R9-10-216. Anesthesia Services

An administrator shall ensure that: 1. Anesthesia services provided in conjunction with surgical services performed in the operating room are provided as an organized service under the direction of a medical staff member; 2. Documentation is available in the surgical services area that specifies the medical staff member’s clinical privileges to administer anesthesia; 3. Except in an emergency, an anesthesiologist or a nurse anesthetist performs a pre-anesthesia evaluation within 48 hours before anesthesia is administered in conjunction with surgical services; 4. Anesthesia administration is documented in a patient’s medical record and includes: a. A pre-anesthesia evaluation, if applicable; b. An intra-operative anesthesia record; c. The postoperative status of the patient upon leaving the operating room; and d. Post-anesthesia documentation by the individual performing the post-anesthesia evaluation that includes the information required by the medical staff bylaws and medical staff regulations; and 5. A registered nurse or a physician documents resuscitative measures in the patient’s medical record.