Ohio Admin. Code 4731-24-02 - Anesthesiologist assistants: supervision
(A)
A supervising
anesthesiologist shall supervise an anesthesiologist assistant within the
terms, conditions, and limitations set forth in a written practice protocol
that is consistent with section
4760.08 of the Revised Code and
this chapter of the Administrative Code. The supervision shall be direct
supervision and in the immediate presence of the anesthesiologist assistant, as
that term is defined in rule
4731-24-01 of the
Administrative Code.
(B)
An anesthesiologist assistant shall only perform those
tasks assigned on a case-by-case basis by the supervising anesthesiologist. The
anesthesiologist assistant shall implement the personalized plan for a patient
as individually prescribed by the supervising anesthesiologist after the
physician has completed a specific assessment of the patient.
(C)
In determining
which anesthetic procedures to assign to an anesthesiologist assistant, a
supervising anesthesiologist shall consider all of the following:
(1)
The education,
training, and experience of the anesthesiologist assistant;
(2)
The
anesthesiologist assistant's scope of practice as defined in section
4760.09 of the Revised Code and
this chapter of the Administrative Code;
(3)
The conditions on
the practice of the anesthesiologist assistant set out in the written practice
protocol;
(4)
The physical status of the patient according to the
physical status classification system of the American society of
anesthesiologists, as in effect at the time the assignment of procedures is
made. The classification system is available from the American society of
anesthesiologists and shall be posted on the board's website at
med.ohio.gov.
(5)
The invasiveness of the anesthetic
procedure;
(6)
The level of risk of the anesthetic
procedure;
(7)
The incidence of complications of the anesthetic
procedure;
(8)
The physical proximity of the supervising
anesthesiologist and the anesthologist assistant or assistants being supervised
concurrently; and
(9)
The number of patients whose care is being supervised
concurrently by the supervising anesthesiologist.
(D)
During the first
four years of an anesthesiologist assistant's practice, the supervising
anesthesiologist shall provide enhanced supervision as defined in this chapter
of the Administrative Code.
(E)
The supervising
anesthesiologist shall retain responsibility for the anesthetic management in
which the anesthesiologist assistant has participated.
Replaces: 4731-24-02
Notes
Promulgated Under: 119.03
Statutory Authority: 4760.08, 4760.19
Rule Amplifies: 4731.22, 4760.08, 4760.09
Prior Effective Dates: 05/30/2003
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