Most Common Deficiencies For AAAHC Chapter 9 “Anesthesia Care Services”
The most common deficiencies our surveyors see for Chapter 9 “Anesthesia Care Services” of the AAAHC Accreditation Handbook for Ambulatory Health Care:
All anesthesia personnel must be credentialed and have approved privileges for all types of anesthesia they provide.
The Anesthesia consent form must include the type of anesthesia planned and the risks to the patient.
The board must designate who is responsible for anesthesia services.
A Code Blue drill must be conducted and documented annually. If applicable, a Malignant Hyperthermia (MH) drill must be conducted annually.
If applicable, all new OR staff must have an in-service training on MH at orientation.
If MH triggering agents are present in the facility, MH protocols must be posted in all ORs. Consider using the M-HAUS poster.
When pediatric services are provided, appropriate pediatric supplies, equipment and emergency resuscitative equipment must be present. Consider having a Broselow Tape readily available.
With pediatric services, at least one PACU RN must have PALS certification and be present until the patient is physically discharged.
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*Sources:
“AAAHC Quality Roadmap 2019” report: applies to Ambulatory Surgery Centers, Office-Based Surgery practices, and Primary Care settings.
HealthCon Consultant survey experience