California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 1 - General Acute Care Hospitals
Article 6 - Supplemental Services
Section 70435 - Cardiovascular Surgery Service Staff
Universal Citation: 22 CA Code of Regs 70435
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Cardiovascular catheterization laboratory.
(1) A physician shall have overall responsibility for the service. This physician shall be certified or eligible for certification in cardiology by either the American Board of Internal Medicine or the American Board of Pediatrics or have equivalent experience and training. He shall be responsible for:
(A) Implementing established policies and procedures.
(B) Supervision and training of all personnel, including in-service training and continuing education.
(C) Assuring proper safety, function, maintenance and calibration of all equipment.
(D) Maintaining a record of all angiographic procedures performed.
(2) A physician who is certified or eligible for certification by the American Board of Radiology with special training or experience in cardiovascular radiology shall be available to the cardiovascular surgery service staff.
(3) Two persons (registered nurses or cardiovascular technicians) shall assist during the performance of all cardiac catheterization procedures. These personnel shall be trained in the use of all instruments and equipment and shall be supervised by a physician.
(4) A biomedical engineer shall be available for consultation as required.
(5) An electronic technician shall be available where required.
(b) Cardiovascular operative service.
(1) A physician shall have overall responsibility for the service. This physician shall be certified or eligible for certification by the American Board of Thoracic Surgery or the American Board of Surgery with training and experience in cardiovascular surgery. He shall be responsible for:
(A) Implementing established policies and procedures.
(B) Training and supervising the nurses and technicians in special techniques.
(C) Training and supervising the clinical perfusionists.
(2) A minimum of three surgeons shall constitute a surgical team for the performance of all cardovascular operative procedures which require extracorporeal bypass. At least one surgeon must meet the requirements outlined in subparagraph (b) (1) above.
(3) Anesthesia for cardiovascular procedures shall be administered by a physician who is certified or eligible for certification by the American Board of Anesthesiology.
(4) A physician who is certified or eligible for certification in cardiology by the American Board of Internal Medicine should be a member of the surgical team and should assist in monitoring the patient.
(5) Clinical perfusionists shall operate the extracorporeal equipment under the immediate supervision of the cardiovascular surgeon or cardiologist.
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