The facility shall develop processes that require each individual provide only those services for which proof of licensure and competency can be demonstrated. The facility shall require that:
- (1) when anesthesia is administered, a physician is available in the facility to provide care in the event of a medical emergency;
- (2) a roster of practitioners with a delineation of current surgical and anesthesia privileges is available and maintained for the service;
- (3) an on-call schedule of surgeons with privileges to be available at all times for emergency surgery and for post-operative clinical management is maintained;
- (4) the operating room is supervised by a registered nurse or doctor of medicine or osteopathy; and
- (5) an operating room register which shall include date of the operation, name and patient identification number, names of surgeons and surgical assistants, name of anesthetists, type of anesthesia given, pre- and post-operative diagnosis, type and duration of surgical procedure, and the presence or absence of complications in surgery is maintained.
History Note: Authority G.S. 131E-85; 143B-165;
Eff. January 1, 1996;
Readopted Eff. August 1, 2023.