1. A. An osteopathic physician who performs office-based surgery when minimal sedation is administered to a patient shall ensure from the time sedation is administered until post-sedation monitoring begins that a quantitative method of assessing the patient’s oxygenation, such as pulse oximetry, is used.

2. B. An osteopathic physician who performs office-based surgery when moderate or deep sedation is administered to a patient shall ensure from the time sedation is administered until post-sedation monitoring begins that:

   1. 1. A quantitative method of assessing the patient’s oxygenation, such as pulse oximetry, is used;

   2. 2. The patient’s ventilatory function is monitored by any of the following:

      1. a. Direct observation,
      2. b. Auscultation, or
      3. c. Capnography;

   3. 3. The patient’s circulatory function is monitored by:

      1. a. Having a continuously displayed electrocardiogram,
      2. b. Documenting arterial blood pressure and heart rate at least every five minutes, and
      3. c. Evaluating the patient’s cardiovascular function by pulse plethysmography;
   4. 4. The patient’s temperature is monitored if the physician expects the patient’s temperature to fluctuate; and

   5. 5. A licensed and qualified health care professional, other than the physician performing the office-based surgery, is:

      1. a. Present throughout the office-based surgery, and
      2. b. Has the sole responsibility of attending to the patient.

Historical Note

New Section made by final rulemaking at 20 A.A.R. 2654, effective November 8, 2014 (Supp. 14-3).