1. 1. During office-based surgery using sedation, the physician is physically present in the room where office-based surgery is performed;
2. 2. After the office-based surgery using sedation is performed, a physician is at the physician’s office and sufficiently free of other duties to respond to an emergency until the patient’s post-sedation monitoring is discontinued;
3. 3. If using minimal sedation, the physician or a health care professional certified in ACLS, PALS, or BLS, depending on the physician’s office, shall be immediately available to respond to an emergency until the patient is discharged;
4. 4. If using deep or moderate sedation, the physician or a health care professional certified in ACLS or PALS is at the physician’s office and sufficiently free of other duties to respond to an emergency until the patient is discharged;

5. 5. A discharge is documented in the patient’s medical record including:

   1. a. The time and date of the patient’s discharge and certification the patient met the predetermined discharge standards based on national criteria, and
   2. b. A description of the patient’s medical condition at the time of discharge; and
6. 6. A patient receives discharge instructions, including contact information to use in case a medical emergency arises, and documents in the patient’s medical record that the patient received the discharge instructions and emergency contact information.

A physician performing office-based surgery using sedation shall ensure all of the following:

Historical Note

New Section made by final rulemaking at 14 A.A.R. 380, effective January 8, 2008 (Supp. 08-1). Section R4-16-706 renumbered to R4-16-707; new Section R4-16-706 renumbered from R4-16-705 and amended by final rulemaking at 31 A.A.R. 4386 (November 21, 2025), effective January 3, 2026 (Supp. 25-4).