Section 844IAC15-1-7. Scope of practice

   (a) An anesthesiologist assistant may practice only:

(1) under the supervision of an anesthesiologist; and

(2) as described in a written practice protocol adopted under this rule and IC 25-3.7-2-4(b).

  (b) In providing medical services under the supervision of an anesthesiologist, an anesthesiologist assistant has authority to do any of the following:

(1) Obtain a comprehensive patient history and perform relevant elements of a physical exam.

(2) Pretest and calibrate anesthesia delivery systems and obtain and interpret information from the systems and monitors.

(3) Implement medically accepted monitoring techniques.

(4) Establish basic and advanced airway interventions, including intubation of the trachea and performance of ventilatory support.

(5) Administer intermittent vasoactive drugs and start and adjust vasoactive infusions.

(6) Administer:

(A) anesthetic drugs;

(B) adjuvant drugs; and

(C) accessory drugs.

(7) Implement:

(A) spinal;

(B) epidural; and

(C) regional anesthetic procedures.

(8) Administer:

(A) blood;

(B) blood products; and

(C) supportive fluids.

(9) Place deep vein catheters and arterial catheters.

(10) Provide assistance to a cardiopulmonary resuscitation team in response to a life-threatening situation.

(11) Participate in administrative, research, and clinical teaching activities as authorized by the supervising anesthesiologist.

(12) Perform other medical services not prohibited by law under the supervision of an anesthesiologist that:

(A) an anesthesiologist assistant has been trained in and is proficient to perform; and

(B) are customarily within the specific area of practice of the supervising anesthesiologist.

  (c) An anesthesiologist who is supervising an anesthesiologist assistant shall personally participate in the induction of general anesthesia except in emergency cases when the anesthesiologist is needed to address another emergency.

  (d) An anesthesiologist may not supervise more than four (4) anesthesiologist assistants concurrently.

  (e) An anesthesiologist assistant's scope of practice does not include interventional pain management.

  (f) The supervising anesthesiologist has the final decision making authority regarding:

(1) the anesthetic planning and management; and

(2) the provision of medical services by the anesthesiologist assistant.

(Medical Licensing Board of Indiana; 844 IAC 15-1-7; filed Feb 26, 2016, 9:09 a.m.: 20160323-IR-844150300FRA)