Current through Register Vol. 35, No. 18, September 24, 2024
A. Registration: Permit required, each
licensed dentist who administers or supervises the prescribed administration of
drugs to achieve deep sedation or general anesthesia (DS/GA) shall be
registered with the board. DS/GA permits are issued for a specific practice
location (facility). An application form and affidavit of compliance will be
provided by the board office upon request. Applicant shall follow the permit
application procedure as defined in
16.5.15.19 NMAC. Administration of
DS/GA without registration is a violation of these rules and may result in
disciplinary action against the licensee. The dentist must sign an affidavit of
compliance. An oral and written examination administered by the anesthesia
committee or designee will be required if the anesthesia committee or board
determines an application is incomplete or is lacking information to make a
final recommendation for approval. This may require travel by the applicant to
meet with an examiner. The applicant's facility is also subject to inspection
and approval by the anesthesia committee or tis designated examiner.
B. Education/qualifications:
(1) completion of an advanced training
program in anesthesia and related subjects beyond the undergraduate dental
curriculum that satisfies the requirements described in the most current
version of the American dental association "guidelines for the use of sedation
and general anesthesia by dentists";
(2) completion of a CODA accredited
post-doctoral training program (e.g. oral and maxillofacial surgery, dental
anesthesiology), which affords comprehensive and appropriate training necessary
to administer and manage deep sedation/general anesthesia, commensurate with
these rules;
C. Current
permit holders' sedation education would be grandfathered by the New Mexico
laws in effect at the time of original issue of their permit. However, safety
standards must be updated to current board and ADA guidelines.
D. Facility/records:
(1) the dentist maintains a properly equipped
facility for the administration of deep sedation or general anesthesia in
accordance with the most current version of the American dental association
"guidelines for the use of sedation and general anesthesia by
dentists";
(2) the office is
staffed with supervised clinical auxiliary personnel capable of handling
procedures, problems and emergencies incident thereto;
(3) the dentist must have current advanced
cardiac life support certification (ACLS) and auxiliary clinical personnel have
current basic life support certification;
(4) the patient's record shall reflect that
the pre-operative patient evaluation, pre-operative preparation, ASA
classification, ECG, pulse oximetry, blood pressure and ETCO2 capnography
monitoring recovery, discharge and documentation was performed in accordance
with the most current version of the American dental association "guidelines
for the use of sedation and general anesthesia by dentists";
(5) the dentist passes the examination and
receives approval after facility inspection, or affidavit acceptance, by the
anesthesia committee or designated examiner;
(6) a log of drugs used, dosage or amount of
drugs and date of administration must be maintained separate from the patient's
record;
(7) informed consent is
required;
(8) a dentist
administering deep sedation/general anesthesia must document current,
successful completion of an advanced cardiac life support (ACLS) course, or an
equivalent as approved by the anesthesia committee;
E. Anesthesia permit at large: This permit
allows the holder to provide sedation and anesthesia services to patients in
dental offices on an out-patient basis. The holder of the "anesthesia permit at
large" assumes all responsibility for the administration of the sedation or
general anesthesia in the dental office.
(1)
to hold an "anesthesia permit at large" a dentist must meet the requirements in
Section 16.5.15.15 NMAC deep
sedation/general anesthesia, and is only available for dentist
anesthesiologists and oral and maxillofacial surgeons;
(2) the holder of a "permit at large" may be
evaluated and inspected by the anesthesia committee as deemed necessary to
assure safety to the public;
(3)
the holder of such a permit agrees to have available at all times all monitors,
emergency equipment, and other necessary drugs and materials when administering
conscious sedation, deep sedation, and general anesthesia;
(4) the permit holder will inform the board
of all dental facilities where anesthesia services are to be provided and
follow all other procedures as outlined in
16.5.15.15 NMAC, deep
sedation/general anesthesia.
