North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 13 - NC MEDICAL CARE COMMISSION
Subchapter B - LICENSING OF HOSPITALS
Section .4600 - SURGICAL AND ANESTHESIA SERVICES
Section 13B .4602 - DIRECTOR OF SURGICAL SERVICES

Universal Citation: 10A NC Admin Code 13B .4602

Current through Register Vol. 39, No. 6, September 16, 2024

(a) Each department or service providing surgical services shall be directed by members of the medical staff whose clinical and administrative privileges have been approved by the governing body.

(b) The medical staff shall establish and maintain a system for monitoring and evaluating the quality and appropriateness of the care and treatment of surgical patients, and for monitoring the clinical performance of all individuals with clinical privileges.

(c) In facilities where there is no anesthesiologist on staff the facility shall:

(1) with review of the medical staff, establish a consultation agreement with a board-certified or board-eligible anesthesiologist for the purpose of establishing policies and procedures that relate to the safe administration of anesthesia in all departments or services of the facility;

(2) assume the responsibility for establishing general policies for anesthesia services; and

(3) establish a line of communication and supervision for staff.

Authority G.S. 131E-79;
Eff. January 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 22, 2017.

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