| (a) Pursuant to Section 258.1556 of the Act, the Board
establishes minimum emergency preparedness standards and requirements
for the administration of sedation/anesthesia.
(b) At any time a permit holder administers sedation/anesthesia,
the permit holder must have immediately available:
(1) an adequate and unexpired supply of drugs and anesthetic
agents, including but not limited to pharmacologic antagonists and
resuscitative drugs appropriate for the sedation/anesthesia drugs
used.
(2) an automated external defibrillator, as defined
by Section 779.001 of the Texas Health and Safety Code;
(3) a positive pressure ventilation device
(4) supplemental oxygen
(5) appropriate monitors and equipment, including but
not limited to:
(A) stethoscope
(B) sphygmomanometer or automatic blood pressure monitor
(C) pulse oximeter
(D) an oxygen delivery system with adequate full face
masks and appropriate connectors that is capable of delivering high
flow oxygen to the patient under positive pressure, together with
an adequate backup system
(E) suction equipment which permits aspiration of the
oral and pharyngeal cavities and a backup suction device which will
function in the event of a general power failure
(F) a lighting system which permits evaluation of the
patient’s skin and mucosal color and a backup lighting system
of sufficient intensity to permit completion of any operation underway
in the event of a general power failure.
(G) precordial/pretracheal stethoscope, size-and-shape
appropriate advanced airway device, intravenous fluid administration
equipment, and /or electrocardiogram, consistent with the requirements
of §§110.3, 110.4, 110.5, and 110.6, as applied to the permit
holder.
(c) A permit holder who is administering sedation/anesthesia
for which a Level 4 permit is required must use capnography during
the administration of the sedation/anesthesia, as required by Section
258.1555 of the Act.
(d) Each permit holder must conduct an emergency drug
inspection for assurance of unexpired supply at least annually. Documentation
of emergency drug inspections must be maintained in the permit holder’s
emergency drug log, required by §110.14.
(e) Each permit holder must conduct an equipment inspection
for assurance of function at least annually. Documentation of equipment
inspections must be maintained in the permit holder’s equipment
readiness log, required by §110.14.
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