1. A. In addition to the requirements in R4-16-703(A)(3) and R4-16-704(A)(1), a physician who performs office-based surgery using sedation shall ensure the physician’s office has at a minimum:

   1. 1. The following:

      1. a. A reliable oxygen source with a SaO2 monitor;
      2. b. Suction;
      3. c. Age-appropriate resuscitation equipment, including a defibrillator and a hand-held self-inflating resuscitation device;
      4. d. Emergency drugs;
      5. e. A cardiac monitor;
      6. f. Equipment to monitor the patient non-invasively; and
      7. g. An oxygen source and suction apparatus for patient use.
   2. 2. The equipment for patient monitoring according to the standards in R4-16-705;

   3. 3. Space large enough to:

      1. a. Allow for access to the patient during office-based surgery using sedation, recovery, and any emergency;
      2. b. Allow for post-procedure monitoring of the patient until the patient is evaluated by a physician and determined ready for discharge;
      3. c. Accommodate all equipment necessary to perform the office-based surgery using sedation;
      4. d. Accommodate all equipment necessary for sedation monitoring; and
      5. e. Provide for safe egress of a sedated patient;
   4. 4. A source of auxiliary electrical power available in the event of a power failure; and
   5. 5. Equipment, emergency drugs, and resuscitative capabilities required under this Section for patients less than 18 years of age, if office-based surgery using sedation is performed on these patients; and
   6. 6. Procedures to minimize the spread of infection.

2. B. A physician who performs office-based surgery using sedation shall:

   1. 1. Ensure all equipment used for office-based surgery using sedation is maintained, tested, and inspected according to manufacturer specifications, and
   2. 2. Maintain documentation of manufacturer-recommended maintenance of all equipment used in office-based surgery using sedation.

Historical Note

New Section made by final rulemaking at 14 A.A.R. 380, effective January 8, 2008 (Supp. 08-1). Section R4-16-707 renumbered to R4-16-708; new Section R4-16-707 renumbered from R4-16-706 and amended by final rulemaking at 31 A.A.R. 4386 (November 21, 2025), effective January 3, 2026 (Supp. 25-4).