R4-16-707. Emergency Drugs; Equipment and Space Used for Office-Based Surgery Using Sedation

A. In addition to the requirements in R4-16-703(A)(3) and R4- 16-704(A)(1), a physician who performs office-based surgery using sedation shall ensure the physician’s office has at a minimum: 1. The following: a. A reliable oxygen source with a SaO2 monitor; b. Suction; c. Age-appropriate resuscitation equipment, including a defibrillator and a hand-held self-inflating resuscitation device; d. Emergency drugs; e. A cardiac monitor; f. Equipment to monitor the patient non-invasively; and g. An oxygen source and suction apparatus for patient use. 2. The equipment for patient monitoring according to the standards in R4-16-705; 3. Space large enough to: a. Allow for access to the patient during office-based surgery using sedation, recovery, and any emergency; b. Allow for post-procedure monitoring of the patient until the patient is evaluated by a physician and determined ready for discharge; c. Accommodate all equipment necessary to perform the office-based surgery using sedation; d. Accommodate all equipment necessary for sedation monitoring; and e. Provide for safe egress of a sedated patient; 4. A source of auxiliary electrical power available in the event of a power failure; and 5. Equipment, emergency drugs, and resuscitative capabilities required under this Section for patients less than 18 years of age, if office-based surgery using sedation is performed on these patients; and 6. Procedures to minimize the spread of infection. B. A physician who performs office-based surgery using sedation shall: 1. Ensure all equipment used for office-based surgery using sedation is maintained, tested, and inspected according to manufacturer specifications, and 2. Maintain documentation of manufacturer-recommended maintenance of all equipment used in office-based surgery using sedation.