GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 2013

H                                                                                                                                                   3

HOUSE BILL 181

Committee Substitute Favorable 3/18/13

Committee Substitute #2 Favorable 3/25/13

 

Short Title:        Physician Suprvsn. Required/Nurse Anesthetist.

(Public)

Sponsors:

 

Referred to:

 

March 4, 2013

A BILL TO BE ENTITLED

AN ACT to confirm that north carolina law requires physician supervision of all nurses providing anesthesia services.

The General Assembly of North Carolina enacts:

SECTION 1.  G.S. 90-18(c) is amended by adding a new subdivision to read:

"(c)       The following shall not constitute practicing medicine or surgery as defined in this Article:

(14a)    The provision of anesthesia services by a nurse anesthetist, so long as the anesthesia services are provided under the supervision of (i) a physician licensed under this Article or (ii) a licensed dentist who is qualified to provide anesthesia services pursuant to G.S. 90-29. A nurse anesthetist may provide local anesthesia under the supervision of a licensed podiatrist pursuant to G.S. 90-202.2(a).

."

SECTION 2.  G.S. 90-171.20(7)e. reads as rewritten:

" 90-171.20.  Definitions.

As used in this Article, unless the context requires otherwise:

(7)        The "practice of nursing by a registered nurse" consists of the following 10 components:

e.         Collaborating with other health care providers in determining the appropriate health care for a patient but, subject to the provisions of G.S. 90-18.2, not prescribing a medical treatment regimen or making a medical diagnosis, except under supervision of a licensed physician. A nurse anesthetist may provide anesthesia services only if the anesthesia services are provided under the supervision of (i) a physician licensed under Article 1 of this Chapter or (ii) a licensed dentist who is qualified to provide anesthesia services pursuant to G.S. 90-29. A nurse anesthetist may provide local anesthesia under the supervision of a licensed podiatrist pursuant to G.S. 90-202.2(a).

."

SECTION 3.  This act is effective when it becomes law.