OH HB52

Certified registered nurse anesthetists (CRNAs) may perform patient care activities under a "collaboration" model with a physician, podiatrist, or dentist rather than requiring direct "supervision," though the collaborating practitioner must still be present at the facility during general anesthesia induction, maintenance, and emergence

CRNAs gain expanded authority to independently select, order, and administer treatments, drugs, and IV fluids for anesthesia-related conditions, order diagnostic tests, perform epidural and spinal procedures, and direct RNs, LPNs, or respiratory therapists to provide supportive care

Health care facilities must notify patients both verbally and in writing before administering anesthesia or performing epidural/spinal procedures about whether a CRNA, physician, podiatrist, or dentist will provide the service

Collaborating physicians, podiatrists, dentists, or health care facilities retain authority to prohibit a CRNA from performing specific patient care activities if determined not in the patient's best interest, with such restrictions documented in the patient record

CRNAs cannot prescribe drugs for use outside the health care facility where they practice, and their scope remains limited by the supervising practitioner's authority (e.g., dentists' sedation permits, podiatrists' scope of practice)