Current through Register Vol. 42, No. 11, August 30, 2024
(1) If
the hospital furnishes anesthesia services, they shall be provided in a
well-organized manner under the direction of a qualified doctor of medicine or
osteopathy. The service is responsible for all anesthesia administered in the
hospital.
(2) Organization and
staffing. The organization of anesthesia services shall be appropriate to the
scope of the services offered. Anesthesia must be administered only by:
(a) An anesthesiologist;
(b) A doctor of medicine or osteopathy (other
than an anesthesiologist);
(c) A
dentist or oral surgeon;
(d) A
podiatrist, but limited to administering local anesthetics to the
foot;
(e) A certified registered
nurse anesthetist (CRNA) who is performing or assisting in any act involving
the determination, preparation, administration, or monitoring of any drug used
to render an individual insensible to pain for surgical or other therapeutic or
diagnostic procedures and who is under the direction of a physician licensed to
practice medicine, or a dentist, who is immediately available; or
(f) An anesthesiologist's assistant who is
under the direction of an anesthesiologist who is immediately
available.
(3) Delivery
of services. Anesthesia services shall be consistent with needs and resources.
Policies on anesthesia procedures shall include the delineation of
pre-anesthesia and post-anesthesia responsibilities. The policies shall ensure
that the following are provided for each patient:
(a) A pre-anesthesia evaluation completed and
documented by an individual qualified to administer anesthesia performed within
4 8 hours prior to surgery or a procedure requiring anesthesia
services.
(b) An intra-operative
anesthesia record.
(c) A
post-anesthesia evaluation completed and documented by an individual qualified
to administer anesthesia, no later than 48 hours after surgery or a procedure
requiring anesthesia services. The post-anesthesia evaluation for anesthesia
recovery shall be completed in accordance with hospital policies and procedures
that have been approved by the medical staff and that reflect current standards
of anesthesia care.
Author: W.T. Geary, Jr., M.D., Carter
Sims
Statutory Authority:
Code of Ala.
1975, §§
22-21-20, et
seq.
