine post-anesthesia care.
(3) When no anesthesiologist is readily available for medical
collaboration on anesthesia services in an ambulatory surgical
center, a certified registered nurse anesthetist shall review the
patient's pertinent medical records, including the medical
evaluation of the patient, prior to determining an appropriate
anesthesia plan.
(4) This section does not prohibit any other licensed health
care professional from rendering or supervising anesthesia
services if such services are within the scope of the
professional's license. + }
SECTION 3. { + Ambulatory surgical center bylaws, rules and
regulations may establish requirements for ready availability of
an anesthesiologist for medical collaboration consistent with
section 2 of this Act and provide for credentialing, supervision,
monitoring, education and professional liability insurance for a
certified registered nurse anesthetist consistent with section 2
of this Act and the scope of practice established by the Oregon
State Board of Nursing pursuant to section 5 of this Act. + }
SECTION 4. { + (1) A certified registered nurse anesthetist
may deliver the following services without medical collaboration
in connection with a procedure performed in a hospital:
(a) Assessment of the health status of the patient as that
status relates to the relative risks associated with anesthetic
management of the patient;
(b) Determination and administration of an appropriate
anesthesia plan, including but not limited to selection, ordering
and administration of anesthetic agents, airway management and
monitoring and recording of vital signs, life support functions,
mechanical support use, fluid management and electrolyte and
blood component balance;
(c) Action necessary to counteract problems that may develop
during implementation of the anesthesia plan; and
(d) Necessary or routine post-anesthesia care.
(2) Consistent with the provisions of this Act and the scope of
practice established by the Oregon State Board of Nursing
pursuant to section 5 of this Act, hospital rules and regulations
and medical staff bylaws may define whether the delivery of
anesthesia services in connection with a procedure in a hospital
by a certified registered nurse anesthetist shall be:
(a) Deemed practice by an independent health care provider;
(b) Subject to a requirement of supervision or medical
collaboration by an anesthesiologist; or
(c) Subject to any other requirement that may be applied with
due regard for patient health and safety. + }
SECTION 5. { + Consistent with the provisions of this Act, the
Oregon State Board of Nursing shall adopt rules necessary to
establish:
(1) The scope of practice of a certified registered nurse
anesthetist;
(2) Procedures for issuing certification of special competency
for a certified registered nurse anesthetist;
(3) Educational and competency requirements required for
certification; and
(4) Procedures for the maintenance of certification as a
certified registered nurse anesthetist, including but not limited
to fees necessary for original or renewal certification. + }
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Enrolled Senate Bill 412 (SB 412-A) Page 2
Passed by Senate May 12, 1997
...........................................................
Secretary of Senate
...........................................................
President of Senate
Passed by House June 16, 1997
...........................................................
Speaker of House
Enrolled Senate Bill 412 (SB 412-A) Page 3
Received by Governor:
......M.,............., 1997
Approved:
......M.,............., 1997
...........................................................
Governor
Filed in Office of Secretary of State:
......M.,............., 1997
...........................................................
Secretary of State
Enrolled Senate Bill 412 (SB 412-A) Page 4