The bill proposes amendments to Chapter 5-34.2 of the General Laws, specifically adding a new section titled "Safe administration of sedation." This new section stipulates that registered nurses (RNs) and advanced practice registered nurses (APRNs), with the exception of licensed certified registered nurse anesthetists (CRNAs) and RNs enrolled in a COA-approved nurse anesthesiology training program, are prohibited from administering agents primarily used as general anesthetics for various levels of sedation or general anesthesia. This includes drugs such as ketamine, propofol, etomidate, and volatile gases, among others. However, in emergency situations requiring airway management or maintenance of sedation for intubated and ventilated patients, an RN or APRN may administer intravenous/intraosseous agents if a CRNA or other qualified provider is immediately available. The section also clarifies that certain local anesthetic administrations are permitted for APRNs and RNs within their scope of education and training.

Additionally, the bill amends Chapter 5-34 of the General Laws by adding a new section that reinforces the restriction on the administration of deep sedation or general anesthesia by certified nurse practitioners, RNs, and APRNs who do not hold a valid license or accreditation, except for those enrolled in a COA-approved training program. It also clarifies that the role of "Anesthesia Sedation Nurse Practitioner" is not recognized as a subspecialty within the nurse practitioner profession. The bill emphasizes that the independent administration of propofol and FDA-classified general anesthetics for surgeries or procedures is generally not within the scope of practice for nurse practitioners. The act is set to take effect upon passage.

Statutes affected:
3035: 5-34.2-2