Provision of nurse anesthetist services in ambulatory surgical centers
(1) Except as provided in subsection (2) of this section, anesthesia care in an ambulatory surgical center shall be delivered by an anesthesiologist or by a certified registered nurse anesthetist acting with the medical collaboration of an anesthesiologist.
(2) When no anesthesiologist is readily available for medical collaboration on anesthesia services for a procedure performed in an ambulatory surgical center, a certified registered nurse anesthetist may deliver the following services without medical collaboration:
(a) Assessment of the health status of the patient as that status relates to the relative risks associated with anesthetic management of the patient;
(b) Determination and administration of an appropriate anesthesia plan, including but not limited to selection, ordering and administration of anesthetic agents, airway management and monitoring and recording of vital signs, life support functions, mechanical support use, fluid management and electrolyte and blood component balance;
(c) Action necessary to counteract problems that may develop during implementation of the anesthesia plan; and
(d) Necessary or routine post-anesthesia care.
(3) When no anesthesiologist is readily available for medical collaboration on anesthesia services in an ambulatory surgical center, a certified registered nurse anesthetist shall review the patient’s pertinent medical records, including the medical evaluation of the patient, prior to determining an appropriate anesthesia plan.
(4) This section does not prohibit any other licensed health care professional from rendering or supervising anesthesia services if such services are within the scope of the professional’s license. [1997 c.575 §2]
Note: See note under 678.245 (Definitions for ORS 678.245 to 678.285).
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