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

1. Before utilizing the services of an anesthesiologist assistant in the treatment of a patient, a supervising osteopathic anesthesiologist shall: (a) Provide the patient with a form which includes: (1) Notice that the supervising anesthesiologist utilizes the services of an anesthesiologist assistant; and (2) A place for the patient to provide affirmative consent to receiving services from the anesthesiologist assistant; and (b) Obtain the written affirmative consent of the patient pursuant to subparagraph (2) of paragraph (a) to receiving services from the anesthesiologist assistant. 2. Notice provided pursuant to subparagraph (1) of paragraph (a) of subsection 1 must include, without limitation, an explanation: (a) Of the role of an anesthesiologist assistant; and (b) That an anesthesiologist assistant is not a physician and provides anesthesia care to a patient only under the constant medial direction of a supervising osteopathic anesthesiologist. 3. The supervising osteopathic anesthesiologist of an anesthesiologist assistant shall: (a) Adopt a written protocol regarding the practice and supervision of anesthesiologist assistants that meets the requirements of subsection 4; and (b) Provide a copy of the written protocol adopted pursuant to paragraph (a) to: (1) Each anesthesiologist assistant that the supervising osteopathic 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 (a) of subsection 3 must: (a) Comply with the provisions of this chapter and chapter 633 of NRS with regard to the tasks that an anesthesiologist assistant may perform; (b) Detail the tasks that the anesthesiologist assistant may perform and the manner in which the supervising osteopathic anesthesiologist will supervise the anesthesiologist assistant in the performance of those tasks; (c) Provide for regular review by the supervising osteopathic 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 osteopathic anesthesiologist shall provide medical direction to an anesthesiologist assistant in the performance of all medical tasks delegated to the anesthesiologist assistant. 6. A supervising osteopathic anesthesiologist shall not, at any one time, supervise more than four anesthesiologist assistants.