Section 205.530  Operative Care

a)         Surgical procedures shall be performed only by a qualified physician, dentist or podiatrist within the limits of the defined specific surgical practice privileges which have been granted to that individual by the consulting committee or a committee designated by the consulting committee.

b)         Administration of Anesthesia

1)         For the purposes of this Section, anesthesia shall include general anesthesia, intravenous sedation, spinal or epidural anesthesia, and any other specific anesthesia technique designated by the consulting committee.

2)         Anesthesia may be administered only by the following persons, each having been granted specific anesthesia privileges by the consulting committee or a committee designated by the consulting committee:

A)        A qualified anesthesiologist (as defined in Section 205.110 of this Part.)

B)        A physician licensed to practice medicine in all its branches.

C)        A dentist who has been approved by the Department of Registration and Education to administer anesthesia for dental surgery only pursuant to Section 8.1 of the Illinois Dental Practice Act (Ill. Rev. Stat. 1986, Supp., ch. 111, par. 2308.1).

D)        A certified registered nurse anesthetist (as defined in Section 205.110 of this Part) who is implementing the orders of a qualified anesthesiologist, or the physician, dentist, or podiatrist who is performing the procedure. The qualified anesthesiologist, physician, dentist, or podiatrist who has ordered the anesthesia must be on the premises of the facility during the administration of the anesthesia.

3)         An anesthesia assistant who is licensed as a physician's assistant pursuant to the Physician's Assistants Practice Act (Ill. Rev. Stat. 1985, ch. 111, par. 4751 et seq.) may assist in the administration of anesthesia only under the direct supervision of a qualified anesthesiologist (as defined in Section 205.110 of this Part).

4)         The person administering anesthesia, or a person who has equivalent practice privileges, shall be present in the facility during the recovery of the patient to whom anesthesia was administered.

c)         Examination of Removed Tissues

1)         All tissues removed during surgery shall be examined by a consulting pathologist, who shall provide a written report of the examination to the attending physician.

2)         A copy of the pathology report shall be filed in the patient's clinical record within seven days.

3)         The following tissues and materials are exempt from this requirement and do not need to be examined by a pathologist:

A)        Foreskin, fingernails, toenails, and teeth, which are removed during surgery.

B)        Bone, cartilage, normal skin, and scar tissue, which are coincidentally removed during the course of cosmetic or corrective surgery.

C)        Cataract lenses which are removed during the course of eye surgery.

D)        Foreign substances (e.g., wood, glass, pieces of metal including previously inserted surgical hardware) which are removed during surgery.

d)         All x-rays, except those exempted by the consulting committee and as specified in the facility's policies and procedures manual, shall be read by a physician, podiatric physician, or dentist, each of whom shall have practice privileges at the facility, or by a consulting radiologist approved by the consulting committee.  A copy of the x-ray report shall be filed in the patient's clincial record within seven days.

(Source:  Amended at 11 Ill. Reg. 14786, effective October 1, 1987)