The purpose of this section is to guide the development and management of surgical services.

An ambulatory surgical facility must:

1. (1) Adopt and implement policies and procedures that:

   1. (a) Identify areas where surgery and invasive procedures may be performed;
   2. (b) Define staff access to areas where surgery and invasive procedures are performed;
   3. (c) Identify practitioner and advanced registered nurse practitioner's privileges for operating room staff; and
   4. (d) Define staff qualifications and oversight.
2. (2) Use facility policies and procedures which define standards of care;
3. (3) Implement a system to identify and indicate the correct surgical site prior to beginning a surgical procedure;
4. (4) Provide emergency equipment, supplies, and services to surgical and invasive areas;
5. (5) Provide separate refrigerated storage equipment with temperature alarms, when blood is stored in the surgical department; and
6. (6) Assure a registered nurse qualified by training and experience functions as the circulating nurse in every operating room whenever deep sedation or general anesthesia are used during surgical procedures.

[Statutory Authority: Chapter 70.230 RCW. WSR 09-09-032, § 246-330-210, filed 4/7/09, effective 5/8/09.]