Anesthesia services

(a) Anesthesia services may be provided through a separately organized department or as a service of the department of surgery. The service shall have effective policies and procedures regarding staff privileges, the administration of anesthetics, and the maintenance of strict safety controls. (b) Each anesthesia service shall have written policies and procedures. These policies and procedures shall include, but not be limited to: (1) Pre-anesthesia evaluation. (2) Intraoperative anesthesia report. (3) Post-anesthesia follow-up report. (4) Approved anesthesia agents. (5) Drug accountability procedures in accordance with hospital policies. OAC 310:667 OKLAHOMA STATE DEPARTMENT OF HEALTH 61 September 13, 2019 (6) Infection control in anesthesia procedures. (7) Safety procedures for oxygen and gas anesthetics. (c) There shall be required for every patient: (1) Pre-anesthetic evaluation by a physician or other practitioner authorized to perform pre-anesthesia evaluations with findings recorded not more than forty-eight (48) hours before surgery. (2) Anesthetic record on a special form. (3) Post-anesthetic follow-up conducted during the post anesthesia recovery period by a person authorized to administer anesthesia to the patient, with findings recorded not more than forty-eight (48) hours after surgery. (d) The anesthesia service shall be responsible for all anesthetics administered in the hospital. (e) In hospitals where there is no department of anesthesia, the department of surgery shall be responsible for establishing general policies and supervision for the administration of anesthetics. (f) If anesthetics are not administered by a qualified anesthesiologist, they shall be administered by a physician anesthetist, dentist, oral surgeon, podiatrist, or a certified registered nurse anesthetist under the supervision of the operating surgeon. The hospital medical staff shall designate in writing those persons qualified to administer anesthetics and delineate what the person is qualified to do. (g) During all general anesthetics, regional anesthetics, and monitored anesthesia care, the patient's oxygenation, ventilation, circulation and temperature shall be continually evaluated. (h) Safety precautions shall include where appropriate: (1) Shockproof and spark-proof equipment. (2) Humidity control. (3) Proper grounding. (4) Safety regulations posted. (5) Storage of oxidizing gases shall meet the standards of the National Fire Protection Association Code. The use of flammable anesthetics as anesthetic agents is forbidden. SUBCHAPTER 27. OUTPATIENT DEPARTMENT