Q: Can CRNA deliver anesthesia to podiatry patient if oral surgeon w/ unrestricted permit is available in PA?
I own a CRNA only anesthesia management company in Pennsylvania. I am in talks with an oral surgery office to provide anesthesia services to their patients in an office based setting. However, they are hoping to allow outside pediatric dentists, podiatrists, etc. (surgeons that lack the unrestricted permit required in PA to oversee general anesthesia cases) to utilize their 'anesthesia room' when they are not using it. Based on my reading, it seems to be legal... Is it? Thanks!!!!
A few documents I've found helpful:
§ 33.332 describes dental permits required for dental anesthesia.
42 CFR 416.42 & § 21.17. Anesthesia. gives CRNA's the right to practice without anesthesiologist while being supervised by surgeon or dentist (with unrestricted permit if performing general anesthesia)
28 Pa. Code § 123.7 states the supervising physician must be in building.
A:
regardless of what I or any other lawyer says you need to find out what your licensing board would say, and what your insurance company would say.
Generally if a law or administrative regulation is enacted for public health, then it will be construed in that way not in a way that makes providers most comfortable. If it sounds pushing the envelope, don't do it.
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