Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 93 - Hospitals
Subchapter M - Anesthesia Services (Optional)
Section I-9453 - Delivery of Service
Universal Citation: LA Admin Code I-9453
Current through Register Vol. 50, No. 12, December 20, 2024
A. Policies on anesthesia procedures shall include the delineation of pre-anesthesia and post-anesthesia responsibilities. As a minimum, they shall address:
1. the qualifications, responsibilities and
supervision required of all personnel who administer anesthesia;
2. patient consent for anesthesia;
3. infection control measures;
4. safety practices in all anesthetizing
areas;
5. protocol for supportive
life functions, e.g., cardiac and respiratory emergencies;
6. reporting requirements;
7. documentation requirements;
8. inspection and maintenance reports on all
supplies and equipment used in anesthesia; and
9. trace gas reports.
B. The policies shall also ensure that the following are provided for each patient:
1. a
pre-anesthesia evaluation performed and recorded within 48 hours prior to
surgery by an individual qualified to administer anesthesia;
2. a reevaluation of each patient immediately
prior to induction of anesthesia;
3. an intra-operative anesthesia record that
records monitoring of the patient during anesthesia and documentation of at
least the following:
a. prior to induction of
the anesthesia, all anesthesia drugs and equipment to be used have been checked
and are immediately available and are determined to be functional by the
practitioner who is to administer the anesthetic;
b. dosages and total dosages of all drugs and
agents used;
c. type and amount of
all fluid administered, including blood and blood products;
d. technique(s) used;
e. unusual events during the anesthesia
period;
f. the status of the
patient at the conclusion of anesthesia;
g. a post-anesthesia follow-up report written
within 48 hours after surgery on inpatients and prior to discharge for patients
undergoing one-day/same-day surgery by the individual who administers the
anesthesia or another fully qualified practitioner within the anesthesia
section; and
h. a post-anesthesia
evaluation on outpatients for proper anesthesia recovery performed in
accordance with policies and procedures approved by the medical
staff.
C. The anesthesia policy and procedure manual shall ensure that the following are provided for each patient undergoing:
1.
general anesthesia:
a. the use of an
anesthesia machine that provides the availability and use of safety devices
including, but not limited to, an oxygen analyzer, pressure and disconnect
alarm, pin-index safety system, gas-scavenging system, and oxygen pressure
interlock system;
b. continuous
monitoring of the patient's temperature and vital signs, as well as the
continuous use of an EKG/ECG, pulse oximetry monitor, end tidal carbon dioxide
volume monitor, and peripheral nerve stimulator monitor;
2. regional anesthesia (major nerve blocks):
a. all equipment listed in the above list for
general anesthesia shall be immediately available and in the operating room
where the procedure is being performed; and
b. continuous monitoring of the patient's
vital signs, and temperature, as well as the continuous use of an EKG/ECG, and
pulse oximetry monitor; and
c.
monitored by the practitioner who administered the regional anesthetic or
individuals identified as a practitioner listed in
§9451.A 1-5;
3. local anesthesia (infiltration
or topical). There shall be:
a. continuous
monitoring of the patient's vital signs and temperature as well as the
continuous use of an EKG/ECG, and pulse oximeter monitor; and
b. monitoring by the practitioner who
administered the local anesthetic or a practitioner listed within
§9451 A
AUTHORITY NOTE: Promulgated in accordance with R.S.36:254 and R.S. 40:2100-2115.
Disclaimer: These regulations may not be the most recent version. Louisiana 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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