# COMAR Title 10 — Maryland Department of Health

## Subtitle 27 — Board of Nursing

### Chapter 06 — Practice of Nurse Anesthetist

#### Regulation .03 Practice Before Certification.

*COMAR 10.27.06.03*

A. A registered nurse who has completed a program for preparation of nurse anesthetists and who has applied to take a national certifying examination acceptable to the Board may practice as a nurse anesthetist graduate before certification in the State, on approval of the Board, if the nurse:

  (1) Has a current license or multistate privilege to practice registered nursing in the State;

  (2) Submitted in full the application for State certification as a CRNA;

  (3) Paid all fees established by the Board;

  (4) Completed a nurse anesthetist program approved by the Board;

  (5) Practices under the supervision of an anesthesiologist or CRNA and the supervisor is on site and immediately available to the nurse anesthetist graduate;

  (6) Provides the Board a copy of the admission document to the national certification examination which must be taken not later than 6 months after program completion; and

  (7) Immediately notifies the Board and the supervising anesthesiologist or CRNA of the results of the certification examination.

B. A nurse anesthetist graduate who fails the national certification examination shall immediately cease practice as a nurse anesthetist graduate.