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007.05.10-29. Specialized Services: Anesthesia Services.

AR ADC 007.05.10-29Arkansas Administrative CodeEffective: June 20, 2022

West's Arkansas Administrative Code
Title 007. Department of Health
Division 05. Health Facility Services
Rule 10. Rules for Critical Access Hospitals in Arkansas (Refs & Annos)
Effective: June 20, 2022
Ark. Admin. Code 007.05.10-29
007.05.10-29. Specialized Services: Anesthesia Services.
A. Organization and Staffing. Anesthesia Services shall be provided in a well- organized manner under the direction of a qualified physician. The service is responsible for all anesthesia administered.
B. Those administering anesthesia shall be credentialed by Medical Staff and approved by the Governing Body. A current roster, with delineation of privileges for those administering anesthesia, shall be maintained and readily available.
C. Anesthesia shall be administered by the following:
1. Anesthesiologist;
2. Physician qualified to administer anesthesia; or
3. Certified Registered Nurse Anesthetist (CRNA) in consultation with a physician.
D. Written policies and procedures specific to Anesthesia Services shall have evidence of ongoing review and/or revision. The first page of the manual shall have the annual review date, signature of the department supervisor and/or person(s) conducting the review.
E. Policies and procedures shall include:
1. Preanesthesia evaluation;
2. Approved anesthesia agents;
3. Methods of delivery of anesthesia;
4. Intraoperative anesthesia record;
5. Post anesthesia follow-up report;
6. Mechanism for routine checking and maintenance of anesthesia machines and equipment for safe use;
7. Medication accountability. See Section 16, Pharmacy, Section 11, Patient Care Service, and Section 12, Medications;
8. Responsibilities in the discharge of patients from the Post anesthesia Care Unit. See Section 27, Post anesthesia Care Unit; and
9. Infection prevention and control measures.
F. All medications and anesthetic agents administered to the patient shall be ordered by the prescriber and/or anesthesia provider. This includes preoperative as well as intraoperative and postoperative medications.
G. There shall be an ongoing QA/PI program that is specific to the patient care administered.

Credits

Amended Jan. 1, 2016; Feb. 5, 2021; June 20, 2022.
<Statutory authority: Promulgated under the Authority of Ark. Code Ann. ยง 20-7-123, 20-9-201 et seq.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.10-29, AR ADC 007.05.10-29
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