S0416B0413A01437 AJB:CDM 06/04/21 #90 A01437
AMENDMENTS TO SENATE BILL NO. 416
Sponsor: SENATOR GORDNER
Printer's No. 413
Amend Bill, page 1, lines 12 and 13, by striking out
"advanced practice registered nurse-certified" and inserting
certified
Amend Bill, page 1, line 13, by inserting after
"qualifications"
and for scope of practice for certified registered nurse
anesthetists
Amend Bill, page 1, line 18, by striking out "a clause" and
inserting
clauses
Amend Bill, page 2, lines 1 and 2, by striking out ""Advanced
practice registered nurse-certified registered nurse
anesthetist"" and inserting
"Certified registered nurse anesthetist"
Amend Bill, page 2, lines 4 and 5, by striking out "an
advanced practice registered nurse-certified" in line 4 and all
of line 5 and inserting
a certified registered nurse anesthetist .
(17) "Overall direction" means oversight of anesthesia
services and medical management of patient care by a qualified
individual who is present and available onsite, but not
necessarily present in the same procedure room as a certified
registered nurse anesthetist performing anesthesia services for
the duration of the services provided.
Amend Bill, page 2, line 9, by striking out ", "A.P.R.N.""
Amend Bill, page 3, lines 2 and 3, by striking out "an
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advanced" in line 2 and all of line 3 and inserting
a certified registered nurse anesthetist
Amend Bill, page 3, lines 4 and 5, by striking out ""advanced
practice" in line 4 and all of line 5
Amend Bill, page 3, line 7, by striking out ""A.P.R.N.-
C.R.N.A." or"
Amend Bill, page 3, lines 15 through 24, by striking out all
of said lines
Amend Bill, page 3, line 25, by striking out "a section" and
inserting
sections
Amend Bill, page 3, line 26, by striking out "Advanced
Practice Registered Nurse-Certified" and inserting
Certified
Amend Bill, page 3, lines 28 and 29, by striking out "an
advanced practice registered nurse-certified " and inserting
a certified
Amend Bill, page 3, line 30, by striking out "act" and
inserting
section
Amend Bill, page 4, line 1, by striking out "an advanced
practice registered nurse-certified" and inserting
a certified
Amend Bill, page 4, lines 14 and 15, by striking out "an
advanced practice registered nurse-certified" and inserting
a certified
Amend Bill, page 4, line 30, by striking out "an advanced
practice registered nurse-certified" and inserting
a certified
Amend Bill, page 5, line 11, by striking out "act" and
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inserting
section
Amend Bill, page 5, line 14, by striking out "An advanced
practice registered nurse-certified" and inserting
The Board may issue a certification as a certified
registered nurse anesthetist to a licensed nurse who has
completed a course of study considered by the Board to be
equivalent to a course of study required in this Commonwealth
under section 6.2 of this act and this section at the time the
course was completed, or who is licensed or certified by another
state, territory or possession of the United States or a foreign
country as deemed equivalent to Pennsylvania's certification
requirements, and who has met all the requirements, including
character, under this act.
(f) A certified
Amend Bill, page 5, by inserting between lines 21 and 22
Section 8.9. Scope of Practice for Certified Registered
Nurse Anesthetists.--(a) A certified registered nurse
anesthetist shall have the authority to perform anesthesia
services in cooperation with a physician, podiatrist or dentist
involved in a procedure for which anesthesia care is being
provided if the anesthesia services are performed under the
overall direction of any of the following:
(1) A physician licensed by the State Board of Medicine or
the State Board of Osteopathic Medicine who has completed an
accredited residency training program in anesthesiology.
(2) A physician licensed by the State Board of Medicine or
the State Board of Osteopathic Medicine who is performing the
procedure for which the certified registered nurse anesthetist
is performing anesthesia services.
(3) A podiatrist licensed by the State Board of Podiatry who
is performing the procedure for which the certified registered
nurse anesthetist is performing anesthesia services.
(4) A dentist licensed by the State Board of Dentistry and
permitted by the act of May 1, 1933 (P.L.216, No.76), known as
"The Dental Law" or the State Board of Dentistry to administer,
supervise or direct the administration of anesthesia.
(b) Nothing in this section shall be construed to:
(1) prohibit a certified registered nurse anesthetist who
would otherwise require direction from providing brief periods
of care in the event of an emergency that temporarily prevents
or interferes with overall direction;
(2) r estrict the authority of a health care facility to
provide for additional oversight requirements for a certified
registered nurse anesthetist practicing within the facility; or
(3) l imit or prohibit a certified registered nurse
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anesthetist from engaging in those activities which normally
constitute the practice of nursing as defined in section 2.
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