Ohio Admin. Code 3701-83-19 - Service standards- ambulatory surgical facilities
(A)
The
Each ASF
shall provide medical services, dental services, nursing services,
pharmaceutical services, and anesthesia services. Each service shall be
provided in a safe, effective manner that is consistent with the needs of the
patient.
(B)
The
Each ASF
shall:
(1) Provide adequate space, equipment,
and staff for storage and the administration of drugs in compliance with state
and federal laws and regulations.
(2) Establish and implement a program for the
control and accountability of drug products throughout the facility and
maintain a list of medications that are always available.
(C)
The
Each ASF shall:
(1) Ensure that all anesthetics are
administered by individuals acting within their licensed scopes of
practice.
(2) Maintain an
anesthesia record for each patient who receives anesthetics in the facility.
This record shall become a part of the patient's medical record and shall
include patient identification data, dosage and duration of anesthesia, and a
record of administration of other drugs or therapeutics.
(3) Ensure that, following the administration
of general anesthetics, patients are constantly attended by the responsible
anesthesiologist, CRNA, anesthesia qualified dentist, physician or podiatrist
acting within their scope of practice, or an RN until conscious and in the
ambulatory condition normal for him or her.
(D)
The
Each ASF shall respond to medical emergencies
including emergency cardiac care that may arise in the provision of services to
patients.
(E)
The
Each ASF
shall have a written transfer agreement with a hospital for transfer of
patients in the event of medical complications, emergency situations, and for
other needs as they arise. A formal agreement is not
required in those instances where the licensed ASF is a provider-based entity
of a hospital and the ASF policies and procedures to accommodate medical
complications, emergency situations, and for other needs as they arise are in
place and approved by the governing body of the parent hospital.
(1)
A copy of the
written transfer agreement shall be filed with the ASF's application for
license renewal in accordance with paragraph (B) of rule
3701-83-04 of the Administrative
Code.
(2)
A formal agreement is not required in those instances
where the licensed ASF is a provider-based entity of a hospital and the ASF
policies and procedures to accommodate medical complications, emergency
situations, and for other needs as they arise are in place and approved by the
governing body of the parent hospital.
(F) Prior to the surgery, the physician,
podiatrist, or dentist, shall obtain a statement documenting informed consent,
signed by the patient or patient representative, for the performance of the
specific surgical procedure or procedures. This statement shall be made part of
the patient's medical record. The ASF shall ensure that informed consents for
surgical procedures have been signed.
(G)
The
Each ASF may provide or contract for other
services including, but not limited to, laboratory and radiology
services.
(H) When a blood supply
may be needed for a surgical procedure, the ASF shall:
(1) Have a policy and procedure to obtain
blood, blood components, or blood products on a timely basis.
(2) Ensure that blood, blood components or
blood products are administered by physicians, anesthesia qualified dentists,
or RNs.
Notes
Promulgated Under: 119.03
Statutory Authority: 3702.13; 3702.30
Rule Amplifies: 3702.12; 3702.13; 3702.30
Prior Effective Dates: 01/13/1996, 06/27/1996, 09/05/2002, 04/24/2011, 07/01/2016
Promulgated Under: 119.03
Statutory Authority: 3702.13, 3702.30
Rule Amplifies: 3702.12, 3702.13, 3702.30
Prior Effective Dates: 1/13/1996, 6/27/96, 9/5/02, 4/24/11
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