1. A. In addition to the requirements in R4-22-503(A)(3) and R4-22-504(A)(1), an osteopathic physician who performs office-based surgery shall ensure that 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. Resuscitation equipment, including a defibrillator;
      4. d. Emergency drugs; and
      5. e. A cardiac monitor;
   2. 2. The equipment for patient monitoring according to the standards in R4-22-505;

   3. 3. Space large enough to:

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

2. B. An osteopathic physician who performs office-based surgery shall:

   1. 1. Ensure that all equipment used for office-based surgery 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.

Historical Note

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