Okla. Admin. Code § 195:20-1-9 - Minimal standards for dentists utilizing general anesthesia or deep sedation
(a) Every
dentist who utilizes general anesthesia or deep sedation shall be responsible
for all aspects of the procedure as outlined in Part I, Section V in the
American Dental Association Guidelines for the Use of Conscious Sedation, Deep
Sedation and General Anesthesia for dentists and/or the American Association of
Oral and Maxillofacial Surgeon's "Office Anesthesia Evaluation Manual." This
shall include careful patient evaluation and informed consent prior to the
start of any anesthetic procedure. Continuous monitoring of oxygenation,
ventilation, and circulation with documentation of all procedures, drugs, and
agents on an appropriate time-oriented anesthesia record shall be completed for
each patient. A device capable of measuring body temperature should be readily
available, if needed, during the administration of deep sedation/general
anesthesia. When agents implicated in precipitating malignant hyperthermia are
utilized, continual monitoring of body temperature must be performed. The
dentist performing the anesthesia is required to be in the patient's presence
at all times during the procedure. No provider shall have more than one patient
under any form of sedation or anesthesia at the same time, exclusive of
recovery. Supervised recovery and complete evaluation of the patient prior to
discharge to a responsible adult is required. Minimal monitoring equipment
shall include blood pressure apparatus (manual or automatic),
pulse oximeter , end-tidal carbon dioxide monitor
(intubated patients), temperature monitor, electrocardiograph ,
and a defibrillator.
(b) The anesthesia permit provider is
responsible for the anesthetic management, adequacy of the facility, and
treatment of emergencies associated with the administration of general
anesthesia, including immediate access to pharmacologic antagonists, if any,
and appropriately sized equipment for establishing a patent airway and
providing positive pressure ventilation with oxygen.
Notes
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