Section 410IAC15-1.6-1. Anesthesia services

 

                (a) If the hospital furnishes anesthesia services, the service shall meet the needs of the patients served, within the scope of the service offered, in accordance with acceptable standards of practice, and be under the direction of a qualified physician. The service is responsible for all anesthesia administered in the hospital.

                (b) Anesthesia shall only be administered by those privileged by the medical staff who are:

(1) an anesthesiologist;

(2) a qualified physician with appropriate training, experience, and privileges;

(3) a dentist, oral surgeon, or a podiatrist who is qualified to administer anesthesia under state law; or

(4) a certified registered nurse anesthetist (CRNA) who is under the direction of the operating practitioner or of a qualified physician who is immediately available if needed.

                (c) Anesthesia services shall be consistent with needs and resources, as follows:

(1) There shall be written policies and procedures on monitored anesthesia care (MAC), general anesthesia, and regional anesthesia which include, but are not limited to, the following:

(A) The delineation of preanesthesia and postanesthesia responsibilities.

(B) The completion, within forty-eight (48) hours prior to surgery, of a preanesthesia evaluation for each patient by an individual(s) qualified to administer anesthesia.

(C) The requirement of an intra-operative anesthesia record on each patient.

(D) The completion, within forty-eight (48) hours after surgery, of a postanesthesia follow-up report on each inpatient by the individual who administered the anesthesia.

(E) The completion of a postanesthetic evaluation for proper anesthesia recovery of each outpatient in accordance with written policies and procedures approved by the medical staff.

(F) The requirement that all postoperative patients shall be discharged from the postanesthetic care unit by the practitioner in subsection (b) responsible for the patient's care in accordance with hospital policy.

(2) There shall be written policies and procedures on local anesthesia.

(3) There shall be intra-operative monitoring in accordance with current acceptable standards of practice.

(4) Anesthesia equipment shall be checked for operational readiness and safety prior to patient administration. Documentation to that effect shall be included in the patient's medical record.

(Indiana State Department of Health; 410 IAC 15-1.6-1; filed Dec 21, 1994, 9:40 a.m.: 18 IR 1276; readopted filed Jul 11, 2001, 2:23 p.m.: 24 IR 4234; readopted filed May 22, 2007, 1:44 p.m.: 20070613-IR-410070141RFA; readopted filed Jul 14, 2011, 11:42 a.m.: 20110810-IR-410110253RFA)