R432-100-16. Anesthesia Services

  (1) There shall be facilities and equipment for the administration of anesthesia commensurate with the clinical and surgical procedures planned for the institution. Anesthesia care shall be available on a 24-hour basis.

  (a) Administrative direction of anesthesia services shall be provided by a person appointed and authorized by the hospital administrator.

  (b) Medical direction of anesthesia services shall be provided by a member of the medical staff.

  (c) Anesthesia care shall be provided by anesthesiologists, other qualified physicians, dentists, oral surgeons, or Certified Registered Nurse Anesthetists who are members of the medical staff within the scope of their practice and license.

  (i) A qualified physician, dentist or oral surgeon shall have documented training that includes the equivalent of 40 days preceptorship with an anesthesiologist and shall be able to perform at least the following:

  (A) procedures commonly used to render the patient insensible to pain during the performance of surgical, obstetrical, and other pain producing clinical procedures;

  (B) life support functions during the administration of anesthesia, including induction and intubation procedures; and

  (C) provide pre-anesthesia and post-anesthesia management of the patient.

  (ii) The responsibilities and privileges of the person administering anesthesia shall be clearly defined by the medical staff.

  (iii) Both the patient and the operating surgeon shall be informed prior to surgery of who will be administering anesthesia.

  (iv) Medicaid certified hospitals shall comply with the requirements of 42 CFR 482.52(a), Subpart D, Anesthesia Services.

  (2) The use of flammable anesthetic agents for anesthesia or for the pre-operative preparation of the surgical field is prohibited.

  (3) The anesthetic equipment shall be inspected and tested by the person administering anesthesia before use in accordance with hospital policy.