R4-16-706. Perioperative Period; Patient Discharge

A physician performing office-based surgery using sedation shall ensure all of the following: 1. During office-based surgery using sedation, the physician is physically present in the room where office-based surgery is performed; 2. After the office-based surgery using sedation is performed, a physician is at the physician’s office and sufficiently free of other duties to respond to an emergency until the patient’s post-sedation monitoring is discontinued; 3. If using minimal sedation, the physician or a health care professional certified in ACLS, PALS, or BLS, depending on the physician’s office, shall be immediately available to respond to an emergency until the patient is discharged; 4. If using deep or moderate sedation, the physician or a health care professional certified in ACLS or PALS is at the physician’s office and sufficiently free of other duties to respond to an emergency until the patient is discharged; 5. A discharge is documented in the patient’s medical record including: a. The time and date of the patient’s discharge and certification the patient met the predetermined discharge standards based on national criteria, and b. A description of the patient’s medical condition at the time of discharge; and 6. A patient receives discharge instructions, including contact information to use in case a medical emergency arises, and documents in the patient’s medical record that the patient received the discharge instructions and emergency contact information.