This section provides Frequently Asked Questions (FAQ) pertaining to practice. Members may also contact the Texas Board of Nursing for legislative and regulatory questions. Information provided by TxANA should not be construed as legal advice.
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CMS does allow teaching CRNAs to be reimbursed for concurrently supervising two cases each involving a student nurse anesthetist. The CRNA must consider the abilities of each student as well as the complexity of each of the two cases. CMS allows teaching CRNAs to be reimbursed for the…
The CRNA in the room should only be engaged in the anesthesia related care of the patient to whom they are providing anesthesia services. The AANA position statement entitled The Role of the CRNA on the Procedure Team discusses: Patient safety may be compromised when the CRNA is asked to…
A dentist may order anesthesia in a licensed hospital or ambulatory surgery center provided the dentist possesses the appropriate level of anesthesia permit for the type of anesthesia service being ordered. If the dentist does not possess the appropriate level of permit, the order for anesthesia…
A CRNA in Texas is not required to have prescriptive authority to order medications in the perioperative period. In Texas, a CRNA is required to have an order for anesthesia or anesthesia related services from a physician. The physician’s order delegates the ordering of drugs and devices…
There is no Texas state law or Texas Board of Nursing regulation requiring physician co-signature of a Certified Registered Nurse Anesthetist’s (CRNA) anesthesia record or preanesthesia assessment. Whether a CRNA is practicing in a collaborative model with an anesthesiologist or…
There is no requirement in Texas state law or by the Texas Board of Nursing (BON) for a physician co-signature for orders written by a Certified Registered Nurse Anesthetist (CRNA) in the perioperative period. Board Rule 221.15(a) establishes the legal basis for the ordering of drugs and…
The Advanced Practice Registered Nurse's (APRN) scope of practice is addressed in Board Rule 221.12. The rule states the APRN’s scope of practice is based upon educational preparation, continued advanced practice experience, and the accepted scope of professional practice of the particular…
If a CRNA provides anesthesia services upon request from a podiatrist, it is important understand that podiatrists in Texas are not licensed to provide general anesthesia. Although podiatrists have prescriptive authority, they do not have the authority to delegate the ordering of drugs and devices…
There is no requirement in Texas state law or by the Texas Board of Nursing (BON) for a physician co-signature for orders written by a Certified Registered Nurse Anesthetist (CRNA) in the perioperative period. Board Rule 221.15(a) establishes the legal basis for the ordering of drugs and…
In order to be recertified, CRNAs must obtain a minimum of 40 hours of approved continuing education every two years, document substantial anesthesia practice, maintain current state licensure, and certify that they have not developed any conditions that could adversely affect their ability to…
There are no Texas state laws or regulations requiring physician supervision of CRNA practice. Related information provided below: BON States That CRNA Supervision is Not Required December 12, 1995 In 1995, the BON issued a letter clarifying physician supervision over CRNAs. This…
