Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.106 - HEALTH CARE FACILITIES
Subchapter 37.106.5 - Minimum Standards for Outpatient Centers for Surgical Services
Rule 37.106.514 - ANESTHESIA RISK AND EVALUATION
Universal Citation: MT Admin Rules 37.106.514
Current through Register Vol. 18, September 20, 2024
(1) The outpatient center must:
(a) prohibit the
use of flammable anesthesia;
(b)
have a policy which defines the types of anesthesia that will be used within
the facility. Similarly, the outpatient center must address in this policy the
level of American Society of Anesthesiologists (ASA) Physical Status
Classification System level appropriate to receive surgical services in these
types of facilities;
(c) conduct
an assessment prior to the patient's admission as well as prior to surgery to
evaluate the risk of anesthesia and of the procedure to be performed; and
(d) have policies that address the
basis or criteria used in conducting the assessments.
(2) Supplies and exhaust systems for windowless anesthetizing locations must be arranged to automatically vent smoke and products of combustion.
(a) Ventilating
systems for anesthetizing locations using general anesthesia must be provided
that automatically:
(i) prevent recirculation
of smoke originating within the surgical suite; and
(ii) prevent the circulation of smoke
entering the system intake, without, in either case, interfering with the
exhaust function of the system.
(3) Anesthesia must be administered only by:
(a) a qualified anesthesiologist;
(b) a physician qualified to administer
anesthesia; or
(c) a certified
registered nurse anesthetist (CRNA).
(4) Before discharge, each patient must be evaluated by a physician or by an anesthetist in accordance with applicable state health and safety laws, standards of practice, and facility policy. This postanesthesia 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, or both;
(d) temperature;
(e) pain;
(f) nausea and vomiting; and
(g) postoperative hydration.
50-5-103, MCA; IMP, 50-5-103, MCA;
Disclaimer: These regulations may not be the most recent version. Montana 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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