CRNA · Nebraska
Supervision Agreement for Certified Registered Nurse Anesthetists in Nebraska
Not unconditionally. Nebraska does not name a specific instrument.
Multiple secondary sources (AANA, industry trackers) describe Nebraska as granting CRNAs full, unconditional independent practice with no supervising physician required — 'Nebraska is the only jurisdiction ... [with] Full Practice Authority to both NPs and CRNAs.' Whether CRNAs follow NP's 2,000-hour threshold, a different threshold, or no threshold at all could not be confirmed against the Certified Registered Nurse Anesthetist Practice Act's primary text — verify before relying on this for a compliance decision.
Independent practice requires: Inferred by analogy to the general APRN 2,000-hour transition-to-practice framework created by LB 107 (2015) — NOT independently confirmed against primary statute text specific to CRNAs in this research pass.
What the supervision must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
Not codified — left to the agreement
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
CRNAs are APRNs under Nebraska's Certified Registered Nurse Anesthetist Practice Act; in practice, CRNA prescribing is largely anesthesia-related drugs administered under standing orders/protocols. Schedule-specific limits were not confirmed in this research pass.
Written agreement
Not required
Coded as not required based on secondary-sourced descriptions of Nebraska as a full-practice-authority CRNA state, but this could not be independently confirmed against primary statute — see independentPractice.notes.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same Professional LLC framework (Neb. Rev. Stat. § 21-190) as other APRNs above.
Legal sources for these rules (3)
What a supervising physician costs here
Typical monthly cost in Nebraska
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About Nebraska's rules
LB 107 (2015) replaced ongoing APRN physician collaboration with a one-time 2,000-hour transition-to-practice period for nurse practitioners; whether CRNAs and CNSs follow the identical threshold (vs. a different or no threshold) could not be fully confirmed against primary statute text in this pass — verify before relying on those two entries. CNMs remain the most restricted category, unaffected by that reform.
Other clinicians in Nebraska: see the state overview.