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.