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.