Mississippi Administrative Code › Title 30 - Professions and Occupations › Part 2635 - Practice of Medicine › Chapter 2 - Office Based Surgery › Rule 30-2635-2.3 - General Requirements for Office Surgery

Current through June 25, 2024
For all surgical procedures, the level of sterilization
				  shall meet current OSHA requirements.
The surgeon must maintain complete records of each surgical
				  procedure, including anesthesia records, when applicable and the records on all
				  Level II and Level III cases shall contain written informed consent from the
				  patient reflecting the patient's knowledge of identified risks, consent to the
				  procedure, type of anesthesia and anesthesia provider.
The surgeon must maintain a log of all Level II and Level
				  III surgical procedures performed, which must include a confidential patient
				  identifier, the type of procedure, the type of anesthesia used, the duration of
				  the procedure, the type of post-operative care, and any surgical events. The
				  log and all surgical records shall be provided to investigators of the
				  Mississippi State Board of Medical Licensure upon request.
In any liposuction procedure, the surgeon is responsible for
				  determining the appropriate amount of supernatant fat to be removed from a
				  particular patient. Using the tumescent method of liposuction, the surgeon must
				  fully document the anticipated amount of material to be removed in a manner
				  consistent with recognized standards of care. Post-operatively, any deviation
				  from the anticipated amount, and the reason for deviation, should be fully
				  documented in the operative report. Morbidly obese patients should have
				  liposuction performed in the hospital setting unless the surgeon can document
				  significant advantage to an alternative setting.
A policy and procedure manual must be maintained in the
				  office and updated annually. The policy and procedure manual must contain the
				  following: duties and responsibilities of all personnel, cleaning and infection
				  control, and emergency procedures.
The surgeon shall report to the Mississippi State Board of
				  Medical Licensure any surgical events that occur within the office based
				  surgical setting. This report shall be made within 15 days after the occurrence
				  of a surgical event. A suggested form for reporting is attached hereto
				  (Appendix B). The filing of a report of surgical event as required by this rule
				  does not, in and of itself, constitute an acknowledgment or admission of
				  malpractice, error, or omission. Upon receipt of the report, the Board may, in
				  its discretion, obtain patient and other records pursuant to authority granted
				  in Mississippi Code, Section
				  73-25-28.
The surgeon must have a written response plan for
				  emergencies within his or her facility.
In offices where Level II and Level III office based surgery
				  is performed, a sign must be prominently posted in the office which states that
				  the office is a doctor's office regulated pursuant to the rules of the
				  Mississippi State Board of Medical Licensure. This notice must also appear
				  prominently within the required patient informed consent.
Office surgery facilities should adhere to recognized
				  standards such as those promulgated by the American Society of
				  Anesthesiologists'
Guidelines for Office-Based
				  Anesthesia
or
American Association of Nurse
				  Anesthetists' Standards for Office Based Anesthesia
.
Miss. Code Ann. §
										73-43-11
				  (1972, as amended).