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The Centers for Medicare and Medicaid Services has revised its recently updated anesthesia guidelines, following complaints the policy was unworkable. in deep sedation, and that propofol administration by emergency nurses in the presence of an emergency physician complies with current Joint Commission standards.
Coming on the heels of the overdose death of Michael Jackson by the inappropriate use of propofol, some have speculated that this is a knee-jerk reaction by an Commission Guidelines for Specialty self determination,” says Dr. Paul Sierzenski, Chairman of ACEP's Committee on Government Policy & Public Relations.
Ann Intern Med. 2011 May 3;154(9):622-6. doi: 10.7326/0003-4819-154-9-201105030-00007. Effect of the Centers for Medicare & Medicaid Services policy about deep sedation on use of propofol. Rex DK(1). Author information: (1)Indiana University Hospital, 550 North University Boulevard, Indianapolis, IN 46202, USA.
13 Feb 2014 Guidelines On Administering Sedation to Patients Unnecessarily Restrictive for ED Physicians CMS Clarifies Who May Administer Sedation Drugs However, if the medication is anesthesia, that medication can only be administered by a person qualified to administer anesthesia in accordance with
14 Jan 2011 In addition, hospitals must also specify the qualifications for each category of practitioner who administers analgesia and their supervision requirements. These policies must be based on nationally recognized guidelines. For those procedures that require the administration of anesthesia, the regulations at
15 Jul 2015 Author of Book on the CMS Anesthesia Standards. 3 . are less prescriptive than the prior changes. ?CMS requires the hospital to develop policies on FDA Letter on Diprivan. 161 wwwasahq.org/For-. Members/Advocacy/Washington-Alerts/FDA-. Upholds-ASA-Stance-on-Safe-Use-of-. Propofol.aspx
Purpose. The purpose of these policies and procedures is to establish the standards and expectations for all general anesthesia; CMS adds the category of topical and local analgesia (§482.52). The . AANA-ASA Joint Statement Regarding Propofol Administration (April 14, 2004) Practice Guidelines for. Sedation and
21 May 2010 “Anesthesia services” in a hospital subject to the anesthesia administration requirements at 42. CFR 482.52(a): there is a decision to use propofol, so as to decrease movement and improve visualization anesthesia service is responsible for developing policies and procedures governing the provision.
for Medicare and Medicaid Services (CMS) • American Dental Association (ADA) .. The policies must fol- low nationally recognized guidelines and can include guide- lines of one or more specialty societies. The ASA “Statement on Safe Use of Propofol” first possible, non-anesthesia personnel who administer propofol.
The revised interpretive guidelines (IG) require each individual hospital to develop its own internal policies and procedures as to what medications, under what circumstances, constitute anesthesia and therefore require administration by an anesthesia professional as delineated at 42. CFR 482.52(a). The IG also requires
     

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