New Jersey Administrative Code › Title 8 - HEALTH › Chapter 43G - HOSPITAL LICENSING STANDARDS › Subchapter 6 - ANESTHESIA › Section 8:43G-6.1 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this subchapter,
				  shall have the following meanings, unless the context clearly indicates
				  otherwise:
"Accreditation Council of Graduate Medical Education" means the
				  Accreditation Council of Graduate Medical Education, for which the contact
				  information is 401 North Michigan Avenue, Suite 2000, Chicago, IL 60611. Phone:
				  (312) 755-5000. Fax: (312) 755-7498. Website:
http://www.acgme.org
. E-mail:
				  acgmecommunications@acgme.org.
"Advanced Cardiac Life Support" (ACLS) means that an individual
				  has successfully completed a course of training offered by an individual who is
				  currently certified as an instructor by the American Heart Association or by a
				  recognized accrediting organization appropriate to the licensee's field of practice.
				  For example, for those adult patients, training in ACLS is appropriate and for those
				  treating children, training in pediatric advanced life support (PALS) is
				  appropriate.
"Advanced practice nurse specializing in anesthesia" or
				  "APN/anesthesia" means an advanced practice nurse anesthetist who is certified, or
				  recertified, as applicable, by either the Council on Certification of Nurse
				  Anesthetists or the Council on Recertification of Nurse Anesthetists of the National
				  Board on Certification and Recertification of Nurse Anesthetists and who meets the
				  conditions for practice as an APN specializing in anesthesia at N.J.A.C.
				  13:37-7.
"American Board of Anesthesiology" means The American Board of
				  Anesthesiology, Inc., for which the contact information is 4208 Six Forks Road,
				  Suite 1500, Raleigh, North Carolina 27609- 5765. Phone: (866) 999-7501. Fax: (866)
				  999-7503. Website:
http://www.theaba.org
.
				  E-mail: coms@theABA.org.
"American College of Anesthesiology" means an entity established
				  in 1947 by the American Society of Anesthesiologists that offered a "Fellow in
				  Anesthesiology" certification until 1982.
"American Osteopathic Association" means the American Osteopathic
				  Association, for which the contact information is 142 East Ontario Street, Chicago,
				  IL 60611- 2864. Phone: (888) 62-MYAOA (888-626-9262). Fax: (312) 202- 8202. Website:
http://www.osteopathic.org
.
"American Osteopathic College of Anesthesiologists" means the
				  American Osteopathic College of Anesthesiologists, for which the contact information
				  is 3085 Stevenson Dr., Suite 200, Springfield, IL 62703. Phone: Toll-free:
				  800-842-AOCA (800-842-2622) or Direct: (217) 529-6517. Fax (217) 529-9120. Website:
				  http://www.aocaonline.org. E-mail: office@aocaonline.org.
"Analgesia" means the absence of the sensibility to pain without
				  loss of consciousness or decrease in the intensity of pain.
"Anesthesia" consists of general anesthesia, and spinal or major
				  regional anesthesia. It does not include local anesthesia.
"Anesthesiologist" means a physician who has successfully
				  completed a residency program in anesthesiology approved by the Accreditation
				  Council of Graduate Medical Education (ACGME) or the American Osteopathic
				  Association (AOA), or who is a diplomate of either the American Board of
				  Anesthesiology or the American Osteopathic Board of Anesthesiology, or who was made
				  a Fellow of the American College of Anesthesiology before 1982.
"Anesthetic agent" means any drug or combination of drugs
				  administered with the purpose of creating conscious sedation, regional anesthesia or
				  general anesthesia.
"Anesthetizing location" means any location in a health care
				  facility where anesthetic agents are administered.
"Conscious sedation" means 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 an open airway, and spontaneous ventilation is adequate. Adequate
				  cardiovascular function is usually maintained. Within the context of this
				  subchapter, "conscious sedation" shall be synonymous with the term
				  "sedation/analgesia" as used by the American Society of Anesthesiologists.
"Epidural" means an anesthetic injected into the epidural space
				  surrounding the fluid filled sac (the dura) around the spine which partially numbs
				  the abdomen and legs.
"General anesthesia" means a drug induced loss of consciousness
				  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.
"Labor analgesia" means the reduction or management of pain during
				  labor, which involves the use of anesthetic agents and/or an epidural.
"Local anesthesia" consists of drugs or agents which produce a
				  transient and reversible loss of sensation in a circumscribed portion of the
				  body.
"Major regional anesthesia" means nerve blocks such as epidural,
				  caudal, axillary, brachial, and spinal anesthesia.
"Minor regional block" means the injection of a local anesthetic
				  agent to stop a painful sensation in a severely circumscribed area of the body
				  (local infiltration or local nerve block), or the block of a nerve by direct
				  pressure and refrigeration.
"Minor surgery" means surgery which can safely and comfortably be
				  performed on a patient who has received no more than the maximum manufacturer
				  recommended dose of local or topical anesthesia, without more than minimal
				  pre-operative medication or minimal intraoperative tranquilization and where the
				  likelihood of complications requiring hospitalization is remote. Minor surgery
				  specifically excludes all procedures performed utilizing anesthesia services as
				  defined in this section. Minor surgery also specifically excludes procedures which
				  may be performed under local anesthesia, but which involve extensive manipulation or
				  removal of tissue such as liposuction or lipo-injection, breast augmentation or
				  reduction, and removal of breast implants. Minor surgery includes the excision of
				  moles, warts, cysts, lipomas, skin biopsies, the repair of simple lacerations, or
				  other surgery limited to the skin and tissue. Additional examples of minor surgery
				  include closed reduction of a fracture, the incision and drainage of abscesses,
				  certain simple opthalmologic surgical procedures, such as treatment of chalazions
				  and non-invasive ophthalmologic laser procedures performed with topical anesthesia,
				  limited endoscopies such as flexible sigmoidoscopies, anoscopies, proctoscopies,
				  arthrocenteses, thoracenteses and paracenteses. Minor surgery shall not include any
				  procedure identified as "major surgery" within the meaning of
				  13:35-4.1
"Monitoring" means the observation of a patient including the use
				  of instruments to measure, display, and/or record (continuously or intermittently)
				  the values of certain physiologic variables such as temperature, pulse, respiration,
				  blood pressure, and oxygen saturation.
"National Board on Certification and Recertification of Nurse
				  Anesthetists" means the National Board on Certification and Recertification of Nurse
				  Anesthetists, for which the contact information is 8725 W. Higgins Road, Suite 525,
				  Chicago, IL 60631. Phone: Toll-free: (855) 285-4658 or Direct: (708) 667-0002. Fax:
				  (708) 669-7636. Website:
www.nbcrna.com
.
				  E-mail: certification@nbcrna.com for certification inquiries and
				  recertification@nbcrna.com for recertification inquiries.
"Operating room" means a unit for the performance of
				  surgery.
"Pain management" means the administration of drugs to a patient,
				  which are not intended to result in a loss of consciousness, awareness or defensive
				  reflexes, but which are intended to alleviate pain occurring in the absence of an
				  invasive, operative, or manipulative procedure.
"Practitioner" means a licensed physician, dentist or
				  podiatrist.
"Privileges" means having been granted permission by a hospital to
				  provide specified anesthesia services, such as administration or supervision of one
				  or more types of anesthetic agents or procedures.
"Regional anesthesia" means the administration of anesthetic
				  agents to interrupt nerve impulses.
"Special procedure" means various diagnostic or therapeutic
				  interventions which may require the administration of sedation, analgesia, or
				  anesthesia. Examples include, but are not limited to, endoscopy, oral surgery,
				  radiologic procedures or emergency procedures.
"Special procedure room" means the appropriately equipped hospital
				  location in which special procedures are performed.
"Supervision" means responsibility by a physician who has obtained
				  privileges in accordance with medical staff bylaws, and is immediately available
				  on-site overseeing the administration and monitoring of anesthesia by anesthesia
				  personnel. Immediately available on-site means that the supervising physician is
				  present and is available to respond and proceed immediately to the anesthetizing
				  location.
"Universal precautions" means a set of precautions established in
				  the following publication: Centers for Disease Control and Prevention; Healthcare
				  Infection Control Practices Advisory Committee. "Guidelines for Environmental
				  Infection Control in Health-Care Facilities 2003."
MMWR
. 2003;
				  52(RR-10); 1-42. Last update: February 15, 2017; 1-240; and which is available from
www.cdc.gov/infectioncontrol/guidelines/environmental/
.