5113. SCOPE OF PRACTICE

5113 SCOPE OF PRACTICE 5113.1 An anesthesiologist assistant shall, in accordance with this chapter and the Act, have the authority to perform the following tasks: (a) Obtain a comprehensive patient history, perform relevant elements of a physical examination, and present the history to the supervising anesthesiologist; (b) Pretest and calibrate anesthesia delivery systems and obtain and interpret information from the systems and monitors, in consultation with an anesthesiologist; (c) Assist the supervising anesthesiologist with the implementation of medically accepted monitoring techniques; (d) Establish basic and advanced airway interventions, including intubation of the trachea and performing ventilatory support; (e) Administer intermittent vasoactive drugs and start and adjust vasoactive infusions; (f) Administer anesthetic drugs, adjuvant drugs, and accessory drugs, including narcotics; (g) Assist the supervising anesthesiologist with the performance of epidural anesthetic procedures, spinal anesthetic procedures, and other regional anesthetic techniques; (h) Administer blood, blood products, and supportive fluids; (i) Provide assistance to a cardiopulmonary resuscitation team in in response to a life threatening situation; (j) Monitor, transport, and transfer care to appropriate anesthesia or recovery personnel; (k) Participate in administrative, research, and clinical teaching activities, as authorized by the supervising anesthesiologist; and (l) Perform such other tasks that an anesthesiologist assistant has been trained and is proficient to perform. 5113.2 An anesthesiologist assistant shall not perform the following tasks: (a) Prescribe any medications or controlled substances; (b) Practice or attempt to practice unless under the supervision of an anesthesiologist who is immediately available for consultation, assistance, and intervention; (c) Practice or attempt to administer anesthesia during the induction or emergence phase without the personal participation of the supervising anesthesiologist; or (d) Administer any drugs, medicines, devices, or therapies the supervising anesthesiologist is not qualified or authorized to prescribe. SOURCE: As amended by Final Rulemaking published at 53 DCR 91 (January 6, 2006).