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In Texas, nurse anesthetists must be graduates of an accredited nurse anesthesia master’s or doctorate program. By 2025, all new CRNAs are required to graduate with a doctorate degree. CRNAs must also be certified by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) and hold a current Texas state license.
A Texas CRNA may practice independent of an anesthesiologist. There are no Texas state laws or regulations requiring physician supervision of CRNA practice, including CRNA practice in an office based setting. A CRNA may not order the drugs and devices necessary for the administration of an anesthetic or anesthesia-related services without proper delegation from the operating physician or an anesthesiologist. The delegating order may be an order for "Anesthesia per CRNA" and does not have to specify the drug, dose, or technique/route of administration. Pursuant to the physician's order, and in accordance with the facility policies or medical staff bylaws, the CRNA may select, obtain, and administer those drugs and apply the medical devices appropriate to accomplish the order and maintain the patient within a sound physiological status. (Tex. Occupations Code 157.058)
Nurse anesthesia providers prioritize patient safety by conducting a thorough pre-anesthetic assessment, including reviewing the patient's medical history and conducting a physical examination. They closely monitor the patient's vital signs, administer appropriate anesthesia medications, and continuously assess the patient's response throughout the procedure. They also maintain emergency preparedness and are trained to handle any potential complications that may arise during anesthesia.
Yes, nurse anesthetists are typically covered by health insurance plans in Texas. Most insurance companies recognize and reimburse for the services provided by nurse anesthetists, ensuring that patients have access to affordable anesthesia care.
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