Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B8 - Board of Medicine › Chapter 64B8-9 - STANDARDS OF PRACTICE FOR MEDICAL DOCTORS › Section 64B8-9.009 - Standard of Care for Office Surgery

Current through Reg. 50, No. 138; July 16, 2024
Nothing in this rule relieves the surgeon of the
				  responsibility for making the medical determination that the office is an
				  appropriate forum for the particular procedure(s) to be performed on the
				  particular patient.
(1) Definitions.
(a) Surgery. For the purpose of this rule,
				surgery is defined as any manual or operative procedure, including the use of
				lasers, performed upon the body of a living human being for the purposes of
				preserving health, diagnosing or curing disease, repairing injury, correcting
				deformity or defects, prolonging life, relieving suffering or any elective
				procedure for aesthetic, reconstructive or cosmetic purposes, to include, but
				not be limited to: incision or curettage of tissue or an organ; suture or other
				repair of tissue or organ, including a closed as well as an open reduction of a
				fracture; extraction of tissue including premature extraction of the products
				of conception from the uterus; insertion of natural or artificial implants; or
				an endoscopic procedure with use of local or general anesthetic.
(b) Surgeon. For the purpose of this rule,
				surgeon is defined as a licensed physician performing any procedure included
				within the definition of surgery.
(c) Equipment. For the purpose of this rule,
				implicit within the use of the term of equipment is the requirement that the
				specific item named must meet current performance standards according to
				manufacturer's guidelines.
(d)
				Office surgery. For the purpose of this rule office surgery is defined as
				surgery which is performed outside of any facility licensed under Chapter 390
				or 395, F.S. Office surgical procedures shall not be of a type that generally
				result in blood loss of more than ten percent of estimated blood volume in a
				patient with a normal hemoglobin; require major or prolonged intracranial,
				intrathoracic, abdominal, or major joint replacement procedures, except for
				laparoscopic procedures; involve major blood vessels performed with direct
				visualization by open exposure of the major vessel, except for percutaneous
				endovascular intervention; or are generally emergent or life threatening in
				nature.
(e) Percutaneous
				endovascular intervention. For the purpose of this rule percutaneous
				endovascular intervention is defined as a procedure performed without open
				direct visualization of the target vessel, requires only needle puncture of an
				artery or vein followed by insertion of catheters, wires, or similar devices
				which are then advanced through the blood vessels using imaging guidance. Once
				the catheter reaches the intended location various maneuvers to address the
				diseased area may be performed which include, but are not limited to, injection
				of contrast for imaging, treatment of vessels with angioplasty, atherectomy,
				covered or uncovered stenting, intentionally occluding vessels or organs
				(embolization), and delivering medications, radiation, or other energy such as
				laser, radiofrequency, or cryo.
(f)
				Major Blood Vessels. For the purpose of this rule major blood vessels are
				defined as group of critical arteries and veins including the aorta, coronary
				arteries, pulmonary arteries, superior and inferior vena cava, pulmonary veins,
				and any intra-cerebral artery or vein.
(g) Pediatric patients are defined as those
				patients who are 13 years of age or under.