Bill Text: OR SB210 | 2013 | Regular Session | Enrolled

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Bill Title: Relating to certified registered nurse anesthetists.

Spectrum: Slight Partisan Bill (Democrat 2-1)

Status: (Passed) 2013-06-21 - Effective date, January 1, 2014. [SB210 Detail]

Download: Oregon-2013-SB210-Enrolled.html

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     77th OREGON LEGISLATIVE ASSEMBLY--2013 Regular Session

                            Enrolled

                         Senate Bill 210

Sponsored by Senators MONNES ANDERSON, GIROD; Senator DEVLIN
  (Presession filed.)

                     CHAPTER ................

                             AN ACT

Relating to certified registered nurse anesthetists; creating new
  provisions; and amending ORS 678.245.

Be It Enacted by the People of the State of Oregon:

  SECTION 1. ORS 678.245 is amended to read:
  678.245. As used in ORS 678.245 to 678.285:
   { +  (1) 'Ambulatory surgical center' has the meaning given
that term in ORS 442.015. + }
    { - (1) - }   { + (2) + } 'Anesthesiologist' means a
physician who has completed a residency program in anesthesiology
that meets or exceeds the standards adopted by the Oregon Medical
Board.
    { - (2) - }   { + (3) + } 'Certified registered nurse
anesthetist' means a registered nurse licensed by the Oregon
State Board of Nursing as a certified registered nurse
anesthetist.
   { +  (4) 'Hospital' has the meaning given that term in ORS
442.015. + }
    { - (3) - }   { + (5) + } 'Medical collaboration' means
approval of the anesthesia plan by an anesthesiologist and an
anesthesiologist being readily available during the
administration of anesthetic agents until the patient's
post-anesthesia condition is satisfactory and stable.
   { +  (6) 'Office' means a location other than an ambulatory
surgical center or hospital at which medical, surgical or dental
services are rendered. + }
    { - (4) - }   { + (7) + } 'Physician' means a doctor of
medicine or osteopathy licensed in Oregon under ORS chapter 677.
    { - (5) - }   { + (8) + } 'Procedure' means surgery, labor
and delivery or other medical services in a hospital or
ambulatory surgical center  { - , as defined in ORS 442.015, - }
rendered by a physician or other health care provider qualified
by appropriate state license and hospital or center privileges or
hospital or center written authorization to render such services.
  SECTION 2.  { + Section 3 of this 2013 Act is added to and made
a part of ORS 678.245 to 678.285. + }
  SECTION 3.  { + (1) A certified registered nurse anesthetist
may deliver the following services without medical collaboration
in connection with a procedure performed in an office:
  (a) Assessment of the health status of the patient as that
status relates to the relative risks associated with anesthetic
management of the patient;

Enrolled Senate Bill 210 (SB 210-INTRO)                    Page 1

  (b) Determination and administration of an appropriate
anesthesia plan, including selecting, ordering and administering
anesthetic agents, managing and monitoring airways and recording
information related to vital signs, life support, mechanical
support, fluid management and electrolyte and blood component
balance;
  (c) Any action necessary to counteract problems that may
develop during implementation of an anesthesia plan; and
  (d) Necessary or routine post-anesthesia care.
  (2) Consistent with the provisions of ORS 678.245 to 678.285
and rules adopted under ORS 678.285, an office may adopt a policy
under which the delivery of anesthesia services in connection
with a procedure by a certified registered nurse anesthetist in
the office is:
  (a) A practice by an independent health care provider; or
  (b) Subject to any requirement relating to patient health and
safety. + }
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Passed by Senate February 26, 2013

    .............................................................
                               Robert Taylor, Secretary of Senate

    .............................................................
                              Peter Courtney, President of Senate

Passed by House June 3, 2013

    .............................................................
                                     Tina Kotek, Speaker of House

Enrolled Senate Bill 210 (SB 210-INTRO)                    Page 2

Received by Governor:

......M.,............., 2013

Approved:

......M.,............., 2013

    .............................................................
                                         John Kitzhaber, Governor

Filed in Office of Secretary of State:

......M.,............., 2013

    .............................................................
                                   Kate Brown, Secretary of State

Enrolled Senate Bill 210 (SB 210-INTRO)                    Page 3