Source: Alabama Board of Nursing
Type of Guidance: Board of Nursing / Alabama Administrative Code (09/18)
Impact: RNs
Guidance*: Administrative Code Chapter 610-X-6-.08 (1): Standards for Moderate Sedation (9/30/2018) - Page 15
After a patient assessment and verification of physician’s presence in the procedural area, the registered nurse may administer ordered medications for the purpose of moderate sedation that allows the patient to be aroused and to retain reflexes for short-term therapeutic, or diagnostic procedures pursuant to facility policies and procedures
Read Alabama Board of Nursing Administrative Code Chapter 610-X-6.08 - Page 15
Source: Alabama Board of Nursing
Type of Guidance: Nursing Practice Frequently Asked Questions (11/17)
Impact: RNs and LPNs
Guidance*: What are the medications that a registered nurse or licensed practical nurse cannot administer? (11/28/2017)
The Alabama Board of Nursing does not have rules or make recommendations on any specific medication. Several rules must be considered including but not limited to ABN Administrative Code Rule 610-X-6-.07 Medication Administration and Safety, ABN Administrative Code Rule 610-X-6-.12 Standardized Procedure Rule, and ABN Administrative Code Rules 610-X-6-.04 and 610-X-6-.05 Practice of Professional Nursing and Practice of Practical Nursing.
Once the rules have been reviewed and it is determined that the administration including route of administration is within the basic education and scope of practice of the nurses,
the presence of any black box warnings by the FDA must be explored.
If no black box warnings against a nurse administering the medication exists, and the nurse has the knowledge of the medication(s) as required in the rules and the route of administration is within the nurse’s basic education, a facility/agency policy must be written that includes the knowledge, skills and abilities that the nurses must have to manage risks and any potential complications, and requirements for supervised clinical practice and demonstration of competency, initially and at periodic intervals.
Read Nursing Practice Frequently Asked Questions and Answers
Source: Alabama Department of Public Health
Type of Guidance: Controlled Substances List (8/28/2012)
Guidance*: The State Committee of Public Health has approved the scheduling of the anesthetic Propofol to Schedule IV of the Alabama Controlled Substances List.
Propofol has an appropriate medical usage to sedate people quickly for surgeries, but its potential for misuse led to the scheduling of this fast-acting drug. The Alabama Controlled Substances List divides drugs and other substances into five schedules based on abuse potential, taking into account the risk to public or individual health.
Read statement
Other State Resources
Back to Top
Source: Arkansas Board of Nursing
Type of Guidance:Board of Nursing Position Statement(09/14)
Impact: RNs
Guidance*:Position Statement 94-1: Administration of IV Moderate Sedation by the Registered Nurse(Revised May, 11, 2017)) – Page 1
- The Arkansas State Board of Nursing has determined that it is within the scope of practice of a registered professional nurse (RN) to administer pharmacologic agents via the intravenous route to produce moderate and to assist in rapid sequence intubation (RSI)sedation as long as specified guidelines are met.
- The Board recognizes that the demand in the practice setting necessitates non‐APRN RNs to administer anesthetic agents or neuromuscular blocking (paralytic) agents in specific circumstances including:
- Continuous infusion of an anesthetic agent or neuromuscular blocking (paralytic) agent to a hospitalized patient who is intubated and ventilated in an acute care setting.
- Comfort care in the final hours of life under the direction of a physician or APRN.
- Procedure where the physician or APRN is present but unable to personally inject the agents because the physician or APRN is performing the critical procedure of emergent intubation.
- Sedation for a procedure in the field setting under the direction of a physician or APRN.
- anesthetic agents in placement of peripheral nerve blocks that may require the use of both hands of the physician or APRN to not compromise patient safety.
- Anesthetic agents for therapeutic care including pain management or treatment of agitated delirium.
Read the Board’s position statement and guidelines
Other State Resources
Back to Top
Source:Delaware General Assembly
Type of Guidance:Delaware’s Administrative Code: Regulated Professions and Occupations
Impact:RNs
Guidance*:Title 24 Del. C., Chapter 19, Professions and Occupations: Nursing
Nursing practice encompasses several levels of accountability in order to ensure safe, competent practice. At the foundation of accountability are standards of nursing practice developed by general and specialty nursing professional organizations. A second level of accountability is provided by statutes, rules and regulations promulgated by individual states, based upon each state’s nurse practice act which defines nursing practice. Nurses are also accountable to the institution or agency where they are employed through institutional policies and procedures. A final level of accountability resides with nurses’ self-determination of those aspects of practice they believe themselves competent to perform.
Read Title 24 Del. C., Chapter 19
Source: Delaware Board of Nursing
Type of Guidance: Scope of Practice Decision Tree
Impact:RNs
Guidance*:
Read Scope of Practice Decision Tree
Other State Resources
Back to Top
Source:District of Columbia Board of Nursing
Guidance*:No direct guidance is offered regarding the administration of moderate or deep sedation by Registered Nurses within the District of Columbia.
Other State Resources
Back to Top
Source:Florida Administrative Code (Updated February 4, 2019)
Type of Guidance: Rule Chapter: 64B9
Impact: RNs
Guidance*: The Role of the Registered Nurse in Conscious Sedation
There is no rule here currently effective.
http://flrules.elaws.us/fac/64b9-17
Source: Florida Division of Administrative Hearings
Type of Guidance: Case No: 12-001545RP (04/12)
Impact: RNs
Guidance*: FLORIDA MEDICAL ASSOCIATION, INC.; FLORIDA OSTEOPATHIC MEDICAL ASSOCIATION; AND FLORIDA PODIATRIC MEDICAL ASSOCIATION vs.
DEPARTMENT OF HEALTH, BOARD OF NURSING
Florida Division of Administrative Hearings decided that rule 64B9-8.005 by the Florida Board of Nursing to restrict usage of drugs for conscious sedation by RNs exceeds the authority of the BON. Decision affirmed 2/12/2014.
Read DOAH: Details for Case No: 12-00154RP
Source: Florida State Board of Nursing
Type of Guidance: Declaratory Statement (03/02)
Impact: RNs
Guidance*: Board of Nursing Response to Petition for Declaratory Statement- DOH 02-0365 (3-05-2002)
It is not within the scope of practice for the registered nurse who is not a CRNA to administer propofol or manage a patient that does not have an established airway.
Read the Board of Nursing Response
Source: Florida Department of Health
Type of Guidance: Florida Administrative Code (03/13)
Impact:MDs, RNs, CRNAs
Guidance*: F.A.C. Rule 64B8-9.009: Standard of Care for Office Surgery (03-3-2013)
4. Assistance of Other Personnel Required. The surgeon must be assisted by a qualified anesthesia provider as follows:
- An Anesthesiologist, Certified Registered Nurse Anesthetist, or Physician Assistant, or
- A registered nurse if the surgeon is ACLS certified.
- An anesthesiologist assistant may assist the anesthesiologist as set forth in Rule 64BB-31.005, F.A.C.
Read F.A.C. Rule 64B8-9.009
Other State Resources
Back to Top
Source:Georgia Board of Nursing
Type of Guidance: Board Position Statement (04/2015)
Impact: RNs
Guidance*: Position Statement: Administration of Propofol, Etomidate and Neuromuscular Blocking Agents (4-2015)
Whenever Propofol is used for sedation/anesthesia, it should be administered only by persons trained in the administration of general anesthesia, who are not simultaneously involved in the surgical or diagnostic procedure. This restriction is concordant with specific language in the Propofol package insert, and failure to follow these recommendations could put patients at increased risk of significant injury or death.
It is not within the scope of practice of the registered nurse (RN) who is not a Certified Registered Nurse Anesthetist (CRNA) to administer agents used primarily as anesthetics for sedation, including Propofol, in procedural sedation.
This would include the non-intubated patient undergoing procedures, including but not limited to, invasive cardiology, invasive radiology, endoscopic gastrointestinal procedures, invasive bronchoscopy and emergent procedures
Read the Board Position Statement
Other State Resources
Back to Top
Source: Kentucky Board of Nursing
Type of Guidance: Board of Nursing Advisory Opinion
Statement
(05/2018)
Impact: RNs
Guidance*: KBN Advisory Opinion Statement #32:Administration of Medications for Procedural Sedation and Analgesia by Nurses (05/2018)
It is within the scope of registered nursing practice for the RN who is educationally prepared and currently clinically competent to administer medications for procedural sedation and analgesia.
There are multiple medications utilized by healthcare professionals for procedural sedation and analgesia. Rather than focus on a particular medication, the Board advises that it is more appropriate to focus on the intent of administration.
It is the responsibility of facilities, physicians and APRNs to determine specific pharmacologic agents to be used for procedural sedation and analgesia. The Board advises the RN or APRN to use caution, however, in deciding whether or not he or she has the competence to administer the specific pharmacologic agents ordered by the physician/APRN
Read KBN Advisory Opinion Statement #32
Source:Kentucky Board of Nursing
Type of Guidance: Board of Nursing Advisory Opinion Statement (05/2018)
Impact:RNs
Guidance*: KBN Advisory Opinion Statement #28:Roles Of Nurses and Unlicensed Nursing Personnel in Endoscopic Procedures(05/2018)-
RN Role
It is within the scope of registered nursing practice for a registered nurse (RN) to:
- Administer medications via a direct intravenous route
Plan and direct nursing care for a patient undergoing endoscopy procedures including clinical decision-making regarding nursing care, and assuring that care is provided in a safe and competent manner
Read KBN Advisory Opinion Statement #28
Other State Resources
Back to Top
Source:Louisiana Board of Nursing
Type of Guidance:Declaratory Statement (04/15)
Impact:RNs
Guidance*:Declaratory Statement on the Role and Scope of Practice of the Registered Nurse in the Administration of Medication and Monitoring of Patients During the Levels of Procedural Sedation (Minimal, Moderate, Deep, and Anesthesia) as Defined Herein (4-9-2015)
- It is within the scope of practice for a Registered Nurse (RN) to administer non-anesthetic medications and to monitor patients in minimal, moderate, and deep sedation levels as defined by The Joint Commission (TJC) provided the registered nurse is specifically trained with demonstrated knowledge, skills, and abilities in accordance with the following provisos in various settings to include inpatient and outpatient environments.
- It is within the scope of practice for a RN (non-CRNA) to monitor a patient receiving deep sedation/analgesia, with or without the drug being an anesthetic agent, in a controlled environment, as designated by institutional policy, under the direct supervision of a physician privileged by the institution to provide moderate/deep sedation.
- It is not within the scope of practice for the RN either to administer an anesthetic agent for any of the levels of sedation as defined by TJC or to monitor general anesthesia as defined by TJC in this document.
Read the Board of Nursing's Declaratory Statement
Source:Louisiana Revised Statutes
Type of Guidance:Nurse Practice Act (2010)
Impact:RNs
Guidance*:RS 37:930; 37-935. Anesthetics; authority of registered nurses (2010)
- A Registered Nurse (RN) is prohibited from administering any form of anesthetic (other than a local anesthetic) unless the RN is a CRNA.
- It is within the scope of practice for a RN to monitor a patient receiving sedation.
- An RN may inject local anesthetics and administer anesthetic agents to intubated patients in critical care settings.
Read the Louisiana Nurse Practice Act
Source:Louisiana State Board of Medical Examiners
Type of Guidance:Rules - Title 46
Professional and Occupational Standards;
Part XLV
(2/2017)
Impact: MDs DOs, CRNAs, RNs
Guidance*: Chapter 73: Office-Based Surgery
Anesthesia shall be administered by an anesthesia provider defined as an anesthesiologist or CRNA who shall not participate in the procedure.
This rule does not apply to exempt surgical procedures including those requiring conscious sedation (section 7305(A)1.a.).
Read Title 46, Part XLV, Chapter 73
Source:Department of Health and Hospitals
Type of Guidance: Louisiana Administrative Code Rules – Title 48 Public Health Part I (2/17)
Impact:MDs, DOs, CRNAs, RNs
Guidance*: Subchapter M: 9451: Anesthesia Services (11-2003)
In the hospital setting, anesthesia and sedation may only be administered by practitioners with appropriate clinical privileges obtained through a mechanism that assures that each practitioner provide only those services for which they have been licensed, trained and deemed to be competent to administer anesthesia within the scope of their practice. Those practitioners include:
- a qualified anesthesiologist;
- a doctor of medicine or osteopathy;
- a dentist, oral surgeon, or podiatrist who is qualified to administer anesthesia under state law;
- a certified registered nurse anesthetist (CRNA) licensed by the Louisiana State Board of Nursing who is under the supervision of the operating practitioner or of an anesthesiologist who is immediately available if needed as defined in the medical staff bylaws; or
a bona fide student enrolled in a school of nurse anesthesia accredited by the Council on Accreditation of Nurse Anesthesia educational programs whose graduates are acceptable for certification by a nationally recognized certifying body
Read Title 48:1-XXV, Public Health—General (Book 2 of 2)
Other State Resources
Back to Top
Source:Maryland Board of Nursing
Guidance*: No direct guidance is offered by the State Board of Nursing regarding the administration of moderate or deep sedation by Registered Nurses within the state of Maryland.
Source:Maryland Board of Nursing
Type of Guidance:Nursing Declaratory Rulings
Guidance*: The Board is in the process of drafting a regulatory proposal to promulgate standards based upon a Decision-Making Model. In the interest of obtaining comments from members of the public and the nursing community a sample Decision-Making Model is included here for reference.
Read sample Decision-Making Model
Other State Resources
Back to Top
Source:Mississippi Board of Nursing
Type of Guidance: Mississippi Board of Nursing Position Statements (12/16)
Impact: RNs
Guidance*: Administration and Management of Intravenous (IV) Moderate Sedation (Revised 12-09-2016)
- It is not within the scope of practice of the registered nurse who is not a qualified anesthesia provider to administer or manage deep sedation or general anesthesia.
- It is not within the scope of practice of the registered nurse who is not a qualified anesthesia provider to administer anesthetic agents (such as Propofol,Ketamine, Etomidate, or Fospropofol). These agents should be administered only by persons trained and educated in the administration of general anesthesia.
- It is not within the scope of practice of the registered nurse to provide procedural monitoring of a person that has received an anesthetic agent by another licensed professional.
- THIS POSITION STATEMENT DOES NOT APPLY TO:
- THE ADMINISTRATION OF AGENTS FOR THE PURPOSE OF ANXIOLYSIS/ANALGESIA/PAIN MANAGEMENT.
- THE ADMINISTATION OF AGENTS IN AN EMERGENCY FOR RAPID SEQUENCE INTUBATION WHEN A PHYSICIAN OR CRNA IS IMMEDIATELY PRESENT AND SELECTS THE ORDERS AND AGENT
THE ADMINISTRATION OF AGENTS TO INTUBATED MECHANICALLY VENTILATED PATIENTS IN CRITICAL CARE SETTINGS.
Read the Mississippi Board of Nursing Position Statement
Source: Mississippi State Board of Medical Licensure
Type of Guidance: Administrative Code (10/2018)
Impact: MDs, DOs, RNs, CRNAs
Guidance*:Title 30: Part 2635: Chapter 2 Office Based Surgery
Rule 2.3: General Requirements for Office Based Surgery
It is strongly recommended that the American Society of Anesthesiologists’ Guidelines for Office-Based Anesthesia and/or American Association of Nurse Anesthetists’ Standards for Office Based Anesthesia be utilized for Level III procedures.
Rule 2.5 Level II Office Surgery - Assistance of Other Personnel Required
- A Registered Nurse (RN) may only administer analgesic doses of anesthetic agents under the direct order of a physician. An assisting anesthesia provider cannot function in any other capacity during the procedure.
Read Mississippi State Board of Medical Licensure Administrative Code
Source: Mississippi Board of Nursing Practice Committee
Type of Guidance: Mississippi Board of Nursing Journal, June 2010, Vol. 2, No. 4(06/10)
Impact: RNs
Guidance*: The Sedation Debate: Interpretation of the Intent of the Administration and Management of Moderate Sedation Position Statement – Page 12
“As stated in the board’s position statement, it is not within the scope of practice of the registered nurse who is not a qualified anesthesia provider to administer pharmacologic agents that should be administered only by persons trained and educated in the administration of general anesthesia. This determination can be made by consulting the agent’s prescribing information as well as other Reputable sources. Because drugs are ever changing, the board does not maintain a listing of specific agents acceptable for administration. Instead the board’s intent is to give guidelines that could be useful in selecting appropriate agents within the scope of practice of the registered nurse.”
Read The Sedation Debate: Interpretation of the Intent of the Administration and Management of Moderate Sedation Position Statement(Page 12 – 15)
Other State Resources
Back to Top
Source: North Carolina Board of Nursing
Type of Guidance: North Carolina Board of Nursing Position Statement (09/18)
Impact: RNs
Guidance*:Procedural Sedation/Analgesia NCOB Position Statement for RN Practice (9/2018)
The administration and monitoring of sedating and anesthetic agents to produce moderate or deep procedural sedation/analgesia for non-intubated adult and pediatric clients undergoing therapeutic, diagnostic, or surgical procedures is within the non-anesthetist RN scope of practice.
- The RN administers moderate procedural sedation/analgesia to adult and pediatric clients only if a Physician, CRNA, NP, or PA credentialed by the facility in moderate procedural sedation/analgesia, and competent in airway management, is physically present in the procedure area and immediately available in order to respond and implement emergency protocols in the event level of sedation deepens or another emergency occurs.
- The RN administers deep procedural sedation/analgesia to adult and pediatric clients only if a Physician, CRNA, NP, or PA credentialed by the facility in deep procedural sedation/analgesia, and competent in intubation and airway management, is present at the bedside in order to respond to any emergency.
Administration of sedative, analgesic, and anesthetic pharmacological agents, for the purpose of Moderate or Deep Procedural Sedation/Analgesia, to non-intubated patients undergoing therapeutic, diagnostic, and surgical procedures, is within the non-anesthetist Registered Nurse (RN) scope of practice provided the following requirements are met:
Read the North Carolina Board of Nursing Position Statement on Procedural Sedation/Analgesia
Source: North Carolina Division of Health Service Regulation
Type of Guidance: Rules and Regulations (Ambulatory Surgical) (10/78)
Impact: MDs, DOs, RNs, CRNAs
Guidance*: 10A NCAC Chapter 13 Subchapter C (.0501): Providing Anesthesia Services(10-14-78)
Only a physician, dentist or qualified anesthetist shall administer anesthetic agents (general and regional).
Read 10A NCAC 13C
Other State Resources
Back to Top
Source: South Carolina Board of Nursing
Type of Guidance: Board of Nursing Advisory Opinion
Impact: Board of Nursing Advisory Opinion
Guidance*:Advisory Opinion #25: Is it within the role and scope of responsibilities of the registered nurse (RN) to administer pharmacological agents intravenously for sedation? (1-2018)
It is within the role and scope of the responsibilities of the RN to administer medications for sedation as ordered by a licensed physician, dentist or Advanced Practice Registered Nurse (APRN). THIS ADVISORY DOES NOT APPLY TO THE ADMINISTRATION OF AGENTS FOR THE PURPOSE OF ANALGESIA/PAIN MANAGEMENT.
RNs who are not qualified anesthesia providers:
- May not administer agents used primarily as anesthetics, including, but not limited to Ketamine, Propofol, Etomidate, Sodium Thiopental, Methohexital.,
For situations requiring the immediate facilitation of airway management (intubation), the RN may administer IV agents if a qualified provider is immediately present and available if needed to secure the airway.
Read Advisory Opinion #25
Source: South Carolina Legislature
Type of Guidance: Code of Regulations of South Carolina (effective June 22, 2012.) CHAPTER 81: Department of Labor, Licensing and Regulation-- State Board Of Medical Examiners
Impact: MDs, DOs, RNs, CRNAs
Guidance*: Article 9.7: Office-based Surgery. [SC ADC 81-96] (6-2012)
E. Standards for Office Procedures
Sedation/analgesia or anesthesia must be administered or supervised only by a duly licensed, qualified and competent physician. CRNAs, AAs, or other qualified practitioners who administer sedation/analgesia or anesthesia as part of a medical procedure must have training and experience appropriate to the level of sedation/analgesia or anesthesia administered and function in accordance with their scope of practice.
A registered nurse or other licensed health care personnel practicing within the scope of their practice who is currently certified in advanced resuscitative techniques must monitor the patient postoperatively and have the capability of administering medications as required for analgesia, nausea/vomiting, or other indications .
Read SC ADC 81-96
Source: South Carolina Legislature
Type of Guidance: Code of Regulations of South Carolina (effective June 26, 2015)
CHAPTER 61-91: Department of Health and Environmental Control: Standards for Ambulatory Surgical Facilities.
Impact: MDs, DOs, RNs, CRNAs
Guidance*: SECTION 800: Care/Treatment/Procedures/Surgery/Services (6-2015)
804. Anesthesia Services
Anesthesia shall be administered only by:
- A physician, other than an anesthesiologist, or dentist, or podiatrist who is qualified to administer anesthesia pursuant to the S.C. Code of Laws
- A certified registered nurse anesthetist
- A registered nurse anesthetist
- An anesthesiologist's assistant
Read SC ADC 61-91
Source: South Carolina Office of the Attorney General
Type of Guidance: Response to Request for Opinion (06/2010)
Impact: RNs
Guidance*: Request for opinion on whether a professionally licensed Registered Nurse (RN) may administer propofol for moderate (conscious) sedation when used with FDA-approved technologies, across all practice settings, when under the prescriptive order of a licensed South Carolina Physician.
Response: The administration of propofol for the purpose of minimal to moderate (conscious) sedation when using a FDA-approved computer assisted personalized sedation system (CAPS) by a South Carolina professionally licensed Registered Nurse (RN) under the direct supervision of a licensed South Carolina physician (MD), in a clinical or hospital setting,3 does not violate the South Carolina Code of Laws even though the SCBON's Advisory Opinion and ASC Rule currently restricts the use of propofol administration by an RN. (June 23, 2010)
Read the South Carolina Office of the Attorney General’s Response
Other State Resources
Back to Top
Source:Tennessee Board of Nursing
Guidance*:No direct guidance is offered by the State Board of Nursing regarding the administration of moderate or deep sedation by Registered Nurses within the state of Tennessee.
Source:Tennessee Department of Health
Type of Guidance:Rules -- Board for Licensing Health Care Facilities
(06/15)
Impact: MDs, DOs, RNs, CRNAs
Guidance*: Chapter 1200-08-01 :Standards for Hospitals (06-2018)
1200-08-01-.07 Optional Hospital Services (Page 35)
(2) Anesthesia Services. The organization of anesthesia services must be appropriate to the scope of the services offered. Anesthesia must be administered only by:
- A qualified anesthesiologist;
- A doctor of medicine or osteopathy (other than an anesthesiologist);
- A dentist, oral surgeon, or podiatrist who is qualified to administer anesthesia under State law;
- A certified registered nurse anesthetist (CRNA); or
- A graduate registered nurse anesthetist under the supervision of an anesthesiologist who is immediately available if needed
Read Chapter 1200-08-01
Other State Resources
Back top Top
Source: Virginia Board of Nursing
Type of Guidance: Guidance Document (11-2015)
Impact: RNs
Guidance*: Guidance Document # 90-63
Registered nurses and procedural sedation (11/2015)
Registered nurses may administer mild to moderate sedation under certain conditions. Administration must be in the presence of a health care professional appropriately credentialed and privileged for sedation. The health care professional selects and orders the sedation and is available during the entire procedure.
Read Guidance Document #90-63
Source:State of Virginia Board of Medicine
Type of Guidance: Final Regulations for the Board of Medicine (03-2017)
Impact: MDs, DOs, PAs, CRNAs, RNs
Guidance*: Regulation: 18 VAC 85-20-330. Regulations Governing the Practice of Medicine, Osteopathy, Podiatry, and Chiropractic, Part VIII - Office-Based Anesthesia (9-5-2018)
All providers of office-based anesthesia shall hold the appropriate license and have the necessary training and skills to deliver the level of anesthesia being provided.
- Deep sedation, general anesthesia or a major conductive block shall only be administered by an anesthesiologist or by a certified registered nurse anesthetist.
- Moderate sedation/conscious sedation may be administered by the operating doctor with the assistance of and monitoring by a licensed nurse, a physician assistant or a licensed intern or resident.
Read the Regulations for 18 VAC 85-20-330
Other State Resources
Back to Top
Source: West Virginia Board of Examiners for Registered Professional Nurses
Type of Guidance: Position Statement (10-2010)
Impact:RNs
Guidance*:Administration of Anesthetic Agents (1-0-22-2010)
The RN may administer anesthetics provided , that such anesthesia is administered in the presence and under the supervision of a physician or dentist licensed to administer anesthesia.
It is not within the scope of practice for an RN who is not A CRNA to administer medications classified as anesthetics such as ketamine, propofol, etomidate, sodium thiopental, methohexital, nitrous oxide and neuromuscular blocking agentsK(paralytics), except under the following circumstances:
- The patient is intubated and ventilated in the acute care setting
- In an emergency setting for Rapid Sequence Intubation (RSI) in the presence of a physician or advance practice RN credentialed in emergency airway management and cardiovascular support.
Read the Board of Nursing Position Statement
Source:West Virginia Code
Type of Guidance: TITLE 64: West Virginia State Board of Health (2006)
Impact: MDs, DOs, RNs, CRNAs
Guidance*:Series 12: Hospital Licensure(2006)
8.7.b. Anesthesia may be administered only by a licensed practitioner permitted by State law to administer anesthesia, a certified registered nurse anesthetist as permitted by state law or other professionals as permitted by the medical staff and state law.
Read 64CSR12
Source:West Virginia Code
Type of Guidance:Chapter 30: Professions And Occupations; Article 7: Registered Professional Nurses (2014)
Impact: RNs, CRNAs
Guidance*: 30-7-15. Administration of anesthetics (2014)
In any case where it is lawful for a duly licensed physician or dentist practicing medicine or dentistry under the laws of this state to administer anesthetics, such anesthetics may lawfully be given and administered by any person (a) who has been licensed to practice registered professional nursing under this article, and (b) who holds a diploma or certificate evidencing his or her successful completion of the educational program of a school of anesthesia duly accredited by the American association of nurse anesthetists: Provided, that such anesthesia is administered by such person in the presence and under the supervision of such physician or dentist.
Read West Virginia Code 30-7
Other State Resources
Back to Top
*This page was last updated 5/7/2015. This page is for informational purposes only and nothing on this website constitutes legal advice. Please consult the Alabama State Board of Nursing or a legal professional before administering anesthetic or sedative products to determine proper conduct in your particular situation and to assess currentness of regulations.