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Office-Based Setting Questions

• How do I register to provide office-based anesthesia with the Board of Nursing?

  The outpatient anesthesia application is a separate application from the licensure renewal application, but it is also done through the Texas Nurse Portal. After logging in to their Nurse Portal account, scroll down to the box labeled "Other Applications." On the right side of the Other Applications…

• Is a nurse anesthetist required to have prescriptive authority and register that delegation with the Texas Medical Board?

  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…

• What are considerations related to purchasing, ordering, storing, and administering medications in an office based setting? Is prescriptive authority needed for a CRNA practicing in an office based setting? Is a prescriptive authority agreement (PAA) with the physician(s) with whom a CRNA practices required in an office based setting?

  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…

• Is a CRNA practicing in an office-based setting required to have prescriptive authority and a prescriptive authority agreement with a physician?

  Texas Board of Nursing Office Based Anesthesia FAQ related to passage of SB 406:  Is a nurse anesthetist required to have prescriptive authority and register that delegation with the Texas Medical Board? In outpatient anesthesia settings, the drugs administered and devices applied by a CRNA…