Oklahoma Code § 59-3207

§ 59-3207.

Supervisory protocol - Authorized assistant duties.

Oklahoma Statutes - Title 59. Professions and Occupations

A. Every anesthesiologist or group of anesthesiologists, upon

entering into a supervisory relationship with an anesthesiologist

assistant must file with the State Board of Medical Licensure and

Supervision a written protocol, to include, at a minimum, the

following:

1. Name, address, and license number of the anesthesiologist

assistant;

2. Name, address, license number and federal Drug Enforcement

Administration (DEA) number of each anesthesiologist who will

supervise the anesthesiologist assistant;

3. Address of the anesthesiologist assistant’s primary practice

location and any other locations where the assistant may practice;

4. The date the protocol was developed and the dates of all

revisions;

5. The designation and signature of the primary supervising

anesthesiologist;

6. Signatures of the anesthesiologist assistant and all

supervising anesthesiologists;

7. The duties and functions of the anesthesiologist assistant;

8. Conditions or procedures that require the personal provision

of care by an anesthesiologist; and

9. The procedures to be followed in the event of an anesthetic

emergency.

B. The protocol must be on file with the Board prior to the

time the anesthesiologist assistant begins practice with the

anesthesiologist or the anesthesiology group.

C. The protocol must be updated biennially.

D. Anesthesiologist assistants may perform the following duties

under the direct supervision of an anesthesiologist:

1. Obtaining a comprehensive patient history and presenting the

history to the supervising anesthesiologist;

2. Pretesting and calibration of anesthesia delivery systems

and monitoring, obtaining and interpreting information from the

systems and monitors;

3. Assisting the anesthesiologist with implementation of

monitoring techniques;

4. Establishing basic and advanced airway interventions,

including intubations of the trachea and performing ventilatory

support;

5. Administering intermittent vasoactive drugs and starting and

adjusting vasoactive infusions;

6. Administering anesthetic drugs, adjuvant drugs, and

accessory drugs;

7. Assisting the anesthesiologist with the performance of

epidural anesthetic procedures and spinal anesthetic procedures;

8. Administering blood, blood products, and supportive fluids;

Oklahoma Statutes - Title 59. Professions and Occupations

9. Supporting life functions during anesthesia health care,

including induction and intubation procedures, the use of

appropriate mechanical supportive devices, and the management of

fluid, electrolyte, and blood component balances;

10. Recognizing and taking appropriate corrective action for

abnormal patient responses to anesthesia, adjunctive medication or

other forms of therapy;

11. Participating in management of the patient while in the

post-anesthesia recovery area, including the administration of

supporting fluids; and

12. Placing special peripheral and central venous and arterial

lines for blood sampling and monitoring as appropriate.

E. The supervising anesthesiologist shall delegate only tasks

and procedures to the anesthesiologist assistant which are within

the supervising physician's scope of practice. The anesthesiologist

assistant may work in any setting that is within the scope of

practice of the supervising anesthesiologist’s practice.

F. Continuity of supervision in practice settings requires the

anesthesiologist assistant to document in the anesthesia record any

change in supervisor.

G. All tasks and procedures performed by the anesthesiologist

assistant must be documented in the appropriate medical record.

Added by Laws 2008, c. 161, § 7, eff. Nov. 1, 2008.