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Clinical Privileging

Credentialing may be defined as the recognition of professional and technical competence and well defined criteria-based mechanisms to verify information and evaluate the applicant requesting privileges. Core privileges define the scope of the procedures and activities within a specialty that each professional has the education, experience and competence to perform.

Clinical privileging is the process through which individuals are credentialed within institutions to provide specific patient-care services.

Core clinical privileging is an institutional or agency credentialing process. CRNAs should be granted core clinical privileges consistent with other healthcare professional staff members who are permitted by law and the facility to provide patient care services. The credentialing and privileging process should provide an objective mechanism for initial application and renewal of clinical privileges based on education, experience, legal qualifications, and an assessment of the individual healthcare professional’s competence and ability to render quality care.

CRNA scope of practice is dynamic and evolving. Privileges should be appropriate to the scope and complexity of care provided by CRNAs. Clinical privileging should be so defined as to permit CRNAs to provide core procedures and selected activities under specific conditions with or without supervision.

The clinical privileging process includes:

  1. The qualifications of the provider
  2. The actual practice privileges requested and granted
  3. The conditions or limits of practice
  4. The process for assessment of quality of work and renewal of privileges.


Scope and Standards for Nurse Anesthesia Practice. Park Ridge, IL: American Association of Nurse Anesthetists; 2005.

Guidelines for Core Clinical Privileges for Certified Registered Nurse Anesthetists. Park Ridge, IL: American

Association of Nurse Anesthetists; 2005.


The following documents are from the American Association of Nurse Anesthetists:

Quality of Care in Anesthesia

Quality of Nurse Anesthesia Practice

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