Oklahoma Administrative Code › Title 195 - Board of Dentistry › Chapter 20 - Rules Governing the Administration of Anesthesia › Section 195:20-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
The following words and terms, when used in this chapter, shall
				have the following meaning, unless the context clearly indicates otherwise.
				These words and terms are as defined in the Guidelines for "Teaching the
				Comprehensive Control of Pain and Anxiety in Dentistry," approved by the
				American Dental Association.
"Analgesia"
means the diminution or elimination of
				pain in the conscious patient. The conscious patient is defined as one with
				intact protective reflexes; including the ability to maintain an airway, and
				who is capable of rational response to questions or command.
"Anxiolysis"
means the diminution or elimination
				of anxiety.
"Certified Registered Nurse Anesthetist (CRNA)"
means any person who holds a valid license to practice as a registered nurse in
				Oklahoma and who administers anesthesia under the supervision of a licensed
				dentist as defined by the Oklahoma Board of Nursing Practice Act (Title 59 O.S.
				Section
				567.1
				et.seq.).
"Combination inhalation-enteral conscious sedation"
				(combined conscious sedation)
means conscious sedation using inhalation
				and enteral agents except when the only intent is anxiolysis.
"Conscious sedation"
means a minimally depressed
				level of consciousness that retains the patient's ability to independently and
				continuously maintain an airway and respond appropriately to physical
				stimulation or verbal command, produced by a pharmacologic or
				non-pharmacologicmethod, or combination thereof. The caveat that loss of
				consciousness should be unlikely is a particularly important aspect of the
				definition of conscious sedation, and the drugs and techniques utilized should
				carry a margin of safety wide enough to render unintended loss of consciousness
				highly unlikely.
"Deep sedation"
means a controlled state of
				depressed consciousness, accompanied by partial or complete loss of protective
				reflexes, including the inability to independently maintain an airway and
				respond purposefully to physical stimulation or verbal command, produced by a
				pharmacologic or non-pharmacologic method, or a combination thereof.
"Direct Supervision"
means the dentist responsible
				for the sedation/anesthesia procedure shall be physically present in the office
				and shall be continuously aware of the patient's physical status and well
				being.
"Enteral"
means any technique of administration in
				which the agent is absorbed through the gastrointestinal tract (oral, rectal,
				sublingual).
"General anesthesia"
means a controlled state of
				unconsciousness, accompanied by partial or complete loss of protective
				reflexes, including inability to independently maintain an airway and respond
				purposefully to physical stimulation or verbal command, produced by a
				pharmacologic or non-pharmacologic method, or a combination thereof.
"Parenteral"
means a technique of administration
				in which the drug bypasses the gastrointestinal tract and includes
				intramuscular (IM), intravenous (IV), intranasal (IN), submucosal (SM),
				subcutaneous (SC), or intraocular (IO).
Amended at 14 Ok Reg 1547,
				eff 7-1-97; Amended at 17 Ok Reg 1873, eff
				7-1-00