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provide for nd.qual(, h;~mlwnxhi.g ;md ~,,: i ~1 s~ruhs.p procedure~ belween patient
<br />
<br />opnrntive procedure~ in nccord, viLh 8ene~ally ~ccepLed stnnd~rds fo~ son~LaL~on and
<br />su~ica~ scrub-up clenn~ness. . ,
<br />
<br />SECTION 503.22 PIIYSICIAN QUALIFICATIONS, RECORI)S
<br />
<br />]. A phy,~tctnn, pmli:~t ri~t ~r d~,nf i.~t p~'rrorminp, 's.rger¥ in n faci 1 i ty ~hal l
<br />posse~s adequate qu:~lifi~';~timm ncquir~,d by sp~,cinl trnini.g and expe'rience to
<br />evalunte the medtcnl, lmdinr'ric nr 'dm~lnl c,mdit'im~;, Imt('ntinl rlnk~, recognize and
<br />adequately tr~'n~t ~m-'rE-m'y cm,plic.'~l I.n~ ,',~-m~nl(,~,,l tn nuv p. roced~ir~, undortaken~
<br />and perform th~. pr~c~'d.~e J- nccordance ~lLh the usua~ standards of medIcal~
<br />podlatric o~ dental practice.
<br />
<br />2. Tile facility .~halt mnintni, n record ~f the edtlcatinnnl tr;linln~, and
<br />experience background of each person granted privileges to.perform surgery tn a
<br />faCility.
<br />
<br />3'. A qualified a.eth-~iol.gi~t nr nne~th-tist ~hnt[ be on the ~tnff and when
<br />medically indicated, p;lrticilmte in the ~elt'ction mr the mo~t appropriate anesthetic
<br />agent to be l~sed nad b~, l~l'l's~,t~t' I~ s;upervi~;e or nctlh'~lly administer tire a~esthetic
<br />when procedures are undertaken which require such participation.
<br />
<br />SECTION 503.23 NURSE QUAL/FICATIONS; ANCILI,ARY PERSONNEL
<br />
<br />I. Nursing cnre in n fncility ~h:lll be under tire direction nf n currently
<br />registered proffm~im~nl n,trs~, wh-p.~;~,~¢~,~ :~dditi.nal qunlificntion~ acquired by
<br />training and ~xperim~c~. e~;r;-nl iai t~ tim pr~qmr ;ind ~;lfp umlduct of t'h~' surgical
<br />procedure undertaken nn~l n~n'stng care attention Lo the postoperative observation
<br />and needs of ~he patients.
<br />
<br />2. A regi.~tered pro[es:;i~mnl lllll'.~;J' who im.~.ge.,;s~,.g tho Slmcinl' ~ki].l~ and
<br />exper]e, nce no('emna~v l r~ ~;,,l,l, ly t~r ~;.pr'rvisr' ;ltl Illll'gJll}~ r'are nr, ed~ of JWlt[Ollt~
<br />in prep;lrat[on fornnd d,,t'i~; tl~' ~;~rj~ic;ll 1)r(~cedttre /ltld tile recovery period until
<br />discharge by the responsible physician shalt be on duty.
<br />
<br />]. ^ Jicen.q~'(J pr;icl icnl ..trot, wfth f~p('Ci;ll Ir;lining ;llld expr'rience working under
<br />
<br />professional nllrsill~ ~t;Iff ti, J~('r[orln dlitji,s within tile scope of Ills competence
<br />and restrictions o[ the nutsing practice act.
<br />
<br />4. Anci.llary Imr.~rm,w.l prlrLicip:ll Ill[; itt Iv;Il ienL c.'Jr~, who nrc ndaqunt, ely trntned
<br />and working
<br />within tile areas of their cOral)et, once in the conduct of the work of the facility.
<br />
<br />SECTION 503.24 MEI)ICAi~ SUI'ERVIS[ON AND ADMINISTRATIVE MANA(;EMENT; HEDiCAL REVIEWS
<br />
<br />1. 'lhe medical, care pr-vialed in a facility shall be under the direction of a
<br />qualified licensed physician.
<br />
<br />2. There shall he n doslgn:lt:ed~'.respmlsil~le p.erson in overall administrative
<br />charge of a facility who may I,e Ihe ¢)wnt, r. :1 c.-owm,r .r person t'mplnyed by
<br />the owner to.fulfill thi~ reslmnslb/lity. .If rftmlified, tho persm~ nmy also
<br />be the medtcai director ~h(~ ~hall be resl)~,m;ihle f-r the medical direction of
<br />the facility a~ ~ell n~ f~r Ihe mmpr-fes~io.al ndminlstrnt, ive activities, or a
<br />sultahly qualified nmmmdical ;~d,,inistr;~tor ,n.qy he employmt to a~r;mne non-
<br />professional admlnistrntlve and. business management responsibility.
<br />
<br />3. The contl,mt i~f Ill. W~lh i,f n frlcllily ~:h;~ll I,i, t~'l,,,~l;it'ly and freq~n,ntly
<br />reviewed hy th.' .'~pt,~H,~ i.~l. ,.,dlcnl ~;I.'1tl ,'lm.uill~.~. (I i~:~;,.., tm'die;il n~(lll or
<br />utlllz;Itton, m~'dicnl rt'r'{,~l~;) iu ;I lumptl;ll oj~er;it.~,d [;~cilil. y tn assure mnlntenntice
<br />of high stanctard~ nttd tltml i t.y of c;,r~,. In ~ther f;lcil it ira4. compar;d~le arrangements
<br />ncceptnble to the direclor f~T- imp:~rl inl medical surveillance and revle~ of the
<br />quality of care provided shall be mnde.
<br />
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