N.J. Admin. Code § 8:43G-6.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43G-6.5 - Anesthesia patient services

(a) A preanesthesia note, reflecting evaluation of the patient and review of the patient record prior to administration of anesthesia, shall be made or certified by the APN/anesthesia or the physician administering or supervising, as applicable, the administration of anesthesia and entered into the medical record of each patient receiving anesthesia at any anesthetizing location.

(b) A record of anesthesia that conforms with policies and procedures developed by the medical staff shall be made for each patient receiving sedation or anesthesia at any anesthetizing location.

(c) Upon arrival in the postanesthesia care unit a postanesthesia note shall be entered into the patient's anesthesia record by a member of the hospital's anesthesia team.

(d) An anesthesia team member shall make a postoperative discharge note for inpatients prior to the patient leaving the postanesthesia care unit and at the time of discharge for outpatients.

N.J. Admin. Code § 8:43G-6.5

Amended by R.1991 d.451, effective 8/19/1991, operative October 15, 1991.
See: 22 N.J.R. 3470(a), 23 N.J.R. 2527(a).
Recodified from section 6.4.
In (a), added "physician administering or supervising administration of anesthesia".
In (c), stylistic revisions.
Deleted old (d) and (e).
Amended by R.2003 d.57, effective 2/3/2003.
See: 34 N.J.R. 232(a), 35 N.J.R. 865(a).
In (a), added "at any anesthetizing location" at the end of the paragraph; rewrote (c); added (d).
Amended by R.2011 d.055, effective 2/22/2011.
See: 42 N.J.R. 1774(a), 42 N.J.R. 2561(a), 43 N.J.R. 401(b).
In (a), inserted "the APN/anesthesia or" and ", as applicable,".