Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 73 - Office-Based Surgery › Subchapter A - General Provisions › Section XLV-7303 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. As used in this
					 Chapter, unless the content clearly states otherwise, the following terms and
					 phrases shall have the meanings specified.
Anesthesia
-moderate sedation or deep
						sedation, as such terms are defined in this Section.
Anesthesiologist
-a physician licensed by
						the board to practice medicine in this state who has completed post-graduate
						residency training in anesthesiology and is engaged in the practice of such
						specialty.
Board
-the Louisiana State Board of
						Medical Examiners.
Certified Registered Nurse Anesthetist
(
CRNA
)-an advanced practice registered nurse certified
						according to the requirements of a nationally recognized certifying body
						approved by the Louisiana State Board of Nursing ("Board of Nursing") who
						possesses a current license or permit duly authorized by the Board of Nursing
						to select and administer anesthetics or provide ancillary services to patients
						pursuant to
						R.S.
						37:911 et seq., and who, pursuant to
						R.S.
						37:911 et seq., administers anesthetics and
						ancillary services under the direction and supervision of a physician who is
						licensed to practice under the laws of the state of Louisiana.
Deep Sedation/Analgesia
-a drug-induced
						depression of consciousness during which patients cannot be easily aroused but
						respond purposefully following repeated or painful stimulation. The ability to
						independently maintain ventilatory function may be impaired. Patients may
						require assistance in maintaining a patent airway and spontaneous ventilation
						may be inadequate. Cardiovascular function is usually maintained. Monitoring of
						patients undergoing deep sedation shall only be performed by an anesthesia
						provider.
General Anesthesia
-a drug-induced loss
						of consciousness, by use of any anesthetic induction agent or otherwise, during
						which patients are not arousable even by painful stimulation. The ability to
						independently maintain ventilatory function is often impaired. Patients often
						require assistance in maintaining a patent airway and positive pressure
						ventilation may be required because of depressed spontaneous ventilation or
						drug-induced depression of neuromuscular function. Cardiovascular function may
						be impaired. General anesthesia shall only be performed by an anesthesia
						provider.
Medical Practice Act or the Act
-R.S.
						37:1261-92 as may be amended from time to time.
Moderate Sedation/Analgesia (conscious
						sedation)
-a drug induced depression of consciousness during which
						patients respond purposefully to verbal commands, either alone or accompanied
						by light tactile stimulation. No interventions are required to maintain a
						patent airway and spontaneous ventilation is adequate. Cardiovascular function
						is usually maintained. Monitoring of the patients undergoing moderate sedation
						shall be performed by qualified monitoring personnel or an anesthesia
						provider.
Office-Based Surgery
-any surgery or
						surgical procedure not exempted by these rules that is performed in an
						office-based surgery setting or facility.
Office-Based Surgery Setting or
						Facility
-any clinical setting not exempted by these rules where
						surgery is performed.
Physician
-a person lawfully entitled to
						engage in the practice of medicine in this state as evidenced by a current
						license or permit duly issued by the board.
Qualified Monitoring Personnel
-an
						appropriately trained, qualified and licensed health care provider in this
						state, who is currently certified in advanced cardiac life support, or
						pediatric advanced life support for pediatric patients, and designated to
						monitor and attend to the patient during the pre-operative, intra-operative and
						post-operative periods.
Reasonable Proximity
-a distance of not
						more than 30 miles or one which may be reached within 30 minutes for patients
						13 years of age and older and a distance of not more than 15 miles or one which
						can be reached within 15 minutes for patients 12 years of age and under.
Regional Anesthesia/Blocks
(referred to
						in this Chapter as
regional anesthesia
)-the administration of
						anesthetic agents that interrupt nerve impulses without loss of consciousness
						or ability to independently maintain an airway, ventilatory or cardiovascular
						function that includes but is not limited to the upper or lower extremities.
						For purposes of this Chapter regional anesthesia of or near the central nervous
						system by means of epidural or spinal shall be considered general anesthesia.
Single Oral Dose
-one dosage unit of a
						medication in an amount recommended by the manufacturer of the drug for oral
						administration to the patient.
Surgery or Surgical Procedure
-the
						excision or resection, partial or complete destruction, incision or other
						structural alteration of human tissue by any means, including but not limited
						to lasers, pulsed light, radio frequency, or medical microwave devices, that is
						not exempted by these rules upon the body of a living human being for the
						purpose 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. Surgery
						shall have the same meaning as "operate."
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270(A)(1),
						1270(B)(6).