Current through all regulations passed and filed through September 16, 2024
(A) The medical director of the adult open
heart surgery service
will be board-certified in thoracic surgery. The
medical director
will:
(1)
Be a physician certified or eligible for certification
by the American board of thoracic surgery, the American board of surgery, or
meet the requirements set forth in paragraph (C) of rule
3701-84-08 of the Administrative
Code;
(2) Be responsible for
oversight of care in the service;
(3) Be credentialed to
provide adult open heart surgery services at the hospital where the adult open
heart surgery service is located; and
(4) Actively perform
open heart procedures at the open heart surgery service where they are the
medical director.
(B)
Each open heart surgery
service
will have at least two thoracic surgeons on staff,
credentialed to perform open heart procedures at the hospital
who
actively perform open heart procedures at the hospital. The medical director of
the open heart surgery service may be counted as one of the two required
thoracic surgeons.
(C) Each
open heart surgery service
will
have competent and qualified staff available, including but not limited to:
(1) Surgical assistants to assist the
surgeon. A surgical assistant may be a resident, another physician, or a
specially trained surgical assistant;
(2) Cardiac anesthesiologists with special
training in the anesthetic and supportive requirements of open heart
surgery;
(3) Nursing staff that
will
include appropriate numbers of scrub nurses or technicians and a circulating
nurse based on the needs of the surgeons and the patient. A minimum of two
staff, including a circulating nurse and one scrub nurse or technician
will be
present for each procedure. Nursing staff
will be trained
in cardiac surgical operating room procedures;
(4) A cardiac surgical intensive care unit
will be
staffed at the appropriate nurse patient ratio commensurate with the acuity of
the patients and the amount of time following surgery that such care is
necessary. Cardiac surgical intensive care nurses
will be
advanced cardiac life support (ACLS) certified and have specialized training to
develop the theoretical knowledge and clinical skills required for the care of
cardiac surgical patients; and
(5)
A minimum of two perfusionists who are graduates of an accredited
cardiovascular perfusion or perfusion technology program or have equivalent
training and experience.
(D) In addition to the requirements of
paragraph (C) of this rule, an open heart surgery service
will
have appropriate staff available, including but not limited to:
(1) Pharmacists;
(2) Dietitians;
(3) Respiratory therapists;
(4) Physical therapists;
(5) Cardiac rehabilitation therapists;
and
(6) Social workers.
(E) Staffing requirements of this
rule may be met by individuals with equivalent or greater qualifications if the
replacement's scope of practice encompasses the duties of the required
staff.
