Kansas Statutes Annotated

K.S.A. § 65-1158 (2026)

Registered nurse anesthetist scope of practice; prescription of drugs authorized

✓ current as of May 2026
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65-1158. Registered nurse anesthetist scope of practice; prescription of drugs authorized. (a) Upon the order of a physician or dentist requesting anesthesia or analgesia care, each registered nurse anesthetist shall be authorized to:

(1) Conduct a pre- and post-anesthesia and pre- and post-analgesia visit and assessment with appropriate documentation;

(2) develop a general plan of anesthesia care with the physician or dentist;

(3) select the method for administration of anesthesia or analgesia;

(4) select or administer appropriate medications and anesthetic agents during the peri-anesthetic or peri-analgesic period;

(5) order necessary medications and tests in the peri-anesthetic or peri-analgesic period;

(6) induce and maintain anesthesia or analgesia at the required levels;

(7) support life functions during the peri-anesthetic or peri-analgesic period;

(8) recognize and take appropriate action with respect to patient responses during the peri-anesthetic or peri-analgesic period;

(9) manage the patient's emergence from anesthesia or analgesia; and

(10) participate in the life support of the patient.

(b) (1) A registered nurse anesthetist may prescribe durable medical equipment and prescribe, procure and administer any drug consistent with the registered nurse anesthetist's education and qualifications. Except as permitted by subsection (a), a registered nurse anesthetist shall not prescribe, procure or administer any anesthetic agent. Any drug that is a controlled substance shall be prescribed, procured or administered in accordance with the uniform controlled substance act.

(2) A registered nurse anesthetist shall not perform or induce an abortion or prescribe, procure or administer drugs for an abortion.

(3) A prescription order shall include the name, address and telephone number of the registered nurse anesthetist. A registered nurse anesthetist shall not dispense drugs but may request, receive and sign for professional samples and may distribute professional samples to patients.

(4) In order to prescribe controlled substances, a registered nurse anesthetist shall:

(A) Register with the federal drug enforcement administration; and

(B) comply with federal drug enforcement administration requirements related to controlled substances.

(c) Each registered nurse anesthetist may participate in periodic and joint evaluation of services rendered, including, but not limited to, chart reviews, case reviews, patient evaluation and outcome of case statistics.

(d) A registered nurse anesthetist shall perform duties and functions in an interdependent role as a member of a physician or dentist directed healthcare team.

History: L. 1986, ch. 183, § 8; L. 1988, ch. 242, § 4; L. 1996, ch. 179, § 5; L. 2010, ch. 33, § 1; L. 2025, ch. 35, § 1; July 1.

Notes of Decisions
Cited in 4 cases, 1999–2019 · leading case: Glassman v. Costello, 986 P.2d 1050 (Kan. 1999).
Glassman v. Costello, 986 P.2d 1050 (Kan. 1999). · cites it 4× “Costello owed a duty which he violated center on K.S.A. 65-1158 as it read at the time applicable to this case.”
Cady v. Schroll, 317 P.3d 90 (Kan. 2014). “The heirs-at-law claimed the obstetrician was negligent in (1) failing to direct and monitor the nurse anesthetist as required by K.S.A. 65-1158(b) (stating “[a] registered nurse anesthetist shall perform duties and functions in an interdependent role as a member of a physician .”
Brown v. Trobough, 462 P.3d 635 (Kan. Ct. App. 2019). · cites it 2× “The family asserted that it was seeking to hold the obstetrician liable for failing to properly communicate with the nurse anesthetist and supervise the administration of anesthesia as required under K.S.A. 65-1158. Below, the trial court agreed with the family.”
Attorney Gen. Opinion No. (Kan. Att'y Gen. 2009). “A 65-1130 (d) requires CRNAs to abide by the strictures in K.S.A. 65-1158. 9 Emphasis added. 10 K.S.”
— K.S.A. § 65-1158(b) — 2 cases
Cady v. Schroll, 317 P.3d 90 (Kan. 2014). “The heirs-at-law claimed the obstetrician was negligent in (1) failing to direct and monitor the nurse anesthetist as required by K.S.A. 65-1158(b) (stating “[a] registered nurse anesthetist shall perform duties and functions in an interdependent role as a member of a physician .”
Glassman v. Costello, 986 P.2d 1050 (Kan. 1999). “Costello owed a duty which he violated center on K.S.A. 65-1158 as it read at the time applicable to this case.”
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