Ariz. Admin. Code § R4-16-704 - Sedation Monitoring Standards

A physician who performs office-based surgery using sedation shall ensure from the time sedation is administered until post-sedation monitoring begins:

1. A quantitative method of assessing a patient's oxygenation, such as pulse oximetry, is used when minimal sedation is administered to the patient, and

2. When moderate or deep sedation is administered to a patient:

a. A quantitative method of assessing the patient's oxygenation, such as pulse oximetry, is used;

b. The patient's ventilatory function is monitored by any of the following:

i. Direct observation,

ii. Auscultation, or

iii. Capnography;

c. The patient's circulatory function is monitored during the surgery by:

i. Having a continuously displayed electrocardiogram,

ii. Documenting arterial blood pressure and heart rate at least every five minutes, and

iii. Evaluating the patient's cardiovascular function by pulse plethysmography,

d. The patient's temperature is monitored if the physician expects the patient's temperature to fluctuate; and

e. That a licensed and qualified healthcare professional, other than the physician performing the office-based surgery, whose sole responsibility is attending to the patient, is present throughout the office-based surgery.

Notes

Ariz. Admin. Code § R4-16-704

New Section made by final rulemaking at 14 A.A.R. 380, effective January 8, 2008 (Supp. 08-1).