Section 110.15 - Prevention of and Response to Sedation/Anesthesia Emergencies(a) Pursuant to Texas Occupations Code § 258.1556, the Board establishes minimum emergency preparedness standards and requirements for the administration of sedation/anesthesia.(b) Consistent with the requirements of §§ 110.3- 110.6 of this chapter (relating to Sedation and Anesthesia), as applicable to the procedure, at any time a permit holder administers sedation/anesthesia the permit holder must have immediately available: (1) an adequate and unexpired supply of drugs and anesthetic agents, including but not limited to pharmacologic antagonists and resuscitative drugs appropriate for the type of sedation/anesthesia administered;(2) an automated external defibrillator, as defined by Section 779.001 of the Texas Health and Safety Code;(3) a positive pressure ventilation device;(4) supplemental oxygen; and(5) appropriate monitors and equipment for the type of sedation/anesthesia administered, including but not limited to: (B) sphygmomanometer or automatic blood pressure monitor;(C) pulse oximeter when required by §§ 110.4, 110.5, or 110.6 of this chapter (relating to Sedation and Anesthesia);(D) an oxygen delivery system with adequate full face masks and appropriate connectors that is capable of delivering high flow oxygen to the patient under positive pressure, together with an adequate backup system;(E) suction equipment which permits aspiration of the oral and pharyngeal cavities and a backup suction device which will function in the event of a general power failure;(F) a lighting system which permits evaluation of the patient's skin and mucosal color and a backup lighting system of sufficient intensity to permit completion of any operation underway in the event of a general power failure; and(G) capnograph, size-and-shape appropriate advanced airway device, intravenous fluid administration equipment, and/or electrocardiogram, when required by §§ 110.3, 110.4, 110.5, or 110.6 of this chapter (relating to Sedation and Anesthesia).(c) A permit holder who is administering sedation/anesthesia for which a Level 4 permit is required must use capnography during the administration of the sedation/anesthesia, as required by Texas Occupations Code § 258.1555.(d) Each permit holder must conduct an emergency drug inspection for assurance of unexpired supply at least annually. Documentation of emergency drug inspections must be maintained in the permit holder's emergency drug log, required by § 110.14 of this chapter (relating to Emergency Preparedness Policies and Procedures).(e) Each permit holder must conduct an equipment inspection for assurance of function at least annually. Documentation of equipment inspections must be maintained in the permit holder's equipment readiness log, required by § 110.14 of this chapter.22 Tex. Admin. Code § 110.15
Adopted by Texas Register, Volume 43, Number 18, May 4, 2018, TexReg 2778, eff. 5/10/2018; Amended by Texas Register, Volume 44, Number 11, March 15, 2019, TexReg 1442, eff. 3/20/2019