Nevada Administrative Code › Chapter 632 - Nursing › CERTIFIED REGISTERED NURSE ANESTHETISTS › Section 632.500 - Authorized functions

Current through June 11, 2024
1. A certified
			 registered nurse anesthetist may, in addition to those functions authorized for
			 the registered nurse, perform the following acts, when it has been determined
			 by a patient's physician, dentist or podiatric physician that an anesthetic is
			 necessary for a procedure, test or other treatment, in accordance with the
			 applicable policies and procedures regarding the administration of anesthetics:
(a) Obtain a history of the patient's health,
			 as appropriate to the anticipated procedure, test or treatment;
(b) Assess the client's condition, as
			 appropriate to the anticipated procedure, test or treatment;
(c) Recommend, request and order pertinent
			 diagnostic studies and evaluate the results of those studies;
(d) Prepare a written preanesthetic
			 evaluation of the patient and obtain the patient's informed consent for the
			 anesthesia;
(e) Select and
			 administer preanesthetic medication;
(f) Prepare and use any equipment and
			 supplies necessary for the administration of anesthesia and perform or order
			 any necessary safety checks on the equipment;
(g) Prepare any drugs used for the
			 administration of anesthesia;
(h)
			 Select anesthesia techniques, agents and adjunctive drugs;
(i) Perform and manage general, regional and
			 local anesthesia and techniques of hypnosis;
(j) Perform tracheal intubation and
			 extubation and provide mechanical ventilation;
(k) Provide perianesthetic invasive and
			 noninvasive monitoring, as appropriate, and respond to any abnormal findings
			 with corrective action;
(l) Manage
			 the patient's fluid, blood and balance of electrolytes and acid base;
(m) Recognize abnormal response by a patient
			 during anesthesia, select and take corrective action;
(n) Identify and manage any related medical
			 emergency requiring such techniques as cardiopulmonary resuscitation, airway
			 maintenance, ventilation, tracheal intubation, pharmacological cardiovascular
			 support and fluid resuscitation;
(o) Evaluate the patient's response during
			 emergence from anesthesia and institute pharmacological or supportive treatment
			 to ensure adequate recovery from anesthesia;
(p) Provide care consistent with the
			 principles of infection control and anesthesia safety to prevent the spread of
			 disease and prevent harm to the anesthetized patient and others in the
			 anesthetizing environment;
(q)
			 Select and administer postanesthetic medication;
(r) Report to the person providing
			 postanesthetic care the patient's physical and psychological condition,
			 perioperative course and any anticipated problems;
(s) Initiate and administer respiratory
			 support to ensure adequate ventilation and oxygenation in the immediate
			 postanesthetic period;
(t) Release
			 the patient from the postanesthetic care unit or discharge the patient from the
			 ambulatory surgical setting;
(u)
			 Include in a timely manner as a part of the patient's medical records a
			 thorough report on all aspects of the patient's anesthesia care; and
(v) Assess the patient's postanesthetic
			 condition, evaluate the patient's response to anesthesia and take corrective
			 action.