R4-22-505. Sedation Monitoring Standards

A. An osteopathic physician who performs office-based surgery when minimal sedation is administered to a patient shall ensure from the time sedation is administered until post-sedation monitoring begins that a quantitative method of assessing the patient’s oxygenation, such as pulse oximetry, is used. B. An osteopathic physician who performs office-based surgery when moderate or deep sedation is administered to a patient shall ensure from the time sedation is administered until post-sedation monitoring begins that: 1. A quantitative method of assessing the patient’s oxygenation, such as pulse oximetry, is used; 2. The patient’s ventilatory function is monitored by any of the following: a. Direct observation, b. Auscultation, or c. Capnography; 3. The patient’s circulatory function is monitored by: a. Having a continuously displayed electrocardiogram, b. Documenting arterial blood pressure and heart rate at least every five minutes, and c. Evaluating the patient’s cardiovascular function by pulse plethysmography; 4. The patient’s temperature is monitored if the physician expects the patient’s temperature to fluctuate; and 5. A licensed and qualified health care professional, other than the physician performing the office-based surgery, is: a. Present throughout the office-based surgery, and b. Has the sole responsibility of attending to the patient.