105 C.M.R. 140.602 – Surgical and Anesthesia Privileges

(A) Surgical staff shall be granted privileges to perform only those surgical procedures that they are legally and professionally qualified to perform.
(B) Anesthesia staff shall be granted privileges to administer anesthesia, including conscious intravenous sedation, only in accordance with their legal and professional qualifications.
(C) Surgical and anesthesia privileges shall be granted by the governing body based on the recommendation of the Surgery Director or Anesthesia Director.
(D) The clinic shall maintain a list of individuals granted surgical and/or anesthesia privileges including each individual’s name, profession, specialty and the surgical procedures he or she is permitted to perform or the type of anesthesia he or she is permitted to administer.