Ariz. Admin. Code § 4-22-505

Current through Register Vol. 30, No. 50, December 13, 2024

Section R4-22-505 - Sedation Monitoring Standards

A. An osteopathic physician who performs office-based surgery when minimal sedation is administered to a patient shall ensure from the time sedation is administered until post-sedation monitoring begins that a quantitative method of assessing the patient's oxygenation, such as pulse oximetry, is used.

B. An osteopathic physician who performs office-based surgery when moderate or deep sedation is administered to a patient shall ensure from the time sedation is administered until post-sedation monitoring begins that:

1. A quantitative method of assessing the patient's oxygenation, such as pulse oximetry, is used;

2. The patient's ventilatory function is monitored by any of the following:

a. Direct observation,

b. Auscultation, or

c. Capnography;

3. The patient's circulatory function is monitored by:

a. Having a continuously displayed electrocardiogram,

b. Documenting arterial blood pressure and heart rate at least every five minutes, and

c. Evaluating the patient's cardiovascular function by pulse plethysmography;

4. The patient's temperature is monitored if the physician expects the patient's temperature to fluctuate; and

5. A licensed and qualified health care professional, other than the physician performing the office-based surgery, is:

a. Present throughout the office-based surgery, and

b. Has the sole responsibility of attending to the patient.

Ariz. Admin. Code § R4-22-505

New Section made by final rulemaking at 20 A.A.R. 2655, effective 11/8/2014.