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The protocol must be updated biennially.(3) PERFORMANCE OF ANESTHESIOLOGIST ASSISTANTS.—(a) An anesthesiologist assistant may assist an anesthesiologist in developing and implementing an anesthesia care plan for a patient. In providing assistance to an anesthesiologist, an anesthesiologist assistant may perform duties established by rule by the board in any of the following functions that are included in the anesthesiologist assistant’s protocol while under the direct supervision of an anesthesiologist:1. Obtain a comprehensive patient history and present the history to the supervising anesthesiologist.2. Pretest and calibrate anesthesia delivery systems and monitor, obtain, and interpret information from the systems and monitors.3. Assist the supervising anesthesiologist with the implementation of medically accepted monitoring techniques.4. Establish basic and advanced airway interventions, including intubation of the trachea and performing ventilatory support.5. Administer intermittent vasoactive drugs and start and adjust vasoactive infusions.6. Administer anesthetic drugs, adjuvant drugs, and accessory drugs.7. Assist the supervising anesthesiologist with the performance of epidural anesthetic procedures and spinal anesthetic procedures.8. Administer blood, blood products, and supportive fluids.9. Support life functions during anesthesia health care, including induction and intubation procedures, the use of appropriate mechanical supportive devices, and the management of fluid, electrolyte, and blood component balances.10. Recognize and take appropriate corrective action for abnormal patient responses to anesthesia, adjunctive medication, or other forms of therapy.11. Participate in management of the patient while in the postanesthesia recovery area, including the administration of any supporting fluids or drugs.12. Place special peripheral and central venous and arterial lines for blood sampling and monitoring as appropriate.(b) Nothing in this section or chapter prevents third-party payors from reimbursing employers of anesthesiologist assistants for covered services rendered by such anesthesiologist assistants.(c) An anesthesiologist assistant must clearly convey to the patient that she or he is an anesthesiologist assistant.(d) An anesthesiologist assistant may perform anesthesia tasks and services within the framework of a written practice protocol developed between the supervising anesthesiologist and the anesthesiologist assistant.(e) An anesthesiologist assistant may not prescribe, order, or compound any controlled substance, legend drug, or medical device, nor may an anesthesiologist assistant dispense sample drugs to patients. Nothing in this paragraph prohibits an anesthesiologist assistant from administering legend drugs or controlled substances; intravenous drugs, fluids, or blood products; or inhalation or other anesthetic agents to patients which are ordered by the supervising anesthesiologist and administered while under the direct supervision of the supervising anesthesiologist.(4) PERFORMANCE BY TRAINEES.—The practice of a trainee is exempt from the requirements of this chapter while the trainee is performing assigned tasks as a trainee in conjunction with an approved program. Before providing anesthesia services, including the administration of anesthesia in conjunction with the requirements of an approved program, the trainee must clearly convey to the patient that he or she is a trainee.(5) PROGRAM APPROVAL.—The boards shall approve programs for the education and training of anesthesiologist assistants which meet standards established by board rules. The board may recommend only those anesthesiologist assistant training programs that hold full accreditation or provisional accreditation from the Commission on Accreditation of Allied Health Education Programs.(6) ANESTHESIOLOGIST ASSISTANT LICENSURE.—(a) Any person desiring to be licensed as an anesthesiologist assistant must apply to the department. The department shall issue a license to any person certified by the board to:1. Be at least 18 years of age.2. Have satisfactorily passed a proficiency examination with a score established by the National Commission on Certification of Anesthesiologist Assistants.3. Be certified in advanced cardiac life support.4. Have completed the application form and remitted an application fee, not to exceed $1,000, as set by the boards. An application must include:a. A certificate of completion of an approved graduate level program.b. A sworn statement of any prior felony convictions.c. A sworn statement of any prior discipline or denial of licensure or certification in any state.d. Two letters of recommendation from anesthesiologists.(b) A license must be renewed biennially. Each renewal must include:1. A renewal fee, not to exceed $1,000, as set by the boards.2. A sworn statement of no felony convictions in the immediately preceding 2 years.(c) Each licensed anesthesiologist assistant must biennially complete 40 hours of continuing medical education or hold a current certificate issued by the National Commission on Certification of Anesthesiologist Assistants or its successor.(d) An anesthesiologist assistant must notify the department in writing within 30 days after obtaining employment that requires a license under this chapter and after any subsequent change in her or his supervising anesthesiologist. The notification must include the full name, license number, specialty, and address of the supervising anesthesiologist.
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