Current through Register Vol. 43, No. 52, December 26, 2024
(a) To be eligible for issuance of a level III 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 cardiac life support
for the health care provider" 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 postdoctoral
training program that is approved by the board; or
(B) evidence of performance of at least 20 clinical cases of
deep sedation or general anesthesia, or both, over the preceding two
years;
(4) the level III permit fee of $200; 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 postdoctoral training
program specified in paragraph (a)(3)(A) shall be at least one academic year in
duration and shall include training in the administration and management of
deep sedation and general anesthesia.
(c)
(1) Each level III permit shall 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 III permit, each dentist
shall provide the following to the board:
(A)
(i) Evidence of a current "advanced cardiac life support for
the health care provider" 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 airways and
intravenous sedation and their management; and
(C) the biennial renewal fee of $200.
(d) Before administering deep sedation or general anesthesia,
each treating dentist shall comply with all of the requirements specified in
K.A.R.
71-5-10(d) .
(e) During the administration of deep sedation or general
anesthesia, each treating dentist shall meet the following requirements:
(1) Ensure that at least two additional staff persons with a
current certificate in cardiopulmonary resuscitation for health care providers
are present in addition to the treating dentist;
(2) comply with all of the requirements specified in
K.A.R.
71-5-11(e); and
(3) ensure that the location at which the deep sedation or
general anesthesia is administered has readily available emergency agents and
devices necessary to perform advanced cardiac life support.
(f) Whenever deep sedation or general anesthesia is
administered, each treating dentist shall contemporaneously cause the records
required by
K.A.R.
71-5-10(i) and
K.A.R.
71-5-11(f) to be created.
These records shall be maintained for at least 10 years as part of the
patient's record.
(g) During the administration of deep sedation or general
anesthesia, each treating dentist shall ensure that the requirements specified
in K.A.R.
71-5-11(g) are met.
(h) Following the administration of deep sedation or general
anesthesia, each treating dentist shall ensure that the requirements specified
in K.A.R.
71-5-11(h) and the following
requirements are met:
(1) End-tidal carbon dioxide monitoring of the patient if an
endotracheal tube or a laryngeal mask airway was used during the administration
of the deep sedation or general anesthesia; and
(2) the continuous use of an ECG monitor if patient cooperation
and the length of the procedure permit.
(i) Whenever deep sedation or general anesthesia 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.