Cosmetic Surgery Safety: California requires pre-op medical clearance ("Donda West Law")

Dr. Graham has emphasized safety and patient comfort for almost 20 years performing cosmetic surgery. Our patients receive thorough medical history evaluation and perioperative teaching, appropriate physical examination, and evaluation of our physician anesthesiologist prior to surgery. We contact our patient's primary care doctors, and occasionally cardiologists, to request relevant health information prior to surgery. This is nothing new.

Following an unfortunate well publicized tragedy in California, a local legislator held a public contest to request suggestions for laws. As a result her law requires a preoperative medical evaluation by a physician before cosmetic surgery.

Excerpt: "Governor Arnold Schwarzenegger signed into law on Oct. 11 legislation authored by District 62 Assemblymember Wilmer Amina Carter that would requires a health check and a written clearance before being allowed to undergo plastic surgery. Assembly Bill 1116, named the Donda West Law, was inspired by the death of Kanye West's mother. The bill came as a result of her 62nd Districtwide contest, "It Ought to Be a Law." "This law will potentially saved lives," Assemblymember Carter said. "There is a growing trend of people opting to have elected cosmetic surgery, and they are not aware of the risks involved." Specially, the law requires physicians and surgeons, including people licensed by the state holding permits to perform elective facial cosmetic surgery to complete a physical examination including a complete medical history on their patients, prior to performing elective cosmetic surgery"

For the complete article see: http://democrats.assembly.ca.gov/members/a62/newsroom/20091014AD62PR02.htm

The text of Assembly Bill 1116 follows:

http://info.sen.ca.gov/pub/09-10/bill/asm/ab_1101-1150/ab_1116_cfa_20090504_131942_asm_comm.html

Accreditation standards for Office Surgical Facilities and hospitals routinely require pre-operative medical history taking and physical examination. All surgeons that are members of the American Society of Plastic Surgeons (http://www.plasticsurgery.org/) are required to only operate in accredited facilities. For more information on our quality and safety see our website, http://www.expertplasticsurgeon.com/html/about.html#nationally-accredited-facilities

Teaching nurses about safe out-patient surgery

On Monday April 27th Dr. Graham and his staff are hosting an educational seminar for the Association of Operating Room Nurses (AORN) Piedmont Chapter. This is a nursing professional organization specific to OR nurses, most of them hospital-based.

We will provide education about office based surgery including national accreditation, safety standards, back-up systems, peer review, advanced cardiac life support training, and finally specific facial, breast & body cosmetic procedures.

This seminar is an element in required continuing nursing education.

Office Plastic Surgery & Anesthesia Safety

The safety of both anesthesia care and surgical procedures has improved greatly in the past 25 years. The number and complexity of out-patient surgery across all surgical specialties has increased several fold. All surgery involves risks, but risk reduction is accomplished in many ways.

In 2007, according to the American Society of Aesthetic Plastic Surgeons, 54% of all cosmetic procedures were performed in office surgical centers, and another 28% in out-patient surgical centers. That leaves only 17% having been done in hospitals. Surgical procedure statistics showed 8% increase from the prior year. (http://www.surgery.org/)

National accreditation is one important assessment of the dedication and quality of a office surgical facility. The American Association for Accreditation of Ambulatory Surgical Facilities evaluates our facility(http://www.aaasf.org/). We undergo annual assessment requiring 100% compliance, including periodic inspection. The criteria are numerous, but include preoperative medical screening, availability of emergency equipment and medications, and advanced life support certification. These address some of the questions raised by recent media & public concern over safety issues in Florida, California, and NYC.

We offer full-time board-certified physician anesthesiologist care, in addition to our board-certified plastic surgeon. All our anesthesia is personally done by the anesthesia doctor. Dr. Graham concentrates on your surgery and is not responsible for also supervising a nurse anesthetist. Safety is an attribute of our practice. For other ways in which our practice is different, read our new website.

Update July 16, 2008. See the link http://www.plasticsurgery.org/media/press_releases/July08-PRS-PatientSafety.cfm