The bill amends the Revised Code to update the regulations surrounding certified registered nurse anesthetists (CRNAs) in Ohio, introducing new sections 4723.433 and 4723.434 that define the responsibilities and collaborative practices of CRNAs. Key provisions allow CRNAs to perform various patient care activities, including obtaining informed consent for anesthesia and conducting evaluations, in collaboration with a physician, podiatrist, or dentist. This collaboration must be supported by a verbal or written request and adhere to the policies of the healthcare facility. The bill also removes previous requirements for direct supervision of CRNAs, emphasizing a collaborative approach instead, and expands the definition of "collaboration" to include specific requests from healthcare providers.

Additionally, the bill introduces the term "standard care arrangement" while eliminating the term "supervision" from collaboration definitions, requiring physicians or podiatrists to establish these arrangements with each advanced practice registered nurse (APRN) they work with. It mandates written notice if collaboration is terminated and clarifies the roles of CRNAs and other nursing professionals in administering anesthesia and patient care. The legislation also addresses the practice of respiratory care, ensuring that licensed individuals operate under the orders of authorized healthcare providers. By repealing outdated sections of the Revised Code, the bill aims to streamline regulations and enhance the collaborative practice environment while ensuring patient safety and compliance with healthcare standards.

Statutes affected:
As Introduced: 4723.01, 4723.43, 4723.432, 4729.01, 4731.27, 4731.35, 4761.17, 4723.433, 4723.434, 4723.435
As Reported By House Committee: 4723.01, 4723.43, 4723.432, 4729.01, 4731.27, 4731.35, 4761.17, 4723.433, 4723.434, 4723.435
As Passed By House: 4723.01, 4723.43, 4723.432, 4729.01, 4731.27, 4731.35, 4761.17, 4723.433, 4723.434, 4723.435