reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter N - RULEMAKING AND ADMINISTRATIVE HEARING PROCEDURES › Section .0600 - ADMINISTRATIVE HEARINGS: DECISIONS: RELATED RIGHTS AND PROCEDURES › Section 16N .0605 - PROPOSALS FOR DECISIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) When an
				  administrative law judge conducts a hearing pursuant to
				  G.S.
				  150B-40(e), a "proposal for
				  decision" shall be rendered. Any party may file written exceptions to this
				  "proposal for decision" and submit their own proposed findings of fact and
				  conclusions of law. Exceptions and alternative proposals must be received
				  within ten days after the party has received the "proposal for decision" as
				  drafted by the administrative law judge.
(b) Any exceptions to the procedure during
				  the hearing, the handling of the hearing by the administrative law judge,
				  rulings on evidence, or any other matter must be written and refer specifically
				  to pages of the record or otherwise precisely identify the occurrence to which
				  the exception is taken. Exceptions must be filed with the Board within ten days
				  of the receipt of the proposal for decision. The written exceptions must bear
				  the notation: EXCEPTIONS TO THE PROCEEDINGS IN THE CASE (NAME OF
				  CASE).
(c) Any party may present
				  oral argument to the Board upon request. The request must be included with the
				  written exceptions.
(d) Upon
				  receipt of request for further oral argument, notice will be issued promptly to
				  all parties designating the time and place for such oral argument.
(e) Giving due consideration to the proposal
				  for decision and the exceptions and arguments of the parties, the Board may
				  adopt the proposal for decision or may modify it as the Board deems necessary.
				  The decision rendered will be a part of the record and a copy thereof shall be
				  given to all parties. The Board decision becomes the "final agency decision"
				  for the right to judicial review. Said decision will be rendered by the Board
				  within 60 days of the next regularly scheduled meeting following the oral
				  arguments, if any. If there are no oral arguments presented, the decision will
				  be rendered within 60 days of the next regularly scheduled Board meeting
				  following receipt of the written exceptions.
Authority
					 G.S.
					 150B-38;
					 150B-40;
Eff. August
					 25, 1977;
Amended Eff. May 1, 1989; March 1, 1988; October 1, 1986;
					 November 20, 1980;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 9,
					 2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter N - RULEMAKING AND ADMINISTRATIVE HEARING PROCEDURES › Section .0600 - ADMINISTRATIVE HEARINGS: DECISIONS: RELATED RIGHTS AND PROCEDURES › Section 16N .0606 - FAILURE TO APPEAR

Current through Register Vol. 39, No. 2, July 15, 2024
Should a party fail to appear at a scheduled hearing, the
					 Board, or the designated administrative law judge, may proceed with the hearing
					 and make its decision in the absence of the party, provided that the party has
					 been given proper notice. The Board or the administrative law judge may order a
					 continuance in order to give the party another opportunity to
					 appear.
Authority
					 G.S.
					 90-28;
					 90-48;
					 90-223(b);
					 150B-25(a);
					 150B-60(4);
Eff. May 1, 1989;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 9,
					 2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter N - RULEMAKING AND ADMINISTRATIVE HEARING PROCEDURES › Section .0600 - ADMINISTRATIVE HEARINGS: DECISIONS: RELATED RIGHTS AND PROCEDURES › Section 16N .0607 - DISCIPLINARY FACTORS

Current through Register Vol. 39, No. 2, July 15, 2024
If the Board concludes that a dentist or dental hygienist
					 (the "Respondent") has violated the Dental Practice Act, the Dental Hygiene
					 Practice Act, or the Board's Rules, it shall consider the following factors
					 relevant to the discipline to be imposed:
(1) The Board shall consider revocation of a
				  license or permit if it concludes that lesser discipline is insufficient to
				  protect the public and that one or more of the following factors applies:
(a) Respondent caused or contributed to a
				  patient's death, permanent organic brain dysfunction, physical injury, or
				  severe medical emergency requiring hospitalization;
(b) Respondent has been convicted of or
				  entered a plea of guilty or nolo contendere to a felony charge; or
(c) Respondent engaged in fraud, dishonesty,
				  misrepresentation, deceit, or fabrication related to the practice of dentistry
				  or dental hygiene, including attempts to obtain or collect any fees.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter O - NITROUS-OXIDE-OXYGEN CONSCIOUS SEDATION › Section .0100 - REGISTRATION AND REPORTING › Section 16O .0101-.0102

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-29(b)(6);
					 90-48;
					 90-223;
					 150B-12;
Eff. May
					 24, 1978;
Repealed Eff. July 16,
					 1980.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter O - NITROUS-OXIDE-OXYGEN CONSCIOUS SEDATION › Section .0200 - QUALIFICATIONS OF DENTAL ASSISTANTS AND HYGIENISTS › Section 16O .0201-.0203

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-29(b)(6);
					 90-48;
					 90-223;
					 150A-12;
Eff. May
					 24, 1978;
Repealed Eff. July 16,
					 1980.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter O - NITROUS-OXIDE-OXYGEN CONSCIOUS SEDATION › Section .0300 - DEFINITIONS › Section 16O .0301 - CONSCIOUS SEDATION

Current through Register Vol. 39, No. 2, July 15, 2024
"Conscious sedation" means the use of drugs for controlling
					 pain or apprehension without rendering the patient
					 unconscious.
Authority
					 G.S.
					 90-29(b)(6);
					 90-48;
					 90-223;
Eff. July 16,
					 1980;
Amended Eff. May 1, 1989;
Amended Eff. April 1,
					 2016 (See S.L. 2016-31);
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 9,
					 2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter O - NITROUS-OXIDE-OXYGEN CONSCIOUS SEDATION › Section .0300 - DEFINITIONS › Section 16O .0302 - MONITORING

Current through Register Vol. 39, No. 2, July 15, 2024
"Monitoring" means observation of the patient during the
					 flow of sedation agents and includes reducing the flow of sedation or shutting
					 off equipment controlling such flow. Monitoring does not include increasing the
					 flow of sedation agents.
Authority
					 G.S.
					 90-29(b)(6);
					 90-48;
					 90-223;
Eff. July 16,
					 1980;
Amended Eff. May 1, 1989;
Amended Eff. April 1,
					 2016 (See S.L. 2016-31);
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 9,
					 2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter O - NITROUS-OXIDE-OXYGEN CONSCIOUS SEDATION › Section .0400 - QUALIFICATIONS TO PERFORM FUNCTIONS › Section 16O .0401 - NON DELEGABLE FUNCTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Conscious sedation shall not be induced by anyone other
					 than a dentist or a lawfully qualified nurse or anesthetist who does so under
					 the supervision and direction of a dentist or physician.
Authority
					 G.S.
					 90-29(b)(6);
					 90-48;
					 90-223;
Eff. July 16,
					 1980;
Amended Eff. May 1, 1989;
Amended Eff. April 1,
					 2016 (See S.L. 2016-31);
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 9,
					 2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter O - NITROUS-OXIDE-OXYGEN CONSCIOUS SEDATION › Section .0400 - QUALIFICATIONS TO PERFORM FUNCTIONS › Section 16O .0402 - EDUCATIONAL REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				  Dental Assistant may aid and assist a licensed dentist in the monitoring of
				  nitrous oxide-oxygen inhalant sedation by completing a Board-approved course
				  totaling at least seven hours that covers the following topics:
(1) definitions and descriptions of
				  physiological and psychological aspects of pain and anxiety;
(2) the states of drug-induced central
				  nervous system depression through all levels of consciousness and
				  unconsciousness, with emphasis on the distinction between the conscious and
				  unconscious state;
(3) respiratory
				  and circulatory physiology, and related anatomy;
(4) pharmacology of agents used in the
				  nitrous oxide techniques being taught, including drug interaction and
				  incompatibility;
(5) patient
				  monitoring, with particular attention to vital signs and reflexes related to
				  consciousness;
(6) prevention,
				  recognition, and management of complications and life threatening situations
				  that may occur during the use of the nitrous oxide techniques, including
				  cardiopulmonary resuscitation;
(7)
				  description and use of ventilation sedation equipment; and
(8) potential health hazards of trace
				  anesthetics, and proposed techniques for elimination of these potential health
				  hazards.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter O - NITROUS-OXIDE-OXYGEN CONSCIOUS SEDATION › Section .0400 - QUALIFICATIONS TO PERFORM FUNCTIONS › Section 16O .0403 - REPEALED - PREVIOUS COMPLIANCE

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-29(b)(6);
					 90-48;
					 90-223;
					 150B-12;
Eff. July
					 16, 1980;
Repealed Eff. May 1,
					 1989.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter P - ADVERTISEMENT OF DENTAL SERVICES › Section 16P .0101 - COMMUNICATIONS CONCERNING DENTAL SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
A dentist shall not make a false or misleading communication
				  about the dentist or the dentist's services. A communication is false or
				  misleading if it:
(1) Contains a
				material misrepresentation of fact;
(2) Is likely to mislead or deceive because
				it makes only a partial disclosure of relevant facts;
(3) Is intended or is likely to create false
				or unjustified expectations of favorable results;
(4) Contains express or implied claims of
				superiority which cannot reasonably be substantiated by the advertising
				practitioner; or
(5) Contains other
				representations or implications which are intended or likely to cause an
				ordinary, prudent person to misunderstand or be deceived.
Authority
				  G.S.
				  90-41(a)(16),(17),(18);
				  90-48;
Eff. March 1,
				  1985;
Amended Eff. May 1, 1989; October 1, 1986;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. January 9,
				  2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter P - ADVERTISEMENT OF DENTAL SERVICES › Section 16P .0102 - ADS MUST INCLUDE DENTIST'S NAME AND AREA OF PRACTICE

Current through Register Vol. 39, No. 2, July 15, 2024
All advertisements of dental services shall contain the name
				  or names of the dentist or dentists whose services are being advertised and
				  shall state whether each dentist is a general dentist or, if qualified, a
				  specialist in the named area of specialization. The dentist's name and
				  designation as a general dentist or specialist shall be stated prominently in
				  the advertisement. The dentist whose services are being advertised shall be
				  personally responsible for determining that the content of the advertisement is
				  not contrary to North Carolina law or Board rules.
Authority
				  G.S.
				  90-41(a)(16),(17),(18);
				  90-48;
Eff. March 1,
				  1985;
Amended Eff. May 1, 1989; October 1, 1986;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. January 9,
				  2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter P - ADVERTISEMENT OF DENTAL SERVICES › Section 16P .0103 - ADVERTISEMENT OF FEES

Current through Register Vol. 39, No. 2, July 15, 2024
Advertisements of dental services shall:
(1) Not quote a range of fees for a given
				service unless the basic factors upon which the actual fees will be determined
				are disclosed;
(2) Specify any
				related services which usually are required in conjunction with the advertised
				services and for which additional fees will be charged; and
(3) If discounts are advertised, state the
				amount of the discounts. The dentist must be available in the office and
				provide upon request a list of actual standard fees to which the discounts will
				be applied.
Authority
				  G.S.
				  90-41(a)(16),(17),(18);
				  90-48;
Eff. March 1,
				  1985;
Amended Eff. May 1, 1989; October 1, 1986;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. January 9,
				  2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter P - ADVERTISEMENT OF DENTAL SERVICES › Section 16P .0104 - TESTIMONIALS AND ENDORSEMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Advertisements for dental services shall not:
(1) Include false or misleading testimonials
				and endorsements; or
(2) Reveal a
				patient's identity or personally identifiable facts, data or other information
				obtained in a professional capacity without first obtaining the patient's
				consent.
Authority
				  G.S.
				  90-41(a)(16),(17),(18);
				  90-48;
Eff. March 1,
				  1985;
Amended Eff. May 1, 1989; October 1, 1986;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. January 9,
				  2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter P - ADVERTISEMENT OF DENTAL SERVICES › Section 16P .0105 - ADVERTISING AS A SPECIALIST

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A
				dentist shall not advertise or otherwise hold himself or herself out to the
				public as a specialist, or use any variation of the term, in an area of
				practice if the communication is false or misleading under Rule .0101 of this
				Section.
(b) It shall be false or
				misleading for a dentist to hold himself or herself out to the public as a
				specialist, or any variation of that term, in a practice area unless the
				dentist:
(1) has completed a qualifying
				postdoctoral educational program in that area as set forth in Paragraph (c) of
				this Rule; or
(2) holds a current
				certification by a qualifying specialty board or organization as set forth in
				Paragraph (d) of this Rule.
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 .0102 - APPLICATION FOR GENERAL ANESTHESIA OR SEDATION PERMIT, PERMIT RENEWAL, AND PERMIT REINSTATEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An applicant
				  for a general anesthesia or sedation permit shall be licensed and in good
				  standing with the Board.
(b) All
				  permit applications shall be made on the forms furnished by the Board at
www.ncdentalboard.org
and shall
				  include:
(1) the full name;
(2) the mailing address;
(3) the North Carolina dental license
				  number;
(4) a telephone number;
				  and
(5) an email address.
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 .0104 - REQUIREMENTS FOR INSPECTIONS AND EVALUATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  During a facility inspection pursuant to the rules of this Subchapter, for a
				  dentist applying for or holding a permit to administer general anesthesia,
				  moderate conscious sedation, or moderate pediatric conscious sedation, the
				  applicant or permit holder shall demonstrate satisfaction of the requirements
				  set forth in Rule .0103(c) and (d) of this Section.
(b) During an evaluation, for a dentist
				  applying for or holding a permit to administer general anesthesia, moderate
				  conscious sedation, or moderate pediatric conscious sedation, the applicant or
				  permit holder shall demonstrate the administration of anesthesia or sedation in
				  accordance with the level of the permit, and shall demonstrate competency in
				  the following areas:
(1) pre-operative
				  patient evaluation and procedures, including the requirements set forth in Rule
				  .0103(e) of this Section;
(2)
				  operative procedures, including the deployment of an intravenous delivery
				  system and the requirements set forth in Rule .0103(f) of this
				  Section;
(3) post-operative patient
				  monitoring and discharge, including the requirements set forth in Rule .0103(g)
				  of this Section; and
(4) treatment
				  of the clinical emergencies set out in Rule .0103(d)(1) of this
				  Section.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0200 - GENERAL ANESTHESIA › Section 16Q .0201 - GENERAL ANESTHESIA CREDENTIALS AND PERMIT

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Before a dentist licensed to practice in North Carolina may administer or
				  supervise a CRNA to administer general anesthesia or perform deep sedation, the
				  dentist shall obtain a general anesthesia permit from the Board by completing
				  the application requirements of this Rule and paying a four hundred
				  seventy-five dollar ($475.00) fee that includes the one-hundred dollar
				  ($100.00) application fee and the three-hundred seventy-five dollar ($375.00)
				  inspection fee. The permit shall be renewed annually and shall be displayed
				  with the current renewal at all times in the permit holder's facility where it
				  is visible to patients receiving treatment.
(b) A dentist applying for a general
				  anesthesia permit shall be in good standing with the Board, has an unexpired
				  ACLS certification, and demonstrates that he or she has one of the following
				  qualifications:
(1) has completed a minimum of
				  two years of advanced training in anesthesiology and related academic subjects
				  beyond the undergraduate dental school level;
(2) has graduated from a program certified by
				  the American Dental Association in Oral and Maxillofacial Surgery;
(3) is a Diplomate of or eligible for
				  examination by the American Board of Oral and Maxillofacial Surgery;
				  or
(4) is a Fellow of the American
				  Dental Society of Anesthesiology.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0200 - GENERAL ANESTHESIA › Section 16Q .0202 - GENERAL ANESTHESIA EQUIPMENT AND CLINICAL REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A dentist administering general
				  anesthesia shall ensure that the facility where the general anesthesia is
				  administered meets the following requirements:
(1) The facility shall be equipped with the
				  following:
(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 without enhancements, suitable for providing emergency
				  treatment;
(C) lighting as
				  necessary for specific procedures and back-up lighting;
(D) suction equipment as necessary for
				  specific procedures, 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) blood pressure
				  monitoring device;
(H) EKG
				  monitor;
(I) pulse
				  oximeter;
(J) automatic external
				  defibrillator (AED);
(K) precordial
				  stethoscope or capnograph;
(L)
				  thermometer;
(M) vascular access
				  set-up as necessary for specific procedures, including hardware and
				  fluids;
(N) laryngoscope with
				  working batteries;
(O) intubation
				  forceps and advanced airway devices;
(P) tonsillar suction with back-up
				  suction;
(Q) syringes as necessary
				  for specific procedures; and
(R)
				  tourniquet and tape.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0200 - GENERAL ANESTHESIA › Section 16Q .0203 - REPEALED - TEMPORARY APPROVAL PRIOR TO SITE EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-30.1;
Eff. February
					 1, 1990;
Amended Eff. August 1, 2002;
Repealed Eff.
					 April 1, 2016.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0200 - GENERAL ANESTHESIA › Section 16Q .0205 - REPEALED - RESULTS OF SITE EVALUATION AND REEVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-30.1;
Eff. February
					 1, 1990;
Amended Eff. August 1, 2002;
Repealed Eff.
					 April 1, 2016.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0200 - GENERAL ANESTHESIA › Section 16Q .0206 - ITINERANT (MOBILE) GENERAL ANESTHESIA PERMIT, EQUIPMENT AND EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A dentist who holds a general anesthesia
				  permit from the Board and who wishes to provide general anesthesia or other
				  sedation services in the office of another practitioner shall obtain a mobile
				  general anesthesia permit from the Board by completing the application
				  requirements of this Rule and paying a one hundred dollar ($100.00) application
				  fee and a two-hundred seventy-five dollar ($275.00) inspection fee. No mobile
				  permit shall be required to administer general anesthesia in a hospital or
				  credentialed surgery center.
(b)
				  Before a mobile general anesthesia permit may be issued, a general anesthesia
				  permit holder appointed by the Board shall inspect the applicant's equipment
				  and medications to ensure that they comply with Paragraphs (c) and (d) of this
				  Rule.
(c) The permit holder shall
				  maintain in good working order the following equipment:
(1) small, medium, and large supraglottic
				  airways devices;
(2) small, medium,
				  and large anesthesia circuits;
(3)
				  rebreathing device;
(4) scavenging
				  system;
(5) intermittent
				  compression devices;
(6) gastric
				  suction device;
(7) endotracheal
				  tube and pulmonary suction device;
(8) equipment for performing emergency
				  cricothyrotomies and delivering positive pressure ventilation; and
(9) the equipment required by Rule
				  .0202(a)(1) of this Section.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0300 - MODERATE CONSCIOUS SEDATION › Section 16Q .0301 - CREDENTIALS AND PERMITS FOR MODERATE PARENTERAL AND ENTERAL CONSCIOUS SEDATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Before a dentist licensed to practice in
				  North Carolina may administer or supervise a CRNA employed to administer or RN
				  employed to deliver moderate conscious sedation, the dentist shall obtain a
				  permit from the Board by completing the application requirements in this Rule
				  and paying a fee of three hundred seventy-five dollar ($375.00) that includes
				  the one-hundred dollar ($100.00) application fee and the two-hundred
				  seventy-five dollar ($275.00) inspection fee. The permit shall be renewed
				  annually and shall be displayed with the current renewal at all times in the
				  facility of the permit holder where it is visible to patients receiving
				  treatment.
(b) The permit holder
				  shall provide supervision to any CRNA employed to administer or RN employed to
				  deliver sedation, and shall ensure that the level of the sedation does not
				  exceed the level of the sedation allowed by the permit holder's
				  permit.
(c) A dentist applying for
				  a permit to administer moderate conscious sedation shall document the
				  following:
(1) Training that may consist of
				  either:
(A) Completion of 60 hours of Board
				  approved didactic training in intravenous conscious sedation, and 30 hours of
				  clinical training that shall include successful management of a minimum of 20
				  live patients, under supervision of the course instructor, using intravenous
				  sedation. Training shall be provided by one or more individuals who meet the
				  American Dental Association Guidelines for Teaching Pain Control and Sedation
				  to Dentists that is hereby incorporated by reference, including subsequent
				  amendments and editions. The guidelines may be found at www.ada.org/coda;
				  or
(B) Completion of a pre-doctoral
				  dental or postgraduate program that included intravenous conscious sedation
				  training equivalent to that defined in Part (c)(1)(A) of this Rule;
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0300 - MODERATE CONSCIOUS SEDATION › Section 16Q .0302 - MODERATE PARENTERAL AND ENTERAL CONSCIOUS SEDATION CLINICAL REQUIREMENTS AND EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A dentist
				  administering moderate conscious sedation or supervising any CRNA employed to
				  administer or RN employed to deliver moderate conscious sedation shall ensure
				  that the facility where the sedation is administered meets the following
				  requirements:
(1) The facility shall be
				  equipped with the following:
(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 a dental chair without enhancements, suitable for providing
				  emergency treatment;
(C) lighting
				  as necessary for specific procedures and back-up lighting;
(D) suction equipment as necessary for
				  specific procedures, 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) blood pressure
				  monitoring device;
(H) EKG
				  monitor;
(I) pulse
				  oximeter;
(J) automatic external
				  defibrillator (AED);
(K) precordial
				  stethoscope or capnograph;
(L)
				  thermometer;
(M) vascular access
				  set-up as necessary for specific procedures, including hardware and
				  fluids;
(N) laryngoscope with
				  working batteries;
(O) intubation
				  forceps and advanced airway devices;
(P) tonsillar suction with back-up
				  suction;
(Q) syringes as necessary
				  for specific procedures; and
(R)
				  tourniquet and tape.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0300 - MODERATE CONSCIOUS SEDATION › Section 16Q .0303 - REPEALED - TEMPORARY APPROVAL PRIOR TO SITE INSPECTION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-30.1;
Eff. February
					 1, 1990;
Amended Eff. August 1, 2002; January 1, 1994;
Temporary Amendment Eff. December 11, 2002;
Amended Eff. September
					 1, 2014; February 1, 2009; July 3, 2008; August 1, 2004;
Repealed
					 Eff. April 1, 2016.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0300 - MODERATE CONSCIOUS SEDATION › Section 16Q .0304 - ITINERANT (MOBILE) MODERATE PERMIT, EQUIPMENT AND EVALUATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A dentist who holds a moderate conscious
				  sedation permit from the Board and who wishes to provide moderate conscious
				  sedation or other sedation services in the office of another practitioner shall
				  obtain a mobile moderate conscious sedation permit from the Board by completing
				  the application requirements of this Rule and paying a one-hundred dollar
				  ($100.00) application fee and a two-hundred seventy-five dollar ($275.00)
				  inspection fee. No mobile permit shall be required to administer moderate
				  conscious sedation in a hospital or credentialed surgery center.
(b) The permit holder shall maintain in good
				  working order the equipment required by Rule .0302(a)(1) of this
				  Section.
(c) The unexpired
				  medications required by Rule .0302(a)(2) of this Section shall be on site and
				  available to the permit holder.
(d)
				  Before a mobile moderate sedation permit may be issued, a permit holder
				  appointed by the Board shall inspect the applicant's equipment and medications
				  to ensure that they comply with Paragraphs (b) and (c) of this Rule. The
				  evaluation and inspection shall be conducted as set out in Rule .0306 of this
				  Section.
(e) Prior to administering
				  moderate conscious sedation or other sedation services at another provider's
				  office, the mobile permit holder shall inspect the host facility within 24
				  business hours before each procedure and shall ensure that:
(1) the operatory's size and design permit
				  emergency management and access of emergency equipment and personnel;
(2) there is a CPR board or dental chair
				  without enhancements suitable for providing emergency treatment;
(3) there is lighting to permit performance
				  of all procedures planned for the facility;
(4) there is suction equipment, including
				  non-electrical back-up suction; and
(5) the facility shall be staffed with at
				  least two BLS certified auxiliaries, one of whom shall be dedicated to patient
				  monitoring and recording moderate conscious sedation or other sedation services
				  data throughout the sedation procedure. This Subparagraph shall not apply if
				  the dentist permit holder is dedicated to patient care and monitoring regarding
				  sedation throughout the sedation procedure and is not performing the surgery or
				  other dental procedure.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0400 - PEDIATRIC MODERATE CONSCIOUS SEDATION › Section 16Q .0401 - MINIMAL CONSCIOUS SEDATION CREDENTIALS, EVALUATION AND PERMIT (RECODIFIED TO 21 NCAC 16Q .0504 EFF. NOVEMBER 9, 2020)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0400 - PEDIATRIC MODERATE CONSCIOUS SEDATION › Section 16Q .0402 - MINIMAL CONSCIOUS SEDATION PERMIT REQUIREMENTS, CLINICAL PROVISIONS AND EQUIPMENT (RECODIFIED TO 21 NCAC 16Q .0505 EFF. NOVEMBER 9, 2020)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0400 - PEDIATRIC MODERATE CONSCIOUS SEDATION › Section 16Q .0403 - REPEALED - TEMPORARY APPROVAL PRIOR TO SITE INSPECTION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-30.1.
Temporary
					 Adoption Eff. March 13, 2003; December 11, 2002;
Eff. August 1,
					 2004;
Amended Eff. February 1, 2009; July 3, 2008;
Repealed Eff. April 1, 2016.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0400 - PEDIATRIC MODERATE CONSCIOUS SEDATION › Section 16Q .0404 - CREDENTIALS AND PERMITS FOR MODERATE PEDIATRIC CONSCIOUS SEDATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Before a dentist licensed to practice in
				  North Carolina may administer moderate pediatric conscious sedation, the
				  dentist shall obtain a general anesthesia or moderate pediatric conscious
				  sedation permit from the Board by completing the application requirements of
				  this Rule and paying a fee of three hundred seventy-five dollars ($375.00) that
				  includes the one-hundred dollar ($100.00) application fee and the two-hundred
				  seventy-five dollar ($275.00) inspection fee. The permit shall be renewed
				  annually and shall be displayed with the current renewal at all times in the
				  permit holder's facility where it is visible to patients receiving
				  treatment.
(b) A dentist applying
				  for a permit to administer moderate pediatric conscious sedation shall hold an
				  unexpired PALS certification and meet at least one of the following criteria:
(1) completion of a postgraduate program that
				  included pediatric intravenous conscious sedation training;
(2) completion of a Commission On Dental
				  Accreditation (CODA) approved pediatric residency that included intravenous
				  conscious sedation training; or
(3)
				  completion of a pediatric degree or pediatric residency at a CODA approved
				  institution that includes training in the use and placement of IVs or
				  intraosseous vascular access. A list of CODA approved institutions that is
				  hereby incorporated by reference, including subsequent amendments and editions,
				  appears at www.ada.org/coda and is available at no cost.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0400 - PEDIATRIC MODERATE CONSCIOUS SEDATION › Section 16Q .0405 - MODERATE PEDIATRIC CONSCIOUS SEDATION CLINICAL REQUIREMENTS AND EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A dentist administering moderate
				  pediatric conscious sedation shall ensure that the facility where the sedation
				  is administered meets the following requirements:
(1) The facility shall be equipped with the
				  following:
(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 a
				  dental chair without enhancements, suitable for providing emergency
				  treatment;
(C) lighting as
				  necessary for specific procedures and back-up lighting;
(D) suction equipment as necessary for
				  specific procedures, 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) blood pressure
				  monitoring device;
(H) EKG
				  monitor;
(I) pulse
				  oximeter;
(J) automatic external
				  defibrillator (AED);
(K) precordial
				  stethoscope or capnograph;
(L)
				  thermometer;
(M) vascular access
				  set-up as necessary for specific procedures, including hardware and
				  fluids;
(N) laryngoscope with
				  working batteries;
(O) intubation
				  forceps and advanced airway devices;
(P) tonsillar suction with back-up
				  suction;
(Q) syringes as necessary
				  for specific procedures; and
(R)
				  tourniquet and tape.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0400 - PEDIATRIC MODERATE CONSCIOUS SEDATION › Section 16Q .0406 - ITINERANT (MOBILE) MODERATE PEDIATRIC CONSCIOUS SEDATION PERMITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A dentist who holds a moderate pediatric
				  conscious sedation permit from the Board and who wishes to provide moderate
				  pediatric conscious sedation or other sedation services in the office of
				  another practitioner shall obtain a mobile moderate pediatric conscious
				  sedation permit from the Board by completing the application requirements of
				  this Rule and paying a one hundred dollar ($100.00) application fee and a
				  two-hundred seventy-five dollar ($275.00) inspection fee. No mobile permit
				  shall be required to administer moderate pediatric conscious sedation in a
				  hospital or credentialed surgery center.
(b) The permit holder shall maintain in good
				  working order the equipment required by Rule .0405(a)(1) of this
				  Section.
(c) The unexpired
				  medications required by Rule .0405(a)(2) of this Section shall be on site and
				  available to the permit holder.
(d)
				  Before a mobile moderate pediatric sedation permit may be issued, a permit
				  holder appointed by the Board shall inspect the applicant's equipment and
				  medications to ensure that they comply with Paragraphs (b) and (c) of this
				  Rule. The evaluation and on-site inspection shall be conducted as set out in
				  Rule .0405 of this Section.
(e)
				  Prior to administering moderate pediatric conscious sedation or other sedation
				  services at another provider's office, the mobile permit holder shall inspect
				  the host facility within 24 business hours before each procedure and shall
				  ensure that:
(1) the operatory's size and
				  design permit emergency management and access of emergency equipment and
				  personnel;
(2) there is a CPR board
				  or dental chair without enhancements suitable for providing emergency
				  treatment;
(3) there is lighting to
				  permit performance of all procedures planned for the facility;
(4) there is suction equipment, including
				  non-electrical back-up suction; and
(5) the facility shall be staffed with at
				  least two BLS certified auxiliaries, one of whom shall be dedicated to patient
				  monitoring and recording moderate pediatric conscious sedation or other
				  sedation services data throughout the sedation procedure. This Subparagraph
				  shall not apply if the dentist permit holder is dedicated to patient care and
				  monitoring regarding sedation throughout the sedation procedure and is not
				  performing the surgery or other dental procedure.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0500 - ENTERAL MINIMAL CONSCIOUS SEDATION › Section 16Q .0501 - REPEALED - ANNUAL RENEWAL REQUIRED

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-30.1;
					 90-48;
Eff. February
					 1, 1990;
Amended Eff. August 1, 2002;
Transferred and
					 Recodified from 16Q .0401 to 16Q .0501;
Temporary Amendment Eff.
					 December 11, 2002;
Amended Eff. November 1, 2013; July 3, 2008;
					 August 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 9, 2018;
Amended Eff.
					 August 1, 2018;
Repealed Eff. February 1,
					 2019.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0500 - ENTERAL MINIMAL CONSCIOUS SEDATION › Section 16Q .0502 - REPEALED - PAYMENT OF FEES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 90-28;
					 90-30.1;
Eff. February
					 1, 1990;
Transferred and Recodified from 16Q .0402 to
					 .0502;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 9, 2018;
Repealed Eff.
					 August 1, 2018.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0500 - ENTERAL MINIMAL CONSCIOUS SEDATION › Section 16Q .0503 - INSPECTION AUTHORIZED (RECODIFIED TO 21 NCAC 16Q .0704 EFF. NOVEMBER 9, 2020)

Current through Register Vol. 39, No. 2, July 15, 2024
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0500 - ENTERAL MINIMAL CONSCIOUS SEDATION › Section 16Q .0504 - MINIMAL CONSCIOUS SEDATION CREDENTIALS AND PERMIT

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Before a dentist licensed to practice in North Carolina may administer or
				  supervise a CRNA employed to administer or an RN employed to deliver minimal
				  conscious sedation, the dentist shall obtain a Board-issued permit for minimal
				  conscious sedation, moderate pediatric conscious sedation, moderate conscious
				  sedation, or general anesthesia. A dentist may obtain a minimal conscious
				  sedation permit from the Board by completing the application requirements of
				  this Rule and paying a fee of three-hundred seventy-five dollars ($375.00) that
				  includes the one-hundred dollar ($100.00) application fee and the two-hundred
				  seventy-five dollar ($275.00) inspection fee. The permit shall be renewed
				  annually and shall be displayed with the current renewal at all times in the
				  facility of the permit holder where it is visible to patients receiving
				  treatment.
(b) The minimal
				  conscious sedation permit holder shall ensure the level of the sedation
				  administered does not exceed minimal conscious sedation as defined in Rule
				  .0101(27) of this Subchapter.
(c)
				  An applicant for a minimal conscious sedation permit shall submit to the Board:
(1) a completed application form provided by
				  the Board at www.ncdentalboard.org that includes the information and materials
				  required by Rule .0102(b) and (c) of this Subchapter;
(2) a copy of an unexpired ACLS
				  certification; and
(3)
				  documentation showing completion of one of the following:
(A) an 18-hour minimal conscious sedation
				  course from the list, available on the Board's website, of sedation courses
				  reviewed at any public Board meeting and approved by a majority of the Board
				  based on its collective experience; or
(B) a post-doctoral program accredited by the
				  Commission on Dental Accreditation (CODA) that provides training in
				  administering and managing minimal conscious sedation. A list of
				  CODA-accredited programs is available at no cost at www.ada.org/coda and is
				  incorporated by reference, including subsequent amendments and
				  editions.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter Q - GENERAL ANESTHESIA AND SEDATION › Section .0500 - ENTERAL MINIMAL CONSCIOUS SEDATION › Section 16Q .0505 - MINIMAL CONSCIOUS SEDATION CLINICAL REQUIREMENTS AND EQUIPMENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A permit holder administering minimal
				  conscious sedation or supervising a CRNA employed to administer or RN employed
				  to deliver minimal conscious sedation shall ensure that the facility where the
				  sedation is administered meets the following requirements:
(1) The facility shall be equipped with the
				  following:
(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 a
				  dental chair without enhancements, suitable for providing emergency
				  treatment;
(C) lighting as
				  necessary for specific procedures and back-up lighting;
(D) suction equipment as necessary for
				  specific procedures, 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) blood pressure
				  monitoring device;
(H) pulse
				  oximeter;
(I) automatic external
				  defibrillator (AED);
(J)
				  thermometer;
(K) tonsillar suction
				  with back-up suction; and
(L)
				  syringes as necessary for specific procedures.