1. (1) "Anesthesia service" means services for any patients who:

   1. (a) receive general, spinal, or other major regional anesthesia; or

   2. (b) undergo surgery or other procedures when receiving the following:

      1. (i) general, spinal, or other major regional anesthesia; or
      2. (ii) intravenous, intramuscular, or inhalation sedation or analgesia that may result in the loss of the patient's protective reflexes.
2. (2) "Continual" means repeated regularly and frequently in steady rapid succession.
3. (3) "Continuous" means prolonged without any interruption at any time.
4. (4) "Extended Recovery Services" means patient care after the initial post-surgery recovery period.
5. (5) "Foot Candle of Light" means a unit of illuminance. One foot candle is one lumen per square foot (lm/ft2) in accordance with the Illuminating Engineering Society of North America.
6. (6) "Initial Post-surgery Recovery Period" means patient care no longer than six hours beyond the completion of surgery.
7. (7) "Licensed Professional" means a qualified physician or oral surgeon who is involved in the pre-operative assessment of the patient and has ensured that a qualified anesthetist is providing anesthesia services.
8. (8) "Monitored Anesthesia Care" includes intraoperative monitoring of the patient's vital physiological signs by a qualified anesthetist, in the event of the need for administration of general anesthesia or the development of adverse reaction to the surgical procedure. Monitored anesthesia care also includes performing a preanesthetic examination, evaluating, planning, and administering anesthesia services required, and providing indicated post-operative anesthesia services.

9. (9) "Qualified Anesthetist" means an anesthesiologist, another qualified physician, oral surgeon, or certified registered nurse anesthetist, who:

   1. (a) is licensed to provide anesthesia services in accordance with Utah laws for occupational and professional licensing;
   2. (b) is a member of the staff of the ambulatory surgical center;
   3. (c) has been determined by the facility to be competent;
   4. (d) has been granted privileges to provide anesthesia services to patients in the facility; and

   5. (e) if the qualified anesthetist is a qualified physician or oral surgeon, has documented training that includes the equivalent of 40 days preceptorship with an anesthesiologist and can perform at least the following:

      1. (i) safely make the patient insensible to pain during the performance of surgical, and other pain producing clinical procedures;
      2. (ii) monitor and sustain life support functions during the administration of anesthesia, including induction and intubation procedures; and
      3. (iii) provide pre-anesthesia and post-anesthesia management of the patient.

Terms for this rule are defined in Rule R432-1, in addition the following terms apply to this rule:

KEY: health care facilities

Date of Last Change: August 10, 2023

Notice of Continuation: September 1, 2025

Authorizing, and Implemented or Interpreted Law: 26B-2-202