North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0100 - GENERAL › Section 16Q .0103 - EQUIPMENT, PERSONNEL, AND CLINICAL REQUIREMENTS TO ADMINISTER ANESTHESIA OR MODERATE SEDATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Before
				  administering general anesthesia, moderate conscious sedation, or moderate
				  pediatric conscious sedation ("anesthesia or moderate sedation"), or
				  supervising a CRNA to administer or an RN employed to deliver anesthesia or
				  moderate sedation, a dentist shall hold an unexpired permit issued by the Board
				  in accordance with this Subchapter permitting the dentist to administer that
				  level of sedation.
(b) Before
				  performing sedation procedures in a facility other than a hospital or
				  credentialed surgery center, the permit holder shall ensure that the Board has
				  been notified that the permit holder intends to administer anesthesia or
				  moderate sedation at the facility and shall ensure that the facility has passed
				  a facility inspection by the Board in accordance with this Subchapter. For
				  purposes of these Rules, "credentialed surgery center" means a surgical
				  facility accredited by the Joint Commission on Accreditation of Healthcare
				  Organizations, the Accreditation Association for Ambulatory Health Care, or the
				  American Association for Accreditation of Ambulatory Surgery
				  Facilities.
(c) The permit holder
				  shall ensure that the facility where the sedation procedure is to be performed
				  meets the following requirements at the time of the procedure:
(1) The permit holder shall ensure the
				  facility is equipped as follows and that the following listed equipment is
				  immediately available and accessible from the operatory and recovery rooms:
(A) an operatory of size and design to permit
				  access of emergency equipment and personnel and to permit emergency
				  management;
(B) a CPR board or
				  dental chair suitable for providing emergency treatment;
(C) lighting as necessary for the procedure
				  to be performed, and back-up lighting;
(D) suction equipment as necessary for the
				  procedure to be performed, including non-electrical back-up suction;
(E) positive pressure oxygen delivery system,
				  including full face masks for small, medium, and large patients, and back-up
				  E-cylinder portable oxygen tank apart from the central system;
(F) small, medium, and large oral and nasal
				  airways;
(G) a blood pressure
				  monitoring device;
(H) an EKG
				  monitor;
(I) a pulse
				  oximeter;
(J) an automatic external
				  defibrillator (AED);
(K) a
				  capnograph;
(L) a precordial or
				  pretracheal stethoscope;
(M) a
				  thermometer;
(N) vascular access
				  set-up as necessary for the procedure to be performed, including hardware and
				  fluids;
(O) a laryngoscope with
				  working batteries;
(P) intubation
				  forceps and advanced airway devices;
(Q) tonsillar suction with back-up
				  suction;
(R) syringes as necessary
				  for the procedure to be performed; and
(S) tourniquet and tape.