Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.106 - HEALTH CARE FACILITIES
Subchapter 37.106.31 - Minimum Standards for Abortion Clinics
Rule 37.106.3110 - MINIMUM STANDARDS FOR ABORTION CLINICS: ANESTHESIA

Universal Citation: MT Admin Rules 37.106.3110

Current through Register Vol. 18, September 20, 2024

(1) The abortion clinic must:

(a) prohibit the use of flammable anesthesia;

(b) have a policy which defines the types of anesthesia that will be used within the abortion clinic;

(c) conduct an assessment prior to the patient's admission as well as prior to surgical abortion to evaluate the risk of anesthesia and of the procedure to be performed; and

(d) have policies that address the pre-operative assessment, the post-anesthesia assessment, and the basis or criteria used in conducting such assessments; and

(e) prevent recirculation of smoke originating within the surgical suite.

(2) Anesthesia must be administered only by a physician qualified to administer anesthetic agents or a certified registered nurse anesthetist (CRNA).

(3) A pre-operative evaluation of the patient within 24 hours of surgical abortion shall be done by a physician to determine the risk of and anesthesia needed for the procedure.

(4) Before discharge, each patient who received anesthesia must be evaluated by a physician or by a CRNA in accordance with applicable state health and safety laws, standards of practice, and abortion clinic policy. This post-anesthesia assessment must include evaluation of:

(a) respiratory function, including respiratory rate, airway patency, and oxygen saturation;

(b) cardiovascular function, including pulse rate and blood pressure;

(c) mental status and level of consciousness;

(d) temperature;

(e) pain;

(f) nausea and vomiting; and

(g) postoperative hydration.

AUTH: 50-20-903, MCA; IMP: 50-20-903, MCA

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