North Dakota Administrative Code › Title 20 - State Board of Dental Examiners › Article 20-02 - Dentists › Chapter 20-02-01 - GENERAL REQUIREMENTS › Section 20-02-01-05 - Anesthesia and sedation permit requirements

Current through Supplement No. 393, July, 2024
The rules in this chapter are adopted for the purpose of
			  defining standards for the administration of anesthesia and sedation by
			  dentists or a dentist who collaborates with a qualified and licensed anesthesia
			  or sedation provider. A dentist may not use any form of sedation if the intent
			  is beyond minimal sedation on any patient unless such dentist has a permit,
			  currently in effect, issued by the board, and renewable biennially thereafter,
			  authorizing the use of such general anesthesia, deep sedation, or moderate
			  sedation. With the administration of anesthesia, the qualified dentist must
			  have the training, skills, drugs, and equipment immediately available in order
			  to rapidly identify and manage an adverse occurrence until either emergency
			  medical assistance arrives or the patient returns to the intended level of
			  sedation or full recovery without airway, respiratory, or cardiovascular
			  complications.
1. Administration of
			nitrous oxide inhalation analgesia - Requirements. The following standards
			apply to the administration of nitrous oxide inhalation analgesia:
a. Inhalation equipment must have a fail-safe
			system that is appropriately checked and calibrated. The equipment also must
			have either a functioning device that prohibits the delivery of less than
			thirty percent oxygen or an appropriately calibrated and functioning in-line
			oxygen analyzer with audible alarm. A scavenging system must be available if
			gases other than oxygen or air are used.
b. Patient dental records must include the
			concentration administered and duration of administration.
c. A dentist may not delegate monitoring of
			nitrous oxide inhalation analgesia once the patient has ingested an enteral
			drug for the purpose of minimal sedation.
d. Before authorizing a dental hygienist or
			registered dental assistant to administer nitrous oxide inhalation analgesia,
			the dentist must have provided and documented training in the proper and safe
			operation of the nitrous oxide inhalation analgesia equipment.
e. A patient receiving nitrous oxide
			inhalation analgesia must be continually monitored by authorized dental staff.
			A dental hygienist or a registered dental assistant may terminate or reduce the
			amount of nitrous oxide previously administered by the authorized nitrous oxide
			inhalation analgesia provider.
f.
			The board may issue a permit authorizing the administration of nitrous oxide
			inhalation to a dentist or dental hygienist or registered dental assistant if
			the following requirements are met:
(1)
			Evidence of successful completion of a twelve-hour, board-approved course of
			training or course provided by a program accredited by an accrediting body
			recognized by the United States department of education, and either:
(a) Completed the course within thirteen
			months before application; or
(b)
			Completed the course more than thirteen months before application, has legally
			administered nitrous oxide inhalation analgesia for a period of time during the
			three years preceding application, and provides written documentation from a
			dentist that has employed or supervised the applicant, attesting to the current
			clinical proficiency of the applicant to administer nitrous oxide inhalation
			analgesia.
(2) Evidence
			of current certification in basic life support by the American heart
			association for the health care provider, or an equivalent program approved by
			the board.