Ohio Admin. Code 4731-25-02 - General provisions
(A)
Anesthesia services in the office setting shall be provided only by physicians
and osteopathic physicians licensed pursuant to Chapter 4731. of the Revised
Code; podiatric physicians licensed pursuant to Chapter 4731. of the Revised
Code and practicing within the scope of practice for podiatric physicians; and
certified registered nurse anesthetists licensed pursuant to Chapter 4723. of
the Revised Code and practicing within the scope of practice for certified
registered nurse anesthetists; and only in accordance with Chapter 4731-25 of
the Administrative Code.
(B)
Nothing in this chapter of the Administrative Code shall be interpreted to
permit a podiatric physician to perform surgery or special procedures in an
office setting using general anesthesia.
(C) Nothing in this chapter of the
Administrative Code shall be interpreted to prohibit a registered nurse with
the appropriate education and training from carrying out a physician's order to
maintain a patient within an intensive care unit of a hospital at the level of
sedation determined by the physician to be appropriate and necessary for that
patient's care, so long as the patient remains within the intensive care unit
with appropriate monitoring and so long as the physician's order is written in
compliance with all applicable laws.
(D) A physician or podiatric physician shall
not perform on more than one patient at the same time special procedures or
surgery using moderate sedation/analgesia or anesthesia services.
(E) A certified registered nurse anesthetist
providing moderate sedation/analgesia or anesthesia services in the office
setting shall be under the direction of a podiatric physician acting within the
podiatric physician's scope of practice in accordance with section
4731.51 of the Revised Code or a
physician, and, when administering anesthesia, the certified registered nurse
anesthetist shall be in the immediate presence of the podiatric physician or
physician. For purposes of this chapter of the Administrative Code, a physician
shall not be considered to have supervised the administration and monitoring of
moderate sedation/analgesia or anesthesia services if the moderate
sedation/analgesia or anesthesia services were administered and monitored by a
physician anesthesiologist.
(F)
"Surgery" shall not be interpreted so as to prohibit a registered nurse from
performing tasks that are within the scope of practice of the registered nurse,
so long as the registered nurse's activities are in accordance with Chapter
4723. of the Revised Code.
(G) This
chapter of the Administrative Code shall not apply to surgeries or special
procedures in which the level of anesthesia is limited to minimal sedation as
that term is defined in this chapter of the Administrative Code, or which use
only local or topical anesthetic agents, and which are performed in an office
setting except that liposuction procedures performed under tumescent local
anesthesia shall be subject to the provisions of rule
4731-25-05 of the Administrative
Code.
(H) Special procedures or
surgery utilizing moderate sedation/analgesia or anesthesia services shall be
performed in the office setting only on patients who are evaluated as level P1
or P2 according to the American society of anesthesiologists physical status
classification system current at the effective date of this rule.
(I)
A special
procedure or surgery that is prohibited by rule of the Administrative Code or
law of the Revised Code to be performed in a hospital or ambulatory surgical
facility shall not be performed in an office setting.
Notes
Promulgated Under: 119.03
Statutory Authority: 4731.05
Rule Amplifies: 4731.22, 4731.51, 4731.35
Prior Effective Dates: 01/01/2004, 05/31/2018, 01/12/2024 (Emer.)
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