(A) Each ASF shall provide medical services, dental services, nursing services, pharmaceutical services, and anesthesia services. Each service shall be provided in a safe, effective manner that is consistent with the needs of the patient.
(B) Each ASF shall:
(1) Provide adequate space, equipment, and staff for storage and the administration of drugs in compliance with state and federal laws and regulations.
(2) Establish and implement a program for the control and accountability of drug products throughout the facility and maintain a list of medications that are always available.
(C) Each ASF shall:
(1) Ensure that all anesthetics are administered by individuals acting within their licensed scopes of practice.
(2) Maintain an anesthesia record for each patient who receives anesthetics in the facility. This record shall become a part of the patient's medical record and shall include patient identification data, dosage and duration of anesthesia, and a record of administration of other drugs or therapeutics.
(3) Ensure that, following the administration of general anesthetics, patients are constantly attended by the responsible anesthesiologist, CRNA, anesthesia qualified dentist, physician or podiatrist acting within their scope of practice, or an RN until conscious and in the ambulatory condition normal for him or her.
(D) Each ASF shall respond to medical emergencies including emergency cardiac care that may arise in the provision of services to patients.
(E) Each ASF shall have a written transfer agreement with a hospital for transfer of patients in the event of medical complications, emergency situations, and for other needs as they arise.
(2) A formal agreement is not required in those instances where the licensed ASF is a provider-based entity of a hospital and the ASF policies and procedures to accommodate medical complications, emergency situations, and for other needs as they arise are in place and approved by the governing body of the parent hospital.
(F) Prior to the surgery, the physician, podiatrist, or dentist, shall obtain a statement documenting informed consent, signed by the patient or patient representative, for the performance of the specific surgical procedure or procedures. This statement shall be made part of the patient's medical record. The ASF shall ensure that informed consents for surgical procedures have been signed.
(G) Each ASF may provide or contract for other services including, but not limited to, laboratory and radiology services.
(H) When a blood supply may be needed for a surgical procedure, the ASF shall:
(1) Have a policy and procedure to obtain blood, blood components, or blood products on a timely basis.
(2) Ensure that blood, blood components or blood products are administered by physicians, anesthesia qualified dentists, or RNs.
Five Year Review (FYR) Dates: 02/16/2016 and 02/15/2021
Promulgated Under: 119.03
Statutory Authority: 3702.13, 3702.30
Rule Amplifies: 3702.12, 3702.13, 3702.30
Prior Effective Dates: 1/13/1996, 6/27/96, 9/5/02, 4/24/11