Indiana Administrative Code
Title 410 - INDIANA DEPARTMENT OF HEALTH
Article 15 - HOSPITAL LICENSURE RULES
Rule 1.6 - Optional Hospital Services
Section 1.6-1 - Anesthesia services
Universal Citation: 410 IN Admin Code 1.6-1
Current through March 20, 2024
Authority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 1.
(a) If the hospital furnishes anesthesia services, the service shall meet the needs of the patients served, within the scope of the service offered, in accordance with acceptable standards of practice, and be under the direction of a qualified physician. The service is responsible for all anesthesia administered in the hospital.
(b) Anesthesia shall only be administered by those privileged by the medical staff who are:
(1) an anesthesiologist;
(2) a qualified physician with appropriate
training, experience, and privileges;
(3) a dentist, oral surgeon, or a podiatrist
who is qualified to administer anesthesia under state law; or
(4) a certified registered nurse anesthetist
(CRNA) who is under the direction of the operating practitioner or of a
qualified physician who is immediately available if needed.
(c) Anesthesia services shall be consistent with needs and resources, as follows:
(1) There shall be written policies and
procedures on monitored anesthesia care (MAC), general anesthesia, and regional
anesthesia which include, but are not limited to, the following:
(A) The delineation of preanesthesia and
postanesthesia responsibilities.
(B) The completion, within forty-eight (48)
hours prior to surgery, of a preanesthesia evaluation for each patient by an
individual(s) qualified to administer anesthesia.
(C) The requirement of an intra-operative
anesthesia record on each patient.
(D) The completion, within forty-eight (48)
hours after surgery, of a postanesthesia follow-up report on each inpatient by
the individual who administered the anesthesia.
(E) The completion of a postanesthetic
evaluation for proper anesthesia recovery of each outpatient in accordance with
written policies and procedures approved by the medical staff.
(F) The requirement that all postoperative
patients shall be discharged from the postanesthetic care unit by the
practitioner in subsection (b) responsible for the patient's care in accordance
with hospital policy.
(2)
There shall be written policies and procedures on local anesthesia.
(3) There shall be intra-operative monitoring
in accordance with current acceptable standards of practice.
(4) Anesthesia equipment shall be checked for
operational readiness and safety prior to patient administration. Documentation
to that effect shall be included in the patient's medical
record.
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