AADA Policy

• AADA members providing surgical and procedural services utilizing anesthesia that significantly impairs the patient’s life protective reflexes should have demonstrated competencies in moderate and deep sedation and airway management. Achieving accreditation by an appropriate agency may be one method to demonstrate facility preparedness and staff competency.

Message Points

• The AADA believes that dermatologists who use higher levels of anesthesia that result in partial or total loss of consciousness should be appropriately trained and experienced. Accreditation by an appropriate agency may be one way to demonstrate the competency of the facility and staff.

• Accreditation is a process of assessing the quality of a medical facility, such as a hospital, ambulatory surgery center or office.

• The process, which is voluntary, consists of an accrediting organization inspecting the physical environment and facilities, and interviewing staff regarding issues such as clinical records and health information, patient rights, governance, administration and quality management and improvement.

• Several states are considering requiring the accreditation of medical offices where surgical procedures involving higher levels of anesthesia are performed.

• Patients considering an office-based surgical procedure should ask about what type of anesthesia services are provided, and ask about the quality of equipment, facility and qualifications of the staff to handle a possible medical emergency during a procedure.

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