1. A. A physician shall ensure each office-based surgery performed using sedation:

   1. 1. Can be performed safely with the equipment, staff members, and health care professionals at the physician’s office;
   2. 2. Is of duration and degree of complexity that allows a patient to be discharged from the physician’s office within 24 hours;
   3. 3. Is within the education, training, experience, skills, and licensure of the physician;
   4. 4. Is within the education, training, experience, skills, and licensure of the staff members and health care professionals at the physician’s office; and
   5. 5. Is not associated with major blood loss, significant fluid shifts, or post-operative pain or metabolic abnormalities.

2. B. A physician shall not perform office-based surgery using sedation if the patient:

   1. 1. Has a medical condition or other condition that indicates the procedure should not be performed in the physician’s office,
   2. 2. Has not undergone a preoperative history and physical examination within 30 days of the procedure and validation of the history and physical examination within 24 hours of the procedure, or
   3. 3. Will require inpatient services at a hospital.

Historical Note

New Section made by final rulemaking at 14 A.A.R. 380, effective January 8, 2008 (Supp. 08-1). Section R4-16-704 renumbered to R4-16-705; new Section R4-16-704 renumbered from R4-16-703 and amended by final rulemaking at 31 A.A.R. 4386 (November 21, 2025), effective January 3, 2026 (Supp. 25-4).