Physician duties · CRNA · Hawaii
Signing for a Certified Registered Nurse Anesthetist in Hawaii: what the physician takes on
No agreement is required, so the terms are whatever you both negotiate. Certified Registered Nurse Anesthetists practice independently in Hawaii, so any agreement is voluntary.
Hawaii licenses CRNAs as APRNs with the same independent-practice status as NP/CNM/CNS (HRS § 457-8.5) and has opted CRNAs out of the CMS Medicare physician-supervision requirement for anesthesia services.
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
No supervising-physician relationship required for clinical practice (HRS § 457-8.5).
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
Separate prescribing terms required · controlled substances permitted
Same separate-application framework as other APRNs (HRS § 457-8.6); CRNA prescribing is scoped in practice to the periprocedural/anesthesia context.
Written agreement
Not required
Unconditional for clinical practice — same as the general `np` entry.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional corporation under HRS § 415A-9; non-licensees may not hold equity.
What physicians charge for this role
Typical monthly compensation in Hawaii
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
About Hawaii's rules
Hawaii grants APRNs (NP/CRNA/CNM/CNS) full independent practice with no collaborative-agreement requirement (HRS § 457-8.5); prescriptive authority is a separate application, not automatic. Hawaii has no general corporate-practice-of-medicine statute — HRS § 415A-9 requires professional-corporation shareholders to be licensed, but doesn't clearly resolve multi-discipline (e.g. physician+APRN) ownership.
Other clinicians in Hawaii: see the state overview.