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-XIII - NOTIFICATION REQUIREMENTS WHEN UTILIZING THE SERVICES OF A SEDATION PROVIDER.
Universal Citation: 02 ME Code Rules ยง 313-14-XIII
Current through 2024-38, September 18, 2024
Failure to comply with the requirements of this section may result in disciplinary action against the operating dentist utilizing the services of a sedation provider, or disciplinary action against the dentist with a sedation permit issued under this chapter when providing sedation services for an operating dentist.
A. The following requirements must be met when an operating dentist intends to utilize the services of a sedation provider (a licensed dentist who holds a sedation permit issued under this chapter, a licensed physician or anesthesiologist, or a certified registered nurse anesthetist):
(1)
Notification requirements when the
Sedation Provider is a Dentist. Fourteen (14) days prior to utilizing
the services of a dentist as a sedation provider, the operating dentist must
submit to the Board for approval an application that meets the following
requirements:
(a) A certification form, that
is signed by the operating dentist and attests to the following:
i. The sedation provider holds an active
dentist license in good standing and holds an active sedation permit in good
standing from the Board to provide moderate or deep sedation/general anesthesia
services;
ii. The sedation provider
holds current life support certifications in accordance with Section
V(H)(1)(b);
and
(b) A signed, written
agreement between the operating dentist and sedation provider identifying the
location at which sedation and/or general anesthesia services are to be
administered by the sedation provider 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.
(2)
Notification requirements when the Sedation Provider is an
Anesthesiologist. Fourteen (14) days prior to utilizing the services of
an anesthesiologist as a sedation provider, the operating dentist must submit
to the Board for approval an application that meets the following requirements:
(a) A certification form, that is signed by
the operating dentist and attests to the following:
i. The sedation provider holds an active
medical license in good standing and has successfully completed graduate
medical education in the field of anesthesiology, as defined by the Maine Board
of Licensure in Medicine or the Maine Board of Osteopathic Licensure;
ii. The sedation provider holds current life
support certifications in BLS, ACLS and PALS. PALS certification is required
only when providing sedation services to pediatric patients and may be used in
meeting the ACLS requirement; and
(b) A signed, written agreement between the
operating dentist and sedation provider identifying the location at which
sedation and/or general anesthesia services are to be administered by the
sedation provider 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.
(3)
Notification requirements when the Sedation Provider is a Certified
Registered Nurse Anesthetist. Fourteen (14) days prior to utilizing the
services of a certified registered nurse anesthetist, the operating dentist
must submit to the Board for approval an application that meets the following
requirements:
(a) A certification form, that
is signed by the operating dentist and attests to the following:
i. The sedation provider holds an active
license in good standing as a certified registered nurse anesthetist as defined
by the Maine State Board of Nursing;
ii. The sedation provider holds current life
support certifications in BLS, ACLS and PALS. PALS certification is required
only when providing sedation services to pediatric patients and may be used in
meeting the ACLS requirement; and
(b) A signed, written agreement between the
operating dentist and sedation provider identifying the location at which
sedation and/or general anesthesia services are to be administered by the
sedation provider 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.
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