New York Codes, Rules and Regulations › Title 8 - EDUCATION DEPARTMENT › Chapter II - Regulations of the Commissioner › Subchapter B - Regulation of Professions › Part 61 - Dentistry, Dental Hygiene, and Registered Dental assisting › Section 61.10 - Dental anesthesia certification

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				  Definitions. For purposes of this section, the following definitions shall
				  apply:
(1) Acceptable accrediting body means
				  an accrediting body which is accepted by the department as a reliable authority
				  for the purpose of accrediting educational programs in anesthesia, applying its
				  criteria for granting accreditation in a fair, consistent, and
				  nondiscriminatory manner, and which accredits such programs on a national
				  basis.
(2) Conscious (moderate)
				  sedation means a drug-induced depression of consciousness during which patients
				  respond purposefully to verbal commands, either alone or accompanied by light
				  tactile stimulation. Reflex withdrawal from a painful stimulus is not
				  considered a purposeful response. No interventions are required to maintain a
				  patent airway, and spontaneous ventilation is adequate. Cardiovascular function
				  is usually maintained.
(3) Deep
				  sedation means a drug-induced depression of consciousness during which patients
				  cannot be easily aroused but respond purposefully following repeated or painful
				  stimulation. The ability to independently maintain ventilatory function may be
				  impaired. Patients may require assistance in maintaining a patent airway, and
				  spontaneous ventilation may be inadequate. Cardiovascular function is usually
				  maintained.
(4) General anesthesia
				  means a drug-induced loss of consciousness during which patients are not
				  arousable, even by painful stimulation. The ability to independently maintain
				  ventilatory function is often impaired. Patients often require assistance in
				  maintaining a patent airway, and positive pressure ventilation may be required
				  because of depressed spontaneous ventilation or drug-induced depression of
				  neuromuscular function. Cardiovascular function may be impaired.
(5) Enteral means a technique of
				  administration in which the agent is absorbed through the gastrointestinal
				  tract or oral mucosa, including but not limited to oral, rectal, and sublingual
				  administration.
(6) Parenteral
				  means a technique of administration in which the drug bypasses the
				  gastrointestinal tract, including but not limited to intramuscular,
				  intravenous, intranasal, submucosal, subcutaneous, and intraocular
				  administration.
(7) Inhalation
				  means a technique of administration in which a gaseous or volatile agent is
				  introduced into the pulmonary tree and whose primary effect is due to the
				  absorption through the pulmonary bed.
(8) Continual or continually means repeated
				  regularly and frequently in a steady succession.
(9) Continuous or continuously means
				  prolonged without any interruption in time.
(10) Patent means open, unobstructed, or not
				  closed.
(11) Time-oriented
				  anesthesia record means an organized document which shows at appropriate time
				  intervals, drugs and doses administered, and physiologic data obtained through
				  patient monitoring, during the course of conscious (moderate) sedation, deep
				  sedation, or general anesthesia, to include the preoperative, intraoperative
				  and recovery stages of treatment.
(12) American Society of Anesthesiologists
				  (ASA) Patient Physical Status Classification
ASA I - A normal healthy patient
ASA II - A patient with mild systemic disease ASA III - A
					 patient with severe systemic disease
ASA IV - A patient with severe systemic disease that is a
					 constant threat to life ASA V - A moribund patient who is not expected to
					 survive without the operation ASA VI- A declared brain-dead patient whose
					 organs are being removed for donor purposes
E - Emergency operation of any variety (used to modify one
					 of the above classifications, i.e., ASA III-E)