(A) A supervising anesthesiologist shall provide enhanced supervision of an anesthesiologist assistant during the first four years of the anesthesiologist assistant's practice.
(B) "Enhanced supervision" means the following:
(1) The supervising anesthesiologist shall require regular, documented quality assurance interactions between the supervising anesthesiologist and the anesthesiologist assistant .
(a) The regularly scheduled quality assurance interactions shall occur in greater number and with greater frequency during the first four years of an anesthesiologist assistant's practice than would be required for quality assurance purposes for anesthesiologist assistants in practice for more than four years and shall take place no less frequently than once every three months.
(b) The anesthesiologist assistant shall be required to file on a monthly basis during the first two years of practice a separate record of the cases of anesthetic management in which he or she participated. The record shall be reviewed by a supervising anesthesiologist as a component of the quality assurance interactions.
(c) The reviewing supervising anesthesiologist shall file a report of each quality assurance interaction with the appropriate committee.
(2) The supervising anesthesiologist shall make direct observations of the anesthesiologist assistant during the course of each case of anesthetic management.
(a) During the first year of an anesthesiologist assistant's practice, the direct observations of each case of anesthetic management shall be made more frequently than for comparable procedures for anesthesiologist assistants practicing beyond their first year, and include direct observation of induction and emergence.
(b) The supervising anesthesiologist shall document the enhanced supervision in the anesthetic record.
(3) The period of enhanced supervision for an anesthesiologist assistant who has practiced in another state prior to beginning practice in Ohio shall be determined as follows:
(a) The anesthesiologist assistant shall be given credit for the time practiced in another state.
(b) The credit shall be on a year-for-year basis, except that the supervising anesthesiologist shall provide enhanced supervision as defined in this rule for the first three months of the anesthesiologist assistant's practice in Ohio.