Oklahoma Administrative Code
Title 195 - Board of Dentistry
Chapter 20 - Rules Governing the Administration of Anesthesia
Section 195:20-1-5 - General anesthesia (to include deep sedation)
Current through Vol. 42, No. 1, September 16, 2024
(a) Required training. Every dentist who administers general anesthesia or deep sedation must meet one of the following requirements:
(b) Permit for dentists. No dentist shall administer general anesthesia (including deep sedation) for dental patients, unless such dentist possesses a permit or authorization issued by the Oklahoma Board for the administration of general anesthesia (including deep sedation). Application for such permit will be made to the Board on the prescribed form. A successful credentials review will result in a notification that a formal evaluation can be scheduled. The dentist holding such permit shall be subject to review and such permit must be renewed annually, along with payment of the required fee.
(c) Current training. A dentist who holds a permit to provide general anesthesia (including deep sedation) shall Satisfy all of the following:
(d) Facility permit inspections. Each facility of every dentist who authorizes or directly supervises the administration of general anesthesia (to include deep sedation) in his or her office shall successfully pass inspection by a consultant or consultants appointed by the Board. This will include an evaluation of the facility's equipment and personnel and will follow the American Dental Association's Guidelines for the Use of Conscious Sedation, Deep Sedation, and General Anesthesia in Dentistry and/or the American Association of Oral and Maxillofacial Surgeon's "Office Anesthesia Evaluation Manual". This evaluation will be on a prescribed form approved by the Board and available to the applicant for review prior to a request for an inspection. A written list of all monitors, emergency equipment, drugs, and other materials which the mobile or portable anesthesia provider agrees to have available at all times while administering general anesthesia in this facility will be required at the time of inspection. The dentist holding a facility permit can work with or employ:
(e) Provider permit inspections. The knowledge, techniques, procedures, facilities, drugs, equipment and personnel utilization of every dentist who administers general anesthesia (including deep sedation) shall successfully pass inspection by a consultant or consultants appointed by the Board. This evaluation will be completed on a prescribed form approved by the Board and available to the applicant for review prior to an inspection. This form shall follow the ADA Guidelines for the Use of Conscious Sedation Deep Sedation and General Anesthesia in Dentistry and/or the American Association of Oral and Maxillofacial Surgeon's "Office Anesthesia Evaluation Manual". New permit applicants will be required to demonstrate the administration of general anesthesia (including deep sedation) to a patient in the presence of an evaluation team. In the case of a mobile or portable dentist provider, all inspections of that provider shall be conducted in the office of an Oklahoma licensed dentist where general anesthesia (including deep sedation) is administered. At least fifty percent (50%) of the inspection team shall be composed of a like trained dentist unless the dentist to be inspected waives the provision.
(f) Direct supervision of a Certified Registered Nurse Anesthetist (CRNA). A dentist is permitted to directly supervise the administration of general anesthesia (including deep sedation) to patients by a CRNA provided that the following requirements are satisfied:
Amended at 14 Ok Reg 1547, eff 7-1-971; Amended at 16 Ok Reg 3273, eff 5-10-99 (emergency); Amended at 17 Ok Reg 1873, eff 7-1-00
1On 4-6-99, subsection (d) of the rule promulgated at this cite was declared void and unenforceable by the Oklahoma Court of Civil Appeals, affirming a decision of the District Court of Oklahoma. [See Joseph Seay, D.D.S. v. The Board of Dentistry of the State of Oklahoma, Case No. CJ-97-4607, 12-16-97, Judge Niles Jackson, District Court of Oklahoma County; 70 OBJ 1086] The rule was later amended by emergency rulemaking, effective 5-10-99, and followed by permanent rulemaking, effective 7-1-00.