Florida Senate - 2013                                    SB 1450
       
       
       
       By Senator Smith
       
       
       
       
       31-00213B-13                                          20131450__
    1                        A bill to be entitled                      
    2         An act relating to certified registered nurse
    3         anesthetists; amending s. 464.012, F.S.; authorizing
    4         certified registered nurse anesthetists to practice
    5         within a protocol established in collaboration with,
    6         rather than with approval of, the physicians and
    7         medical staff of the facility in which the anesthetic
    8         service is performed; providing an effective date.
    9  
   10  Be It Enacted by the Legislature of the State of Florida:
   11  
   12         Section 1. Paragraph (a) of subsection (4) of section
   13  464.012, Florida Statutes, is amended to read:
   14         464.012 Certification of advanced registered nurse
   15  practitioners; fees.—
   16         (4) In addition to the general functions specified in
   17  subsection (3), an advanced registered nurse practitioner may
   18  perform the following acts within his or her specialty:
   19         (a) The certified registered nurse anesthetist may, to the
   20  extent authorized by a established protocol established in
   21  collaboration with approved by the medical staff of the facility
   22  in which the anesthetic service is performed, perform any or all
   23  of the following:
   24         1. Determine the health status of the patient as it relates
   25  to the risk factors and to the anesthetic management of the
   26  patient through the performance of the general functions.
   27         2. Based on history, physical assessment, and supplemental
   28  laboratory results, determine, in collaboration with the consent
   29  of the responsible physician, the appropriate type of anesthesia
   30  within the framework of the protocol.
   31         3. Order under the protocol preanesthetic medication.
   32         4. Perform under the protocol procedures commonly used to
   33  render the patient insensible to pain during the performance of
   34  surgical, obstetrical, therapeutic, or diagnostic clinical
   35  procedures. These procedures include ordering and administering
   36  regional, spinal, and general anesthesia; inhalation agents and
   37  techniques; intravenous agents and techniques; and techniques of
   38  hypnosis.
   39         5. Order or perform monitoring procedures indicated as
   40  pertinent to the anesthetic health care management of the
   41  patient.
   42         6. Support life functions during anesthesia health care,
   43  including induction and intubation procedures, the use of
   44  appropriate mechanical supportive devices, and the management of
   45  fluid, electrolyte, and blood component balances.
   46         7. Recognize and take appropriate corrective action for
   47  abnormal patient responses to anesthesia, adjunctive medication,
   48  or other forms of therapy.
   49         8. Recognize and treat a cardiac arrhythmia while the
   50  patient is under anesthetic care.
   51         9. Participate in management of the patient while in the
   52  postanesthesia recovery area, including ordering the
   53  administration of fluids and drugs.
   54         10. Place special peripheral and central venous and
   55  arterial lines for blood sampling and monitoring as appropriate.
   56         Section 2. This act shall take effect July 1, 2013.