Hawaii Administrative Rules › Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS › Chapter 79 - DENTISTS AND DENTAL HYGIENISTS › Subchapter 8 - ANESTHESIA › Section 16-79-78 - Administration of general anesthesia and sedation

Current through June, 2024
(a) A
				licensed dentist shall administer general anesthesia and sedation consistent
				with the current guidelines and recommendations of the American Dental
				Association Guidelines for the Use Of Sedation and General Anesthesia by
				Dentist; provided that for pediatric patients the American Academy of
				Pediatrics and the American Academy of Pediatric Dentistry Guidelines for
				Monitoring and Management of Pediatric Patients During and After Sedation for
				Diagnostic and Therapeutic Procedures shall be followed. No licensed dentist
				shall administer or employ another person, such as a nurse anesthetist or a
				physician, who is otherwise qualified in this State to administer general
				anesthesia, deep sedation, or moderate (conscious) sedation for dental
				patients, unless the licensed dentist possesses a written authorization or
				permit from the board. Sedation is continuum and it is not always possible to
				predict how an individual will respond. Therefore, a licensed dentist intending
				to produce a given level of sedation shall have the capability to rescue
				patients whose level of sedation becomes deeper than initially intended.
(b) In order to receive a written
				authorization or permit, the licensed dentist shall apply to the board, pay an
				application fee, and submit documentary evidence showing that the following
				requirements are met:
(1) Educational
				training requirements.
(A) General anesthesia
				and deep sedation: Applicant has completed an advanced dental education program
				accredited by CODA and approved by the board that provides comprehensive
				training necessary to administer deep sedation or general anesthesia and
				includes documented proficiency in Basic Life Support for Healthcare Providers
				and Advanced Cardiac Life Support or Pediatric Advanced Life Support as
				required pursuant to subsection
				16-79-141(a)(2).
				Evidence of that comprehensive training shall include but not be limited to:
				being a Diplomate of the American Board of Oral and Maxillofacial Surgery, a
				Fellow/member of the American Association of Oral and Maxillofacial Surgery or
				completion of an ADA accredited residency in Oral and Maxillofacial Surgery or
				Dental Anesthesiology and shall practice in compliance with that
				training.
(B) Moderate (conscious)
				sedation: Applicant has completed a comprehensive training program at the
				postgraduate level that meets the moderate (conscious) sedation program
				objectives and content as outlined in the current ADA Guidelines for Teaching
				Pain Control and Sedation to Dentists and Dental Students. The training program
				shall be a minimum of sixty hours of instruction, include supervised management
				of at least twenty moderate (conscious) sedation patients with clinical
				experience in managing the compromised airway and establishment of intravenous
				access, and provide current documented proficiency in Basic Life Support for
				Healthcare Providers and Advanced Cardiac Life Support or Pediatric Advanced
				Life Support as required pursuant to sub section
				16-79-141(a)(2).
(C) A dentist administering
				general anesthesia or moderate sedation shall be required to complete the
				Advanced Cardiac Life Support course or if treating pediatric patients, the
				Pediatric Advanced Life Support course; provided that both courses shall be
				completed if the dentist is treating pediatric patients and minors thirteen
				years or older.