22 Tex. Admin. Code § 110.15 - Prevention of and Response to Sedation/Anesthesia Emergencies
(a) Pursuant to Texas Occupations Code §
258.1556, the Board
establishes minimum emergency preparedness standards and requirements for the
administration of sedation/anesthesia.
(b) Consistent with the requirements of
§§
110.3-
110.6 of this chapter (relating to
Sedation and Anesthesia), as applicable to the procedure, at any time a permit
holder administers sedation/anesthesia the permit holder must have immediately
available:
(1) an adequate and unexpired
supply of drugs and anesthetic agents, including but not limited to
pharmacologic antagonists and resuscitative drugs appropriate for the type of
sedation/anesthesia administered;
(2) an automated external defibrillator, as
defined by Section
779.001 of the
Texas Health and Safety Code;
(3) a
positive pressure ventilation device;
(4) supplemental oxygen; and
(5) appropriate monitors and equipment for
the type of sedation/anesthesia administered, including but not limited to:
(A) stethoscope;
(B) sphygmomanometer or automatic blood
pressure monitor;
(C) pulse
oximeter when required by §§
110.4,
110.5, or
110.6 of this chapter (relating to
Sedation and Anesthesia);
(D) an
oxygen delivery system with adequate full face masks and appropriate connectors
that is capable of delivering high flow oxygen to the patient under positive
pressure, together with an adequate backup system;
(E) suction equipment which permits
aspiration of the oral and pharyngeal cavities and a backup suction device
which will function in the event of a general power failure;
(F) a lighting system which permits
evaluation of the patient's skin and mucosal color and a backup lighting system
of sufficient intensity to permit completion of any operation underway in the
event of a general power failure; and
(c) A permit holder who is administering
sedation/anesthesia for which a Level 4 permit is required must use capnography
during the administration of the sedation/anesthesia, as required by Texas
Occupations Code §
258.1555.
(d) Each permit holder must conduct an
emergency drug inspection for assurance of unexpired supply at least annually.
Documentation of emergency drug inspections must be maintained in the permit
holder's emergency drug log, required by §
110.14 of this chapter (relating
to Emergency Preparedness Policies and Procedures).
(e) Each permit holder must conduct an
equipment inspection for assurance of function at least annually. Documentation
of equipment inspections must be maintained in the permit holder's equipment
readiness log, required by §
110.14 of this chapter.
Notes
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