Mississippi Administrative Code › Title 30 - Professions and Occupations › Part 2301 - Regulations Adopted by the Mississippi State Board of Dental Examiners › Chapter 1 › Rule 30-2301-1.30 - BOARD REGULATION NUMBER 30-ADMINISTRATION OF ANESTHESIA

Current through June 25, 2024
Purpose: Pursuant to Miss. Code Ann. §
										73-9-13,
				  to promulgate rules for the administration of anesthesia in the dental office
				  to allow dentists to provide patients with the benefits of anxiety and pain
				  control in a safe and efficacious manner
1.
Definitions of Terminology Used
				Herein:
a. ACLS - Advanced Cardiac Life
				Support endorsed by the American Heart Association or approved by the dental
				board.
b. Analgesia - the
				diminution or elimination of pain.
c. Anxiolysis - administration of an agent
				administered in a dosage intended to reduce anxiety without diminishing
				consciousness or protective reflexes.
d. Behavioral Guidance - the use of
				pharmacological or psychological techniques, singly or in combination, to
				modify behavior to a level that dental treatment can be performed effectively
				and safely.
e. BLS-HCP - Basic Life
				Support at the Health Care Provider Level endorsed by or equivalent to the
				American Heart Association.
f.
				Clinically Oriented Experiences - clinical patient cases which are presented
				outside a clinical environment and in an instructional setting, e.g., video
				presentations.
g. Combination
				Inhalation Enteral Anxiolysis (applies to Class 3 permit holders)- when
				nitrous-oxide is used in combination with an enteral agent with the intent of
				achieving anxiolysis only, and the appropriate dosage of agents is
				administered.
h. Competent -
				displaying special skill or knowledge derived from training and
				experience.
i. CRNA - Certified
				Registered Nurse Anesthetist.
j.
				Critical portion - the anesthesia provider must be present from induction until
				the patient is recovered to spontaneous ventilations without airway support,
				Sp02 on roomair >= 95%; pupils equal, round, central, and reactive to light;
				and awake, alert and responds to verbal commands.
k. Dental Facility - the office where a
				permit holder practices dentistry and provides anesthesia/sedation services.
I. Dental Facility Inspection - an
				on-site inspection to determine if a dental facility where the applicant
				proposes to provide anesthesia/sedation is supplied, equipped, staffed and
				maintained in a condition to support provision of anesthesia/sedation services
				that meet the minimum standard of care; may be required by the Board prior to
				the issuance of a sedation/anesthesia permit or any time during the term of the
				permit.
m. Direct Supervision - the
				anesthesia provider to be physically present in the operating room and
				continuously aware of the patient's physical status and well-being.
n. Enteral route - absorption of medication
				across enteric membranes which line the alimentary canal from the oral cavity,
				through the digestive tract, ending in the rectum. This route includes
				medications that are either swallowed, absorbed through the mucosa of the oral
				cavity, or inserted rectally.
o.
				Hospital Facility - a "hospital" or "ambulatory surgical facility" as those
				terms are defined in Miss. Code Ann. §
										41-7-173(h).
p. Immediately Available - on-site in the
				dental facility and available for immediate use.
q. Live Patient Experiences - procedures
				involving live patients either performed or observed in a clinical environment
				and in an instructional setting.
r.
				Local Anesthesia - the elimination of sensations, especially pain, in one part
				of the body by the regional application or injection of a drug.
s. May - indicates freedom or liberty to
				follow a reasonable alternative.
t.
				Mobile anesthesia provider- a dentist anesthesiologist, physician
				anesthesiologist, CRNA or oral and maxillofacial surgeon who provides
				anesthesia services in a permitted office that he/she does not operate.
u. Must or Shall - indicates an
				imperative need or duty or both; an essential or indispensable item;
				mandatory.
v Nitrous-Oxide
				Inhalation Anxiolysis - the inhalational use of nitrous oxide for anxi-olysis
				and/or analgesia.
w. PALS -
				Pediatric Advanced Life Support endorsed by the American Heart Association or
				approved by the dental board.
x.
				Parenteral route - administration of a drug other than absorption across
				enteric membranes (outside of the alimentary canal). These methods include
				intravenous, intramuscular, intranasal, and submucosal administration, among
				others.
y. Pediatric - for the
				purposes of this regulation pediatric is defined as seven (7) years of age or
				under.
z. Protective Reflexes -
				includes the ability to swallow, cough, and protect the airway.
aa. Surgery Center- Ambulatory surgery center
				facility licensed by the Mississippi Department of Health