POLICY AND PROCEDURE ON ADMINISTRATION OF ANESTHESIA

 


                   POLICY AND PROCEDURE ON ADMINISTRATION OF ANESTHESIA 


Policy: Anesthesia is covered when it is administered by an eligible provider and is determined by the Plan to be medically necessary.

The following will be eligible providers for anaesthesia service benefits under the Plan:

a.   Professional anesthesiologist

b.   Certified nurse anaesthetist

c. Obstetrician or his/her designated assistant, such as a qualified anaesthesiologist or another obstetrician, providing epidural, spinal, pudendal, or caudal anaesthesia during labor or delivery. (The anaesthesia reimbursement in this case is not based on time units but coded to surgery for the billed anaesthesia procedure.)

Indication and type of anaesthesia (other than local anaesthesia) shall be recorded in medical file.

Pre-anaesthesia assessment shall be done for all patient requiring anaesthesia (routine and emergency) shall be done before wheeling in the patient Operation Theatre.

 

The pre-anesthesia assessment shall result into an anesthesia plan, which shall be recorded in medical file

Consent shall be taken from patient before anesthesia (general or local) administration as per Consent policy of Hospital.

 

Intra procedure monitoring of the patient under anesthesia shall be done and recorded. This shall include monitoring of following:

 

•    Heart rate

•    Cardiac rhythm

•    Respiratory rate

•    Blood pressure

•    Oxygen saturation

•    Potency and level of anesthesia

•    Airway security

•    Any other parameter as required

 

Post sedation, patient’s vitals shall be monitored at regular intervals (as decided by person administering sedation) till the patient recovers completely

 


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