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PDFWAC 246-330-210

Surgical services.

The purpose of this section is to guide the development and management of surgical services.
An ambulatory surgical facility must:
(1) Adopt and implement policies and procedures that:
(a) Identify areas where surgery and invasive procedures may be performed;
(b) Define staff access to areas where surgery and invasive procedures are performed;
(c) Identify practitioner and advanced registered nurse practitioner's privileges for operating room staff; and
(d) Define staff qualifications and oversight.
(2) Use facility policies and procedures which define standards of care;
(3) Implement a system to identify and indicate the correct surgical site prior to beginning a surgical procedure;
(4) Provide emergency equipment, supplies, and services to surgical and invasive areas;
(5) Provide separate refrigerated storage equipment with temperature alarms, when blood is stored in the surgical department; and
(6) Assure a registered nurse qualified by training and experience functions as the circulating nurse in every operating room whenever deep sedation or general anesthesia are used during surgical procedures.
[Statutory Authority: Chapter 70.230 RCW. WSR 09-09-032, ยง 246-330-210, filed 4/7/09, effective 5/8/09.]
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