(a) An anesthesiologist who directly supervises an anesthesiologist assistant must be qualified in the medical areas in which the anesthesiologist assistant performs and is liable for the performance of the anesthesiologist assistant. An anesthesiologist may only concurrently supervise two (2) anesthesiologist assistants at the same time.

(b) (1) An anesthesiologist or group of anesthesiologists must, upon establishing a supervisory relationship with an anesthesiologist assistant, file with the Board a written protocol that includes, at a minimum:

(A) The name, address, and license number of the anesthesiologist assistant.

(B) The name, address, license number, and federal Drug Enforcement Administration number of each physician who will be supervising the anesthesiologist assistant.

(C) The address of the anesthesiologist assistant’s primary practice location and the address of any other locations where the anesthesiologist assistant may practice.

(D) The date the protocol was developed and the dates of all revisions.

(E) The signatures of the anesthesiologist assistant and all supervising physicians.

(F) The duties and functions of the anesthesiologist assistant.

(G) The conditions or procedures that require the personal provision of care by an anesthesiologist.

(H) The procedures to be followed in the event of an anesthetic emergency.

(2) The protocol shall be on file with the Board before the anesthesiologist assistant may practice with the anesthesiologist or group. An anesthesiologist assistant shall

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10 Guam Code Ann. HEALTH AND SAFETY
CH. 12 MEDICAL PRACTICES

not practice unless a written protocol has been filed for that anesthesiologist assistant in accordance with this Subsection, and the anesthesiologist assistant may only practice under the direct supervision of an anesthesiologist who has signed the protocol. The protocol must be updated biennially.

2017 NOTE: Subitem designations altered/added pursuant to the authority of 1 Guam Code Ann. § 1606.

§ 122408. Licensure; Registration of Anesthesiologist
Assistant.

(a) The Board may license qualified persons as anesthesiologist assistants.

(b) A person shall not perform, attempt to perform or hold himself out as an anesthesiologist assistant until he is licensed by the Board as an anesthesiologist assistant and has registered with his supervising licensed anesthesiologist in accordance with Board regulations.