Effective - 28 Aug 2003
334.402. Anesthesiologist assistants, may assist in anesthesia care plan for patients, activities authorized and prohibited — identification, assistants and students — faculty members of anesthesia program, requirements. — 1. An anesthesiologist assistant may assist the supervising anesthesiologist in developing and implementing an anesthesia care plan for a patient. In providing assistance to the supervising anesthesiologist, an anesthesiologist assistant shall have the authority to:
(1) Obtain a comprehensive patient history, perform relevant elements of a physical exam and present the history to the supervising anesthesiologist;
(2) Pretest and calibrate anesthesia delivery systems and obtain and interpret information from the systems and monitors, in consultation with an anesthesiologist;
(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, spinal anesthetic procedures, and other regional anesthetic techniques;
(8) Administer blood, blood products, and supportive fluids;
(9) Provide assistance to a cardiopulmonary resuscitation team in response to a life-threatening situation;
(10) Participate in administrative, research, and clinical teaching activities as authorized by the supervising anesthesiologist; or
(11) Perform such other tasks not prohibited by law under the supervision of a licensed anesthesiologist that an anesthesiologist assistant has been trained and is proficient to perform.
2. An anesthesiologist shall at all times accept and be responsible for the oversight of the health care services rendered by the anesthesiologist assistant.
3. Anesthesiologist assistants are prohibited from the following:
(1) An anesthesiologist assistant shall not prescribe any medications or controlled substances;
(2) An anesthesiologist assistant shall not administer any drugs, medicines, devices, or therapies the supervising anesthesiologist is not qualified or authorized to prescribe; and
(3) An anesthesiologist assistant shall not practice or attempt to practice without the supervision of a licensed anesthesiologist or in any location where the supervising anesthesiologist is not immediately available for consultation, assistance, and intervention.
4. An anesthesiologist assistant shall be clearly identified as an anesthesiologist assistant and shall not use or permit to be used in the anesthesiologist assistant's behalf the terms "doctor", "Dr.", or "doc" or in any way be identified as a physician or surgeon. An anesthesiologist assistant shall not refer to a certificate of registration or authority, permit, or license as "board-certified" or use any other terminology that may imply that the anesthesiologist assistant is a physician or surgeon.
5. A student in any anesthesiologist assistant training program shall be identified as a student anesthesiologist assistant or an anesthesiologist assistant student. Under no circumstances shall such a student use or permit to be used on the student's behalf, the terms "intern", "resident", or "fellow" or be identified in any way as a physician or surgeon.
6. The anesthesiologist members of the faculty of an anesthesiologist assistant program established in this state shall be comprised of board-certified or board-eligible anesthesiologists. No faculty member of any anesthesiologist assistants program shall concurrently supervise more than two anesthesiologist assistant students who are delivering anesthesia. Certified registered nurse anesthetists will be excluded from clinical education of anesthesiologist assistants.
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(L. 2003 H.B. 390)
Structure Missouri Revised Statutes
Title XXII - Occupations and Professions
Chapter 334 - Physicians and Surgeons — Therapists — Athletic Trainers — Health Care Providers
Section 334.002 - Inactive license status granted, when.
Section 334.020 - Board defined.
Section 334.031 - Qualifications of candidates for licenses.
Section 334.035 - Application for permanent license, postgraduate training requirement.
Section 334.043 - Reciprocity — reciprocal compacts — fee.
Section 334.047 - License to show degree held by licensee — use on stationery and displays required.
Section 334.073 - Continuing medical education on autism required.
Section 334.090 - Fees, amounts, how set.
Section 334.098 - Disposition of certain records.
Section 334.103 - Automatic revocation or reinstatement of license, grounds.
Section 334.105 - Intractable pain treatment act — definitions.
Section 334.110 - Retired licensees not required to register.
Section 334.112 - Limited license to practice medicine, requirements — limitations of practice.
Section 334.120 - Board created — members, appointment, qualifications, terms, compensation.
Section 334.125 - Seal — regulations — offices — rulemaking, procedure, this chapter.
Section 334.127 - Subpoenas for witnesses, administration of oaths — enforcing subpoena, procedure.
Section 334.150 - Treatments of ill excepted from regulation by this chapter.
Section 334.155 - Applicability of chapter.
Section 334.157 - Board to promulgate certain rules relating to vaccines and immunizations.
Section 334.160 - Right of school to recognition, how determined.
Section 334.170 - Issuance or acceptance of false diploma or certificate, misdemeanor.
Section 334.190 - Practice of midwifery limited.
Section 334.230 - Unlawful practices, injunction procedure.
Section 334.240 - Investigation and commencement of prosecutions.
Section 334.245 - Abortions, only physicians to perform — violations, penalty.
Section 334.250 - Unlawful practice, fraudulent filing of license or identification, penalties.
Section 334.252 - Physicians prohibited referral to certain physical therapists, definitions.
Section 334.260 - Midwives licensed.
Section 334.400 - Definitions.
Section 334.406 - Temporary license issued, when, procedure.
Section 334.408 - Inactive license status granted, when — return to active status, procedure.
Section 334.412 - Licensure without examination permitted, when — reciprocal compacts permitted.
Section 334.416 - Renewal of certificate of registration, when, procedure, fee.
Section 334.418 - Certificate required to practice, not required, when.
Section 334.420 - Continuing education requirements, waiver of requirements, when.
Section 334.422 - Fees, deposit in board of registration for the healing arts fund, use of funds.
Section 334.426 - Hospitals may limit function of anesthesiologist assistants, procedure.
Section 334.428 - Anesthesiologist assistant, use of title permitted, when — penalty.
Section 334.500 - Definitions.
Section 334.507 - Continuing education requirements.
Section 334.510 - License required, effective when.
Section 334.520 - Board to license.
Section 334.525 - Inactive license status permitted, when, procedure.
Section 334.530 - Qualifications for license — examinations, scope.
Section 334.540 - License without examination, when — reciprocal agreements authorized.
Section 334.550 - Temporary license, issuance, fees.
Section 334.560 - Examination fees, reexamination.
Section 334.580 - Registration, fee.
Section 334.600 - Affidavit of retirement.
Section 334.601 - Fees to be set by board.
Section 334.602 - Patient record documentation requirements.
Section 334.610 - License to practice required, exceptions — unauthorized use of titles prohibited.
Section 334.611 - Examination not required, when.
Section 334.616 - Automatic revocation of licensure, when.
Section 334.617 - Injunction or restraining order authorized, when.
Section 334.618 - Investigation and filing of complaints for violations.
Section 334.620 - Short title.
Section 334.660 - Reciprocity with other states.
Section 334.665 - Temporary license — fee authorized — expires, when.
Section 334.670 - Examination fee.
Section 334.675 - Renewal of license, application, fee — display of license, requirements.
Section 334.680 - Fees deposited in state treasury.
Section 334.685 - Retirement of physical therapist assistant, affidavit.
Section 334.686 - Titles authorized.
Section 334.687 - Rulemaking authority.
Section 334.700 - Short title.
Section 334.702 - Definitions.
Section 334.703 - Referral to physician, when — limitations on scope of practice.
Section 334.704 - Athletic trainers required to be licensed.
Section 334.706 - Board of healing arts, powers and duties — rules and regulations, procedure.
Section 334.708 - Licensure, examination — reciprocity.
Section 334.710 - Licensure forms and fee — deposit of fees.
Section 334.712 - License issued, when — content.
Section 334.720 - Compensation of board members.
Section 334.725 - Violations, penalty.
Section 334.736 - Physician assistants, temporary license, requirements, fees, renewal.
Section 334.742 - Nonresident of Missouri may apply for licensure, requirements.
Section 334.743 - Rulemaking, procedure — rules effective, when, void, when.
Section 334.745 - Fees deposited in board of registration for the healing arts fund.
Section 334.746 - Staff for health care provider — certification.
Section 334.800 - Title of act — definitions.
Section 334.820 - License required — practice of medicine not authorized.
Section 334.860 - Promulgation of rules, authority.
Section 334.870 - Licensing requirements, background checks.
Section 334.880 - License renewal — inactive status.
Section 334.900 - Individuals and activities not limited by respiratory care practice act.
Section 334.920 - Board powers — disciplining and sanctions — violations, penalty.
Section 334.930 - Immunity from liability for emergency care.
Section 334.1135 - Joint task force established, members, duties, meetings — report.
Section 334.1203 - Definitions.
Section 334.1206 - State participation in the compact.
Section 334.1209 - Compact privilege.
Section 334.1212 - Active duty military personnel or their spouses
Section 334.1215 - Adverse actions.
Section 334.1218 - Establishment of the physical therapy compact commission.
Section 334.1221 - Data system.
Section 334.1224 - Rulemaking.
Section 334.1227 - Oversight, dispute resolution, and enforcement.