The bill amends the Revised Code to update the regulations governing certified registered nurse anesthetists (CRNAs) in Ohio, introducing new sections 4723.433 and 4723.434. These sections outline the collaborative responsibilities of CRNAs with physicians, podiatrists, and dentists, allowing CRNAs to perform various patient care activities such as obtaining informed consent for anesthesia and administering anesthesia, provided they collaborate with a licensed healthcare provider actively practicing in Ohio. Notably, the bill deletes the previous requirement for CRNAs to operate under direct supervision and in the immediate presence of a supervising physician, podiatrist, or dentist, thereby promoting a more flexible collaborative practice model.

Additionally, the bill clarifies the roles of registered nurses, licensed practical nurses, and respiratory therapists in providing supportive care related to anesthesia, allowing them to monitor vital signs and administer intravenous fluids under legal authorization. It emphasizes that CRNAs may only perform anesthesia procedures under the supervision of a collaborating healthcare provider and prohibits them from prescribing drugs for use outside their facility. The bill also mandates cooperation with state medical and dental boards during investigations and requires documentation of patient care decisions in medical records. Overall, the legislation aims to enhance the scope of practice for CRNAs while ensuring patient safety and effective collaboration among healthcare professionals.

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