Okla. Admin. Code § 195:20-1-4 - Conscious sedation utilizing parenteral methods
(a)
Required training. Every
dentist who administers conscious sedation using parenteral methods (includes
intramuscular (IM), intravenous (IV), intranasal (IN), submucusal (SM),
subcutaneous (SC), or intraocular) for dental patients must satisfy at least
one of the following requirements:
(1) Has
accrued a minimum of sixty (60) hours training in parenteral conscious sedation
techniques given by a faculty member of a recognized teaching institution or
hospital, or must have participated in an education program approved by the
Board. Didactic and clinical training shall follow the Guidelines for Teaching
the Comprehensive Control of Pain and Anxiety in Dentistry, a publication of
the American Dental Association.
(2) Currently hold a permit in the State of
Oklahoma to provide general anesthesia (to include deep sedation).
(3) Completion of an American Dental
Association Commission on Dental Accreditation approved advanced dental
education program which includes at least sixty (60) hours of comprehensive and
appropriate training necessary to administer and manage parenteral conscious
sedation.
(b)
Permits for dentists. No dentist shall administer conscious
sedation using parenteral methods for dental patients, unless such dentist
possesses a permit or authorization issued by the Oklahoma Dental Board for the
administration of conscious sedation using parenteral methods. Application for
such permit will be made to the Board on the prescribed form. A successful
credentials review will result in a notification that a formal evaluation can
be scheduled. The dentist holding such permit shall be subject to review and
such permit must be renewed annually, along with payment of the required
fee.
(c)
Current
training. A dentist who holds a permit for parenteral conscious sedation
shall satisfy all of the following:
(1)
Current certification in Basic Life Support (BLS) and Advanced Cardiac Life
Support (ACLS) or Pediatric Advanced Life Support (PALS) by the American Heart
Association.
(2) Two (2) assistants
involved in the procedure currently certified in Basic Life Support for Health
Care Providers by the American Heart Association.
(3) Complete every three (3) years at least
six (6) hours of courses related to the administration of sedation, anesthesia
or medical emergencies in the dental office. These six (6) hours are in
addition to those accrued completing certification or re-certification in BLS
and ACLS or PALS.
(d)
Facility permit inspections. Each facility of every dentist who
authorizes or directly supervises the administration of parenteral conscious
sedation in his or her office shall successfully pass inspection by a
consultant or consultants appointed by the Board. This will include an
evaluation of the facility's equipment and personnel and will follow the
American Dental Association's Guidelines for the Use of Conscious Sedation,
Deep Sedation, and General Anesthesia in Dentistry. This evaluation will be on
a prescribed form approved by the Board and available to the applicant for
review prior to a request for an inspection. A written list of all monitors,
emergency equipment, drugs, and other materials which the mobile or portable
anesthesia provider agrees to have available at all times while administering
parenteral conscious sedation in this facility will be required at the time of
inspection. The dentist holding a facility permit can work with or employ:
(1) A dentist holding a valid parenteral
conscious sedation permit.
(2) A
dentist holding a valid general anesthesia provider permit.
(3) A Certified Registered Nurse Anesthetist
licensed to practice in the State of Oklahoma, provided the dentist who
directly supervises the CRNA satisfies the requirements stated in
195:20-1-4(f).
(e)
Provider permit inspections. The knowledge, techniques,
procedures, facilities, drugs, equipment and personnel utilization of every
dentist who administers parenteral conscious sedation shall successfully pass
inspection by a consultant or consultants appointed by the Board. This
evaluation will be completed on a prescribed form approved by the Board and
available to the applicant for review prior to an inspection. This form shall
follow the American Dental Association Guidelines for the Use of Conscious
Sedation Deep Sedation and General Anesthesia in Dentistry. New permit
applicants will be required to demonstrate the administration of parenteral
conscious sedation to a patient in the presence of an evaluation team. In the
case of a mobile or portable dentist provider, all inspections of that provider
shall be conducted in the office of an Oklahoma licensed dentist where
parenteral conscious sedation is administered. At least fifty percent (50%) of
the inspection team shall be composed of a like trained dentist, unless the
dentist to be inspected waives the provision.
(f)
Direct supervision of a Certified
Registered Nurse Anesthetist (CRNA). A dentist is permitted to directly
supervise the administration of parenteral conscious sedation to patients by a
CRNA provided the following requirements are satisfied:
(1) Current certification in Basic Life
Support (BLS) and Advanced Cardiac Life Support (ACLS) or Pediatric Advanced
Life Support (PALS) by the American Heart Association.
(2) Complete every three (3) years at least
eighteen (18) hours of courses related to the administration of anesthesia,
sedation or medical emergencies in the dental office. Hours accrued completing
certification or re-certification in BLS and ACLS or PALS shall be accepted
towards completion of this eighteen (18) hour requirement.
(3) Hold a valid facility permit as described
in 195:20-1-4(d).
(g)
Restrictions. No dentist providing parenteral conscious sedation
shall administer or employ any agent(s) which has a narrow margin for
maintaining consciousness and would likely render a patient deeply sedated,
generally anesthetized, or otherwise not meeting the conditions of the
definition of conscious sedation as stated in section
195:20-1-2.
Notes
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