Section 481.51.28. Anesthesia services.

         51.28(1) There shall be written policies and procedures governing anesthesia services which are consistent with the needs and resources of the hospital.

            a.               Policies and procedures shall be developed in consultation with and with the approval of the hospital’s medical staff.

            b.               At a minimum, the policies and procedures shall provide:

             (1)             Anesthesia services shall be provided under the direction of a qualified doctor of medicine or osteopathy.

             (2)             Delineation of the qualifications of individuals authorized to administer anesthesia as set out in the hospital’s medical staff bylaws or medical staff rules and regulations.

             (3)             For preanesthesia evaluation, appraisal of a patient’s current condition, preparation of an intraoperative anesthesia record, and discharge criteria for patients.

             (4)             For equipment functioning and safety, including ensuring that a qualified medical doctor, osteopathic physician and surgeon or anesthetist checks, prior to the administration of anesthesia, the readiness, availability, cleanliness, and working condition of all equipment to be used in the administration of anesthetic agents.

             (5)             For minimizing electrical hazards in all anesthetizing areas.

             (6)             Quality assurance which shall at least include infection control procedures; integration of anesthesia services into various areas of the hospital; and ongoing monitoring, review, and evaluation of anesthesia services, processes, and procedures.

         51.28(2) Policies and procedures may be adjusted as appropriate to reflect provision of anesthesia services in inpatient or outpatient settings.

This rule is intended to implement Iowa Code section 135B.7.

[ARC 2472C, IAB 3/30/16, effective 5/4/16]