Publish Date: August 5, 2014
In 2012 the Department of Health and Social Services Division of Public Health issued proposed revisions to the regulations governing Free Standing Surgical Centers, 16 DE Admin. Code 4405. AORN commented urging the Division of Public Health add the language from section 7.8 of the repealed regulations to the proposed regulations, which required a registered nurse to be present as a circulating nurse in each operating room during the operative procedures. At that time, AORN encouraged the Division of Public Health, at the very least, to retain its registered nurse circulator requirement for patients undergoing procedures in Delaware free standing surgical centers under general anesthesia and moderate and deep sedation. One Perioperative Registered Nurse Circulator Dedicated to Every Patient Undergoing a Surgical or Other Invasive Procedure,AORN’s board approved Position Statement, was submitted with the comments.
On July 1, 2014 the Department of Health and Social Services resubmitted the proposed revisions for public comment. The Division of Public Health changed the proposed regulations to include the following language in section 6.8.6 “A registered nurse, qualified by education and experience in operating room nursing, shall be present as a circulating nurse in each operating room where moderate/deep/general anesthesia/sedation is administered during operative procedures”. AORN submitted a letter during the public comment period supporting the proposed rule changes.