Procedure and Patient Selection

R4-16-704. Procedure and Patient Selection A. A physician shall ensure each office-based surgery performed using sedation: 1. Can be performed safely with the equipment, staff members, and health care professionals at the physician’s office; 2. Is of duration and degree of complexity that allows a patient to be discharged from the physician’s office within 24 hours; 3. Is within the education, training, experience, skills, and licensure of the physician; 4. Is within the education, training, experience, skills, and licensure of the staff members and health care professionals at the physician’s office; and 5. Is not associated with major blood loss, significant fluid shifts, or post-operative pain or metabolic abnormalities. B. A physician shall not perform office-based surgery using sedation if the patient: 1. Has a medical condition or other condition that indicates the procedure should not be performed in the physician’s office, 2. Has not undergone a preoperative history and physical examination within 30 days of the procedure and valida- 25-4 Page 17 4 A.A.C. 16 Arizona TITLE 4. PROFESSIONS CHAPTER 16. ARIZONA tion of the history and physical examination within 24 hours of the procedure, or 3. Will require inpatient services at a hospital. Historical Note New Section made by final rulemaking at 14 A.A.R. 380, effective January 8, 2008 (Supp. 08-1). Section R4-16- 704 renumbered to R4-16-705; new Section R4-16-704 renumbered from R4-16-703 and amended by final rulemaking at 31 A.A.R. 4386 (November 21, 2025), effective January 3, 2026 (Supp. 25-4).