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During the COVID-19 pandemic, the commonwealth issued a temporary blanket waiver that enabled advanced practice nurses, including certified registered nurse anesthetists, to practice to the fullest extent of their education and training to enhance the state’s response to the health-care crisis.

 

A new study, “Impact of reduced restrictions in scope of practice of nurse anesthetists on patient safety across states,” published in Journal of Nursing Regulation, makes clear that was the right thing to do — and that the move led to real health-care benefits for patients.

 

The authors examined the impact of the pandemic-related reduced restrictions in scope of practice, specifically allowing CRNAs to practice to the full extent of their education and training, on anesthesia-related complications rates.

 

What they found is that there was a statistically significant reduction in anesthesia complications in states that allowed pandemic-related reduced restrictions in state scope of practice compared to states with no change in scope of practice.

 

In other words, the authors concluded that reduced restrictions in state scope of practice during the pandemic were not associated with any increase but in fact showed a decrease in anesthesia-related complications.

 

These findings add to existing evidence on the safety of anesthesia procedures performed by CRNAs and expand the evidence to include safe procedures during the pandemic. The findings inform strategic planning and public policy to reform the health-care system to prepare prudently for future emergencies.

 

Read the full report HERE.

 

The Pennsylvania State Board of Nursing recently published in the Pennsylvania Bulletin its proposed rulemaking to recognize and license “certified registered nurse anesthetists” as intended under Act 60 of 2021. It’s an exciting moment – the culmination of years of hard work by so many!


The rulemaking solidifies the scope of practice for these highly trained, advanced professionals to administer anesthesia in cooperation with and under the overall direction of licensed physicians, podiatrists, and dentists, while setting licensing fees and certification standards. It also updates provisions relating to licensure by endorsement and mandatory child abuse education and training, and updates reactivation fees provisions for clinical nurse specialists.


The rulemaking includes a public comment period that runs through July 28, 2025.

 

CLICK HERE to read the entire proposed rulemaking, and PANA will continue to share updates with members.

 
Jay G. Thomas, CRNA
Jay G. Thomas, CRNA

With heavy hearts, members reflect on the tremendous loss of Jay Thomas, CRNA, former President of PANA and a true champion of our profession.


Jay was a tireless, unwavering advocate for nurse anesthetists and for PANA. Serving as president in 2012 and remaining on the board in various leadership roles for nearly seven years, he played a pivotal role in shaping the strong, financially sound organization we know today. His leadership style was steady, strategic, and deeply collaborative.


On the advocacy front, Jay was instrumental in moving the profession forward.  He was a mentor to many PANA members, teaching them the art of advocating for CRNA practice both at home in Harrisburg and in Washington D.C. 


Jay Thomas made a mark on this profession, and we are all better for having had him as a leader, mentor, and colleague.


Family and friends are invited from 10 AM to 12 PM on Thursday, June 19th to Hugh B. Hughes & Son, Inc. Funeral Home, 1044 Wyoming Ave., Forty Fort.


Memorial service will be held following visitation hours at 12 PM. Click here to view Jay's full obituary online.



 

Copyright © 2026 Pennsylvania Association of Nurse Anesthetists

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