OAR 847-017-0015: Selection of Procedures and Patients

(1) The licensee who performs the office-based surgery or anesthetic is responsible for the safety of the patient. (a) The licensee must evaluate and document the condition of the patient and the potential risks associated with the proposed treatment plan; (b) The licensee administering anesthesia for a Level II or Level III procedure must evaluate and document the ASA Physical Status of the patient; (c) The licensee must be satisfied that the procedure to be undertaken is within the scope of practice of the health care personnel, the capabilities of the facility and the condition of the patient; and (d) The licensee must examine the patient immediately before the procedure to evaluate the risks of the procedure and the risks of anesthesia if applicable. (2) Informed consent for the nature and objectives of the anesthesia planned and office-based surgery to be performed must be in writing and obtained from the patient before the office-based surgery is performed. Informed consent is only to be obtained after a PARQ conference and must be documented in the medical record. The informed consent must include a disclosure of the licensee’s specialty board certification through the ABMS, the AOA-BOS, the ABPM, the ABFAS or the NCCPA or lack thereof. The requirement for written informed consent is not necessary for minor Level I procedures limited to the skin and mucosa.