Current through Register Vol. 39, No. 6, September 16, 2024
(a) An applicant
for a general anesthesia or sedation permit shall be licensed and in good
standing with the Board.
(b) All
permit applications shall be made on the forms furnished by the Board at
www.ncdentalboard.org and shall
include:
(1) the full name;
(2) the mailing address;
(3) the North Carolina dental license
number;
(4) a telephone number;
and
(5) an email address.
(c) In addition to the information
in Paragraph (b) of this Rule, all applications for a general anesthesia,
moderate conscious sedation, moderate pediatric conscious sedation, or minimal
conscious sedation permit shall include:
(1)
the addresses of all dental offices where the applicant intends to use general
anesthesia or sedation;
(2) dental
education, including dental school name, dates attended, degree received, and
any other dental post-graduate education or specialty degrees
received;
(3) a resume or
curriculum vitae;
(4) the names of
and copies of unexpired BLS certifications for any auxiliaries that will assist
the applicant with general anesthesia or sedation;
(5) a statement disclosing and explaining any
instances of patient mortality or morbidity in connection with applicant's
prior use of general anesthesia or sedation; and
(6) documentation of the required
qualifications for the permit for which the applicant is applying, as set out
in Rule .0201, .0301, .0404, or .0504 of this Subchapter.
(d) In addition to the information in
Paragraph (b) of this Rule, all applications for an itinerant permit shall
include:
(1) North Carolina general
anesthesia or sedation permit number; and
(2) a statement of compliance with the
requirements for the itinerant permit for which the applicant is applying, as
set out in Rule .0206, .0304, or .0406 of this Subchapter.
(e) All applications for renewal of a general
anesthesia or sedation permit shall be submitted electronically through the
Board's website, www.ncdentalboard.org, and shall include:
(1) the full name;
(2) the permit number and expiration
date;
(3) the addresses of all
dental offices where the permit holder uses general anesthesia or sedation;
and
(4) a statement disclosing and
explaining any instances of patient mortality or morbidity in connection with
use of general anesthesia or sedation that occurred during the calendar year
preceding the application and that were not previously disclosed to the
Board.
(f) All
applications for reinstatement of a general anesthesia or sedation permit shall
be made on forms furnished by the Board at www.ncdentalboard.org and shall include:
(1) the full name;
(2) the permit number and date of
issuance;
(3) the mailing
address;
(4) the North Carolina
dental license number;
(5) the
addresses of all dental offices where the applicant intends to use general
anesthesia or sedation; and
(6) a
statement disclosing and explaining any instances of patient mortality or
morbidity in connection with use of general anesthesia or sedation that
occurred during the calendar year preceding the application.
(g) Any permit obtained through
fraud or by any false representation shall be revoked.
