SummaryThe aspects of practice include direct patient care - administration - education - and research activities. Core functions are outlined in the clinical privileges or scope of practice that correspond with this position and determined locally within the limits of the individual's state license and the local VA Medical Center (VAMC) bylaws. The Advanced Practice Nurse - Certified Nurse Anesthetist provides advanced clinical practice - consultation - and management.DutiesAs specified in the scope of practice and in accordance with skill - proficiency - and state licensure - the Advanced Practice Nurse - Certified Nurse Anesthetist may provide the appropriate preoperative and postoperative anesthesia ordersAdvanced