Dr. Mazaheri Plastic and Reconstructive Surgery
Plastic Surgeons
Scottsdale
- Breast Augmentation
- Breast Lift
- Breast Reduction
- Tummy Tuck
- +2 more
Arizona writes rules for the room as well as the surgeon. A physician using general anesthesia in an office setting that is not part of a licensed hospital or ambulatory surgical center must hold a health care institution license, and a separate set of rules governs monitoring, staffing and transfer planning at lower levels of sedation. So the first question at an Arizona consultation is where the procedure happens, and under what.
The Arizona Medical Board’s office-based surgery rules sit in Article 7 of its chapter of the Administrative Code. R4-16-701 requires a physician to obtain a health care institution license, through the Department of Health Services, to use general anesthesia in the physician’s office or another outpatient setting that is not part of a licensed hospital or licensed ambulatory surgical center when performing office-based surgery using sedation.
Below that threshold the rules still bite. R4-16-704 covers patient selection and evaluation: the procedure has to be one that can be done safely with the equipment and staff available, completed within twenty four hours, matched to the physician’s qualifications, and not involve major blood loss or significant fluid shifts, with a preoperative history and physical examination within thirty days and validated within twenty four hours.
R4-16-705 sets monitoring standards. Minimal sedation requires pulse oximetry. Moderate and deep sedation require monitoring of oxygenation and ventilation, continuous electrocardiogram and blood pressure checks every five minutes, with a separate qualified healthcare professional attending solely to the patient and the sedation, ACLS qualified and knowledgeable in airway management.
R4-16-703 requires written policies on patient rights, informed consent, emergency care and patient transfer, and R4-16-706 requires the physician to be physically present during surgery and available afterwards until discharge, with staff trained in safe and timely transfer to a local accredited hospital.
The Arizona rules give a patient a specific set of things to ask about that most consultations never cover. They are all answerable in a sentence, and a practice that fumbles them is telling you something.
General information, not medical or legal advice. The Arizona rules cited here carry conditions and exceptions this page does not cover and are amended periodically, so confirm current requirements and a physician’s license status with the Arizona Medical Board and the Arizona Department of Health Services.
For general anesthesia, yes. R4-16-701 requires a physician to obtain a health care institution license through the Department of Health Services to use general anesthesia in an office or other outpatient setting that is not part of a licensed hospital or licensed ambulatory surgical center when performing office-based surgery using sedation.
R4-16-705 requires pulse oximetry for minimal sedation. For moderate and deep sedation it requires monitoring of oxygenation and ventilation, continuous electrocardiogram and blood pressure every five minutes, with a separate qualified healthcare professional attending solely to the patient and the sedation, ACLS qualified and knowledgeable in airway management.
R4-16-703 requires written policies covering emergency care and patient transfer, and R4-16-706 requires the physician to be physically present during surgery and available afterwards until discharge, with staff trained in safe and timely transfer to a local accredited hospital. Ask which hospital, specifically.
R4-16-704 limits it: the procedure must be safely performable with the equipment and staff on hand, completable within twenty four hours, matched to the physician's qualifications, and must not involve major blood loss or significant fluid shifts. A preoperative history and physical examination is required within thirty days and validated within twenty four hours.