(Approved by House of Delegates on October 14, 1987)

These standards apply to all patients who receive anesthesia or monitored anesthesia cam Under unusual circumstances, e.g. extreme emergencies, these standards may be modified. When this is the case, the circumstances shall he documented in the patient’s record.

Standard 1: An anesthesiologist shall be responsible for determining the medical status of the patient,. developing a plan of anesthesia care, and acquainting that patient or the responsible adult with the proposed plan.

The development of an appropriate plan of anesthesia care is based upon:

1 . Reviewing the medical record.

2 . Interviewing and examining the patient to:

a. Discuss the medical history, previous anesthetic experiences and drug therapy.

b. Assess those aspects of the physical condition that might affect decisions regarding perioperative risk and management.

3. Obtaining and/or reviewing tests and consultations necessary to the conduct of anesthesia. 4. Determining the appropriate prescription of preoperative medications as necessary to the conduct of anesthesia.

The responsible anesthesiologist shall verify that the above has been properly performed and documented in the patient’s record.