If a CRNA's state grants independent prescriptive authority with physician collaboration, what is required?

• A. No collaboration needed.
• B. Collaboration with physician for controlled substances or supervision in some cases.
• C. CRNAs cannot prescribe at all.
• D. Only collaborate for non-controlled substances.

Answer: (B)

Even with independent prescriptive authority, states often require physician collaboration for certain prescriptions. The key idea is that independence in prescribing does not remove the safeguards around controlled substances or specific supervision needs. In states that grant independent prescriptive authority to CRNAs, there is typically a requirement to collaborate with a physician when prescribing controlled substances, and in some scenarios, to have physician involvement or supervision for anesthesia-related cases. This ensures patient safety given the risks associated with controlled medications and the complex nature of perioperative care.

So, the best fit is that collaboration with a physician is required for controlled substances, and in some cases for supervision. The other statements don’t match this nuance: claiming no collaboration is needed ignores established safeguards; saying CRNAs cannot prescribe contradicts having independent authority; and saying collaboration is needed only for non-controlled substances omits the common requirement for controlled substances and possible supervision in certain situations.