Section 205.520  Preoperative Care

a)         Where medical evaluation, examination, and referral are made from a private physician's office, hospital, or clinic, pertinent records thereof shall be available and made part of the patient's clinical record at the time the patient is registered and admitted to the ambulatory surgical treatment center.

b)         A complete medical history shall be obtained and the physical examination shall be complete.  A preanesthetic evaluation shall be completed specifically identifying any patient sensitivity or contraindications to anesthesia.

c)         The laboratory examinations required on all admissions shall be determined by the Consulting Committee and shall be consistent with the scope and nature of the ambulatory surgical treatment center.  The required list or lists of tests shall be in written form and shall be available to all members of the medical staff.

d)         Prior to procedures performed to terminate pregnancy, the physician shall establish the diagnosis of pregnancy by appropriate clinical evaluation and testing.  In addition, the patient's blood Rh factor shall be determined.

e)         A written statement indicating informed consent and a signed authorization by the patient for the performance of the specific surgical procedure shall be procured and made part of the patient's clinical record.

f)          Surgical procedures shall not be performed on patients having medical, surgical, or psychiatric conditions or complications as specified by the Consulting Committee in the facility's written policies.

g)         Prior to admission to the facility for a surgical procedure, the patient shall be informed of the following:

1)         Patients who receive general anesthesia, intravenous sedation, spinal or epidural anesthesia, or any other specific anesthesia technique designated by the Consulting Committee must not attempt to drive a motor vehicle immediately upon discharge from the facility.

2)         Patients must make arrangements prior to admission for safe transportation from the facility upon discharge to return to home or to a similar environment.

(Source:  Amended at 22 Ill. Reg. 9335, effective May 20, 1998)