Kan. Admin. Regs. § 28-34-17b

Current through Register Vol. 43, No. 19A, May 9, 2024
Section 28-34-17b - Surgical services
(a) General provisions. Surgical services shall be provided in a manner sufficient to meet the medical needs of the patients.
(b) Personnel.
(1) The director of surgical services shall be a qualified member of the medical staff with appropriate surgical and administrative experience.
(2) A roster of medical staff members, with a delineation of the surgical privileges granted to each, shall be maintained in the surgical suite and available to the surgical nurse supervisor.
(3) Surgical suite nursing services shall be under the direction and supervision of a registered nurse who is qualified by training and experience in operating room management and techniques. At least one registered nurse shall be on duty in the recovery room whenever the room is occupied.
(c) Facilities.
(1) Admission of patients, personnel and visitors to the surgical suite shall be controlled in accordance with written policies.
(2) The following equipment shall be immediately available to the surgical suite:
(A) A call system;
(B) a cardiac monitor;
(C) a resuscitator;
(D) a defibrillator;
(E) an aspirator;
(F) a thoracotomy set; and
(G) a tracheotomy set.
(3) Facilities for blood transfusions shall be available at all times.
(d) Policies. The medical staff shall develop written policies and procedures governing surgical services. These shall include:
(1) Appointment procedures which fairly evaluate the quality and competence of each surgeon seeking appointment to the surgical staff;
(2) reappointment procedures which provide for the periodic reappraisal of the qualifications and competence of each surgeon;
(3) criteria to determine the circumstances which require the presence of an assistant during surgery and to determine whether the assistant should be a physician or professional or nonprofessional personnel;
(4) procedures requiring that preoperative and postoperative medical records are completed in a timely and accurate manner. An accurate and complete description of findings and techniques of operation shall be made within 24 hours after operation by the surgeon who performed the operation; and
(5) procedures requiring that all tissues removed at surgery be examined by a physician whose report shall become a part of the patient's medical record.
(e) Operating room register. An operating room register shall be provided and maintained on a current basis. This register shall contain the date of the operation, the name and number of the patient, the names of surgeons and surgical assistants, the name of the anesthetist, the type of anesthesia given, preoperative and postoperative diagnosis, the type of surgical procedure and the presence or absence of complications in surgery.

Kan. Admin. Regs. § 28-34-17b

Authorized by and implementing K.S.A. 1991 Supp. 65-431; effective June 28, 1993.