CMS SOM App. A, Tag A-0942

or a doctor of medicine or osteopathy.

Interpretive Guidelines §482.51(a)(1)

The operating room (inpatient and outpatient) must be supervised by an experienced RN or

MD/DO. The RN or MD/DO supervising the operating room must demonstrate appropriate

education, background working in surgical services, and specialized training in the provision of

surgical services/management of surgical service operations. The hospital should address its

required qualifications for the supervisor of the hospital’s operating rooms in its policies and the

supervisor’s personnel file should contain information demonstrating compliance with the

hospital’s established qualifications.

Survey Procedures §482.51(a)(1)

• Verify that an RN or a doctor of medicine or osteopathy is assigned responsibility for

supervision of the operating rooms.

• Request a copy of the supervisor’s position description to determine that it specifies

qualifications, duties and responsibilities of the position. Verify that the supervisor is

experienced and competent in the management of surgical services.