Prescriptive Authority

Specialties CRNA

Published

Specializes in CVICU.

Hello,

I am currently an SRNA and doing a little research on prescriptive authority for CRNAs. Does anyone know how many states have granted prescriptive authority to CRNAs? What are your thoughts on the topic? Does a CRNA need prescriptive authority to practice? Does it make your practice easier? Harder?

Thanks for your help!

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Specializes in Nephrology, Cardiology, ER, ICU.

IL has prescriptive authority for CRNAs but the CRNAs that I know don't use it.

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Hello,

I am currently an SRNA and doing a little research on prescriptive authority for CRNAs. Does anyone know how many states have granted prescriptive authority to CRNAs? What are your thoughts on the topic? Does a CRNA need prescriptive authority to practice? Does it make your practice easier? Harder?

Thanks for your help!

Look here:

http://www.asahq.org/Washington/nurseanesscope.pdf

Attachment I last column has which states limit prescriptive authority for CRNAs. Current as of 2004.

David Carpenter, PA-C

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Specializes in CRNA, Finally retired.

My goodness, all this "CRNA's are pinheads compared to us" document by the ASA reminds me of 1960's when the physicians were frothing at their mouths over the prospect of Medicare, communism and impending doom. I have managed to survive nicely as CRNA without prescriptive authority but have worked in larger centers. However, I think that CRNA's are given prescriptive authority as a side-effect of being placed in the advanced practice practitioner slot at the state level because lawmakers generally don't know what to do with us in regulation. Conn. CRNA's have prescriptive authority and I've worked with several but none of them have every used their "authority" because they didn't want to take the extra pharmacology coursework that would be required and didn't need it for their jobs.

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Prescriptive authority makes it easier

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Specializes in Anesthesia.

If you would like to find out how many states have prescriptive authority, I would start with the state's nurse anesthetist association. Most of the state associations have a website you could go to and send a quick email to the contact person. Each state association would know exactly what the requirements are, rules and regs, ect.

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Specializes in CVICU.

Thanks for your help everyone!

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In Ohio, there has been some confusion on whether or not a CRNA can prescribe medications for patients..awhile ago I remember reading that in the nurse practice act, there was no mention of a CRNA being able to prescribe any medications, even intraoperatively, even if the prescribing CRNA was the administering CRNA. I believe that has since been clarified, and I believe it goes on further to say that the CRNA may prescribe pre, intra, and post operatively for a patient so long as he or she is the one administering the medication.

However, there appears to be a bill (forgive me, I am not familiar with legislative terms) that proposes the CRNAs be allowed to prescribe medications for patients in the pre, intra, and post operative setting and allow for RNs, RTs, and other health care team members to administer per their practice acts. I'm not sure how this bill has been received. If anybody has any input I'd be glad to hear it

http://osana.org/osana-highlights/senator-morano-introduces-sb200

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