Iowa Court Prevents ARNPs From Directly Supervising Fluoroscopy

The Iowa District Court for Polk County has overturned regulations that authorize advanced registered nurse practitioners to provide “direct supervision” of fluoroscopy, according to an ASA release.

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According to the report, the court ruled in favor of the Iowa Society of Anesthesiologists and Iowa Medical Society in a lawsuit that challenged regulations adopted by the nursing board and Iowa Department of Public Health. The court found the regulations to be invalid because the nursing board and IDPH exceed their statutory authority.

The court noted in its decision that Iowa law does not provide the nursing board with “unfettered discretion” to authorize ARNPs to engage in the practice of medicine, and the law specifically prohibits the expansion of nursing practice into areas of medicine absent recognition of the medical professions.

The court also noted that the Iowa Association of Nurse Anesthetists admitted during the rulemaking process that CRNAs do not receive sufficient training at the University of Iowa to make them competent to utilize fluoroscopy in practice.  

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