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Minnesota Legislature

Office of the Revisor of Statutes

Key: (1) language to be deleted (2) new language

  

                         Laws of Minnesota 1990 

                        CHAPTER 540-S.F.No. 443 
           An act relating to health; establishing standards for 
          the use of nitrous oxide in the practice of podiatric 
          medicine; amending Minnesota Statutes 1988, section 
          153.01, subdivision 2; proposing coding for new law in 
          Minnesota Statutes, chapter 153. 
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
    Section 1.  Minnesota Statutes 1988, section 153.01, 
subdivision 2, is amended to read: 
    Subd. 2.  [PODIATRIC MEDICINE.] "Podiatric medicine" means 
the diagnosis or medical, mechanical, or surgical treatment of 
the ailments of the human hand, foot, ankle, and the soft tissue 
of the lower leg distal to the tibial tuberosity, including 
amputation of the toe, but not including amputation of the foot, 
hand, or fingers, or the use of anesthetics other than local 
anesthetics, except as provided in section 2.  "Podiatric 
medicine" includes the prescribing or recommending of 
appliances, devices, or shoes for the correction or relief of 
foot ailments.  "Podiatric medicine" includes the prescribing or 
administering of any drugs or medications necessary or helpful 
to the practice of podiatry as defined by this subdivision, 
provided, however, that licensed podiatrists shall be restricted 
in their prescribing or administering of any drugs or 
medications by the limitations imposed on the scope of practice 
of podiatric medicine as defined in this chapter. 
    Sec. 2.  [153.26] [USE OF NITROUS OXIDE.] 
    A podiatrist may use an oxygen-nitrous oxide mixture for 
sedation or analgesia only under the following conditions: 
    (1) the patient is not rendered unconscious; 
    (2) the nitrous oxide concentration is 70 percent of the 
mixture or less; 
    (3) the oxygen-nitrous oxide mixture is administered only 
by nasal inhalator equipped with scavenging system; 
    (4) an individual other than the attending podiatrist 
monitors the equipment and the patient during the administration 
of oxygen-nitrous oxide sedation and is medically directed and 
supervised by the podiatrist; 
    (5) the podiatrist and the individual referred to in clause 
(4) have successfully completed, after December 31, 1986, a 
course in nitrous oxide sedation approved by a school of 
podiatric medicine; 
    (6) the podiatrist and the individual referred to in clause 
(4) have completed, after December 31, 1986, a course in 
cardiopulmonary resuscitation; 
    (7) oxygen-nitrous oxide is not used in conjunction with 
any other analgesic or sedative; and 
    (8) the machine used for administering the oxygen-nitrous 
oxide mixture includes: 
    (i) an automatic shut-off valve in the event the oxygen 
concentration is less than three liters per minute; 
    (ii) an immediately available oxygen flush capability 
utilizing a positive pressure mask for pure oxygen delivery; 
    (iii) an automatic control over maximum nitrous oxide 
concentration which prevents oxygen concentration from falling 
below 30 percent of the mixture when nitrous oxide flow is 
maximal; and 
    (iv) color-coded valves, tanks, and knobs, and pin index 
and diameter index safety systems. 
    Presented to the governor April 24, 1990 
    Signed by the governor April 26, 1990, 10:24 p.m.