Notification of patient concerning use of anesthesiologist assistant; duties of supervising anesthesiologist; written protocol regarding practice and supervision; limitation on simultaneous supervision.

1. An anesthesiologist who utilizes the services of an anesthesiologist assistant shall provide notice of that fact to any patient of the anesthesiologist. If the anesthesiologist provides a patient with a form on which the patient may provide informed consent to treatment, such notice must be included on the form. 2. Notice provided pursuant to subsection 1 must include, without limitation: (a) An explanation of the role of the anesthesiologist assistant; and (b) An explanation that the anesthesiologist assistant is not a physician and provides anesthesia care to a patient only under the constant medical direction of a supervising anesthesiologist. 3. The supervising anesthesiologist of an anesthesiologist assistant shall: (a) Communicate with the anesthesiologist assistant regarding the care of all patients; (b) Adopt a written protocol regarding the practice and supervision of anesthesiologist assistants that meets the requirements of subsection 4; and (c) Provide a copy of the written protocol adopted pursuant to paragraph (b) to: (1) Each anesthesiologist assistant that the supervising anesthesiologist supervises; and (2) The Board, upon request of the Board. 4. A written protocol regarding the practice and supervision of anesthesiologist assistants adopted pursuant to paragraph (b) of subsection 3 must: (a) Comply with the provisions of this chapter and chapter 630 of NRS with regard to the tasks that the anesthesiologist assistant may perform; (b) Detail the tasks that the anesthesiologist assistant may perform and the manner in which the supervising anesthesiologist will supervise the anesthesiologist assistant in the performance of those tasks; (c) Provide for regular review by the supervising anesthesiologist of the medical records of any patients delegated to the anesthesiologist assistant; and (d) Be based upon consideration of relevant quality assurance standards. 5. A supervising anesthesiologist may not simultaneously supervise a greater number of anesthesiologist assistants than authorized by federal law or regulations governing Medicare and Medicaid, or any guidance adopted pursuant thereto.