Nevada § 633.425 - Authorized services; prohibited actions

§ 633.425. Authorized services; prohibited actions

1. An anesthesiologist assistant licensed under the provisions of this chapter may

assist in the practice of medicine in accordance with the regulations adopted by the

Board pursuant to NRS 633.4252 and under the supervision of a supervising osteopathic anesthesiologist. 2. An anesthesiologist assistant may perform the following duties and responsibilities

as delegated by and under the supervision of a supervising osteopathic anesthesiologist,

including, without limitation: (a) Developing and implementing an anesthesia care plan for a patient; (b) Obtaining the comprehensive health history of a patient, performing relevant elements

of a physical examination of a patient and recording relevant data; (c) Ordering and performing preoperative and postoperative anesthetic patient evaluations

and consultations and maintaining progress notes; (d) Subject to the limitations for NRS 453.375 , possessing and administering preoperative and perioperative medications, including,

without limitation, controlled substances, administering anesthetic agents, related

pharmaceutical agents, fluid and blood products and adjunctive treatment, for purposes

of: (1) Maintaining and altering the levels of anesthesia and providing continuity of

anesthetic care into and during the postoperative recovery period; (2) The continuation of perioperative medications; (3) Performing general anesthesia, including, without limitation, induction, maintenance,

emergence and other procedures associated with general anesthesia; (4) Administering vasoactive drugs and starting and titrating vasoactive infusions

to treat a response of a patient to anesthesia; and (5) Administering postoperative sedation, anxiolysis or analgesia medication to treat

patient responses to anesthesia; (e) Entering in the medical record of a patient verbal or written medication chart

orders prescribed by the supervising osteopathic anesthesiologist; (f) Changing or discontinuing an anesthesia care plan after consulting with the supervising

osteopathic anesthesiologist; (g) Obtaining informed consent from a patient or the parent or guardian of the patient,

as applicable, for the administration of anesthesia or related procedures; (h) Pretesting and calibrating anesthesia delivery systems and obtaining information

from such systems and from monitors; (i) Implementing medically accepted monitoring techniques; (j) Establishing airway interventions and performing ventilatory support, including,

without limitation, endotracheal intubation, laryngeal mask insertion and other advanced

airway techniques; (k) Establishing peripheral intravenous lines, including, without limitation, the

use of subcutaneous lidocaine, and performing invasive procedures, including, without

limitation, the placement of arterial lines, central lines and Swan-Ganz catheters; (l) Performing, maintaining, evaluating and managing epidural, spinal and regional

anesthesia, including, without limitation, catheters; (m) Performing monitored anesthesia care; (n) Conducting laboratory and other related studies, including, without limitation,

taking blood samples and administering blood, blood products and supportive fluids; (o) Performing, ordering and interpreting preoperative, point-of-care, intraoperative

or postoperative diagnostic testing or procedures; (p) Monitoring the patient while in the preoperative suite, recovery area or labor

suites and making postanesthesia rounds; (q) Participating in administrative, research and clinical teaching activities, including,

without limitation, supervising student anesthesiologist assistants and students involved

in anesthesia training; (r) Initiating and managing cardiopulmonary resuscitation in response to a life-threatening

situation; and (s) Performing such other tasks that are not otherwise prohibited by law and in which

the anesthesiologist assistant has been trained and is competent. 3. An anesthesiologist assistant shall not prescribe any controlled substance or any

dangerous drug, as defined in NRS 454.201 . 4. An anesthesiologist assistant may not perform any duties which are outside the

scope of the duties assigned to the anesthesiologist assistant by the supervising

osteopathic anesthesiologist or delegate any medical care task assigned to the anesthesiologist

assistant by the supervising osteopathic anesthesiologist to any other person.