64b8-9.009 : Standard of Care for Office Surgery - Florida Administrative Rules, Law, Code, Register

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Rule Title: Standard of Care for Office Surgery
Department:	DEPARTMENT OF HEALTH	Add to MyFLRules Favorites
Division:	Board of Medicine
Chapter:	STANDARDS OF PRACTICE FOR MEDICAL DOCTORS

Latest version of the final adopted rule presented in Florida Administrative Code (FAC):

	Effective Date:	9/16/2024
	History Notes:	Rulemaking Authority 458.309(1), 458.328(3), 458.331(1)(v) FS. Law Implemented 458.328, 458.331(1)(v), 458.351 FS. History–New 2-1-94, Amended 5-17-94, Formerly 61F6-27.009, Amended 9-8-94, 11-15-94, Formerly 59R-9.009, Amended 2-17-00, 12-7-00, 2-27-01, 8-1-01, 8-12-01, 3-25-02, 3-22-05, 4-19-05, 10-23-05, 10-10-06, 4-18-07, 9-3-07, 3-25-10, 8-6-12, 11-22-12, 1-9-13, 3-3-13, 7-22-14, 4-6-15, 9-4-16, 5-22-17, 6-23-17, 9-4-17, 5-7-18, 7-2-18, 9-3-19, 3-2-20, 3-10-22, 9-16-24.
	References in this version:	No reference(s).

History of this Rule since Jan. 6, 2006

Section	Description	ID	Publish Date

Final 64B8-9.009	Standard of Care for Office Surgery	28691065	Effective: 09/16/2024
Public Hearing 64B8-9.009	To discuss proposed modifications to rules 64B8-9.009 and 64B15-14.007, F.A.C., as they apply to the standards of practice for procedures done .... Thursday, August 1, 2024, at 1:00 P.M., EST., or soon therea.... Drury Plaza Hotel-Orlando - Disney Springs Area, 2000 Hotel ....	28402296	5/30/2024 Vol. 50/106
Variances 64B8-9.009 ......	that the petition for variance and waiver filed on behalf of Julio Sanguily, III, M.D., and Palm Vascular Center of Treasure Coast, LLC, from Rules 64B8-9.009(4)(b)1 and 64B8-9.0091(1)(c)2.f., F.A.C., has been withdrawn. ....	28348558	5/10/2024 Vol. 50/93
Proposed 64B8-9.009	The proposed rule amendment is intended to clarify the rule including the definition of office surgery.	28305393	4/30/2024 Vol. 50/85
Development 64B8-9.009	The Board proposes the development of a rule amendment to clarify the rule including the definition of office surgery.	28260191	4/12/2024 Vol. 50/73
Variances 64B8-9.009 ......	for variance or waiver filed on behalf of Julio Sanguily, III, M.D., and Palm Vascular Center of Treasure Coast, LLC, from Rules 64B8-9.009(4)(b)1 and 64B8-9.0091(1)(c)2.f., F.A.C., with regard to the transfer agreement. ....	28151551	3/14/2024 Vol. 50/52
Withdrawal 64B8-9.009	Standard of Care for Office Surgery	27495249	8/30/2023 Vol. 49/169
Public Hearing 64B8-9.009	To discuss proposed rule 64B8-9.009, F.A.C., regarding the standards of practice/care for gluteal fat grafting procedures done in office surgery .... Thursday, August 3, 2023, 2:00 p.m. EST or soon thereafter. Renaissance Orlando Airport Hotel, 5445 Forbes Place, Orlando, ....	27275059	6/29/2023 Vol. 49/126
Correction 64B8-9.009	Standard of Care for Office Surgery	27047594	4/17/2023 Vol. 49/74
Proposed 64B8-9.009	The proposed rule amendment is intended to clarify the standard of care for gluteal fat grafting procedures.	27015681	4/4/2023 Vol. 49/65
Workshop 64B8-9.009	To discuss rules 64B8-9.009 and 64B15-14.007, F.A.C., as they apply to the standards of practice/care for gluteal fat grafting procedures done .... Thursday, August 4, 2022, at 1:00 P.M., EST., or soon therea.... Marriott Fort Lauderdale Airport, 166 N. Compass Way, Fort Lauderdale, ....	26053635	7/12/2022 Vol. 48/134
Development 64B8-9.009	The Board proposes the development to clarify the standard of care for gluteal fat grafting (aka – Brazilian Butt Lifts).	26046360	7/8/2022 Vol. 48/132
Final 64B8-9.009	Standard of Care for Office Surgery	25594243	Effective: 03/10/2022
Proposed 64B8-9.009	The Board proposed the rule amendment to update the language to require renewal of transfer agreements every five years and the agreement must include an effective date.	25452138	1/13/2022 Vol. 48/09
Development 64B8-9.009	The Board proposed the rule amendment to update the language to require renewal of transfer agreements every five years and the agreement must include an effective date.	25403541	12/29/2021 Vol. 47/250
Variances 64B8-9.009	withdrawn	23525330	8/12/2020 Vol. 46/157
Variances 64B8-9.009		23523487	8/12/2020 Vol. 46/157
Variances 64B8-9.009		23302036	6/3/2020 Vol. 46/108
Final 64B8-9.009	Standard of Care for Office Surgery	22932757	Effective: 03/02/2020
Proposed 64B8-9.009	The proposed rule amendment is intended to clarify language for gluteal fat grafting.	22781728	1/7/2020 Vol. 46/04
Development 64B8-9.009	The Board proposes the development of a rule amendment to clarify language regarding gluteal fat transfers.	22751949	12/23/2019 Vol. 45/247
Final 64B8-9.009	Standard of Care for Office Surgery	22281693	Effective: 09/03/2019
Proposed 64B8-9.009	The proposed rule amendment is intended to address the standard of care for gluteal fat grafting.	22125523	7/15/2019 Vol. 45/136
Variances 64B8-9.009		21900774	5/24/2019 Vol. 45/102
Development 64B8-9.009	The Board proposes the development of rule amendments to address high-risk procedures in office surgery settings.	21539158	2/21/2019 Vol. 45/36
Final 64B8-9.009	Standard of Care for Office Surgery	20550243	Effective: 07/02/2018
Proposed 64B8-9.009	The proposed rule amendment is intended to set forth an additional entity for the purpose of providing basic life support (BLS) and advanced cardiac life support (ACLS) training.	20387477	5/9/2018 Vol. 44/91
Final 64B8-9.009	Standard of Care for Office Surgery	20334612	Effective: 05/07/2018
Development 64B8-9.009	The Board proposes the development of a rule amendment to add an additional entity to provide basic life support and advanced cardiac life support training for office surgery settings.	20323845	4/23/2018 Vol. 44/79
Variances 64B8-9.009	variance filed on behalf of Scott Loessin, M.D., from Rule 64B8-9.009, F.A.C. The Petitioner seeks a variance from 64B9-9.009(2)(f), which requires patients to be discharged within 24 hours of presenting to the office for ....	20159430	3/9/2018 Vol. 44/48
Proposed 64B8-9.009	The proposed rule amendment is intended to clarify the requirements for the post-operative care of patients in office surgery settings.	20138090	3/6/2018 Vol. 44/45
Development 64B8-9.009	The Board proposes the development of a rule amendment to address the issue of itinerant physicians.	20074749	2/16/2018 Vol. 44/33
Variances 64B8-9.009	waiver or variance filed on behalf of Scott Loessin, M.D., from Rule 64B8-9.009, F.A.C. The Petitioner seeks a variance from 64B9-9.009(2)(f), which requires patients to be discharged within 24 hours of presenting to the ....	20047492	2/8/2018 Vol. 44/27
Final 64B8-9.009	Standard of Care for Office Surgery	19324842	Effective: 09/04/2017
Proposed 64B8-9.009	The proposed rule amendment is intended to clarify the requirements for pre-operative clearance of specific surgical patients for Level III office surgery procedures. Additionally, the rule amendments set forth an additional ....	19148593	7/6/2017 Vol. 43/130
Final 64B8-9.009	Standard of Care for Office Surgery	19180797	Effective: 06/23/2017
Development 64B8-9.009	The Board proposes the development of a rule amendment to clarify language with regard to pre-operative clearance and to add an additional entity to provide basic life support and advanced cardiac life support training for ....	19093594	6/19/2017 Vol. 43/118
Final 64B8-9.009	Standard of Care for Office Surgery	18939655	Effective: 05/22/2017
Hearing 64B8-9.009	Standard of Care for Office Surgery	18761951	3/22/2017 Vol. 43/56
Proposed 64B8-9.009	The proposed rule amendment is intended to clarify subsection (2)(a), by removing an outdated reference which no longer exists in Rule 64B8-30.012, F.A.C.	18678240	3/2/2017 Vol. 43/42
Development 64B8-9.009	The Board proposes the development of a rule amendment to clarify language with regard to records for surgical procedures.	18605102	2/14/2017 Vol. 43/30
Final 64B8-9.009	Standard of Care for Office Surgery	17919215	Effective: 09/04/2016
Proposed 64B8-9.009	The proposed rule amendments are intended to add the American Red Cross as an entity which provides certification in basic life support. Additionally, the Board intends to remove requirement that Vasopressin be stocked ....	17733751	7/7/2016 Vol. 42/131
Development 64B8-9.009	The Board proposes the development of rule amendments to delete the requirement for Vasopressin on the crash cart and to add the American Red Cross to those entities who provide certification in basic life support.	17669925	6/22/2016 Vol. 42/121
Proposed 64B8-9.009	The proposed rule amendments are intended to clarify language with regard Level I office surgery procedures and to require the addition of certain drugs to be maintained when performing such procedures.	17503861	5/6/2016 Vol. 42/89
Development 64B8-9.009	The Board proposes the development of rule amendments to clarify language with regard to Level I office surgery procedures and the inclusion of certain drugs which will be needed when performing such procedures.	17441296	4/21/2016 Vol. 42/78
Variances 64B8-9.009	that on January 12, 2016, an Order was filed on the Petition for Waiver or Variance. The Petition for Waiver or Variance was filed by Clifford P. Clark, III, M.D., on September 16, 2015, seeking a waiver or variance from ....	17028949	1/13/2016 Vol. 42/08
Variances 64B8-9.009	that on October 29, 2015, an Order was filed on the Petition for Waiver or Variance. The Petition for Waiver or Variance was filed by Kevin W. Graham, from Rule 64B8-9.009, F.A.C., with regard to the requirement for sterilization ....	16700992	10/30/2015 Vol. 41/212
Variances 64B8-9.009	waiver or variance filed by Clifford P. Clark, III, M.D., from Rule 64B8-9.009, F.A.C., with regard to the limitation on the amount of supernatant fat than can be removed during liposuction procedures in office surgery settings. ....	16654723	10/21/2015 Vol. 41/205
Variances 64B8-9.009	waiver or variance filed by Kevin W. Graham, from Rule 64B8-9.009, F.A.C., with regard to the requirement for sterilization equipment in office surgery settings. Comments on this petition should be filed with the Board of ....	16439286	9/4/2015 Vol. 41/173
Final 64B8-9.009	Standard of Care for Office Surgery	15821202	Effective: 04/06/2015
Change 64B8-9.009	Standard of Care for Office Surgery	15691416	2/19/2015 Vol. 41/34
Hearing 64B8-9.009	Standard of Care for Office Surgery	15491111	1/6/2015 Vol. 41/03
Hearing 64B8-9.009	Standard of Care for Office Surgery	15209617	10/27/2014 Vol. 40/209
Proposed 64B8-9.009	The proposed rule amendments are intended to clarify several of the requirements with regard to office surgery, including clarification of the various levels of office surgery; updating of the anesthesia monitoring guidelines; ....	15077018	9/18/2014 Vol. 40/182
Development 64B8-9.009	The Board proposes the development of rule amendments to clarify several of the requirements with regard to office surgery, including clarification of the various levels of office surgery; updating of the anesthesia monitoring ....	15002425	9/2/2014 Vol. 40/170
Final 64B8-9.009	Standard of Care for Office Surgery	14799695	Effective: 07/22/2014
Proposed 64B8-9.009	The proposed rule amendments are intended to clarify the definition of office surgery.	14628005	5/30/2014 Vol. 40/105
Development 64B8-9.009	The Board proposes the development of rule amendments to clarify the definition of office surgery.	14551278	5/14/2014 Vol. 40/94
Variances 64B8-9.009 ......	withdrawn	14424790	4/8/2014 Vol. 40/68
Variances 64B8-9.009	waiver filed on behalf of Dwight C. Reynolds, M.D., from Rules 64B8-9.009, and 9.0091, F.A.C., with regard to the requirement for a transfer agreement for certain liposuction procedures in office surgery settings. Comments ....	14117397	1/29/2014 Vol. 40/19
Final 64B8-9.009	Standard of Care for Office Surgery	12660166	Effective: 03/03/2013
Final 64B8-9.009	Standard of Care for Office Surgery	12439685	Effective: 01/09/2013
Proposed 64B8-9.009 ......	The proposed rule amendments are intended to address the requirement for transfer agreements and to clarify when transfer agreements are necessary.	12454817	1/4/2013 Vol. 39/03
Development 64B8-9.009 ......	The Board proposes the development of a rule amendment to address the requirement for transfer agreements and to clarify the conditions under which a transfer agreement is necessary.	12389536	12/14/2012 Vol. 38/91
Variances 64B8-9.009	Withdrawn	12367808	12/10/2012 Vol. 38/87
Final 64B8-9.009	Standard of Care for Office Surgery	12249759	Effective: 11/22/2012
Proposed 64B8-9.009 ......	The proposed rule amendments are intended to implement the statutory mandate set forth in subsection 458.309(3), F.S., with regard to the requirement for registration in facilities in which more than 1000 cc’s of supernatant ....	12282836	11/15/2012 Vol. 38/72
Development 64B8-9.009 ......	The proposed rule amendments are necessary to implement the statutory mandate set forth in Section 458.309(3), F.S., with regard to liposuction limits.	12212802	10/30/2012 Vol. 38/61
Proposed 64B8-9.009	The proposed rule amendment is intended to clarify the appropriate medications and supplies to be utilized on the crash cart in certain office surgery settings.	12074965	10/1/2012 Vol. 38/40
Variances 64B8-9.009	waiver or variance filed on behalf of Panhandle Orthopaedics, LLC, from Rule 64B8-9.009, F.A.C., with regard to the requirement for a transfer agreement for level II office surgery. Comments on this petition should be filed ....	11987762	9/14/2012 Vol. 38/37
Development 64B8-9.009	The Board proposes the development of a rule amendment to clarify appropriate medications and supplies to be utilized on the crash cart in certain office surgery settings.	11946052	9/7/2012 Vol. 38/36
Final 64B8-9.009	Standard of Care for Office Surgery	11817624	Effective: 08/06/2012
Proposed 64B8-9.009	The proposed rule amendment is intended to set forth a period of time (6 years) for the maintenance of surgical logs.	11588025	6/15/2012 Vol. 38/24
Development 64B8-9.009	The Board proposes the development of a rule amendment to clarify the length of time for which physicians need to maintain surgical logs.	11492771	5/18/2012 Vol. 38/20
Withdrawal 64B8-9.009	Standard of Care for Office Surgery	11491122	5/18/2012 Vol. 38/20
Proposed 64B8-9.009	The proposed rule amendment is intended to set forth the conditions under which physicians do not need to stock dantrolene in office surgery settings.	11343197	4/6/2012 Vol. 38/14
Development 64B8-9.009	The Board proposes the development of a rule amendment to set forth conditions under which physicians do not need to keep dantrolene in office surgery facilities.	11147936	3/9/2012 Vol. 38/10
Variances 64B8-9.009	permanent waiver filed by Sreenivas Vangara, M.D., from Rule 64B8-9.009, F.A.C., with regard to the requirement for dantrolene on site for Level III office surgery. Comments on this petition should be filed with the: Board ....	10619189	11/10/2011 Vol. 37/45
Withdrawal 64B8-9.009	Standard of Care for Office Surgery	9891204	5/13/2011 Vol. 37/19
Hearing 64B8-9.009	Standard of Care for Office Surgery	9491564	12/23/2010 Vol. 36/51
Proposed 64B8-9.009	The proposed rule amendment addresses the American Society of Anesthesiologists’ most recent guidelines for office based anesthesia.	9250422	10/15/2010 Vol. 36/41
Development 64B8-9.009	The Board proposes the development of rule amendments to address the American Society of Anesthesiologists’ most recent guidelines for office based anesthesia.	9027710	8/20/2010 Vol. 36/33
Final 64B8-9.009	Standard of Care for Office Surgery	8442412	Effective: 03/25/2010
Change 64B8-9.009	Standard of Care for Office Surgery	8238712	2/5/2010 Vol. 36/05
Proposed 64B8-9.009	The proposed rule amendments are intended to clarify Level II office surgery with regard to sedation and to require automated external defibrillators (AEDs) in offices which perform Level II and Level III office surgery.	8069641	12/24/2009 Vol. 35/51
Development 64B8-9.009	The Board proposes the development of rule amendments to address additional requirements for physician office surgery settings.	7276084	6/19/2009 Vol. 35/24
Final 64B8-9.009	Standard of Care for Office Surgery	4538550	Effective: 09/03/2007
Variances 64B8-9.009		4358615	7/20/2007 Vol. 33/29
Petition 64B8-9.009	.... ....	4358518	7/20/2007 Vol. 33/29
Proposed 64B8-9.009	The proposed rule amendment is intended to address additional criteria for office surgery settings.	4293334	6/29/2007 Vol. 33/26
Development 64B8-9.009	The Board proposes the development of rule amendments to address additional criteria for office surgery settings.	4187119	6/1/2007 Vol. 33/22
Final 64B8-9.009	Standard of Care for Office Surgery	3999618	Effective: 04/18/2007
Proposed 64B8-9.009	The proposed rule amendments are intended to clarify training requirements for those physicians who perform Level II and Level III office surgery.	3793493	2/23/2007 Vol. 33/08
Final 64B8-9.009	Standard of Care for Office Surgery	3053480	Effective: 10/10/2006
Change 64B8-9.009	Standard of Care for Office Surgery	627316	8/25/2006 Vol. 32/34
Proposed 64B8-9.009	The proposed rule amendments are intended to clarify the rule with regard to office surgery facilities and general office surgery requirements.	437584	6/23/2006 Vol. 32/25
Development 64B8-9.009 ......	The Board proposes the review of the above rules to determine whether additional amendments are required.	307216	5/5/2006 Vol. 32/18
Development 64B8-9.009	The Board proposes the development of rule amendments to clarify the rule with regard to office surgery facilities and general office surgery requirements.	270938	4/28/2006 Vol. 32/17
Final 64B8-9.009	Standard of Care for Office Surgery	2413474	Effective: 10/23/2005

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