Rule 37.106.3110 - MINIMUM STANDARDS FOR ABORTION CLINICS: ANESTHESIA(1) The abortion clinic must: (a) prohibit the use of flammable anesthesia;(b) have a policy which defines the types of anesthesia that will be used within the abortion clinic;(c) conduct an assessment prior to the patient's admission as well as prior to surgical abortion to evaluate the risk of anesthesia and of the procedure to be performed; and(d) have policies that address the pre-operative assessment, the post-anesthesia assessment, and the basis or criteria used in conducting such assessments; and(e) prevent recirculation of smoke originating within the surgical suite.(2) Anesthesia must be administered only by a physician qualified to administer anesthetic agents or a certified registered nurse anesthetist (CRNA).(3) A pre-operative evaluation of the patient within 24 hours of surgical abortion shall be done by a physician to determine the risk of and anesthesia needed for the procedure.(4) Before discharge, each patient who received anesthesia must be evaluated by a physician or by a CRNA in accordance with applicable state health and safety laws, standards of practice, and abortion clinic policy. This post-anesthesia assessment must include evaluation of:(a) respiratory function, including respiratory rate, airway patency, and oxygen saturation;(b) cardiovascular function, including pulse rate and blood pressure;(c) mental status and level of consciousness;(f) nausea and vomiting; and(g) postoperative hydration.Mont. Admin. r. 37.106.3110
NEW, 2024 MAR p. 2242, Eff. 9/21/2024AUTH: 50-20-903, MCA; IMP: 50-20-903, MCA