In this section, “perioperative assessment and management” means the assessment and management of a patient preoperatively, intraoperatively, and postoperatively. A nurse anesthetist may perform the following functions: Perioperative assessment and management of patients requiring anesthesia services; Administration of anesthetic agents; Management of fluids in intravenous therapy; Respiratory care; and Subject to paragraph (4) of this subsection, prescription, ordering, and administration of drugs, including a drug that is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article. A nurse anesthetist has the right and obligation to refuse to perform a delegated act if in the nurse anesthetist’s judgment, the act is: Unsafe; An invalidly prescribed medical act; or Beyond the clinical skills of the nurse anesthetist. Paragraph (1) of this subsection may not be construed to authorize a nurse anesthetist to: Diagnose a medical condition; Provide care that is not consistent with the scope of practice of nurse anesthetists; or Provide care for which the nurse anesthetist does not have proper education and experience. A nurse anesthetist may prescribe drugs under paragraph (1) of this subsection: Only in an amount that does not exceed a 10–day supply; Only for an individual with whom the nurse anesthetist has, at the time of prescription, established a client or patient record; and Only in connection with the delivery of anesthesia services. A nurse anesthetist shall collaborate with an anesthesiologist, a licensed physician, or a dentist in the following manner: An anesthesiologist, a licensed physician, or a dentist shall be physically available to the nurse anesthetist for consultation at all times during the administration of, and recovery from, anesthesia; An anesthesiologist shall be available for consultation to the nurse anesthetist for other aspects of the practice of nurse anesthesia; and If an anesthesiologist is not available, a licensed physician or dentist shall be available to provide this type of consultation. The nurse anesthetist shall ensure that a qualified anesthesia provider: Performs a thorough and complete preanesthetic assessment; Obtains informed consent for the planned anesthetic intervention from the patient or an individual responsible for the patient; and Formulates a patient–specific plan for anesthesia care. The nurse anesthetist as part of the standards of practice shall: Implement and adjust an anesthesia care plan as needed to adapt to the patient’s response to the anesthesia; Monitor a patient’s physiologic condition for untoward identifiable reactions and initiate appropriate corrective actions as required; Enter prompt, complete, and accurate documentation of pertinent information on a patient’s record; Transfer responsibility for care of a patient to other qualified providers in a manner that ensures continuity of care and patient safety; Ensure that appropriate safety precautions are taken to minimize the risks of fire, explosion, electrical shock, and equipment malfunction; Maintain appropriate infection control standards; Evaluate anesthesia care to ensure its quality; Maintain continual competence in anesthesia practice; and Respect and maintain the basic rights of patients. This section may not be construed to require a written collaboration agreement between a nurse anesthetist and an anesthesiologist, a physician, or a dentist.