The purpose of this section is to guide the development and management of surgical services.
An ambulatory surgical facility must:
(1) Adopt and implement policies and procedures that:(a) Identify areas where surgery and invasive procedures may be performed;(b) Define staff access to areas where surgery and invasive procedures are performed;(c) Identify practitioner and advanced registered nurse practitioner's privileges for operating room staff; and(d) Define staff qualifications and oversight.(2) Use facility policies and procedures which define standards of care;(3) Implement a system to identify and indicate the correct surgical site prior to beginning a surgical procedure;(4) Provide emergency equipment, supplies, and services to surgical and invasive areas;(5) Provide separate refrigerated storage equipment with temperature alarms, when blood is stored in the surgical department; and(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.Wash. Admin. Code § 246-330-210
Statutory Authority: Chapter 70.230 RCW. 09-09-032, § 246-330-210, filed 4/7/09, effective 5/8/09.