This section provides Frequently Asked Questions (FAQ) pertaining to practice (topics are in alphabetical order). Information is current as of August 8, 2018. These materials are for informational purposes only and not for the purpose of providing legal advice. You should contact your attorney to obtain advice with respect to any particular issue or problem.
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Anesthesiologist Assistants (AA)
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Continuing Education (CE)
Effective January 1, 2014, APRN licensure renewals are subject to the new requirements from the BON.
While the continuing education requirements for NBCRNA certification exceed the 20 CEs required for APRN licensure in Texas, they do not meet the targeted CE required by the Texas Board of…
Board Rule 221.4 requires national certification for all applicants who have completed their education unless the applicant receives a waiver under Rule 221.7(c). Currently, the only National Certification Exam that is recognized by the Board for CRNAs is the NBCRNA. While some states…
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As with any other treatment, the role and scope of practice of a CRNA depends largely on their competencies. Every CRNA also has a duty to provide safe care to their patients. Under certain circumstances, and pursuant to a delegating provider's order, ketamine infusion therapy can be…
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There are currently no additional requirements for mobile anesthesia providers. However, depending on the practice locations and the type of authority you would prefer, your registration requirements could vary.
For example, if you need to write prescriptions, you will need to obtain a Prescriptive…
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In outpatient anesthesia settings, the drugs administered and devices applied by a CRNA who provides anesthesia or anesthesia-related services are supplied by the practice setting. Therefore, they are ordered for use in that setting by the surgeon. Just as in the hospital or ambulatory surgery…
CRNAs are not required to have prescriptive authority to practice in outpatient settings (e.g., physician’s office) as defined by Board Rule 221.16 for CRNAs and TAC§192.2(e) and (f) for physicians. This issue was reaffirmed following the passage of SB406 in the…
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Beginning March 1, 2020, APRNs with prescriptive authority will be required to check a patient’s PMP history before dispensing or prescribing opioids, benzodiazepines, barbiturates, or carisoprodol. In other words, CRNAs who prescribe pursuant to a Prescriptive Authority Agreement will be…
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…
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If a CRNA provides anesthesia services upon request from a podiatrist, it is important to 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…
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Scope of Practice
The APRN's 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 specialty area. …
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Standard of Care
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There are no Texas state laws or regulations requiring physician supervision of CRNA practice, including CRNA practice in an office based setting. A CRNA may legally practice in an office-based setting provided they are in compliance with BON Rule 221.16.
A Texas CRNA may practice independent of an anesthesiologist. There are no Texas state laws or regulations requiring physician supervision of CRNA practice, including CRNA practice in an office based setting. A CRNA may not order the drugs and devices necessary for the administration of an…
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For questions about matters dealing with federal law or regulations, the American Association of Nurse Anesthetists (AANA) is the best point of contact. Contact information is available here: Contact Us Portal.
The Texas Board of Nursing (BON) is the best contact for questions that relate specifically to specific inquiry facts and circumstances. As TxANA is unable to provide legal advice, we can tell you the law, but not how it applies to specific circumstances. The BON is able to address these types of…
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