Okla. Admin. Code § 195:20-1-5 - General anesthesia (to include deep sedation)
(a)
Required training. Every
dentist who administers general anesthesia or deep sedation must meet one of
the following requirements:
(1) A minimum of
two years of post-doctoral training in anesthesiology as described by the
American Dental Association in Part II of Guidelines for Teaching the
Comprehensive Control of Pain and Anxiety in Dentistry.
(2) A dentist with one year of post-doctoral
training in anesthesiology with a current general anesthesia permit will be
grandfathered
(3) Specialty
certification in oral and maxillofacial surgery.
(4) Certification as a fellow in Anesthesia
by the American Dental Society of Anesthesiology.
(b)
Permit for dentists. No
dentist shall administer general anesthesia (including deep sedation) for
dental patients, unless such dentist possesses a permit or authorization issued
by the Oklahoma Board for the administration of general anesthesia (including
deep sedation). 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 to provide general
anesthesia (including deep sedation) shall Satisfy all of the following:
(1) Current certification in Basic Life
Support (BLS) and Advanced 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 years at least six
(6) hours of courses related to the administration of anesthesia, sedation or
medical emergencies in the dental office. These 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 general anesthesia (to include deep
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 and/or the American
Association of Oral and Maxillofacial Surgeon's "Office Anesthesia Evaluation
Manual". 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 general anesthesia 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 general anesthesia provider permit.
(2) 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
195:20-1-5(f).
(e)
Provider permit inspections. The knowledge, techniques,
procedures, facilities, drugs, equipment and personnel utilization of every
dentist who administers general anesthesia (including deep 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 ADA Guidelines for the Use of Conscious Sedation Deep
Sedation and General Anesthesia in Dentistry and/or the American Association of
Oral and Maxillofacial Surgeon's "Office Anesthesia Evaluation Manual". New
permit applicants will be required to demonstrate the administration of general
anesthesia (including deep 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 general anesthesia (including deep 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 general
anesthesia (including deep sedation) to patients by a CRNA provided that 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).
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.