Current through Register Vol. 43, No. 39, September 26, 2024
(a) General
provisions. Anesthesia care shall be regularly available when the hospital
provides surgical or obstetrical services.
(b) Personnel.
(1) The department of anesthesia shall be
responsible for all anesthetics administered.
(2) In hospitals where there is no department
of anesthesia, the director of surgical services shall assume the
responsibility for establishing general policies relating to administration of
anesthetics. When there is a department of anesthesia, it shall be directed by
a member of the medical staff with appropriate clinical and administrative
experience.
(3) The
responsibilities of the director shall be established by the governing body and
shall include the following:
(A) Establishing
criteria and procedures for the evaluation of the quality of all anesthesia
care rendered in the hospital;
(B)
making recommendations regarding necessary equipment for administering
anesthesia and related resuscitation efforts;
(C) developing hospital rules concerning
anesthesia safety; and
(D)
participating in the hospital's program of cardiopulmonary resuscitation and in
consultations regarding management of acute and chronic respiratory
insufficiency.
(c) Anesthesia shall be provided only by a
qualified individual licensed by the Kansas board of healing arts, the Kansas
board of nursing, or the Kansas dental board to administer anesthesia.
Anesthesia may also be administered by physicians who are residents in
anesthesia or student nurse anesthetists under the supervision of an individual
licensed to administer anesthesia.
(d) Policies.
(1) The governing body shall determine the
extent of anesthesia services and shall define the degree of collaboration
required for the administration of anesthesia. Certified registered nurse
anesthetists shall work in an interdependent role with other practitioners.
(2) Each patient requiring
anesthesia shall have a pre-anesthesia evaluation by a qualified anesthesia
provider regarding the choice of anesthesia.
(3) Each patient's condition shall be
reviewed immediately prior to induction. This shall include a review of the
patient's medical record with regard to completeness of pertinent laboratory
data and an appraisal of any changes in the condition of the patient as
compared with that noted on the patient's medical record.
(4) Following the procedure for which
anesthesia was administered, the anesthetist or a designee shall remain with
the patient as long as required by the patient's condition relative to the
patient's anesthesia status and until responsibility for proper patient care
has been assumed by other qualified individuals.
(5) A record of events taking place during
the induction and maintenance of and emergence from anesthesia, including the
dosage and duration of all anesthetic agents, other drugs, intravenous fluids
and blood or blood fractions, shall be made.
(e) Safety precautions. The governing body,
through the director of anesthesia services, shall adopt rules for safe
practice in anesthetizing locations. These rules shall be substantially similar
to the requirements prescribed in appendix B of NFPA No. 56A (1973), "standard
for the use of inhalation anesthetics," as published by the national fire
protection association, Boston, Massachusetts. Separate rules shall be adopted
for hospitals having flammable anesthetizing locations, nonflammable
anesthetizing locations or mixed flammable and nonflammable anesthetizing
locations. Flammable anesthetizing agents shall include cyclopropane, divinyl
ether, ethyl ether, fluroxene, ethyl chloride and ethelyne.
