New Hampshire Code of Administrative Rules
Den - State Board of Registration of Funeral Directors and Embalmers
Chapter Den 300 - LICENSING REQUIREMENTS
Part Den 304 - USE OF GENERAL ANESTHESIA AND SEDATION BY DENTISTS
Section Den 304.04 - Permits for Moderate Sedation Only
Universal Citation: NH Admin Rules Den 304.04
Current through Register No. 40, October 3, 2024
(a) In order to receive an unrestricted permit or a restricted permit to use moderate sedation only, the dentist shall:
(1) Apply on a
prescribed application form to the board, as specified in
Den
304.05 below;
(2) Submit the application fee specified in
Den 301.08;
and
(3) Provide evidence that he or
she:
a. Has met the requirements of Part V of
the American Dental Association 2016"Guidelines for Teaching Pain Control and
Sedation to Dentists and Dental Students", as specified in Appendix II;
and
b. Has a properly staffed and
equipped facility as set forth in:
1. The 8th
edition of the "Office Anesthesia Evaluation Manual" of the American
Association of Oral and Maxillofacial Surgeons, 2012, as specified in Appendix
II; or
2. Part IV B. of the
American Dental Association 2016 "Guidelines for the Use of Sedation and
General Anesthesia by Dentists", as specified in Appendix
II;
(b) The following shall apply to an unrestricted moderate sedation permit:
(1)
Patients shall be of any age, however for pre-pubertal patients treatment shall
follow the American Academy of Pediatric Dentistry 2016 "Guidelines for
Monitoring and Management of Pediatric Patients During and After Sedation for
Diagnostic and Therapeutic Procedures", as specified in Appendix II;
(2) Routes of administration shall be
enteral, parenteral or any combination with inhalation sedation;
(3) With or without inhalation sedation,
agents shall be limited to a single dose of one or more drugs, or a multi-dose
of a single drug using manufacturer guidelines;
(4) To renew their permit, dentists shall
document 6 cases per year or 4 hours of continuing education in sedation
training per biennium; and
(5) Case
documentation shall include:
a. Age and sex
of patient;
b. ASA
classification;
c.
Procedures;
d. Drugs and dosage;
and
e. Level of
sedation.
(c) The following shall apply to a restricted moderate sedation permit:
(1) Patients shall be
post-pubertal;
(2) Routes of
administration shall be enteral or combination enteral-inhalation. Parenteral
administration shall not be used;
(3) With or without inhalation sedation,
agents shall be limited to a single dose of one or more drugs, or a multi-dose
of a single drug using manufacturer guidelines;
(4) To renew their permit, dentists shall
document 6 cases per year or 4 hours continuing education in sedation training
per biennium; and
(5) Case
documentation shall include:
a. Age and sex
of patient;
b. ASA
classification;
c.
Procedures;
d. Drugs and dosage;
and
e. Level of
sedation.
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