Current through all regulations passed and filed through September 16, 2024
(A) A physician or podiatric physician
performing special procedures or surgery in the office setting during which
anesthesia services are provided shall:
(1)
Demonstrate sufficient education, training and experience needed to conform to
the minimal standards of care of similar practitioners under the same or
similar circumstances by meeting at least one of the following criteria:
(a) Holding current privileges at a local
hospital accredited by the joint commission on accreditation of healthcare
organizations or the American osteopathic association or at a local ambulatory
surgical facility licensed by the department of health for the special
procedure or surgery being performed;
(b) Being board certified by a specialty
board recognized by the American board of medical specialties or the American
osteopathic association or, if a podiatric physician, is board certified by the
American board of podiatric surgery; and the surgery or special procedure being performed is generally
recognized as being within the usual course of practice of that specialty;
or,
(c) Having successfully
completed a residency training program approved by the accreditation council
for graduate medical education of the American medical association or the
American osteopathic association or, if a podiatric physician, having
successfully completed at least a twelve month residency in podiatric surgery
approved by the council on podiatric medical education; and the surgery or
special procedure being performed is generally
recognized as being within the usual course of practice of that
specialty.
(2) Have
current (within the immediately previous two years) advanced cardiac life
support/advanced trauma life support training or, in the case of pediatric
patients under the age of thirteen, have current (within the immediately
previous two years) pediatric advanced life support training.
(3) Ensure that assisting personnel are
competent to administer and monitor anesthesia services and to manage
emergencies.
(4) A physician or
podiatric physician performing surgeries or special procedures using anesthesia services in the
office setting shall:
(a) Hold privileges to
provide anesthesia services from a local hospital accredited by the joint
commission on accreditation of healthcare organizations or the American
osteopathic association or from a local ambulatory surgical facility licensed
by the department of health; or
(b)
Have successfully completed a residency training program approved by the
accreditation council for graduate medical education of the American medical
association or the American osteopathic association in anesthesia; or
(c) Have documented evidence of having
completed at least twenty hours of category I continuing medical education
relating to the delivery of anesthesia services during the current or most
recent past biennial registration period.
(B) Anesthesia services may be administered
in the office setting by only the following:
(1) A physician who holds privileges to
provide anesthesia services from a local hospital accredited by the joint
commission on accreditation of healthcare organizations or the American
osteopathic association or from a local ambulatory surgical facility licensed
by the department of health;
(2) A
physician who has successfully completed a residency training program approved
by the accreditation council for graduate medical education of the American
medical association or the American osteopathic association in anesthesia and
who is actively and directly engaged in the clinical practice of medicine as an
anesthesiologist;
(3) A certified
registered nurse anesthetist who is acting under the supervision and in the
immediate presence of a physician or podiatric physician.
(C) The person administering and monitoring
the anesthesia services shall be at all times present in the anesthetizing
location with the patient and shall not function in any other capacity during
the surgery or special procedure. Further, the person administering and
monitoring the anesthesia services shall meet the training requirements of
paragraph (A)(2) of this rule.
(D)
Whenever general anesthesia is being administered to a patient in the office
setting, the office shall have sufficient equipment and supplies to
appropriately manage malignant hyperthermia.
(E) A violation of any provision of this
rule, as determined by the board, shall constitute "a departure from, or the
failure to conform to, minimal standards of care of similar practitioners under
the same or similar circumstances, whether or not actual injury to a patient is
established," as that clause is used in division (B)(6) of section
4731.22 of the Revised Code.
