1) For the purposes of this Section,
anesthesia shall include general anesthesia, intravenous sedation, spinal or
epidural anesthesia, and any other specific anesthesia technique that is
designated by the consulting committee.
2) Anesthesia may be administered only by the
following persons, each having been granted specific anesthesia privileges by
the consulting committee or a committee designated by the consulting committee:
A) A qualified anesthesiologist (as defined
in Section
205.110
of this Part.)
B) A physician
licensed to practice medicine in all its branches.
C) A dentist who has been approved by the
Department of Financial and Professional Regulation to administer anesthesia
for dental surgery only pursuant to Section
8.1 of the Illinois
Dental Practice Act [225 ILCS 25 ].
D) A certified registered nurse anesthetist
(as defined in Section
205.110
of this Part) who is implementing the orders of a qualified anesthesiologist,
or the physician, dentist, or podiatrist who is performing the procedure. The
qualified anesthesiologist, physician, dentist, or podiatrist who has ordered
the anesthesia must be on the premises of the facility during the
administration of the anesthesia.
E) A registered nurse.
If the ASTC
policy allows the registered nurse to deliver moderate sedation ordered by a
physician licensed to practice medicine in all its branches, podiatrist, or
dentist, the following are required:
i)
The registered nurse must be under
the supervision of a physician licensed to practice medicine in all its
branches, podiatrist, or dentist during the delivery or monitoring of moderate
sedation and have no other responsibilities during the
procedure.
ii)
The
registered nurse must maintain current Advanced Cardiac Life Support
certification or Pediatric Advanced Life Support certification as appropriate
to the age of the patient.
iii)
The supervising physician
licensed to practice medicine in all its branches, podiatrist, or dentist must
have training and experience in delivering and monitoring moderate sedation and
possess clinical privileges at the ASTC to administer moderate sedation or
analgesia.
iv)
The
supervising physician licensed to practice medicine in all its branches,
podiatrist, or dentist must remain physically present and available on the
premises during the delivery of moderate sedation for diagnosis, consultation,
and treatment of emergency medical conditions.
v)
The supervising physician licensed
to practice medicine in all its branches, podiatrist, or dentist must maintain
current Advanced Cardiac Life Support certification or Pediatric Advanced Life
Support certification as appropriate to the age of the
patient.
vi)
Local, minimal, and moderate sedation shall be defined by the Division
of Professional Regulation of the Department of Financial and Professional
Regulation. Registered nurses shall be limited to administering medications for
moderate sedation at doses rapidly reversible pharmacologically as determined
by rule by the Division of Professional Regulation of the Department of
Financial and Professional Regulation. (Section 6.7(b) of the
Act)
vii)
Nothing
in the Act or this Section precludes a registered nurse from
administering medication for the delivery of local or minimal sedation ordered
by a physician licensed to practice medicine in all its branches, podiatrist,
or dentist. (Section 6.7(a) of the Act)
F)
A podiatrist licensed under the
Podiatric Medical Practice Act of 1987. (Section 6.5 of the
Act)
3) An anesthesia
assistant who is licensed as a physician's assistant pursuant to the Physician
Assistant Practice Act of 1987 [225 ILCS 95 ] may assist in the administration
of anesthesia only under the direct supervision of a qualified anesthesiologist
(as defined in Section
205.110
of this Part).
4) The person
administering anesthesia, or a person who has equivalent practice privileges,
shall be present in the facility during the recovery of the patient to whom
anesthesia was administered.