Nev. Admin. Code § 632.500 - Authorized functions
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, order and
administer preanesthetic medication;
(f) Order, 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) Order and prepare any drugs used for the
administration of anesthesia;
(h)
Select and order 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, order 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, order 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.
2. In addition,
the nurse anesthetist may accept additional responsibilities which are
appropriate to the practice setting and within his or her expertise. Such
responsibilities may include, but are not limited to, the selection and
administration of drugs and techniques for the control of pain in the
preoperative, intraoperative and postoperative setting.
Notes
NRS 632.120
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