Surgery at the Office
Effective July 27, 2007, Regulation 81-96 of the South Carolina Code of Regulations sets forth the requirements that need to be met to perform non-hospital surgeries during procedures requiring local or general anesthesia, sedation/analgesia, or a conduction block.
Each office-based practice must ensure it has policies and procedures concerning emergency care and transfer, medical record maintenance, infection control, performance improvement, reporting of adverse events, federal and state laws and regulations, and patient bill of rights.
Physicians that perform moderate or deep sedation or general anesthesia must be accredited by an appropriate agency within the physician’s first year of practice. Moreover, the procedures that a physician engages in must be proportional to the physician’s level of education and experience. Some of the considerations in determining the physician's qualifications include a state license, education and training in the specific field, and adequate medical malpractice insurance. In addition, thephysician may only perform those procedures that he has staff privileges for at a hospital.
Other procedural requirements are: the physician and an immediate assistant must have current certification in advanced resuscitative techniques; physicians may only provide those services that they are certified to perform; and a registered nurse or other qualified assistant must monitor the patient postsurgery and be able to administer medicine as prescribed.
The regulation in its entirety is available at http://www.scstatehouse.gov/coderegs/c081.htm.
This site and any information contained herein is intended for informational purposes only and should not be construed as legal advice. Seek a competent attorney for advice on any legal matter.
Posted by Ryan McCabe at 2/24/2009 8:50 AM 
Categories: Physicians,Sedation,Office-Based Surgery,Anesthesia
Categories: Physicians,Sedation,Office-Based Surgery,Anesthesia
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