Certified Registered Nurse Anesthetist State Scope of Practice Laws

Certified Registered Nurse Anesthetists (CRNAs) are advanced practice registered nurses who specialize in the administration of anesthesia. State statutes and regulations govern CRNA scope of practice, including the authority to provide anesthesia-related care independently, or with required involvement by another healthcare professional such as a physician, dentist, or anesthesiologist. These laws vary widely across jurisdictions and often depend on whether the CRNA is practicing in a hospital or in a free-standing ambulatory surgical center. Additionally, in some states, CRNAs have authority to prescribe medication and provide pain management to patients.

This cross-sectional dataset examines state statutes, regulations, executive orders, and governor opt-out letters governing CRNA scope of practice that were in effect as of July 5, 2022 for the following jurisdictions:

  • District of Columbia, Missouri, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Pennsylvania, Rhode Island, South Carolina, and South Dakota (batch 4)

The dataset also examines state CRNA scope of practice laws that were in effect:

  • as of June 15, 2022 in the following states:
    • Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, and Mississippi (batch 3)
  • as of April 10, 2022 in the following states:
    • Alaska, Florida, Georgia, Hawaii, Illinois, Indiana, Montana, New Hampshire, New Jersey, Ohio, and Oregon (batch 1); and
    • Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Idaho, New York, and Oklahoma (batch 2).

When complete, the dataset will cover all 50 U.S. states, the District of Columbia, and Puerto Rico.

This project was supported by the Office of Nursing Services at the U.S. Department of Veterans Affairs.

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