Learn About The Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Current as of January 01, 2025 | Updated by Findlaw Staff
(a) In this section, “perioperative assessment and management” means the assessment and management of a patient preoperatively, intraoperatively, and postoperatively.
(b)(1) A nurse anesthetist may perform the following functions:
(i) Perioperative assessment and management of patients requiring anesthesia services;
(ii) Administration of anesthetic agents;
(iii) Management of fluids in intravenous therapy;
(iv) Respiratory care; and
(v) Subject to paragraph (4) of this subsection, prescription, ordering, and administration of drugs, including a drug that is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article.
(2) A nurse anesthetist has the right and obligation to refuse to perform a delegated act if in the nurse anesthetist's judgment, the act is:
(i) Unsafe;
(ii) An invalidly prescribed medical act; or
(iii) Beyond the clinical skills of the nurse anesthetist.
(3) Paragraph (1) of this subsection may not be construed to authorize a nurse anesthetist to:
(i) Diagnose a medical condition;
(ii) Provide care that is not consistent with the scope of practice of nurse anesthetists; or
(iii) Provide care for which the nurse anesthetist does not have proper education and experience.
(4) A nurse anesthetist may prescribe drugs under paragraph (1) of this subsection:
(i) Only in an amount that does not exceed a 10-day supply;
(ii) Only for an individual with whom the nurse anesthetist has, at the time of prescription, established a client or patient record; and
(iii) Only in connection with the delivery of anesthesia services.
(c) A nurse anesthetist shall collaborate with an anesthesiologist, a licensed physician, or a dentist in the following manner:
(1) An anesthesiologist, a licensed physician, or a dentist shall be physically available to the nurse anesthetist for consultation at all times during the administration of, and recovery from, anesthesia;
(2) An anesthesiologist shall be available for consultation to the nurse anesthetist for other aspects of the practice of nurse anesthesia; and
(3) If an anesthesiologist is not available, a licensed physician or dentist shall be available to provide this type of consultation.
(d) The nurse anesthetist shall ensure that a qualified anesthesia provider:
(1) Performs a thorough and complete preanesthetic assessment;
(2) Obtains informed consent for the planned anesthetic intervention from the patient or an individual responsible for the patient; and
(3) Formulates a patient-specific plan for anesthesia care.
(e) The nurse anesthetist as part of the standards of practice shall:
(1) Implement and adjust an anesthesia care plan as needed to adapt to the patient's response to the anesthesia;
(2) Monitor a patient's physiologic condition for untoward identifiable reactions and initiate appropriate corrective actions as required;
(3) Enter prompt, complete, and accurate documentation of pertinent information on a patient's record;
(4) Transfer responsibility for care of a patient to other qualified providers in a manner that ensures continuity of care and patient safety;
(5) Ensure that appropriate safety precautions are taken to minimize the risks of fire, explosion, electrical shock, and equipment malfunction;
(6) Maintain appropriate infection control standards;
(7) Evaluate anesthesia care to ensure its quality;
(8) Maintain continual competence in anesthesia practice; and
(9) Respect and maintain the basic rights of patients.
(f) This section may not be construed to require a written collaboration agreement between a nurse anesthetist and an anesthesiologist, a physician, or a dentist.
Cite this article: FindLaw.com - Maryland Code, Health Occupations § 8-513 - last updated January 01, 2025 | https://codes.findlaw.com/md/health-occupations/md-code-health-occup-sect-8-513/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw’s Learn About the Law.
Make It a Preferred Google Search Source
Add to GoogleGet help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)