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Is a physician co-signature required for orders written in the perioperative period?

There is no requirement in Texas state law or by the BON for a physician co-signature on orders written by a CRNA in the perioperative period.  Board Rule 221.15(a) establishes the legal basis for the ordering of drugs and devices by a CRNA in a licensed hospital or ambulatory surgical center.  Board Rule 221.16(b)(3) establishes the legal basis for the ordering of drugs and devices by a CRNA in an outpatient setting.