OAR 333-076-0137
ASC Surgery Services

(1) For purposes of this rule:
(a) “Circulating nurse” means a registered nurse who is responsible for coordinating the nursing care and safety needs of the patient in the operating room and who also meets the needs of the operating room team members during surgery.
(b) “Rural or medically underserved community” means a geographic area of Oregon that is 10 or more miles from the geographic center of a population center of 40,000 or more individuals.
(c) “Surgical technology” means intraoperative surgical patient care that involves:
(A) Preparing an operating room for surgical procedures by ensuring that surgical equipment is functioning properly and safely;
(B) Preparing an operating room and the sterile field for surgical procedures by preparing sterile supplies, instruments and equipment using sterile techniques;
(C) Anticipating the needs of a surgical team based on knowledge of human anatomy and pathophysiology and how those fields relate to the surgical patient and the patient’s surgical procedure; and
(D) Performing tasks as directed in an operating room, including:
(i) Passing instruments, equipment or supplies;
(ii) Sponging or suctioning of an operative site;
(iii) Preparing and cutting suture material;
(iv) Transferring fluids or drugs;
(v) Handling specimens;
(vi) Holding retractors and other equipment;
(vii) Applying electrocautery to clamps on bleeders;
(viii) Connecting drains to suction apparatus;
(ix) Applying dressings to closed wounds; and
(x) Assisting in counting supplies and instruments, including sponges and needles.
(2) An ASC, regardless of classification, shall comply with this rule.
(3) An ASC shall have operating rooms that conform to the applicable requirements in OAR 333-076-0185 (ASC Physical Environment).
(4) An ASC’s operating rooms must be supervised by an experienced registered nurse or physician.
(5) The duties of a circulating nurse performed in an operating room of an ASC shall be performed by a registered nurse licensed under ORS chapter 678. In all cases requiring general anesthesia, a circulating nurse shall be assigned to, and present in, an operating room for the duration of the surgical procedure unless it becomes necessary for the circulating nurse to leave the operating room as part of the surgical procedure. While assigned to a surgical procedure, a circulating nurse may not be assigned to any other patient or procedure.
(6) Nothing in section (5) precludes a circulating nurse from being relieved during a surgical procedure by another circulating nurse assigned to continue the surgical procedure.
(7) In order for a person to practice surgical technology at an ASC, the ASC governing body shall ensure that the following provisions are met by the individual:
(a) Documentation showing that the person has completed a training program for surgical technologists in a branch of the armed forces of the United States or in the United States Public Health Service Commissioned Corp and completes 16 hours of continuing education as described in section (11) of this rule every two years; or
(b) Completion of a surgical technology education program accredited by the Commission on Accreditation of Allied Health Education Program (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) and certification as a surgical technologist issued by the National Board of Surgical Technology and Surgical Assisting (NBSTSA); or
(c) Documentation that a person has practiced surgical technology at least two years between January 1, 2014 and January 1, 2017 in a hospital, ambulatory surgical center or as an employee of a federal government agency or institution and completes 16 hours of continuing education as described in section (11) of this rule every two years.
(8) Notwithstanding subsection (7)(b), an ASC may allow a person who is not certified by the NBSTSA to practice surgical technology at the ASC for 12 months after the person completes an educational program accredited by the CAAHEP or ABHES.
(9) A person not meeting the requirements specified in section (7) of this rule may work at an ASC in a rural or medically underserved community while the person is attending an educational program accredited by the CAAHEP or ABHES. Such persons are exempt from the educational requirements for three years from the date on which the person began practicing at the ASC.
(10) These rules do not prohibit a licensed practitioner from performing surgical technology if the practitioner is acting within the scope of the practitioner’s license and an ASC allows the practitioner to perform such duties.
(11)(a) The continuing education requirements described in subsections (7)(a) and (7)(c) shall:
(A) Consist of 16 hours every two years;
(B) Be tracked by the surgical technologist and is subject to audit by the ASC in which the person is practicing; and
(C) Be relevant to the medical-surgical practice of surgical technology.
(b) Continuing education may include but is not limited to:
(A) Continuing education credits approved by the Association for Surgical Technologist;
(B) Healthcare sponsored conferences, forums, seminars, symposiums or workshops;
(C) Online distance learning courses;
(D) Live lectures at national conferences; or
(E) College courses.
(12) An ASC shall conduct a random audit of a representative sample of the surgical technologists employed by the ASC every two years to verify compliance with educational requirements.

Source: Rule 333-076-0137 — ASC Surgery Services, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-076-0137.

333‑076‑0001
Applicability 333‑076‑0095
Purpose 333‑076‑0101
Definitions 333‑076‑0102
Application for ASC License and Fees 333‑076‑0103
ASC Application Review 333‑076‑0104
Approval of ASC License Application 333‑076‑0107
Denial of ASC License Application 333‑076‑0108
Expiration and Renewal of ASC License 333‑076‑0110
Return of ASC License and ASC Closure 333‑076‑0111
ASC Classification 333‑076‑0114
ASC Complaints 333‑076‑0116
ASC Investigations 333‑076‑0117
ASC Surveys 333‑076‑0118
ASC Health Care Practitioner Credentialing 333‑076‑0119
ASC Governing Body Responsibility 333‑076‑0120
ASC Medical Staff 333‑076‑0125
ASC Personnel 333‑076‑0130
ASC Policies and Procedures 333‑076‑0135
ASC Nursing Services 333‑076‑0137
ASC Surgery Services 333‑076‑0140
ASC Anesthesia Services (If Provided) 333‑076‑0145
ASC Storage, Disposal and Dispensing of Drugs 333‑076‑0150
ASC Emergency Services 333‑076‑0155
ASC Laboratory Services 333‑076‑0160
Care of ASC Patients 333‑076‑0165
ASC Medical Records 333‑076‑0170
ASC Quality Assessment and Performance Improvement 333‑076‑0175
ASC Infection Control 333‑076‑0180
In-service Training for ASC Nurses 333‑076‑0185
ASC Physical Environment 333‑076‑0190
ASC Emergency Preparedness 333‑076‑0246
Waivers 333‑076‑0250
ASC Violations 333‑076‑0255
ASC Informal Enforcement 333‑076‑0260
ASC Formal Enforcement 333‑076‑0265
Civil Penalties, Generally 333‑076‑0270
Approval of ASC Accrediting Organizations 333‑076‑0450
Birthing Centers: Definitions 333‑076‑0470
Birthing Centers: Licensing 333‑076‑0490
Birthing Centers: Submission of Plans 333‑076‑0510
Birthing Centers: Expiration and Renewal of License 333‑076‑0530
Birthing Centers: Denial or Revocation of a License 333‑076‑0550
Birthing Centers: Return of Facility License 333‑076‑0560
Birthing Centers: Classification 333‑076‑0570
Birthing Centers: Hearings 333‑076‑0590
Birthing Centers: Adoption by Reference 333‑076‑0610
Birthing Centers: Division Procedures 333‑076‑0630
Birthing Centers: Administration 333‑076‑0650
Birthing Centers: Service Restrictions 333‑076‑0670
Birthing Centers: Policies and Procedures 333‑076‑0690
Birthing Centers: Health and Medical Records 333‑076‑0710
Birthing Centers: Physical Facility 333‑076‑0800
Extended Stay Center (ESC) Applicability 333‑076‑0805
Application for ESC License and Fees 333‑076‑0810
ESC Application Review 333‑076‑0820
Approval of ESC License Application 333‑076‑0830
Denial of ESC License Application 333‑076‑0840
Expiration and Renewal of ESC License 333‑076‑0850
Return of ESC License and ESC Closure 333‑076‑0860
ESC Surveys 333‑076‑0870
ESC Complaints 333‑076‑0880
ESC Investigations 333‑076‑0890
ESC Health Care Practitioner Credentialing 333‑076‑0900
ESC Governing Body 333‑076‑0910
ESC Medical Staff 333‑076‑0920
ESC Personnel 333‑076‑0930
ESC Policies and Procedures 333‑076‑0940
ESC Admission Criteria, Patient Care and Discharge 333‑076‑0950
ESC Patient Transfer 333‑076‑0960
ESC Nursing Services 333‑076‑0970
ESC Pharmacy Services 333‑076‑0980
ESC Laboratory Services 333‑076‑0990
ESC Radiologic Services 333‑076‑1000
ESC Dietary Services 333‑076‑1010
ESC Medical Records 333‑076‑1020
ESC Quality Assessment and Performance Improvement 333‑076‑1030
ESC Infection Control 333‑076‑1040
ESC Data Collection and Reporting 333‑076‑1050
ESC Physical Environment 333‑076‑1065
ESC Waivers 333‑076‑1070
ESC Violations 333‑076‑1080
ESC Informal Enforcement 333‑076‑1090
ESC Formal Enforcement 333‑076‑1100
ESC Civil Penalties
Last Updated

Jun. 8, 2021

Rule 333-076-0137’s source at or​.us