Abstract
Certified registered nurse anesthetists (CRNAs) are vital in delivering anesthesia services. Despite rigorous training and proven quality outcome metrics, their scope of practice (SOP) is often limited. Using a national sample of CRNAs (N = 1,202), we investigated the impact of locale and the absence of physician supervision on SOP. CRNAs practicing in rural locations had higher SOP scores; those in states opting out of physician supervision had higher SOP scores. CRNAs who experienced a change in practice after opt-out legislation had the highest SOP of all groups (all P < .001). Restrictions in excess of state laws negatively impacted SOP.
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