17 DCMR 8013
8013. SCOPE OF PRACTICE
Cite as D.C. Mun. Regs. tit. 17, ยง 8013
8013 SCOPE OF PRACTICE
8013.1 A surgical assistant shall, in accordance with this chapter and the Act, have the authority to perform the following tasks:
(a) Provide local infiltration or the topical application of a local anesthetic and hemostatic agents at the operative site;
(b) Incise tissues;
(c) Ligate and approximate tissues with sutures and clamps;
(d) Apply tourniquets, casts, immobilizers, and surgical dressings;
(e) Check the placement and operation of equipment;
(f) Assist in moving and positioning the patient;
(g) Assist the surgeon in draping the patient;
(h) Prepare a patient by cleaning, shaving, and sterilizing the incision area;
(i) Retract tissue and expose the operating field area during operative procedures;
(j) Place suture ligatures and clamp, tie, and clip blood vessels to control bleeding during surgical entry;
(k) Use cautery for hemostasis under direct supervision;
(l) Assist in closure of skin and subcutaneous tissue;
(m) Assist in the cleanup of the surgical suite; and
(n) Check and restock the surgical suite.
8013.2 A surgical assistant shall not perform the following tasks;
(a) Perform any surgical procedure independently;
(b) Prescribe any medications or controlled substances; or
(c) Write any progress notes or orders on hospitalized patients, except operative notes.
SOURCE: Final Rulemaking published at 54 DCR 9549 (October 5, 2007).