As of September, there was no physician supervision requirement for nurse anesthetists in ambulatory surgical facilities across 31 states and Washington, D.C., according to information provided to Becker's ASC Review by the American Association of Nurse Anesthetists.
The following have no supervision requirement "concerning nurse anesthetists in nurse practice acts, board of nursing rules/regulations, medical practice acts, board of medicine rules/regulations, ambulatory surgical facility licensing statutes, ambulatory surgical facility licensing rules/regulations, or their generic equivalents":
1. Alaska
2. Arizona
3. California
4. Colorado
5. Delaware
6. Washington, D.C.
7. Georgia
8. Idaho
9. Illinois
10. Iowa
11. Kansas
12. Kentucky
13. Maryland
14. Massachusetts
15. Minnesota
16. Montana
17. Nebraska
18. Nevada
19. New Hampshire
20. New Mexico
21. North Carolina
22. North Dakota
23. Oklahoma
24. Oregon*
25. Pennsylvania
26. South Dakota
27. Tennessee
28. Texas
29. Vermont
30. Washington
31. Wisconsin
32. Wyoming
*Note: Oregon ambulatory surgical facility licensing statutes, rules or regulations don't require supervision, direction or collaboration, but facilities themselves may establish such requirements for a certified registered nurse anesthetist.
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