Florida Senate - 2017                                     SB 394
       
       
        
       By Senator Steube
       
       23-00579-17                                            2017394__
    1                        A bill to be entitled                      
    2         An act relating to advanced registered nurse
    3         practitioners; amending s. 464.012, F.S.; providing
    4         that certified registered nurse anesthetists, to the
    5         extent authorized by a protocol established in
    6         collaboration with the medical staff of a facility in
    7         which the anesthetic service is performed, may
    8         determine, in collaboration with the responsible
    9         physician, the appropriate type of anesthesia;
   10         providing an effective date.
   11          
   12  Be It Enacted by the Legislature of the State of Florida:
   13  
   14         Section 1. Paragraph (a) of subsection (4) of section
   15  464.012, Florida Statutes, is amended to read:
   16         464.012 Certification of advanced registered nurse
   17  practitioners; fees; controlled substance prescribing.—
   18         (4) In addition to the general functions specified in
   19  subsection (3), an advanced registered nurse practitioner may
   20  perform the following acts within his or her specialty:
   21         (a) The certified registered nurse anesthetist may, to the
   22  extent authorized by a protocol established in collaboration
   23  with established protocol approved by the medical staff of the
   24  facility in which the anesthetic service is performed, perform
   25  any or all of the following:
   26         1. Determine the health status of the patient as it relates
   27  to the risk factors and to the anesthetic management of the
   28  patient through the performance of the general functions.
   29         2. Based on history, physical assessment, and supplemental
   30  laboratory results, determine, in collaboration with the consent
   31  of the responsible physician, the appropriate type of anesthesia
   32  within the framework of the protocol.
   33         3. Order under the protocol preanesthetic medication.
   34         4. Perform under the protocol procedures commonly used to
   35  render the patient insensible to pain during the performance of
   36  surgical, obstetrical, therapeutic, or diagnostic clinical
   37  procedures. These procedures include ordering and administering
   38  regional, spinal, and general anesthesia; inhalation agents and
   39  techniques; intravenous agents and techniques; and techniques of
   40  hypnosis.
   41         5. Order or perform monitoring procedures indicated as
   42  pertinent to the anesthetic health care management of the
   43  patient.
   44         6. Support life functions during anesthesia health care,
   45  including induction and intubation procedures, the use of
   46  appropriate mechanical supportive devices, and the management of
   47  fluid, electrolyte, and blood component balances.
   48         7. Recognize and take appropriate corrective action for
   49  abnormal patient responses to anesthesia, adjunctive medication,
   50  or other forms of therapy.
   51         8. Recognize and treat a cardiac arrhythmia while the
   52  patient is under anesthetic care.
   53         9. Participate in management of the patient while in the
   54  postanesthesia recovery area, including ordering the
   55  administration of fluids and drugs.
   56         10. Place special peripheral and central venous and
   57  arterial lines for blood sampling and monitoring as appropriate.
   58         Section 2. This act shall take effect July 1, 2017.