Alaska Administrative Code › Title 12 - Professional Regulations › Part 1 - Boards and Commissions Subject to Centralized Licensing › Chapter 28 - Board of Dental Examiners › Article 1 - Administration of Deep Sedation, General Anesthesia, Moderate Sedation, and Minimal Sedation › 12 AAC 28.060 - Requirements for administering deep sedation, general anesthesia, moderate sedation, or minimal sedation for a patient younger than 13 years of age

Current through May 31, 2024
(a) The
				  document Guidelines for the Use of Sedation and General Anesthesia b Dentists,
				  as adopted by the American Dental Association (ADA) House of Delegates October
				  2016, is adopted by reference as the standards for administering deep sedation,
				  general anesthesia, and moderate sedation to patients 13 years of age and older
				  and applies to all licensees subject to this chapter, unless otherwise
				  specified in this chapter.
(b) The
				  document Guideline for Monitoring and Management of Pediatric Patients During
				  and After Sedation for Diagnostic and Therapeutic Procedures, developed and
				  endorsed by the American Academy of Pediatrics and the American Academy of
				  Pediatric Dentistry, adopted in 2006 and reaffirmed in 2011, is adopted by
				  reference as the standards for administering deep sedation, general anesthesia,
				  moderate sedation, and minimal sedation to patients younger than 13 years of
				  age and applies to all licensees subject to this chapter, unless otherwise
				  specified in this chapter.
(c) When
				  a patient younger than 13 years of age requires sedation or anesthesia, a
				  sedating medication may not be prescribed for or administered to that patient
				  before the patient arrives at the dentist's facility.
(d) When deep sedation, general anesthesia,
				  moderate sedation, or minimal sedation to a patient younger than 13 years old
				  is administered, the dentist
(1) shall record
				  baseline vital signs before administration of a controlled substance and before
				  discharge, unless the patient's behavior prevents this determination; in this
				  paragraph "controlled substance" has the meaning given in
				  AS
				  11.71.900;
(2) repealed 12/9/2018
(3) shall record sedation and anesthesia
				  records in a timely manner; the records must include
(A) blood pressure;
(B) heart rate;
(C) respiration;
(D) blood oxygen saturation;
(E) drugs administered, including dosages,
				  the time that drugs were administered, and the route of
				  administration;
(F) the length of
				  the procedure;
(G) the patient's
				  temperature; if depolarizing medications or volatile anesthetics are
				  administered, temperature must be monitored constantly; and
(H) any complications from anesthesia or
				  sedation;
(4) shall stop
				  the dental procedure if a patient enters a deeper level of sedation than the
				  dentist is permitted to provide until the patient returns to, and is stable at,
				  the intended level of sedation; while returning the patient to the intended
				  level of sedation, the patient's pulse, respiration, blood pressure, and pulse
				  oximetry must be monitored and recorded at least every five minutes;
(5) may not discharge a patient until the
				  person who administered the sedation or anesthesia, or another practitioner
				  qualified to administer the same level of sedation or anesthesia, determines
				  that the patient's level of consciousness, oxygenation, ventilation, and
				  circulation are satisfactory for discharge and vital signs have been taken and
				  recorded;
(6) shall give
				  postoperative instructions verbally and in writing; the written instructions
				  must include a 24-hour emergency telephone number that directly calls the
				  dental provider;
(7) discharge the
				  patient to a responsible individual who has been instructed with regard to
				  patient's care; and
(8) shall make
				  a discharge entry in the patient's record describing the patient's condition
				  upon discharge and the responsible party to whom the patient was
				  discharged.