HOUSE AMENDMENT

                                                   Bill No. HB 599

    Amendment No. 4A (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  5                                           ORIGINAL STAMP BELOW

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11  The Council for Healthy Communities offered the following:

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13         Amendment to Amendment (973265) 

14         On page 3, lines 16-23, and on page 10, lines 8-15,

15  remove:  all of said lines

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17  and insert:

18         (a)  An anesthesiologist assistant may assist an

19  anesthesiologist in developing and implementing an anesthesia

20  care plan for a patient. In providing assistance to an

21  anesthesiologist, an anesthesiologist assistant may perform

22  duties established by rule by the board in any of the

23  following functions that are included in the anesthesiologist

24  assistant's protocol while under the direct supervision of an

25  anesthesiologist:

26         1.  Obtain a comprehensive patient history and present

27  the history to the supervising anesthesiologist;

28         2.  Pretest and calibrate anesthesia delivery systems

29  and monitor, obtain, and interpret information from the

30  systems and monitors;

31         3.  Assist the supervising anesthesiologist with the

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    File original & 9 copies    01/23/02
    hcs0005                     04:47 pm         00599-hcc -270437




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 599

    Amendment No. 4A (for drafter's use only)





  1  implementation of medically accepted monitoring techniques;

  2         4.  Establish basic and advanced airway interventions,

  3  including intubation of the trachea and performing ventilatory

  4  support;

  5         5.  Administer intermittent vasoactive drugs and start

  6  and adjust vasoactive infusions;

  7         6.  Administer anesthetic drugs, adjuvant drugs, and

  8  accessory drugs;

  9         7.  Assist the supervising anesthesiologist with the

10  performance of epidural anesthetic procedures and spinal

11  anesthetic procedures;

12         8.  Administer blood, blood products, and supportive

13  fluids.

14         (9)  Support life functions during anesthesia health

15  care, including induction and intubation procedures, the use

16  of appropriate mechanical supportive devices, and the

17  management of fluid, electrolyte, and blood component

18  balances;

19         (10)  Recognize and take appropriate corrective action

20  for abnormal patient responses to anesthesia, adjunctive

21  medication, or other forms of therapy;

22         (11)  Participate in management of the patient while in

23  the postanesthesia recovery area, including the administration

24  of any supporting fluids or drugs;

25         (12)  Place special peripheral and central venous and

26  arterial lines for blood sampling and monitoring as

27  appropriate.

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    File original & 9 copies    01/23/02
    hcs0005                     04:47 pm         00599-hcc -270437