Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart E - GENERAL PATIENT CARE › Section 205.530 - Operative Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Surgical
				procedures shall be performed only by a qualified physician, dentist or
				podiatrist within the limits of the defined specific surgical practice
				privileges that have been granted to that individual by the consulting
				committee or a committee designated by the consulting committee.
b) Administration of Anesthesia
1) For the purposes of this Section,
				anesthesia shall include general anesthesia, intravenous sedation, spinal or
				epidural anesthesia, and any other specific anesthesia technique that is
				designated by the consulting committee.
2) Anesthesia may be administered only by the
				following persons, each having been granted specific anesthesia privileges by
				the consulting committee or a committee designated by the consulting committee:
A) A qualified anesthesiologist (as defined
				in Section
				205.110
				of this Part.)
B) A physician
				licensed to practice medicine in all its branches.
C) A dentist who has been approved by the
				Department of Financial and Professional Regulation to administer anesthesia
				for dental surgery only pursuant to Section
				8.1 of the Illinois
				Dental Practice Act [225 ILCS 25 ].
D) A certified registered nurse anesthetist
				(as defined in Section
				205.110
				of this Part) who is implementing the orders of a qualified anesthesiologist,
				or the physician, dentist, or podiatrist who is performing the procedure. The
				qualified anesthesiologist, physician, dentist, or podiatrist who has ordered
				the anesthesia must be on the premises of the facility during the
				administration of the anesthesia.
E) A registered nurse.
If the ASTC
				policy allows the registered nurse to deliver moderate sedation ordered by a
				physician licensed to practice medicine in all its branches, podiatrist, or
				dentist, the following are required:
i)
The registered nurse must be under
				the supervision of a physician licensed to practice medicine in all its
				branches, podiatrist, or dentist during the delivery or monitoring of moderate
				sedation and have no other responsibilities during the
				procedure.
ii)
The
				registered nurse must maintain current Advanced Cardiac Life Support
				certification or Pediatric Advanced Life Support certification as appropriate
				to the age of the patient.
iii)
The supervising physician
				licensed to practice medicine in all its branches, podiatrist, or dentist must
				have training and experience in delivering and monitoring moderate sedation and
				possess clinical privileges at the ASTC to administer moderate sedation or
				analgesia.
iv)
The
				supervising physician licensed to practice medicine in all its branches,
				podiatrist, or dentist must remain physically present and available on the
				premises during the delivery of moderate sedation for diagnosis, consultation,
				and treatment of emergency medical conditions.
v)
The supervising physician licensed
				to practice medicine in all its branches, podiatrist, or dentist must maintain
				current Advanced Cardiac Life Support certification or Pediatric Advanced Life
				Support certification as appropriate to the age of the
				patient.
vi)
Local, minimal, and moderate sedation shall be defined by the Division
				of Professional Regulation of the Department of Financial and Professional
				Regulation. Registered nurses shall be limited to administering medications for
				moderate sedation at doses rapidly reversible pharmacologically as determined
				by rule by the Division of Professional Regulation of the Department of
				Financial and Professional Regulation.
(Section 6.7(b) of the
				Act)
vii)
Nothing
				in
the Act or this Section
precludes a registered nurse from
				administering medication for the delivery of local or minimal sedation ordered
				by a physician licensed to practice medicine in all its branches, podiatrist,
				or dentist.
(Section 6.7(a) of the Act)
F)
A podiatrist licensed under the
				Podiatric Medical Practice Act of 1987.
(Section 6.5 of the
				Act)
3) An anesthesia
				assistant who is licensed as a physician's assistant pursuant to the Physician
				Assistant Practice Act of 1987 [225 ILCS 95 ] may assist in the administration
				of anesthesia only under the direct supervision of a qualified anesthesiologist
				(as defined in Section
				205.110
				of this Part).
4) The person
				administering anesthesia, or a person who has equivalent practice privileges,
				shall be present in the facility during the recovery of the patient to whom
				anesthesia was administered.