OAR 847-017-0005: Definitions

For the purpose of these rules, the following terms are defined: (1) “Ambulatory surgical center” has the meaning given in ORS 442.015. Nothing in OAR chapter 847, division 17 is meant to exempt a physician’s office from the licensure requirements in ORS 441.015 if the office meets the definition of an ambulatory surgical center in ORS 442.015. A physician’s office that meets the definition of an ambulatory surgical center must comply with OAR chapter 333, division 76. (2) “ASA Physical Status” means the American Society of Anesthesiologists’ Physical Status Classification System, which is used to assess a patient’s preoperative health on a range of I to VI. (3) “ Board” means the Oregon Medical Board. (4) “Certified in advanced resuscitative techniques” means that the individual is currently certified either with Advanced Cardiac Life Support (ACLS) for adults or Pediatric Advanced Life Support (PALS) or Advanced Pediatric Life Support (APLS) for children. (5) “Deep sedation/analgesia” means the administration of a drug or drugs that produces depression of consciousness during which patients cannot be easily aroused and only respond purposefully following repeated or painful stimulation. The ability to independently maintain ventilatory function may be impaired. Patients may require assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate. (6) “Facility” has the same definition as “office.” (7) “General anesthesia” means a drug-induced loss of consciousness during which patients are not able to be aroused, even by painful stimulation. The ability to independently maintain ventilatory function is often impaired. Patients often require assistance in maintaining a patent airway, and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function. (8) “Health care personnel” means any person, licensed or unlicensed, who is directly related to the provision of health care services including, but not limited to, a physician associate, nurse practitioner, certified registered nurse anesthetist, registered nurse, licensed practical nurse or medical assistant. (9) “Hospital” has the meaning given in ORS 442.015. (10) “Licensee” means an individual holding a valid license issued by the Board. (11) “Lipoplasty” means any instrumentation under the skin through incisions for the reduction of subcutaneous volume. This includes, but is not limited to, liposuction, laser lipolysis, suction assisted lipectomy and liposculpture. (12) “Local anesthesia” means the administration of a drug or drugs that produces a transient and reversible loss of sensation in a circumscribed portion of the body. (13) “Minimal sedation” (anxiolysis) means the administration of a drug or drugs that produces a state of consciousness that allows the patient to tolerate unpleasant medical procedures while responding normally to verbal commands. Cardiovascular or respiratory function is unaffected and defensive airway reflexes remain intact. (14) “Minor conduction block” means the injection of local anesthesia to stop or prevent a painful sensation in a circumscribed area of the body (that is, infiltration or local nerve block), or the block of a nerve by direct pressure and refrigeration. Minor conduction blocks include but are not limited to, intercostal, retrobulbar, paravertebral, peribulbar, pudendal, and sciatic nerve and ankle blocks. (15) “Moderate sedation/analgesia” means the administration of a drug or drugs that produces depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by a light tactile stimulation. Reflex withdrawal from painful stimulation is NOT considered a purposeful response. No interventions are required to maintain a patent airway, and spontaneous ventilation is adequate. (16) "Monitor" means regular visual observation and continuous physiologic measurement of the patient as deemed appropriate by the level of sedation or recovery using appropriate instruments to measure, display, and record physiologic values, such as heart rate, blood pressure, respiration, oxygen saturation, and end tidal capnography. (17) “Office” means a location, other than a hospital or ambulatory surgical center, at which medical or surgical services are rendered. (18) “Office-based surgery” means the performance of any surgical or other invasive procedure requiring anesthesia, analgesia, or sedation, including cryosurgery, laser surgery and the use of lasers that penetrate the skin, which results in patient stay of less than 24 consecutive hours and is performed by a licensee in a location other than a hospital or ambulatory surgical center. (19) “PARQ conference” means a Procedures, Alternatives, Risks and Questions conference, in which the licensee performing the procedure explains in general terms the procedure or treatment to be undertaken, any alternative procedures or methods of treatment, and any risks to the procedure or treatment and allows questions from the patient.