Section 410 IAC 26-13-1 - Anesthesia servicesAuthority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1; IC 16-21-2; IC 25
Sec. 1.
(a) The clinic must provide adequate anesthesia services to meet the needs of the patient, within the scope of the services offered, in accordance with acceptable standards of practice, under the direction of a licensed physician with specialized training or experience in the administration of anesthetics.(b) Anesthesia services must be provided in compliance with IC 25 and rules adopted under that title.(c) Anesthesia services in a clinic are limited to the following:(2) Moderate sedation. The clinic may not use deep sedation or general anesthesia.
(d) The medical director shall adopt and implement policies and procedures that include, but are not limited to, the following: (1) Safety rules to be followed relating to the administration of anesthesia.(2) Safety training required of personnel.(e) Anesthesia must be administered by one (1) of the following: (1) A qualified physician with appropriate training and experience.(2) A registered nurse acting under the direction of and in the immediate presence of the operating physician or other physician and who holds a certificate of completion of a course in anesthesia approved by the: (A) American Association of Nurse Anesthetists; or(B) medical licensing board of Indiana.(f) The clinic shall ensure the delineation of preanesthesia, intraoperative, and postanesthesia responsibilities as follows:(1) The completion, within forty-eight (48) hours before a surgical abortion, of a preanesthesia evaluation for each patient by an individual qualified to administer anesthesia. If completed more than forty-eight (48) hours before the surgical abortion, the preanesthesia evaluation shall be updated according to clinic policy.(2) When using moderate sedation, the patient shall be monitored by qualified personnel other than the physician performing the procedure that must include and document at five (5) minute intervals the following: (B) Observed pulmonary ventilation.(E) Response to verbal commands.(3) The completion of a postanesthetic evaluation for proper anesthesia recovery of each patient before discharge in accordance with written policies and procedures approved by the medical staff.(4) The requirement that all postoperative patients must be discharged from the postanesthetic care unit by the physician responsible for the patient's care in accordance with clinic policy.Indiana State Department of Health; 410 IAC 26-13-1; filed May 11, 2006, 9:36 a.m.: 29 IR 3367; readopted filed Jul 12, 2012, 12:08 p.m.: 20120808-IR-410120196RFAReadopted filed 9/26/2018, 2:48 p.m.: 20181024-IR-410180328RFAFiled 9/6/2019, 3:25 p.m.: 20191002-IR-410190164FRA