Cal. Code Regs. Tit. 16, § 1044.3 - Board Approved Education
(a) The
goal of an instructional program in oral medications and sedation is to provide the
educational opportunity for dentists to receive training in the techniques and
skills required to safely and effectively administer oral pharmacologic agents,
alone or in combination with nitrous oxide-oxygen inhalation, for the purpose of
obtaining conscious sedation in the adult dental patient.
(b) The educational program shall be approved by
the Board and shall consist of satisfactory completion of at least 25 hours of
instruction including a clinical component utilizing at least one age-appropriate
patient. The program shall include but not be limited to the following areas:
(1) Historical, philosophical, and legal aspects
of age-appropriate oral conscious sedation of dental patients, including the
Code.
(2) Indications and
contraindications for the utilization of age-appropriate oral conscious sedation in
dental patients.
(3) Patient evaluation
and selection through a review of the medical history, physical assessment, and
medical consultation.
(4) Definitions
and characteristics for levels of sedation achieved with oral sedative agents, with
special emphasis on the distinctions between moderate sedation, deep sedation, and
general anesthesia as recognized by such organizations as the American Dental
Association and the Board.
(5) Review of
respiratory and circulatory physiology and related anatomy, with special emphasis
on, and clinical experience in, establishing and maintaining an age-appropriate
patent airway in the patient.
(6)
Pharmacology of agents used in contemporary oral conscious sedation techniques,
including drug interactions, incompatibilities and side effects and adverse
reactions.
(7) Indications,
contraindications, and technique considerations in the use of different contemporary
age-appropriate oral conscious sedation modalities for dental patients.
(8) Patient monitoring during all stages of the
procedure by clinical observation and appropriate mechanical devices for
responsiveness, airway patency, and recording of vital signs.
(9) Importance of and techniques for maintaining
proper documentation of the procedure, including aspects of informed consent, pre-
and post-operative instructions, dietary considerations, preoperative health
evaluation, rationale for the procedure, baseline and intermittent vital signs, a
detailed record of all oral and inhalation drugs administered, the patient response
to the drugs, and recovery and discharge criteria.
(10) Prevention, recognition and management of
complications and life-threatening situations that may arise during age-appropriate
oral conscious sedation of the dental patient, including the principles of advanced
life support.
(c) A provider
of a course in oral medications and sedation intending to meet the requirements of
this section shall submit to the Board an application, on Form OCS-6 (Rev. 07/07),
"Application for Course Approval for Oral Conscious Sedation," incorporated herein
by reference. The Board may approve or deny approval of any such course. Approval
shall be granted after an evaluation of all components of the course has been
performed and such evaluation indicates that the course meets the requirements of
this section.
(d) Approval by the Board
of a course in oral medications and sedation shall remain in effect for a period of
twenty-four months, unless withdrawn sooner, after which a new application for
approval must be submitted to the Board.
Notes
2. Amendment of section and NOTE filed 12-13-2007; operative 12-13-2007 pursuant to Government Code section 11343.4 (Register 2007, No. 50).
3. Amendment of subsections (a)-(b)(1) and (b)(4) and amendment of NOTE filed 8-16-2022; operative 8-16-2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 33).
Note: Authority cited: Section 1614, Business and Professions Code. Reference: Section 1647.20, Business and Professions Code.
2. Amendment of section andNote filed 12-13-2007; operative 12-13-2007 pursuant to Government Code section 11343.4(Register 2007, No. 50).
3. Amendment of subsections (a)-(b)(1) and (b)(4) and amendment of NOTE filed 8-16-2022; operative
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