§ 70233. Anesthesia Service General Requirements.

(a) Written policies and procedures shall be developed and maintained by the person responsible for the service in consultation with other appropriate health professionals and administration. Policies shall be approved by the governing body. Procedures shall be approved by the administration and medical staff where such is appropriate. The policies and procedures shall include provision for at least:

(1) Preanesthesia evaluation of the patient by an individual qualified to administer anesthesia as a licensed practitioner in accordance with his or her scope of licensure. Persons providing preanesthesia evaluations shall appropriately document pertinent information relative to the choice of anesthesia and the surgical or obstetrical procedure anticipated.

(2) Review of the patient's condition immediately prior to induction of anesthesia.

(3) Safety of the patient during the anesthetic period.

(4) Recording of all events taking place during the induction of, maintenance of and emergence from anesthesia, including the amount and duration of all anesthetic agents, other drugs, intravenous fluids and blood or blood fractions.

(5) Recording of postanesthetic visits that include at least one note describing the presence or absence of complications related to anesthesia.

(b) The responsibility and the accountability of the anesthesia service to the medical staff and administration shall be defined.

(c) Rules for the safe use of nonflammable and flammable anesthetic agents which conform with the rules of the State Fire Marshal and Section 70849 shall be adopted.

(d) Periodically, an appropriate committee of the medical staff shall evaluate the service provided and make appropriate recommendations to the executive committee of the medical staff and administration.

(e) The requirements in this section do not apply to special hospitals unless the special hospital provides this service.

HISTORY

1. New subsection (e) filed 7-28-78; effective thirtieth day thereafter (Register 78, No. 30).

2. Amendment of subsection (a)(1) and adoption of Note filed 4-15-93; operative 5-17-93 (Register 93, No. 16).

Note

Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Section 1276, Health and Safety Code; and Section 2725, Business and Professions Code.