N.J. Admin. Code § 8:43G-6.1
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/.
N.J. Admin. Code § 8:43G-6.1