OAR 851-052-0060
Office-based Care Standards

The CRNA shall comply with all applicable state and federal rules and regulations relating to the office-based practice where anesthesia care is being performed and has the responsibility to:
(1) Assess and document using the American Society of Anesthesiologists (ASA) Physical Status Classification for each client undergoing a procedure requiring moderate sedation, deep sedation, or anesthesia. The CRNA providing sedation or anesthesia shall be responsible for the establishment or verification of the client’s ASA classification. Documentation must reflect the assessment and conclusion supporting the ASA classification.
(2) For clients with an assigned ASA classification of 4 or above, the CRNA is prohibited from providing moderate sedation, deep sedation or general anesthesia in an office setting.
(3) Verify anesthesia-related monitors and equipment are maintained to current health care standards, including providing a backup electrical source; For procedures requiring moderate sedation, deep sedation or general anesthesia or regional blocks or which require support of bodily functions such as airway, breathing or circulation the CRNA will assure that, at a minimum, equipment is available to monitor physiological functions of heart rate, blood pressure, respirations, and pulse oximetry.;
(4) Ensure that there are adequate numbers of personnel to support the planned procedure;
(5) Adhere to professional standards of care for monitoring patient during procedure;
(6) Appropriately plan for treatment of possible complications, including;
(a) Emergency supplies to be immediately available including emergency drugs, airway management supplies, and cardio-pulmonary resuscitation equipment;
(b) Appropriate policies and procedures;
(c) Agreements for transportation of client to a higher level of care in the case of an emergency; and
(7) Coordinate recovery and discharge of clients from office and provide instructions for follow-up care if necessary.

Source: Rule 851-052-0060 — Office-based Care Standards, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=851-052-0060.

Last Updated

Jun. 8, 2021

Rule 851-052-0060’s source at or​.us