Current through Register Vol. 43, No. 52, December 26, 2024
(a) To be eligible for issuance of a level II
permit, each dentist shall submit the following to the board:
(1) An application on the form provided by
the board;
(2)
(A) Evidence of a current "advanced
cardiovascular life support" certificate from the American heart
association;
(B) evidence of a
current certificate deemed equivalent to the certificate specified in paragraph
(a)(2)(A) by the board from a provider approved by the board; or
(C) evidence of satisfactory completion of a
simulated office emergency course approved by the board;
(3)
(A)
Evidence of having successfully completed a course or postdoctoral training
program in parenteral conscious sedation that is approved by the board;
or
(B) evidence of performance of
at least 20 clinical cases of parenteral sedation over the preceding two years,
which shall be evaluated by the board;
(4) a level II permit fee of $150;
and
(5) an explanation of any
sedation-related mortality or morbidity that occurred to a patient of the
applicant during the preceding five years and could have been associated with
the administration of a sedative agent.
(b) To be approved by the board, each course
or training program specified in paragraph (a)(3)(A) shall meet the following
requirements:
(1) Provide comprehensive
training in the administration and management of parenteral conscious
sedation;
(2) include training in
patient evaluation and selection, use of equipment, personnel requirements,
monitoring, documentation, patient medical management, and emergency
management, including emergency airway management; and
(3) include at least 40 hours of didactic
instruction and 20 clinical cases of parenteral conscious sedation.
(c)
(1) Each level II permit shall be required to
be renewed before the expiration of the dentist's license and as part of the
biennial license renewal.
(2) To
apply for renewal of a level II permit, each dentist shall provide the
following to the board:
(A)
(i) Evidence of a current "advanced
cardiovascular life support" certificate from the American heart
association;
(ii) evidence of a
current certificate deemed equivalent to the certificate specified in paragraph
(c)(2)(A)(i) by the board from a provider approved by the board; or
(iii) evidence of satisfactory completion,
within the 12-month period preceding the filing of the renewal application, of
a simulated office emergency course approved by the board;
(B) in addition to the continuing education
required to renew the dentist's license, proof of eight hours of continuing
education limited to sedation, which shall include the complications associated
with parenteral conscious sedation and their management; and
(C) the biennial renewal fee off
$150.
(d)
Before administering parenteral conscious sedation, each treating dentist shall
meet all of the requirements specified in K.A.R. 71-5-10(d).
(e) During the administration of parenteral
conscious sedation, each treating dentist shall meet the following
requirements:
(1) Meet the requirements
specified in K.A.R. 71-5-10(e);
(2)
continuously monitor for the presence of exhaled carbon dioxide using a
capnograph, unless doing so would be precluded or invalidated by the nature of
the patient, procedure, or equipment; and
(3) ensure that an automated external
defibrillator or defibrillator is available and in working order.
(f) Whenever parenteral conscious
sedation is administered, a record containing the information specified in
K.A.R. 71-5-10(f)(1), (3), (4), (5), (6), and ( 7) shall be contemporaneously
created. This record shall include the following:
(1) The name and amount of each fluid
administered;
(2) the site of
administration of each medication and the type of catheter used, if applicable;
and
(3) documentation of the
sedative agents administered, the approximate time when the sedative agents
were administered, the amount of each agent administered, and the patient's
blood pressure, heart rate, and oxygen saturation readings at the start of
sedation, at the end of the surgical or operative procedure, and at five-minute
intervals throughout the procedure.
These records shall be maintained for at least 10 years as a
part of the patient's record.
(g) During the administration of parenteral
conscious sedation and the recovery phase, each treating dentist shall ensure
that the requirements specified in K.A.R. 71-5-10(g)(1), (2), and ( 3) and the
following conditions are met:
(1) The
patient's blood pressure, heart rate, and oxygen saturation reading are
recorded at least every five minutes.
(2) The patient's ability to appropriately
respond to physical stimulation or verbal command is documented every five
minutes.
(h) Following
the administration of parenteral conscious sedation and the recovery phase,
each treating dentist shall ensure that the requirements specified in K.A.R.
71-5-10(h) are met.
(i) Whenever
parenteral conscious sedation is administered, the records required by K.A.R.
71-5-10(i) shall be contemporaneously created. These records shall be
maintained for at least 10 years as part of the patient's record.