Kan. Admin. Regs. § 28-34-56a - Anesthesia services
(a) If there is a
department of anesthesia, it shall be directed by a member of the medical staff
with appropriate clinical and administrative experience. The clinical
privileges of qualified anesthesia personnel shall be reviewed by the director
of anesthesia services and the medical staff and approved by the governing
authority.
(b)
(1) An anesthesiologist or physician shall be
on the premises and readily accessible during the administration of
anesthetics, whether local, general, or intravenous, and the postanesthesia
recovery period until all patients are alert or medically discharged from the
postanesthesia area. Qualified anesthesia personnel shall be present in the
room through the administration of all general anesthetics, regional
anesthetics, and monitored anesthesia care and shall continuously evaluate the
patient's oxygenation, ventilation, circulation, and temperature.
(2) The following equipment shall be
available as the scope of practice requires:
(A) Oxygen analyzers;
(B) a pulse oximeter; and
(C) electrocardiography, blood pressure,
resuscitation, and suction equipment.
(c) The medical staff, in consultation with
qualified anesthesia personnel, shall develop policies and procedures on the
administration of anesthetics and drugs that produce conscious and deep
sedation and on postanesthesia care. These policies and procedures shall be
approved by the governing authority.
(d) Before undergoing general anesthesia,
each patient shall have a history and physical examination by a physician
entered in the patient's record, including the results of any necessary
laboratory examination. A physician shall examine the patient immediately
before surgery and shall evaluate the risk of anesthesia and of the procedure
to be performed.
(e) The
anesthesiologist or anesthetist shall discuss anesthesia options and risks with
the patient or family before surgery.
(f) Qualified anesthesia personnel shall
develop a plan of anesthesia care with the physician or dentist. The patient
records shall contain a preanesthetic evaluation and a postanesthetic note by
qualified anesthesia personnel. Anesthesia services shall write postanesthetic
policies and procedures. Follow-up notes shall include postoperative
abnormalities or complications.
(g) Flammable anesthetics shall not be used
in the ambulatory surgical center.
(h) Anesthesia shall be provided only by a
qualified individual licensed to administer anesthesia by the Kansas board of
healing arts, the Kansas board of nursing, or the Kansas dental board. Each
certified registered nurse anesthetist shall work in an interdependent role as
a member of a physician-or dentist-directed health care team.
(i) All anesthetics shall be properly labeled
and inventoried according to the facility's policies and procedures.
(j) All equipment for the administration of
anesthetics shall be made available, cleaned with a facility-approved
disinfectant and clean cloth, and maintained in good working condition.
(k) Written procedures and
criteria for discharge from the recovery service shall be approved by the
medical staff. Each patient who has received anesthesia shall be discharged in
the company of a responsible adult, unless the requirement is specifically
waived by the attending physician.
(l) There shall be a mechanism for the review
and evaluation, according to the facility's policies and procedures, of the
quality and scope of anesthesia services.
Notes
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