Current through Register No. 40, October 3, 2024
(a) Each applicant
for a permit to use general anesthesia, deep sedation and moderate sedation, or
moderate sedation only shall supply the board with the following on the
"Initial Application to Administer General Anesthesia and/or Sedation" form,
effective October 2018:
(1) Applicant's
name;
(2) Applicant's home
address;
(3) Applicant's primary
email address,
(4) Applicant's New
Hampshire dental license number;
(5) Professional addresses and telephone
numbers where permits are to be used;
(6) Proof of the basis in
Den
304.03 above upon which the permit is to be
issued;
(7) A list of all staff
members who assist in general anesthesia or sedation; and
(8) Current cardiac life support training
status of the applicant and each of the foregoing staff members.
(b) The form shall be signed and
dated.
(c) To determine if the
requirements of this section have been met by dentists to administer general
anesthesia, deep sedation and moderate sedation, or moderate sedation only:
(1) The board shall require passage of an
initial facility inspection, equipment and drugs as they relate to general
anesthesia and sedation prior to the issuance of the initial permit;
(2) The board shall require, within 8 months
of the issuance of the initial permit, passage of a comprehensive evaluation
including personnel, records and patient treatment as they relate to general
anesthesia and sedation. A comprehensive evaluation shall not be required for a
second location;
(3) The
comprehensive evaluation shall be carried out by a team of dental consultants
acting as agents of the board, as follows:
a.
Dentists with permits to administer general anesthesia, deep sedation and
moderate sedation shall be evaluated by dental consultants who satisfy
Den
304.03(b)(3) b. 1. or 2.;
and
b. Dentists with permits to
administer moderate sedation only shall be evaluated by dental consultants who
satisfy Den
304.03(b)(3) b. 1. or 2. above or
(c)(3) a.;
(4) If more
than one office location is used by the dentist, then each office shall have
facility inspection;
(5) If the
applicant fails the facility inspection or comprehensive evaluation, upon
written request of the applicant, a second facility inspection or comprehensive
evaluation shall be conducted by a different team of consultants;
(6) Upon satisfactory completion of the
facility inspection and comprehensive evaluations, a comprehensive evaluation
shall be held at least once every 5 years; and
(7) Such evaluation shall be carried out in
the same manner as the initial comprehensive evaluation.
(d) The evaluation of patient treatment shall
include instances where the highest form of pain and anxiety control was used
by the dentist being evaluated.
(e)
The board shall take action in any one or more of the following ways as
necessary to protect the public welfare when the results of a facility
inspection or comprehensive evaluation are unsatisfactory:
(1) By permit revocation or
suspension;
(2) By limitation or
restriction of a permit; and
(3) By
requiring the licensee to participate in an educational program relevant to
areas the licensee has been found to be professionally deficient.
(f) The following requirements for
inspection or evaluation fees shall apply:
(1)
Fees for inspections and evaluations shall be borne by the dentist
examined;
(2) If the facility
inspection or comprehensive evaluation cannot be completed because the dentist
is unprepared, the full fee shall remain owed;
(3) Third party fees shall be paid directly
to the third party at the time of the facility inspection or comprehensive
evaluation;
(4) Payment of all
required fees shall be noted on the inspection or evaluation report for the
evaluation to be satisfactory;
(5)
Following an unsatisfactory facility inspection or comprehensive evaluation, a
second inspection or evaluation shall require a second full fee; and
(6) The board shall take action for failure
to pay required inspection and evaluation fees, pursuant to
Den
304.05(f).
(g) For those applicants who have not used
general anesthesia, deep sedation or moderate sedation in New Hampshire, a
permit shall be granted by the board based solely upon credentials contained in
the application, after complete processing of the application and thorough
investigation by an facility inspection as described in (a) and (c)
above.
