Idaho Administrative Code › Title IDAPA 24 - Occupational and Professional Licenses, Division of › Rule 24.31.01 - RULES OF THE IDAHO STATE BOARD OF DENTISTRY › Section 24.31.01.044 - MODERATE SEDATION, GENERAL ANESTHESIA AND DEEP SEDATION

Current through August 31, 2023
Dentists licensed in the state of Idaho cannot administer
				moderate sedation, general anesthesia, or deep sedation in the practice of
				dentistry unless they have obtained a permit from the Board. A moderate
				sedation permit may be either enteral or parenteral. A dentist may not
				administer moderate sedation to children under sixteen (16) years of age and
				one hundred (100) pounds unless they have qualified for and been issued a
				moderate parenteral sedation permit. A moderate enteral sedation permit
				authorizes dentists to administer sedation by either enteral or combination
				inhalation-enteral routes of administration. A moderate parenteral, general
				anesthesia, or deep sedation permit authorizes a dentist to administer sedation
				by any route of administration. To qualify for a moderate, general anesthesia,
				or deep sedation permit, a dentist must provide proof of the following:
				(3-28-23)
01.
Training
			 Requirements
. For Moderate Sedation Permits, completion of training in
			 the administration of moderate sedation to a level consistent with requirements
			 established by the Board within the five (5) year period immediately prior to
			 the date of application. For General Anesthesia and Deep Sedation Permits,
			 completion of an advanced education program accredited by CODA that affords
			 comprehensive training necessary to administer and manage deep sedation or
			 general anesthesia within the five (5) year period immediately preceding the
			 date of application. The five (5) year requirement is not applicable to
			 applicants who hold an equivalent permit in another state which has been in
			 effect for the twelve (12) month period immediately prior to the application
			 date. Qualifying training courses must be sponsored by or affiliated with a
			 dental school accredited by CODA, or be approved by the Board.
			 (3-28-23)
02.
ACLS.
Verification of current certification in ACLS or PALS, whichever is appropriate
			 for the patient being sedated. (3-28-23)
03.
Office Inspection
. The
			 qualified dentist is responsible for the sedative management, adequacy of the
			 facility and staff, diagnosis and treatment of emergencies related to the
			 administration of moderate sedation, general anesthesia, or deep sedation and
			 providing the equipment, drugs and protocol for patient rescue. Evaluators
			 appointed by the Board will inspect the adequacy of the facility and competence
			 of the sedation team prior to issuance of a moderate, general anesthesia, or
			 deep sedation permit and at intervals not to exceed five (5) years. For general
			 anesthesia and deep sedation, the Board adopts the standards incorporated by
			 reference in these rules, as set forth by the AAOMS in their office anesthesia
			 evaluation manual. (3-28-23)
a. Facility,
			 Equipment and Drug Requirements. The following facilities, equipment and drugs
			 must be available for immediate use during the sedation and recovery phase:
			 (3-28-23)
i. An operating room large enough to
			 adequately accommodate the patient on an operating table or in an operating
			 chair and to allow an operating team of at least two (2) individuals to freely
			 move about the patient; (3-28-23)
ii. An operating table or chair that permits
			 the patient to be positioned so the operating team can maintain the patient's
			 airway, quickly alter the patient's position in an emergency, and provide a
			 firm platform for the administration of basic life support; (3-28-23)
iii. A lighting system that permits
			 evaluation of the patient's skin and mucosal color and a backup lighting system
			 of sufficient intensity to permit completion of any operation underway in the
			 event of a general power failure; (3-28-23)
iv. Suction equipment that permits aspiration
			 of the oral and pharyngeal cavities and a backup suction device which will
			 function in the event of a general power failure; (3-28-23)
v. An oxygen delivery system with adequate
			 full face mask and appropriate connectors that is capable of delivering high
			 flow oxygen to the patient under positive pressure, together with an adequate
			 backup system; (3-28-23)
vi. A
			 recovery area that has available oxygen, adequate lighting, suction and
			 electrical outlets. The recovery area can be the operating room
			 (3-28-23)
vii. A sphygmomanometer,
			 pulse oximeter, oral and nasopharyngeal airways, supraglottic airway devices,
			 and automated external defibrillator (AED); and (3-28-23)
viii. Emergency drugs including, but not
			 limited to, pharmacologic antagonists appropriate to the drugs used,
			 bronchodilators, and antihistamines. (3-28-23)
ix. Additional emergency equipment and drugs
			 required for moderate parenteral sedation permits include
			 precordial/pretracheal stethoscope or end-tidal carbon dioxide monitor,
			 intravenous fluid administration equipment, vasopressors, and anticonvulsants.
			 (3-28-23)
x. Additional emergency
			 equipment and drugs required for general anesthesia and deep sedation permits
			 include precordial/pretracheal stethoscope and end-tidal carbon dioxide
			 monitor, intravenous fluid administration equipment, vasopressors, and
			 anticonvulsants. (3-28-23)