Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart K - ANESTHESIA SERVICES › Section 250.1410 - Anesthesia Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				Anesthesia Service shall be organized under written policies and procedures
				regarding staff privileges, the administration of anesthetics, and the
				maintenance of strict safety controls. In hospitals where there is no organized
				Anesthesia Service, the Surgery Service shall assume the responsibility for
				establishing general policies and supervising the administration of
				anesthetics. The Anesthesia Service is responsible for all anesthetics
				administered in the hospital.
b)
				The Anesthesia Service shall be under the direction of a physician who has had
				specialized preparation and experience in the area or who has completed a
				residency in anesthesiology. An anesthesiologist shall be Board certified or a
				candidate for Board certification in the American Board of Anesthesiology
				examination system.
c) A physician
				or registered professional nurse shall supervise the work of all nonmedical
				personnel working in the Anesthesia Service.
d) The hospital shall establish procedures
				for regular inspection, maintenance, and repair of anesthesia equipment and
				supplies.
e) The Anesthesia
				Service, hospital administration, and medical staff shall collaborate to
				establish policies and procedures for the control, storage, and safe use of
				combustible anesthetics, oxygen, and other medicinal gases; types of anesthesia
				to be administered and procedures for each; personnel permitted to administer
				anesthesia; infection control, and safety regulations to be followed.
f) The hospital shall recognize the dangers
				of accidental ignition of anesthetic gases to patients and others, and shall
				establish procedures to minimize this hazard in accordance with NFPA
				99.
g) The hospital shall provide
				policies and procedures to all personnel and ensure the enforcement of the
				policies and procedures.
h)
				Anesthetic agents and medicinal gases shall be administered only on the order
				of a member of the medical staff and shall be administered only by persons
				qualified in the management of these materials. See subsection (e).
i) The use and storage of anesthetic gases
				shall be in accordance with NFPA 99. Areas for cleaning, testing, and storing
				anesthesia equipment shall be provided.
j) An anesthetic record on special forms
				shall be made a part of the patient's chart. Drugs used, vital signs and other
				relevant information shall be recorded at regular intervals during anesthesia.
1) There shall be a history and physical
				examination by a physician no more than 30 days prior to nonemergency surgery
				or a procedure requiring anesthesia services, or within 24 hours after
				admission or registration for a surgery or procedure requiring anesthesia
				services. Findings must be recorded in the patient's record prior to surgery or
				a procedure requiring anesthesia services. For dental surgery, the history and
				physical examination may be performed by a dentist who has been granted
				privileges by the hospital medical staff.
2) Except in an emergency, no anesthetic
				shall be administered until the patient has had a history and physical
				examination, and a record made of the findings.