Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
313 - BOARD OF DENTAL PRACTICE
Chapter 14 - RULES FOR USE OF SEDATION AND GENERAL ANESTHESIA
Section 313-14-VII - USE OF MINIMUM AND MODERATE SEDATION; PERMIT REQUIREMENTS

(i) Have successfully completed a Board-approved comprehensive training program of a minimum of twenty-four (24) hours duration, plus management of at least ten (10) adult case experiences by the enteral and/or enteral-nitrous oxide/oxygen route as described in the "ADA Teaching Guidelines." The ten (10) cases must include at least three live clinical dental experiences managed by participants in groups no larger than five (5). The remaining cases may include simulations and/or video presentations, but must include one experience in returning (rescuing) a patient from deep to moderate sedation. Participants should be provided supervised opportunities for clinical experience to demonstrate competence in airway management. Clinical experience will be provided in managing healthy adult patients. This course in moderate enteral sedation is not designed for the management of children (aged 12 and under). Additional supervised clinical experience is necessary to prepare participants to manage medically compromised adults and special needs patients. This course in moderate enteral sedation does not result in competency in moderate parenteral sedation;

(ii) Possess current life support certifications in accordance with Section V(H)(1)(b);

(iii) Have submitted to the Board a completed, signed certification form that attests to adhering to the equipment, personnel, procedures, techniques and documents as outlined in the "ADA Sedation Guidelines" and requirements in this chapter; and

(iv) If providing sedation services to an operating dentist, agree to comply with the notification requirements in this chapter that requires the sedation provider to submit to the Board, fourteen (14) days prior to delivering services in this chapter, a signed, written agreement between the operating dentist and sedation provider identifying the location of which sedation services are to be administered and demonstrating compliance with the equipment, personnel, procedures, techniques and documents as outlined in the "ADA Sedation Guidelines" and requirements in this chapter. The agreement, at a minimum, must describe how emergency response training and protocols will be developed and practiced, procedures for verifying qualifications of personnel who assist in the care and monitoring of the patient, responsibilities for pre-operative, inter-operative, and post- operative patient assessment and monitoring, responsibilities for obtaining informed consent, and how compliance with applicable board statutes and regulations will be achieved and maintained at the site.

(i) Have successfully completed a Board-approved comprehensive training program of a minimum of sixty (60) hours of instruction, plus management of at least 20 patients by the intravenous route per participant as described in the "ADA Teaching Guidelines." Clinical experience in managing a compromised airway is critical to the prevention of emergencies. Participants should be provided supervised opportunities for clinical experience to demonstrate competence in management of the airway. Typically, clinical experience will be provided in managing healthy adult patients. Additional supervised clinical experience is necessary to prepare participants to manage children (aged 12 and under) and medically compromised adults;

(ii) Possess current life support certifications in accordance with Section V(H)(1)(b);

(iii) Have submitted to the Board a completed, signed certification form that attests to adhering to the equipment, personnel, procedures, techniques and documents as outlined in the "ADA Sedation Guidelines" and requirements in this chapter; and

(iv) If providing sedation services to an operating dentist, agree to comply with the notification requirements in this chapter that requires the sedation provider to submit to the Board, fourteen (14) days prior to delivering services in this chapter, a signed, written agreement between the operating dentist and sedation provider identifying the location of which sedation services are to be administered and demonstrating compliance with the equipment, personnel, procedures, techniques and documents as outlined in the "ADA Sedation Guidelines" and requirements in this chapter. The agreement, at a minimum, must describe how emergency response training and protocols will be developed and practiced, procedures for verifying qualifications of personnel who assist in the care and monitoring of the patient, responsibilities for pre-operative, inter-operative, and post- operative patient assessment and monitoring, responsibilities for obtaining informed consent, and how compliance with applicable board statutes and regulations will be achieved and maintained at the site.