Utah Admin. Code R432-100-16 - Surgical Services
(1)
(a) The licensee shall integrate surgical
services provided by the hospital with other departments or services of the
hospital and specify in writing the relationship, objective, and scope of each
surgical service.
(b) A person
appointed and authorized by the administrator shall provide administrative
direction of surgical services.
(c)
A member of the medical staff shall provide medical direction of surgical
services.
(d) A qualified
registered nurse shall supervise the provision of surgical nursing
care.
(e) A qualified registered
nurse shall direct and supervise the operating room suites. The operating room
suites supervisor shall have authority and responsibility for:
(i) assuring that the planned procedure is
within the scope of privileges granted to the physician;
(ii) maintaining the operating room register;
and
(iii) other administrative
functions, including serving on patient care committees.
(f) The licensee shall establish a policy
governing the use of obstetrical delivery and operating rooms to ensure that
any patient with parturition imminent, or with an obstetrical emergency
requiring immediate medical intervention to preserve the health and life of the
parent or the infant, is given priority over other obstetrical and non-emergent
surgical procedures.
(g) A
qualified surgical assistant shall assist as needed in operations in accordance
with hospital bylaws.
(h) A
surgical technician or licensed practical nurse may serve as a scrub nurse
under the direct supervision of a registered nurse, but may not function as a
circulation nurse in the operating rooms, unless the scrub nurse is a
registered nurse.
(i) An outpatient
surgical patient may not be routinely admitted to the hospital as an inpatient.
The licensee shall complete a systematic review process to evaluate patients
who require hospitalization after outpatient surgery.
(2) The licensee shall establish, control and
consistently monitor a safe operating room environment that ensures:
(a) surgical equipment including suction
facilities and instruments is provided and maintained in good condition to
assure safe and aseptic treatment of surgical cases;
(b) traffic in and out of the operating room
is controlled and there is no through traffic;
(c) there is a scavenging system for
evacuation of anesthetic waste gasses; and
(d) the following equipment shall be
available to the operating suite:
(i) a
call-in system;
(ii) a cardiac
monitor;
(iii) a ventilation
support system;
(iv) a
defibrillator;
(v) an aspirator;
and
(vi) equipment for
cardiopulmonary resuscitation.
(3) The administration of anesthetics shall
conform to the requirements of Section
R432-100-17.
(4) Removal of surgical specimens shall
conform with the requirements of Section
R432-100-24.
Notes
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