Factors considered in accrediting an office for surgical procedures

Physical layout of the office
Environmental safety/infection control
Patient and personnel records
Surgeon qualification
1. Training
2. Local hospital privileges (surgical and admission)
Office administration
Anesthesiologist requirements
Staffing intraoperatively and postoperatively
Monitoring capabilities both intraoperatively and postoperatively
Ancillary care
Equipment
Drugs (emergency, controlled substances, routine medications)
BLS, ACLS/PALS certification
Temperature
Neuromuscular functioning
Patient positioning
Pre- and postanesthesia care/documentation
Quality assurance/peer review
Liability insurance
PACU evaluation
Discharge evaluation
Emergency preparedness (fire/admission/transfer, etc)

BLS: basic life support; ACLS: advanced cardiac life support; PALS: pediatric advanced life support; PACU: postanesthesia care unit.

Reproduced with permission from: Hausman LM, Rosenblatt MA. Office-Based Anesthesia. In: Clinical Anesthesia, 7th ed, Barash PG, Cullen BF, Stoelting RK, et al (Eds), Lippincott Williams & Wilkins, Philadelphia 2013. Copyright © 2013 Lippincott Williams & Wilkins. www.lww.com.

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Factors considered in accrediting an office for surgical procedures