Illinois Administrative Code › Title 68 - PROFESSIONS AND OCCUPATIONS › Part 1300 - NURSE PRACTICE ACT › Subpart D - ADVANCED PRACTICE REGISTERED NURSE › Section 1300.450 - Delivery of Anesthesia Services by a Certified Registered Nurse Anesthetist Outside a Hospital or Ambulatory Surgical Treatment Center

Current through Register Vol. 48, No. 28, July 12, 2024
a) A certified
				registered nurse anesthetist (CRNA) who provides anesthesia services outside of
				a hospital or ambulatory surgical treatment center shall enter into a written
				collaborative agreement with an anesthesiologist or the physician licensed to
				practice medicine in all its branches or the podiatric physician performing the
				procedure. Outside of a hospital or ambulatory surgical treatment center, the
				CRNA may provide only those services that the collaborating podiatric physician
				is authorized to provide pursuant to the Podiatric Medical Practice Act of 1987
				and rules adopted under that Act. A certified registered nurse anesthetist may
				select, order, and administer medication, including controlled substances, and
				apply appropriate medical devices for delivery of anesthesia services under the
				anesthesia plan agreed with by the anesthesiologist or the operating physician
				or operating podiatric physician.
b) A certified registered nurse anesthetist
				may be delegated prescriptive authority under Section 65-40 of the Act in a
				written collaborative agreement meeting the requirements of Section 65-35 of
				the Act.
c) In a physician's
				office, the CRNA may only provide anesthesia services if the physician has
				training and experience in the delivery of anesthesia services to patients. The
				physician's training and experience shall meet the requirements set forth in 68
				Ill. Adm. Code
				1285.340.
d) In addition, in a physician's office, any
				CRNA and physician who enter into a collaborative agreement shall obtain and
				maintain current Advanced Cardiac Life Support (ACLS) certification.
e) A CRNA who provides anesthesia services in
				a dental office shall enter into a written collaborative agreement with an
				anesthesiologist or the physician licensed to practice medicine in all its
				branches or the operating dentist performing the procedure. The agreement shall
				describe the working relationship of the CRNA and dentist and shall authorize
				the categories of care, treatment or procedures to be performed by the CRNA. In
				a collaborating dentist's office, the CRNA may only provide those services that
				the operating dentist with the appropriate permit is authorized to provide
				pursuant to the Illinois Dental Practice Act and rules adopted under that Act.
				For anesthesia services, an anesthesiologist, physician or operating dentist
				shall participate through discussion of and agreement with the anesthesia plan
				and shall remain physically present and be available on the premises during the
				delivery of anesthesia services for diagnosis, consultation and treatment of
				emergency medical conditions. A CRNA may select, order and administer
				medication, including controlled substances, and apply appropriate medical
				devices for delivery of anesthesia services under the anesthesia plan agreed
				with by the operating dentist.
f)
				In a podiatric physician's office, the CRNA may only provide those services the
				podiatric physician is authorized to provide pursuant to the Podiatric Medical
				Practice Act of 1987 and 68 Ill. Adm. Code 1360. Podiatric physicians may not
				administer general anesthetics.
g)
				A CRNA providing anesthesia services in a physician, dental or podiatric
				physician office shall do so with the active participation, approval, presence
				and availability of the physician, dentist or podiatric physician as well as in
				accordance with Standards 1 through 11 of the "Standards for Office Based
				Anesthesia Practice", American Association of Nurse Anesthetists, 222 South
				Prospect Avenue, Park Ridge, Illinois 60068 (2005), which are hereby
				incorporated by reference, with no later editions or amendments. If there is a
				conflict between the Nurse Practice Act or this Part and those standards, the
				Act and this Part shall prevail.