Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 133 - HOSPITAL LICENSING › Subchapter C - OPERATIONAL REQUIREMENTS › Section 133.41 - Hospital Functions and Services

Current through Reg. 49, No. 28; July 12, 2024
(a) Anesthesia services. If the hospital
				  furnishes anesthesia services, these services shall be provided in a
				  well-organized manner under the direction of a qualified physician in
				  accordance with the Medical Practice Act and the Nursing Practice Act. The
				  hospital is responsible for and shall document all anesthesia services
				  administered in the hospital.
(1)
				  Organization and staffing. The organization of anesthesia services shall be
				  appropriate to the scope of the services offered. Only personnel who have been
				  approved by the facility to provide anesthesia services shall administer
				  anesthesia. All approvals or delegations of anesthesia services as authorized
				  by law shall be documented and include the training, experience, and
				  qualifications of the person who provided the service.
(2) Delivery of services. Anesthesia services
				  shall be consistent with needs and resources. Policies on anesthesia procedure
				  shall include the delineation of pre-anesthesia and post-anesthesia
				  responsibilities. The policies shall ensure that the following are provided for
				  each patient.
(A) A pre-anesthesia evaluation
				  by an individual qualified to administer anesthesia under paragraph (1) of this
				  subsection shall be performed within 48 hours prior to surgery.
(B) An intraoperative anesthesia record shall
				  be provided. The record shall include any complications or problems occurring
				  during the anesthesia including time, description of symptoms, review of
				  affected systems, and treatments rendered. The record shall correlate with the
				  controlled substance administration record.
(C) A post-anesthesia follow-up report shall
				  be written by the person administering the anesthesia before transferring the
				  patient from the post-anesthesia care unit and shall include evaluation for
				  recovery from anesthesia, level of activity, respiration, blood pressure, level
				  of consciousness, and patient's oxygen saturation level.
(i) With respect to inpatients, a
				  post-anesthesia evaluation for proper anesthesia recovery shall be performed
				  after transfer from the post-anesthesia care unit and within 48 hours after
				  surgery by the person administering the anesthesia, registered nurse (RN), or
				  physician in accordance with policies and procedures approved by the medical
				  staff and using criteria written in the medical staff bylaws for postoperative
				  monitoring of anesthesia.
(ii) With
				  respect to outpatients, immediately prior to discharge, a post-anesthesia
				  evaluation for proper anesthesia recovery shall be performed by the person
				  administering the anesthesia, RN, or physician in accordance with policies and
				  procedures approved by the medical staff and using criteria written in the
				  medical staff bylaws for postoperative monitoring of anesthesia.