State Regulation Resources for Louisiana
| Source | Type of Guidance
| Impact
| Guidance* |
Louisiana Board of Nursing
| Declaratory Statement (03/05)
| RNs
| 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 (3-16-2005)
- 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 JCAHO 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 not within the scope of practice for the registered nurse either to administer an anesthetic agent for any of the levels of sedation as defined by JCAHO or to monitor anesthesia as defined by JCAHO in this document.
Read the Board of Nursing's Declaratory Statement
|
Louisiana Revised Statutes
| Nurse Practice Act (2004)
| RNs
| RS 37:930; 37-935. Anesthetics; authority to administer; penalty (2004) - Page 17
- 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
|
Louisiana State Board of Medical Examiners
| Rules - Title 46 Professional and Occupational Standards; Part XLV (10/07)
| MDs DOs, CRNAs, RNs | Chapter 73: Office-Based Surgery (10-19-2007) 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
|
Department of Health and Hospitals
| Rules – Title 48 Public Health Part XI (11/03)
| MDs DOs, CRNAs, RNs | Chapter 93: Hospital Licensing Standards (11-20-2003) 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 (sections 9449-51).
Read Title 48, Part XI, Chapter 93 |
| Other State Resources |
Louisiana State Board of Nursing Louisiana Nurse Practice Act Louisiana State Board of Nursing Rules and Regulations Louisiana State Board of Nursing Declatory Statements Louisiana State Nurses Association Louisiana State Board of Medical Examiners Louisiana Association of Nurse Anesthetists |
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*This page last updated March 15, 2010. The summaries, links and other materials provided on this page are for informational purposes only, may not be comprehensive or applicable to your situation, and nothing on this website constitutes medical, nursing or legal advice. Other rules or regulations may apply. Please consult a lawyer to determine compliance with all applicable laws, rules and regulations. Please consult the Louisiana State Board of Nursing or other appropriate medical professionals or administrators before administering anesthetic or sedative products, to determine proper conduct in your particular situation, to assess currentness of regulations, and to comply with individual facility guidelines and policies.