2.1 The AA works under the direct
supervision of an anesthesiologist who bills for the services. In addition,
for each patient the anesthesiologist must:
2.1.1 Perform a pre-anesthetic examination
and evaluation;
2.1.2 Prescribe the anesthesia plan;
2.1.3 Personally
participate in the most demanding aspects of the anesthesia plan
including, if applicable, induction and emergence;
2.1.4 The anesthesiologist
ensures that any procedures in the anesthesia plan that he or she
does not perform are performed by a qualified AA.
2.1.5 Monitor
the course of anesthesia administration at frequent intervals;
2.1.6 Remain
physically present and available for immediate personal diagnosis
and treatment of emergencies. While it is not necessary that the
anesthesiologist be personally present for all services, the anesthesiologist
must be within the operating suite and available to provide immediate
assistance.
2.1.7 Provide indicated post anesthesia care; and
2.1.8 Perform
no other services while he or she supervises no more than four AAs
concurrently. If the state where the service is provided limits
anesthesiologists to supervising fewer than four AAs concurrently,
the limit established by the state is to be used.
2.3 The AA is a graduate of a Master’s level anesthesiologist
assistant educational program that is established under auspices
of an accredited medical school and that:
2.3.1 Is accredited by the Commission
on Accreditation of Allied Health Educational Programs (successor
organization to the Committee on Allied Health Education and Accreditation,
or its successor organization; and
2.3.2 Includes approximately two
years of specialized basic science and clinical education in anesthesia
at a level that builds on a premedical undergraduate science background.