1. A. A nurse anesthetist shall collaborate with an anesthesiologist, licensed physician, or dentist in the following manner:

   1. (1) An anesthesiologist, licensed physician, or dentist shall be physically available to the nurse anesthetist for consultation at all times during the administration of, and recovery from, anesthesia;
   2. (2) An anesthesiologist shall be available for consultation to the nurse anesthetist for other aspects of the practice of nurse anesthesia; and
   3. (3) If an anesthesiologist is not available, a licensed physician or dentist shall be available to provide this type of consultation.

2. B. The nurse anesthetist shall assure that a qualified anesthesia provider:

   1. (1) Performs a thorough and complete preanesthetic assessment;
   2. (2) Obtains informed consent for the planned anesthetic intervention from the patient or responsible other; and
   3. (3) Formulates a patient-specific plan for anesthesia care.

3. C. The nurse anesthetist as part of the standards of practice shall:

   1. (1) Implement and adjust the anesthesia care plan as needed to adapt to the patient's response to the anesthesia;
   2. (2) Monitor the patient's physiologic condition for untoward identifiable reactions and initiate appropriate corrective actions as required;
   3. (3) Enter prompt, complete, and accurate documentation of pertinent information on the patient's record;
   4. (4) Transfer responsibility for care of the patient to other qualified providers in a manner which assures continuity of care and patient safety;
   5. (5) Ensure that appropriate safety precautions are taken to minimize the risks of fire, explosion, electrical shock, and equipment malfunction;
   6. (6) Maintain appropriate infection control standards;
   7. (7) Evaluate anesthesia care to assure its quality;
   8. (8) Maintain continual competence in anesthesia practice;
   9. (9) Respect and maintain the basic rights of patients; and
   10. (10) Maintain medical records in accordance with Health-General Article, Title 4, Subtitle 4, Annotated Code of Maryland.

Authority: Health Occupations Article, §§8-205(a)(1), (3), (4), and (5), and 8-513; Annotated Code of Maryland

Effective date: December 1, 1979 (6:21 Md. R. 1709)

Regulations .01—.09 repealed and new Regulations .01—.08 adopted effective April 3, 2000 (27:6 Md. R. 642)

Regulation .01B amended effective June 17, 2019 (46:12 Md. R. 544)

Regulation .02 amended effective November 23, 2006 (33:23 Md. R. 1796); June 17, 2019 (46:12 Md. R. 544)

Regulation .02B amended effective June 18, 2007 (34:12 Md. R. 1067)

Regulation .03 amended effective June 17, 2019 (46:12 Md. R. 544)

Regulation .04B amended effective June 17, 2019 (46:12 Md. R. 544)

Regulation .04C—E adopted effective June 17, 2019 (46:12 Md. R. 544)

Regulation .05 amended effective June 17, 2019 (46:12 Md. R. 544)

Regulation .05A amended effective January 19, 2026 (53:1 Md. R. 20)

Regulation .05D adopted effective January 19, 2026 (53:1 Md. R. 20)

Regulation .06A, C amended effective June 17, 2019 (46:12 Md. R. 544); October 13, 2025 (52:20 Md. R. 1002)