New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 30 - NEW JERSEY BOARD OF DENTISTRY › Subchapter 8 - GENERAL PROVISIONS › Section 13:30-8.2 - Parenteral conscious sedation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) No dentist shall administer parenteral conscious sedation ("PCS") unless the minimum standards of training and procedure set forth in this section are satisfied.
(b) PCS is defined as a depressed level of consciousness produced by the parenteral administration of pharmacologic substances that allows the patient to retain the ability to independently and continuously maintain an airway and respond appropriately to physical stimulation or verbal command. This modality includes administration of medications via all parenteral routes, that is, intravenous, intra-muscular, subcutaneous, submucosal, or inhalation, but does not include nitrous-oxide inhalation analgesia.
(c) No dentist shall use PCS for dental patients unless such dentist possesses a PCS permit issued by the State Board of Dentistry for a specified practice location, which shall be renewed biennially. A dentist shall obtain a separate PCS permit for each practice location at which PCS is administered, except as set forth at (l) below.
(d) A dentist applying for a Board permit to administer PCS shall complete an application as provided by the Board. The dentist shall submit as part of a completed application a certification from an accredited university, teaching hospital, or other training institution or facility approved pursuant to N.J.S.A. 45:6-2, establishing that the applicant has completed formal training in the administration of PCS. Such formal training shall consist of, at a minimum, 40 hours in didactic instruction and 40 hours of supervised clinical training in the administration of PCS. Such formal training shall have been completed within three years preceding the date of application. Supervised clinical training shall consist of, at a minimum, delivering intravenous, intramuscular, subcutaneous, submucosal and inhalation medications, monitoring patient activity, and managing patient care for 20 PCS patients. As part of the dentist's PCS permit application, the institution shall certify the applicant is competent to:
1. Evaluate the medical status of patients and perform risk management assessments according to American Society of Anesthesiology (ASA) Classification by use of patient histories, physical examinations, vital signs, and pertinent laboratory data and information obtained by medical consultations, and that the applicant can modify treatment plans accordingly;
2. Understand and evaluate the effects of conscious sedation agents on the medical, physical and psychological status of patients;
3. Perform venipunctures and maintain intravenous access during PCS procedures;
4. Recognize and manage complications from drug administrations;
5. Understand the clinical pharmacology of the drugs used for PCS and the interactions of these drugs;
6. Maintain patient airways and support ventilation;
7. Monitor patients during the administration of PCS using clinical evaluations and mechanical means, including the use of an EKG monitor and a pulse oximeter, capnography, and the interpretation of such readings;
8. Manage patients during the post-operative period and assess patients' suitability for discharge; and
9. Maintain accurate anesthetic records including drug dosages, vital signs and patient responses.