Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B5 - Board of Dentistry › Chapter 64B5-14 - ANESTHESIA › Section 64B5-14.001 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
(1) Anesthesia - The loss of feeling or
				sensation, especially loss of the sensation of pain.
(2) General anesthesia - A controlled state
				of unconsciousness, produced by a pharmacologic agent, accompanied by a partial
				or complete loss of protective reflexes, including inability to independently
				maintain an airway and respond purposefully to physical stimulation or verbal
				command. This modality includes administration of medications via parenteral
				routes; that is: intravenous, intramuscular, subcutaneous, submucosal, or
				inhalation, as well as enteral routes, that is oral, rectal, or
				transmucosal.
(3) Deep Sedation - A
				controlled state of depressed consciousness accompanied by partial loss of
				protective reflexes, including either or both the inability to continually
				maintain an airway independently or to respond appropriately to physical
				stimulation or verbal command, produced by pharmacologic or non-pharmacologic
				method or combination thereof. Deep sedation includes administration of
				medications via parenteral routes; that is intravenous, intra muscular,
				subcutaneous, submucosal, or inhalation, as well as enteral routes, that is
				oral, rectal, or transmucosal.
(4)
				Moderate sedation - A depressed level of consciousness produced by the
				administration of pharmacologic substances, that retains the patient's ability
				to independently and continuously maintain an airway and respond appropriately
				to physical stimulation and verbal command. This modality includes
				administration of medications via all parenteral routes, that is, intravenous,
				intramuscular, subcutaneous, submucosal, or inhalation, as well as enteral
				routes, that is oral, rectal, or transmucosal. The drugs, and techniques used
				shall carry a margin of safety wide enough to render unintended loss of
				consciousness unlikely.
(5)
				Pediatric Moderate Sedation - A depressed level of consciousness produced by
				the administration of pharmacologic substances, that retains a child patient's
				ability to independently and continuously maintain an airway and respond
				appropriately to physical stimulation or verbal command. This modality includes
				administration of medication via all parenteral routes; that is intravenous,
				intramuscular, subcutaneous, submucosal, or inhalation, and all enteral routes;
				that is oral, rectal, or transmucosal. The drugs, doses, and techniques used
				shall carry a margin of safety wide enough to render unintended loss of
				consciousness unlikely. For the purposes of this chapter, a pediatric patient
				is defined as an individual under 18 years of age, or any person who has
				special needs, which means having a physical or mental impairment that
				substantially limits one or more major life activities.
(6) Nitrous-oxide inhalation analgesia - The
				administration by inhalation of a combination of nitrous-oxide and oxygen
				producing an altered level of consciousness that retains the patient's ability
				to independently and continuously maintain an airway and respond appropriately
				to physical stimulation or verbal command.
(7) Local anesthesia - The loss of sensation
				of pain in a specific area of the body, generally produced by a topically
				applied agent or injected agent without causing the loss of
				consciousness.
(8) Analgesia -
				Absence of sensibility of pain, designating particularly the relief of pain
				without loss of consciousness.
(9)
				Office team approach - A methodology employed by a dentist in the
				administration of general anesthesia, deep sedation, moderate sedation, and
				pediatric sedation whereby the dentist uses two or more qualified
				assistants/dental hygienists who, working under the direct supervision of the
				dentist, assist the dentist, and assist in emergency care of the patient. A
				dentist who is permitted by these rules to administer and employ the use of
				general anesthesia, deep sedation, moderate sedation, or pediatric moderate
				sedation shall employ the office team approach. A dentist who is permitted by
				these rules to administer and employ the use of general anesthesia, deep
				sedation, moderate sedation, or pediatric moderate sedation shall employ the
				office team approach.
(10) Minimal
				Sedation - The perioperative use of medication to relieve anxiety before or
				during a dental procedure which does not produce a depressed level of
				consciousness and maintains the patient's ability to maintain an airway
				independently and to respond appropriately to physical and verbal stimulation.
				This minimal sedation shall include the administration of a single enteral
				sedative or a single narcotic analgesic medication administered in a single
				dose appropriate for the unsupervised treatment of anxiety and pain. If
				clinically indicated, an opiod analgesic may also be administered during or
				following a procedure if needed for the treatment of pain. Except in extremely
				unusual circumstances, the cumulative dose shall not exceed the maximum
				recommended dose (as per the manufacturers recommendation). It is understood
				that even at appropriate doses a patient may occasionally drift into a state
				that is deeper than minimal sedation. As long as the intent was minimal
				sedation and all of the above guidelines were observed, this shall not
				automatically constitute a violation. A permit shall not be required for the
				perioperative use of medication for the purpose of providing minimal
				sedation.
(11) Titration of Oral
				Medication - The administration of small incremental doses of an orally
				administered medication until an intended level of moderate sedation is
				observed.
(12) Physician
				anesthesiologist - Any physician licensed pursuant to Chapter 458 or 459, F.S.,
				who is currently board certified or board eligible by the American Board of
				Anesthesiology or the American Osteopathic Board of Anesthesiology, or
				currently holds anesthesia clinical privileges in a hospital or ambulatory
				surgical facility licensed pursuant to Chapter 395, F.S., and such privileges
				are commensurate with the anesthesia being provided in a dental office (e.g.,
				pediatric anesthesia privileges is pediatric patients are being treated in the
				dental office).
(13) Qualified
				Anesthetist: means an Advanced Practice Registered Nurse who is licensed in
				this state to practice professional nursing and who is certified in the
				advanced or specialized nursing practice as a certified registered nurse
				anesthetist pursuant to Chapter 464, Part I, F.S.
(14) Certified Registered Dental Hygienist:
				means any Florida licensed dental hygienist who is certified by the Board and
				has received a certificate from the Department of Health that allows the
				administration of local anesthesia while the CRDH is directly supervised by a
				Florida licensed dentist.
Rulemaking Authority
					 466.004(4),
					 466.017(3),
					 466.017(6) FS.
					 Law Implemented 466.017(3),
					 466.017(5)
					 FS.
New 1-31-80, Amended 4-7-86, Formerly 21G-14.01, Amended
					 12-31-86, 6-1-87, 9-1-87, 2-1-93, Formerly 21G-14.001, Amended 12-20-93,
					 Formerly 61F5-14.001, Amended 8-8-96, Formerly 59Q-14.001, Amended 3-9-03,
					 11-4-03, 7-3-06, 6-11-07, 8-5-12, 11-13-17,
					 3-10-20.