Juridical Analysis of Delegated Authority from Anesthesiologist to Nurses in Performing Anesthetic Procedures
DOI:
https://doi.org/10.54518/rh.5.6.2025.890Keywords:
Anesthesia Procedures, Anesthesiologists, Legal Aspects, NursesAbstract
The growing public demand for professional and legally accountable healthcare services, coupled with the limited availability of anesthesiology personnel, has led to the increasingly common practice of delegating anesthetic procedures to nurses, creating significant legal controversy that requires thorough examination. This study examines the legal aspects of the delegation of authority from anesthesiologists to nurses in performing anesthesia or sedation. The method used in this study is normative legal research, which is research using legislation covering three layers of legal science consisting of legal dogmatics, legal theory, and legal philosophy. The results of the discussion found that from a positive legal perspective, the delegation of authority from anesthesiologists to nurses to perform anesthesia within the scope of anesthesia services is contrary to the legal norms or rules as stipulated in Law Number 36 of 2014 concerning Health Workers and also Law-Law Number 38 of 2014 concerning Nursing, which is Lex Specialis for nurses, and Law Number 17 of 2023 concerning Health. Therefore, the delegation of authority from anesthesiologists to nurses can be categorized as an unlawful act because anesthesia is a special medical procedure that can only be delegated to health workers who have been authorized by the government.
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Agustina, E., Wardhani, V., & Astari, A. M. (2020). Asesmen praanestesi: bukan sekedar kepatuhan. Journal of Hospital Accreditasion, 2(1), 32-40.
Al Arif, M. Y. (2023). Implementation of ministerial regulations based on attribution power in the administration of government. Mulawarman Law Review, 8(1), 45-56.
Arifuddin, Q., Riswan, R., Adam, M. H. R., Bulkis, B., Latif, A., Salma, S., Hasnawati, H., Ariani Hidayat, A., & Indah, N. (2025). Metodologi penelitian hukum. Jakarta: PT Sonpedia Publishing Indonesia.
Chiao, V. (2018). Criminal law in the age of the administrative state. Oxford: Oxford University Press.
Fadli, K. H., & Dahlan, D. (2024). Legal protection for medical personnel in providing anesthesia services to patients based on health laws. Legal Brief, 13(5), 1110-1123.
Frimpong, P. O., Mensah, G. B., Addy, A., & Kwakye, H. O. (2023). Anaesthesia practice and the law within the global lens: international medical jurisprudential analysis. Issue 5 Int’l JL Mgmt. & Human., 6, 1199.
Hadjon, P. M. (1998). Legal administration arrangements. Surabaya: Universitas Airlangga.
Hidjaz, M. K. (2010). Efektivitas penyelenggaraan kewenangan dalam sistem pemerintahan daerah di Indonesia. Makassar: Pustaka Refleksi.
Indroharto, U. (1993). Usaha memahami undang-undang tentang peradilan tata usaha negara. Jakarta: Sinar Harapan.
Intan, A. M., Andrianto, W., & Muthiarani, R. (2022). The delegation of medical authority from doctors to nurses based on health law (Case study of decision No. 1167/Pid. B/2010/PN. Sda). Journal of Health Law, 8(1), 1-14.
Kirlan, S. M., & Sanjoyo, S. (2022). Pemenuhan standar akreditasi pelayanan anestesi dan bedah. The Journal of Hospital Accreditation, 4(1), 28-31.
Lakoro, D. D. K., Jumrati, & Jamaludin, A. (2025). Legal responsibility of health professionals in protecting patient data. Research Horizon, 5(3), 869–878
Listyaningrum, T. H., & Sari, S. M. (2023). Qualitative study legal protection of the implementation of anesthesiologists’ duties in delegation of physician authority. International Journal of Health Science and Technology, 5(1), 63-69.
Muhali, M., & Kuntardjo, C. (2024). Obscurity of norms: Nurses as recipients of delegated tasks from anesthesiologists. Sehasen Law Journal, 10(2), 495–502.
Nugraha, A., Widyasari, H. N., Sanjaya, A., Umami, R. R., & Santoso, A. P. A. (2022). Hospitals responsibility for delivering authority of doctors to nurses. International Journal of Law and Legal Ethics (IJLLE), 3(1), 75-81.
Perwira, Y. (2021). Legal responsibility anesthesia administrator in the health service. Indonesia Private Law Review, 2(1), 25-36.
Peters, R. S. (2017). Authority. In Power, Authority, Justice, and Rights (pp. 60-73). New Jersey: Routledge.
Putri, J., Bihar, S., & Jamaludin, A. (2025). Legal aspects of informed consent for patients requiring emergency treatment. Research Horizon, 5(4), 1599–1610.
Ridwan, H. R. (2011). Hukum Administrasi Negara Edisi Revisii. Jakarta: PT. RajaGrafindo Persada.
Runggandini, S. A., Hariyani, I. P., Windasari, N., Inggas, M. A. M., Lelyana, N., Agustia, L., & Surjana, M. (2024). Regulasi dan kebijakan kesehatan. Purwokerto: CV Eureka Media Aksara.
Santika, M., Rokhmat, R., Efrila, E., & Sutrisno, S. (2024). Juridical analysis of the delegation of authority of doctors to nurses in health services at health centers. Jurnal Hukum Sehasen, 10(2), 671-676.
Sanusi, A. S. S., & Setiadi, A. S. (2024). Doctor’s responsibility for delegation of authority to nurses that cause unexpected events. International Journal of Social Service Research, 4(1), 115-127.
Siregar, A. A. (2019). Era revolusi industri 4.0 pengaruhnya terhadap pendidikan dan pelayanan kedokteran dan kesehatan. In Pemikiran Guru Besar USU “Pendidikan Tinggi Di Era Revolusi Industri, 4. Medan: USU Press
Solihin, O., & Abdullah, A. Z. (2023). Komunikasi kesehatan era digital: Teori dan praktik. Jakarta: Prenada Media.
Sugiharti, S. D. M., & Ansar, I. C. (2025). Delegation of doctor’s authority to nurses in emergency services based on the principles of the medical code of ethics. American Journal of Humanities and Social Sciences Research, 9(4), 61-63.
Sutarih, A. (2018). Sinkronisasi pengaturan pelimpahan wewenang tindakan medis kepada perawat untuk pelayanan kesehatan di rumah sakit. Hermeneutika: Jurnal Ilmu Hukum, 2(1), 1-9.
Tampubolon, M. (2023). Metode penelitian. Metode Penelitian Kualitatif, 3(17), 43-50.
Thomas, A. C., Sheedy, G., & Grace, P. J. (2022). Nursing ethics and advanced practice in the anesthesia and perioperative period. Nursing Ethics and Professional Responsibility in Advanced Practice, 1(2), 378.
Widjaja, G. (2023). Pelayanan kesehatan bagi pasien menurut UU No. 17 tahun 2023 tentang kesehatan. Innovative: Journal of Social Science Research, 3(6), 2490-2498.
Yakub, Y. (2024). Tanggung jawab hukum tenaga kesehatan terhadap pasien. Hukum Kesehatan, 33(1), 45-57.
Yusdheaputra, W. (2023). Kedudukan surat edaran menteri dalam hierarki peraturan perundang-undangan. Jurist-Diction, 6(1), 1-14.
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