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The Certified Registered Nurse Anesthetist exercises independent judgement in assessment, diagnosis, and initiation of medical processes and procedures, in accordance with the nurse practitioner licensure regulations of the Commonwealth of Virginia, and as delineated in the written Scope of Practice and Protocol for Nurse Practitioners. This role demonstrates respect for and an understanding of other clinical disciplines while using an integrated approach to achieve desired patient outcomes. Utilizes evidence-based standards, guidelines, and protocols for care delivery.