<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s1c23a111-0976-4308-8beb-94843b60036cP0 { margin-top: 0; line-height: 12.0pt; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; } span.s1c23a111-0976-4308-8beb-94843b60036cC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s1c23a111-0976-4308-8beb-94843b60036cC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s1c23a111-0976-4308-8beb-94843b60036cC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s1c23a111-0976-4308-8beb-94843b60036c000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s1c23a111-0976-4308-8beb-94843b60036cC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:76:10:04"><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000000">44:76:10:04</span></a><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000001">.  Anesthesia services.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> Each facility shall provide anesthesia services organized, directed, and integrated with other related services commensurate with the scope and needs of patients. </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">Each facility shall ensure qualified staff deliver</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> anesthesia care to patients according to written policies relating to anesthesia procedures approved by the medical staff. </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">Each facility shall establish s</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">afety and sanitation controls. All anesthetizing locations </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> are not protected against potential explosive hazards shall have a legible sign posted prohibiting the use of flammable gas as anesthetics. </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">At a minimum,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">a facility shall ensure that</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">:</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">1</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  A physician </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> on the premises during the post-anesthetic recovery period until all patients are alert or discharged;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">2</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  When a general anesthetic is used, at least one registered nurse </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> in the recovery room during the patient's post-anesthetic recovery period;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">3</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  Policies and procedures on the administration of anesthetics </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">are</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> developed by the medical staff and approved by the governing body;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">4</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  Prior to undergoing general anesthesia, a patient </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">has</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> a history and physical examination by a physician, including necessary laboratory examinations;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">5</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  Before discharge from the facility, each patient </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> evaluated by a physician for proper anesthesia recovery;</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">6</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  No flammable anesthetic is allowed</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> at the facility</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">; and</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    (</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">7</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)  All anesthetics </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">are</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> administered by an anesthesiologist or anesthetist, except for local anesthetic agents which may be administered by the attending physician.</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">; 48 SDR 59, effective December 5, 2021</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">.</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">(</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">6</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> and (7)</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">.</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0">    </span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0-000003">34-12-13</span></a><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">(</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">6</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">)</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036cC0"> and (7)</span><span style="white-space: pre-wrap;" class="s1c23a111-0976-4308-8beb-94843b60036cC0">.</span></p><p dir="ltr" class="s1c23a111-0976-4308-8beb-94843b60036cP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s1c23a111-0976-4308-8beb-94843b60036c000002"> </span></p></div></body></html>