Regulation .05 Scope of Practice.
Regulation .05 Scope of Practice.LinkCopy Citation
A.
A nurse anesthetist may perform the following functions:
(1)
Perioperative assessment and management of patients requiring anesthesia services;
(2)
Administration of anesthetic agents;
(3)
Management of fluids in intravenous therapy;
(4)
Respiratory care; and
(5)
In accordance with §D of this regulation, prescribe, order, and administer drugs, including a drug that is classified as a controlled dangerous substance under Criminal Law Article, Title 5, Subtitle 4, Annotated Code of Maryland.
B.
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:
(1)
Unsafe;
(2)
An invalidly prescribed medical act; or
(3)
Beyond the clinical skills of the nurse anesthetist.
C.
Section A of this regulation may not be construed to authorize a nurse anesthetist to:
(1)
Diagnose a medical condition;
(2)
Provide care that is not consistent with the scope of practice of nurse anesthetists; or
(3)
Provide care for which the nurse anesthetist does not have proper education and experience.
D.
A nurse anesthetist may prescribe drugs in accordance with §A of this regulation:
(1)
Only in an amount that does not exceed a 10-day supply;
(2)
Only for an individual with whom the nurse anesthetist has, at the time of prescription, established a client or patient record; and
(3)
Only in connection with the delivery of anesthesia services.