Anesthetists (CRNAs) work under the supervision/direction of an anesthesiologist.

• Obtains appropriate health history including biophysical and psychosocial data.
• Conducts appropriate physician screening assessment.
• Recommends, or requests and evaluates pertinent diagnostic studies.
• Selects, obtains, orders or administers pre-anesthetic medications.
• Documents the pre-anesthetic evaluation and obtains informed consent for anesthesia.
• Obtains, prepares or utilizes all equipment, monitors, supplies and drugs used for the administration of anesthesia.
• Selects, obtains or administers the anesthetics, adjutant drugs, accessory drugs and fluids necessary to manage the anesthetic.
• Performs tracheal intubation and extubation and provides mechanical ventilation.
• Performs and manages regional anesthetic techniques including, but not limited to, subarachnoid, epidural and caudal blocks' plexus, major and peripheral nerve blocks, intravenous regional anesthesia; transtracheal, topical and local infiltration blocks as credentialed and monitored.
• Provides appropriate peri-anesthetic invasive and non-invasive monitoring utilizing current standards and techniques.
• Recognizes and treats cardiac dysrhythmias.
• Recognizes abnormal patient response during anesthesia, selecting and implementing corrective action.
• Manages the patient's fluid, blood, electrolyte and acid-base balance.
• Evaluates patient response during emergence from anesthesia and institutes pharmacological or supportive treatment.
• Provides anesthesia care consistent with infection control and anesthetic safety principles.
• Documents, as part of the medical record all aspects of anesthesia-related care in a thorough and timely fashion.
• Provides a thorough report of the patient's psychological and physical condition, peri-anesthetic course and anticipated problems to the post anesthetic health care provider.
• Provides post anesthesia follow-up and evaluation of the patient's response to anesthesia.
• Initiates and administers respiratory support to insure adequate ventilation and oxygenation in the immediate post anesthesia period.
• Initiates and administers pharmacological or fluid support of the cardiovascular system during the immediate post anesthesia period.
• Inserts peripheral and central intravenous catheters as credentialed.
• Inserts arterial catheters and performs arterial puncture to obtain arterial blood samples as credentialed.
• Identifies and manages emergency situations, including initiating or participating in cardiopulmonary resuscitation.
• Provides consultation and implementation of respiratory and ventilatory care.
• Initiates and modifies pain relief therapy utilizing drugs, regional anesthetic techniques or other accepted pain relief modalities.
• Selects or prescribes medication and treatment modalities related to the peri-anesthetic care of the patient.