| (a) Pursuant to Texas Occupations Code §258.1556,
the Board establishes minimum emergency preparedness standards and
requirements for the administration of sedation/anesthesia.
(b) Consistent with the requirements of §§110.3
- 110.6 of this chapter (relating to Sedation and Anesthesia), as
applicable to the procedure, 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 type of sedation/anesthesia
administered;
(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; and
(5) appropriate monitors and equipment for the type
of sedation/anesthesia administered, including but not limited to:
(A) stethoscope;
(B) sphygmomanometer or automatic blood pressure monitor;
(C) pulse oximeter when required by §§110.4,
110.5, or 110.6 of this chapter (relating to Sedation and Anesthesia);
(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; and
(G) capnograph, size-and-shape appropriate advanced
airway device, intravenous fluid administration equipment, and/or
electrocardiogram, when required by §§110.3, 110.4, 110.5,
or 110.6 of this chapter (relating to Sedation and Anesthesia).
(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 Texas
Occupations Code §258.1555.
(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 of this chapter (relating
to Emergency Preparedness Policies and Procedures).
(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 of this chapter.
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