Current through Register Vol. 40, No. 6, March 31, 2022
Anesthesiologist supervision requires, at all times, a direct, continuing and
close supervisory relationship between an anesthesiologist assistant and the
supervising anesthesiologist to whom the assistant is registered or an
anesthesiologist who is acting in a Board-approved supervisory role to the
Supervision does not, necessarily, require the constant physical presence of
the supervising anesthesiologist or an anesthesiologist who is acting in a
Board-approved supervisory role to the anesthesiologist assistant; however, the
anesthesiologist must remain readily available in the facility.
(3) Except in life-threatening situations,
the supervising anesthesiologist shall be readily available for personal
supervision and shall be responsible for pre-operative, intra-operative and
supervising anesthesiologist shall insure that, with respect to each patient,
all activities, functions, services and treatment measures are immediately and
properly documented in written form by the anesthesiologist assistant. All
written entries shall be reviewed, countersigned, and dated by the supervising
anesthesiologist. The supervising anesthesiologist's signature on the
anesthetic record will fulfill this requirement for all written entries on the
(5) All of the
above is to emphasize that there shall be no independent, unsupervised practice
by anesthesiologist assistants.
In the event of an unanticipated, permanent absence of a supervising
anesthesiologist, a previously approved covering anesthesiologist may be
designated as a temporary supervising anesthesiologist for a period of up to
sixty (60) days. During the sixty (60) day time period, a new registration
agreement designating a new supervising anesthesiologist should be submitted
(7) In the event of a
national emergency duly declared by Federal officials or in the event of a
natural disaster or state emergency duly declared by the Governor, an
anesthesiologist assistant may provide emergency medical without immediate
physician supervision or direction to patients within the affected areas of the
state, provided that the treatment is within the scope of assistant's
education, training and approved job description. In the administration of
anesthetic agents during the course of surgery, the assistant shall be directed
by a licensed physician. The anesthesiologist assistant in such circumstance
shall make reasonable efforts to inform his supervising physician of the
location and type of emergency medical services being provided and shall act in
conformance with the direction of local medical supervisors. The authority
granted under this paragraph shall extend only for the duration of the declared
national emergency or state emergency or natural disaster.
Ala. Admin. Code r.
New Rule: Filed July 23,
1999; effective August 27, 1999. Amended: Filed November 22, 1999; effective
December 27, 1999. Repealed and New Rule: Filed August 22, 2002; effective
September 26, 2002. Repealed and New Rule: Filed September 19, 2002; effective
October 24, 2002.
Administrative Monthly Volume XXXVI, Issue No. 01, October 31,
2017, eff. 12/3/2017.
was renumbered to .56 as per certification filed September 11, 2008; effective
October 16, 2008.
Author: Alabama Board of Medical
Code of Ala.