1. 1. “ACLS” means advanced cardiac life support performed according to certification standards of the American Heart Association.
2. 2. “Agent” means an item or element that causes an effect.

3. 3. “Approved medical assistant training program” means a program accredited by one of the following:

   1. a. The Commission on Accreditation of Allied Health Education Programs; or
   2. b. The Accrediting Bureau of Health Education Schools.
4. 4. “BLS” means basic life support performed according to certification standards of the American Heart Association.
5. 5. “Capnography” means monitoring the concentration of exhaled carbon dioxide of a sedated patient to determine the adequacy of the patient’s ventilatory function.
6. 6. “Case” means a file opened by a member of the Board’s investigative staff in which to maintain documents and evidence relating to an allegation of unprofessional conduct made against an applicant or licensee.

7. 7. “Deep sedation” means a drug-induced depression of consciousness during which a patient:

   1. a. Cannot be easily aroused, but
   2. b. Responds purposefully following repeated or painful stimulation, and
   3. c. May partially lose the ability to maintain ventilatory function.
8. 8. “Discharge” means a written or electronic documented termination of office-based surgery to a patient.
9. 9. “Drug” means the same as in A.R.S. § 32-1901.
10. 10. “Emergency” means an immediate threat to the life or health of a patient.
11. 11. “Emergency drug” means a drug that is administered to a patient in an emergency.

12. 12. “General Anesthesia” means a drug-induced loss of consciousness during which a patient:

    1. a. Cannot be roused even with painful stimulus; and
    2. b. May partially or completely lose the ability to maintain ventilatory, neuromuscular, or cardiovascular function or airway.
13. 13. “Health care professional” means a registered nurse defined in A.R.S. § 32-1601, registered nurse practitioner defined in A.R.S. § 32-1601, physician assistant defined in A.R.S. § 32-2501, and any individual authorized to perform surgery according to A.R.S. Title 32 who participates in office-based surgery using sedation at a physician’s office.

14. 14. “Informed consent” means advising a patient of the:

    1. a. Purpose for and alternatives to office-based surgery using sedation,
    2. b. Associated risks of office-based surgery using sedation, and
    3. c. Possible benefits and complications from the office-based surgery using sedation.
15. 15. “Inpatient” has the same meaning as in A.A.C. R9-10-201.
16. 16. “Investigative staff” means Board staff employed to gather documents and evidence regarding an allegation of unprofessional conduct made against an applicant or licensee.
17. 17. “Investigation supervisor” means the manager of the Board’s investigations department or the manager’s designee.
18. 18. “Lead board member” means the Board chair or the Board chair’s designee.
19. 19. “Malignant hyperthermia” means a life-threatening condition in an individual who has a genetic sensitivity to inhalant anesthetics or depolarizing neuromuscular blocking drugs that occurs during or after the administration of an inhalant anesthetic or depolarizing neuromuscular blocking drug.

20. 20. “Minimal Sedation” means a drug-induced state during which:

    1. a. A patient responds to verbal commands,
    2. b. Cognitive function and coordination may be impaired, and
    3. c. A patient’s ventilatory and cardiovascular functions are unaffected.

21. 21. “Moderate Sedation” means a drug-induced depression of consciousness during which:

    1. a. A patient responds to verbal commands or light tactile stimulation, and
    2. b. No interventions are required to maintain ventilatory or cardiovascular function.
22. 22. “Monitor” means to assess the condition of a patient.
23. 23. “Office-based surgery” means a medical procedure conducted in a physician’s office or other outpatient setting that is not part of a licensed hospital or licensed ambulatory surgical center. (A.R.S. § 32-1401(20)).
24. 24. “PALS” means pediatric life support performed according to certification standards of the American Academy of Pediatrics or the American Heart Association.
25. 25. “Patient” means an individual receiving office-based surgery using sedation.
26. 26. “Physician” has the same meaning as doctor of medicine as defined in A.R.S. § 32-1401.
27. 27. “Rescue” means to correct adverse physiologic consequences of a level of sedation that is deeper than intended and return the patient to the intended level of sedation.
28. 28. “Sedation” means minimum sedation, moderate sedation, or deep sedation.

29. 29. “Staff member” means an individual who:

    1. a. Is not a health care professional, and
    2. b. Assists with office-based surgery using sedation under the supervision of the physician performing the office-based surgery using sedation.
30. 30. “Supervising medical consultant” means the Chief Medical Consultant employed by the Board or the Chief Medical Consultant’s designee.
31. 31. “Transfer” means to physically move a patient from a physician’s office to a licensed health care institution.

Unless the context otherwise requires, definitions prescribed under A.R.S. § 32-1401 and the following apply to this Chapter:

Historical Note

Former Rule 12. Former Section R4-16-01 repealed, new Section R4-16-101 adopted effective June 1, 1984 (Supp. 84-3). Section repealed, new Section renumbered from R4-16-103 effective September 22, 1995 (Supp. 95-3). Amended by final rulemaking at 8 A.A.R. 830, February 7, 2002 (Supp. 02-1). Amended by final rulemaking at 8 A.A.R. 4270, effective November 18, 2002 (Supp. 02-3). Former Section R4-16-101 recodified to R4-16-102 at 11 A.A.R. 1283, effective March 25, 2005 (Supp. 05-1). New Section made by final rulemaking at 12 A.A.R. 823, effective February 23, 2006 (Supp. 06-1). Amended by final rulemaking at 14 A.A.R. 380, effective January 8, 2008 (Supp. 08-1). Amended by final rulemaking at 25 A.A.R. 145, effective March 9, 2019 (Supp. 19-1). Amended by final rulemaking at 25 A.A.R. 3705, effective February 1, 2020 (Supp. 19-4).