N.J. Admin. Code § 13:35-4A.10

Current through Register Vol. 56, No. 21, November 4, 2024

Section 13:35-4A.10 - Administration of moderate sedation; authorized personnel

(a) Moderate sedation shall be administered in an office only by the following individuals:

1. A practitioner privileged by a hospital or the Board pursuant to N.J.A.C. 13:35-4A.12 to provide moderate sedation and who, during every consecutive three-year period beginning July 1, 2004, completes at least eight Category I or II hours of continuing medical education in any anesthesia services, including moderate sedation exclusively, or in anesthesia as it relates to the physician's field of practice, which either meet the criteria for credit towards the Physician's Recognition Award of the American Medical Association or have been approved by the American Osteopathic Association;

2. A certified registered nurse anesthetist (CRNA), under the supervision of a physician qualified under (a)1 above; or

3. A registered professional nurse or physician assistant, who is trained and has experience in the use and monitoring of anesthetic agents, at the specific direction of a physician qualified under (a)1 above, but only for the purpose of administering through an established intravenous line, a specifically prescribed supplemental dose of moderate sedation that was selected and initially administered by the physician who remains continuously present in the procedure room. "Continuously present in the procedure room" does not require that a practitioner remain in the procedure room in violation of human exposure safety standards regularly employed during radiological procedures.

(b) A patient under moderate sedation shall be monitored in an office by a physician, CRNA, or a registered professional nurse or physician assistant who has training and experience in the use of monitoring devices, under the supervision of a physician eligible under (a)1 above, to administer moderate sedation.

(c) The monitoring of a patient under moderate sedation shall be provided by an individual who meets the requirements of (b) above and who is at all times present and who is not the practitioner who is performing the surgery or special procedure.

(d) When the administration and monitoring of moderate sedation is being performed by a CRNA, or when the monitoring is being performed by a registered professional nurse or physician assistant, the supervising physician shall be physically present, but may be concurrently responsible for patient care.

(e) An advanced cardiac life support-trained physician, registered nurse, or physician assistant shall be present at all times when a patient is receiving or recovering from the administration of moderate sedation.

N.J. Admin. Code § 13:35-4A.10

Public Notice: Suspension of enforcement.
See: 30 N.J.R. 4485(b).
Amended by R.2002 d.404, effective 12/16/2002.
See: 33 N.J.R. 3870(a), 34 N.J.R. 4449(a).
In (a), rewrote 1, substituted "qualified" for "eligible" in 2, inserted "and monitoring" preceding "of anesthetic" and substituted "qualified" for "eligible" in 3.
Administrative correction.
See: 35 N.J.R. 1936(a).

Amended by 53 N.J.R. 2013(a), effective 12/6/2021