N.J. Admin. Code § 8:43A-12.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43A-12.5 - Anesthesia staff; qualifications for supervising, administering, and monitoring anesthesia

(a) General or major regional anesthesia shall be administered and monitored only by the following:

1. An anesthesiologist;

2. Under the supervision of an anesthesiologist:

i. A certified registered nurse anesthetist;

ii. A registered nurse anesthetist; or

iii. A physician resident, dental resident, or a student nurse anesthetist participating in a nationally approved graduate training program leading to a recognized specialty;

3. Under the supervision of a privileged physician who has privileges in accordance with medical staff bylaws to administer or supervise the administration of anesthesia:

i. A certified registered nurse anesthetist; or

4. A dentist who has successfully completed a nationally approved graduate medical education program in anesthesiology and has privileges in accordance with the ambulatory facility centers policy.

(b) The administration and monitoring of general or major regional anesthesia shall be provided by a qualified individual as described in (a)1 through 4 above, who is continuously present during the operation and is not performing or assisting with the procedure.

(c) The supervision of general or major regional anesthesia shall be provided by a physician who is immediately available. The supervising physician may concurrently be responsible for patient care, with the exception of performing major surgery, administering general anesthesia, or major regional anesthesia.

(d) Anesthetic agents used for conscious sedation shall be administered only by the following:

1. A physician or dentist who has privileges in accordance with medical staff bylaws to administer anesthetic agents used for conscious sedation; or

2. Under the supervision of a physician who has privileges in accordance with medical staff bylaws to administer or supervise anesthetic agents used for conscious sedation who is immediately available:

i. A certified registered nurse anesthetist;

ii. A registered nurse anesthetist;

iii. A physician resident, dental resident, or a student nurse anesthetist participating in a nationally approved graduate training program leading to a recognized specialty; or

iv. A registered nurse who is trained and experienced in the use of anesthetic agents used for conscious sedation shall be permitted to administer supplemental doses, after the initial dose is given by a privileged or supervising physician who shall remain present.

(e) The monitoring of patients who have been administered an anesthetic agent for the purpose of creating conscious sedation shall be provided by an individual who is continuously present for the primary purpose of anesthesia monitoring, who is separate from the individual performing the operation. This individual shall be currently trained in Advanced Cardiac Life Support and be one of the following:

1. One of the personnel identified in (d) above;

2. A registered professional nurse; or

3. For bronchoscopic procedures only, a licensed respiratory care therapist.

(f) Minor regional blocks shall be administered by the following:

1. A physician, podiatrist or dentist who has privileges in accordance with medical staff bylaws to administer minor regional blocks; or

2. Under the supervision of a physician who has privileges in accordance with medical staff bylaws to administer or supervise minor regional blocks and who is immediately available:

i. A certified registered nurse anesthetist;

ii. A registered nurse anesthetist;

iii. A physician resident, dental resident, or student nurse anesthetist participating in a nationally approved graduate training program leading to a recognized specialty; or

iv. A certified nurse midwife, a physician assistant, or an advanced practice nurse as permitted by the scope of practice rules of the New Jersey State Board of Medical Examiners and New Jersey State Board of Nursing, as applicable.

(g) Minor regional blocks shall be monitored in accordance with the facility's policy.

(h) Provision shall be made for remote monitoring of the patient if radiation or another direct hazard necessities the removal of personnel.

N.J. Admin. Code § 8:43A-12.5

Recodified in part from 8:43A-12.3 by R.2003 d.56, effective 2/3/2003.
See: 34 New Jersey Register 224(a), 35 New Jersey Register 857(a).
Former N.J.A.C. 8:43A-12.5, Records, recodified to N.J.A.C. 8:43A-12.8. Rewrote the section.