Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0005 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
For the purpose of these rules, the following terms are
				defined:
(1) "Ambulatory surgical
			 center" has the meaning given in ORS 442.015. Nothing in OAR chapter 847,
			 division 17 is meant to exempt a physician's office from the licensure
			 requirements in ORS 441.015 if the office meets the definition of an ambulatory
			 surgical center in ORS 442.015. A physician's office that meets the definition
			 of an ambulatory surgical center must comply with OAR chapter 333, division
			 76.
(2) "ASA Physical Status" means
			 the American Society of Anesthesiologists' Physical Status Classification
			 System, which is used to assess a patient's preoperative health on a range of I
			 to VI.
(3) "Board" means the Oregon
			 Medical Board.
(4) "Certified in
			 advanced resuscitative techniques" means that the individual is currently
			 certified either with Advanced Cardiac Life Support (ACLS) for adults or
			 Pediatric Advanced Life Support (PALS) or Advanced Pediatric Life Support
			 (APLS) for children.
(5) "Deep
			 sedation/analgesia" means the administration of a drug or drugs that produces
			 depression of consciousness during which patients cannot be easily aroused and
			 only 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.
(6)
			 "Facility" has the same definition as "office."
(7) "General anesthesia" means a drug-induced
			 loss of consciousness during which patients are not able to be aroused, 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.
(8) "Health care
			 personnel" means any person, licensed or unlicensed, who is directly related to
			 the provision of health care services including, but not limited to, a
			 physician assistant, nurse practitioner, certified registered nurse
			 anesthetist, registered nurse, licensed practical nurse or medical
			 assistant.
(9) "Hospital" has the
			 meaning given in ORS 442.015.
(10)
			 "Licensee" means an individual holding a valid license issued by the
			 Board.
(11) "Lipoplasty" means any
			 instrumentation under the skin through incisions for the reduction of
			 subcutaneous volume. This includes, but is not limited to, liposuction, laser
			 lipolysis, suction assisted lipectomy and liposculpture.
(12) "Local anesthesia" means the
			 administration of a drug or drugs that produces a transient and reversible loss
			 of sensation in a circumscribed portion of the body.
(13) "Minimal sedation" (anxiolysis) means
			 the administration of a drug or drugs that produces a state of consciousness
			 that allows the patient to tolerate unpleasant medical procedures while
			 responding normally to verbal commands. Cardiovascular or respiratory function
			 is unaffected and defensive airway reflexes remain intact.
(14) "Minor conduction block" means the
			 injection of local anesthesia to stop or prevent a painful sensation in a
			 circumscribed area of the body (that is, infiltration or local nerve block), or
			 the block of a nerve by direct pressure and refrigeration. Minor conduction
			 blocks include but are not limited to, intercostal, retrobulbar, paravertebral,
			 peribulbar, pudendal, and sciatic nerve and ankle blocks.
(15) "Moderate sedation/analgesia" means the
			 administration of a drug or drugs that produces depression of consciousness
			 during which patients respond purposefully to verbal commands, either alone or
			 accompanied by a light tactile stimulation. Reflex withdrawal from painful
			 stimulation is NOT considered a purposeful response. No interventions are
			 required to maintain a patent airway, and spontaneous ventilation is
			 adequate.
(16) "Monitor" means
			 regular visual observation and continuous physiologic measurement of the
			 patient as deemed appropriate by the level of sedation or recovery using
			 appropriate instruments to measure, display, and record physiologic values,
			 such as heart rate, blood pressure, respiration, oxygen saturation, and end
			 tidal capnography.
(17) "Office"
			 means a location, other than a hospital or ambulatory surgical center, at which
			 medical or surgical services are rendered.
(18) "Office-based surgery" means the
			 performance of any surgical or other invasive procedure requiring anesthesia,
			 analgesia, or sedation, including cryosurgery, laser surgery and the use of
			 lasers that penetrate the skin, which results in patient stay of less than 24
			 consecutive hours and is performed by a licensee in a location other than a
			 hospital or ambulatory surgical center.
(19) "PARQ conference" means a Procedures,
			 Alternatives, Risks and Questions conference, in which the licensee performing
			 the procedure explains in general terms the procedure or treatment to be
			 undertaken, any alternative procedures or methods of treatment, and any risks
			 to the procedure or treatment and allows questions from the patient.
Statutory/Other Authority: ORS 677.265
Statutes/Other Implemented: ORS 677.085, ORS 677.097 &
				  ORS 677.265