New York State Association of Nurse Anesthetists (NYSANA)

The credential CRNA (Certified Registered Nurse Anaesthetist) came into existence in 1956. It is provides anaesthesia to the patients in the USA for 150 years.  CRNAs are anaesthesia professionals who safely administer more than 33 million anaesthetics to patients each year in the USA. CRNAs are the main providers of anaesthesia care in rural America, allowing healthcare facilities in these medically underserved areas to offer obstetrical, surgical, pain management and trauma maintenance services. CRNAs are the individual providers in nearly 100% of the rural hospitals. CRNAs provide anaesthesia in collaboration with surgeons, anaesthesiologists, dentists, podiatrists, and other qualified healthcare professionals. When anaesthesia is administered by a nurse anaesthetist, it is recognized as the practice of nursing; when administered by an anaesthesiologist, it is recognized as the practice of medicine. Irrespective of their educational background is in nursing or medicine, all anaesthesia professionals give anaesthesia the same way. Nurse anaesthetists have been the main providers of anaesthesia care to U.S. military personnel on the front lines since WWI, including current battles in the Middle East. Nurses first provide anaesthesia to wounded soldiers during the Civil War.

Succeeded in care plans recognize by CRNAs for providing high-quality anaesthesia care with reduced expenses to patients and insurance companies. The cost-efficiency of CRNAs helps to control increasing in healthcare costs. In 2001, the Centres for Medicare & Medicaid Services (CMS) changed the federal doctor supervision rule for nurse anaesthetists to allow state governors to select this facility reimbursement requirement by meeting three criteria:

1) Consulting the state boards of medicine and nursing related problems to access and the quality of anaesthesia services in the state,

2) Determine in choosing the consistent with state law, and

3) Determine in selecting the best interests of the state’s citizens.

Till today, 17 states have chosen federal supervision requirement. Additional states do not have supervision necessities in state law and are eligible to choose the governors to do so. Nationally, the average 2012 misconduct premium for self-employed CRNAs was 33% lower than in 1988. Legislation passed by Congress in 1986 made nurse anaesthetists the first nursing field to give direct reimbursement rights under the Medicare program.