Alaska Administrative Code
Title 7 - Health and Social Services
Part 1 - Administration
Chapter 12 - Facilities and Local Units
Article 8 - Ambulatory Surgical Centers
7 AAC 12.355 - Services required
Universal Citation: 7 AK Admin Code 12.355
Current through August 30, 2024
An ambulatory surgical facility shall provide the following services:
(1) surgical services that meet the following requirements:
(A) a
registered nurse with knowledge and experience in surgical techniques and
procedures shall have supervisory responsibility for the surgical suite and, in
cooperation with the surgical committee of the medical staff and the infection
control committee, establish policies and procedures for the surgical
service;
(B) a list of which
surgical privileges are held by individual members of the medical staff must be
available in the surgical suite for reference by the supervisor;
(C) before a surgical procedure begins,
either the surgeon or the person responsible for administering anesthesia, and
the surgical supervisor or the supervisor's designee shall
(i) confirm the patient's identity and the
site and side of the body to be operated upon; and
(ii) except in the event of an emergency,
ensure that the patient's medical record contains pre-surgical assessments that
meet the requirements of 42
C.F.R. 416.52(a), adopted by
reference in 7 AAC 12.352(9), and a signed statement of informed consent for
the surgery;
(D) a daily
register of operations must be maintained;
(E) as determined by medical staff under 7 AAC 12.352(7), anatomical parts, foreign objects, and tissues that have been
removed by surgery shall be referred to a pathologist designated by the
ambulatory surgical center; a report of the pathologist's findings must be
filed in the patient's medical record;
(F) a registered nurse shall be present as a
circulating nurse during each surgical procedure;
(2) anesthesia services that meet the following requirements:
(A) a physician shall
have overall responsibility for supervision of anesthesia services;
(B) anesthesia care shall be provided by only
a physician or dentist with anesthesia privileges or a certified registered
nurse anesthetist;
(C) an anesthesia
staff member shall be available or on call at all times when a patient is
present in the facility;
(D) a
patient's medical record must include the following documentation:
(i) visits to a patient by an
anesthesiologist or anesthetist before and after the anesthesia is
administered; any individual described in (B) of this paragraph and qualified
to administer anesthesia may complete and document the post-anesthesia
evaluation of a patient;
(ii) the
chosen anesthetic agent;
(iii) the
amount and duration of anesthetic agents, other drugs, intravenous fluids, and
blood or blood products administered;
(iv) a description of actions during the
surgical procedure and presence or absence of complications; and
(v) a record of events during induction,
maintenance, and emergence from anesthesia;
(E) rules for the safe use of flammable
anesthetic agents must comply with
42 C.F.R.
416.44(c), revised July 5,
2016 and adopted by reference;
(3) laboratory, radiological, medical record, and laundry services
Authority:AS 18.05.040
AS 47.32.010
AS 47.32.030
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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