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(a) A general acute care hospital must have an anesthesia service. A physician must have overall responsibility for supervision of the anesthesia service. (b) Anesthesia care may be provided only by a physician or dentist with anesthesia privileges, a registered nurse anesthetist, or an appropriately supervised trainee in an educational program approved by the department. (c) An anesthesia staff member shall be available or on call at all times. (d) Anesthesia procedures developed by an anesthetist or anesthesiologist must provide for written documentation of the following:

(1) visits to a patient by an anesthetist or anesthesiologist before and after the patient has been administered an anesthesia; the post-anesthesia evaluation of a patient may be completed and documented by any individual described in (b) of this section and qualified to administer anesthesia;

(2) the choice of anesthesia;

(3) the surgical procedure and presence or absence of complications;

(4) a record of events during the induction, maintenance and emergence from anesthesia; and

(5) the amount and duration of anesthetic agents, other drugs, intravenous fluids and blood or blood products administered. (e) Rules for the safe use of flammable anesthetic agents must conform to the National Fire Protection Association (NFPA) standards set out in NFPA 99: Standard for Health Care Facilities, 2005 edition, adopted by reference. (Eff. 11/19/83, Register 88; am 5/4/97, Register 142; am 12/17/2005, Register 176; am 9/30/2007, Register 183) Statutory Authority: Authority: AS 47.32.010 AS 47.32.030 Editor’s note: The NFPA 99: Standard for Health Care Facilities, 2005 edition, adopted by reference in 7 AAC 12.130 may be obtained from the National Fire Protection Association, 1 Batterymarch Park, Quincy, Massachusetts 02169-7471; telephone: (800) 344-3555.