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 .0101 - GENERAL ANESTHESIA AND SEDATION DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
For the purpose of these Rules relative to the
					 administration of minimal conscious sedation, moderate conscious sedation,
					 moderate pediatric conscious sedation, or general anesthesia by or under the
					 direction of a dentist, the following definitions shall apply:
(1) "Analgesia" - the diminution or
				  elimination of pain.
(2)
				  "Anti-anxiety sedative" - a sedative agent administered in a dosage intended to
				  reduce anxiety without diminishing consciousness or protective
				  reflexes.
(3) "Anxiolysis" -
				  pharmacological reduction of anxiety through the administration of a single
				  dose of a minor psychosedative, possibly in combination with nitrous oxide, to
				  children or adults prior to commencement of treatment on the day of the
				  appointment that allows for uninterrupted interactive ability in an awake
				  patient with no compromise in the ability to maintain a patent airway
				  independently and continuously. Nitrous oxide may be administered in addition
				  to the minor psychosedative without constituting multiple dosing for purpose of
				  these Rules.
(4) "ACLS" - Advanced
				  Cardiac Life Support.
(5)
				  "Administer" - to direct, manage, supervise, control, and have charge of all
				  aspects of selection, dosage, timing, and method of delivery to the patient of
				  any pharmacologic agent intended to reduce anxiety or depress
				  consciousness.
(6) "ASA" - American
				  Society of Anesthesiologists.
(7)
				  "Auxiliaries" - non-dentist staff members involved in general anesthesia or
				  sedation procedures.
(8) "BLS" -
				  Basic Life Support.
(9) "Behavior
				  control" - the use of pharmacological techniques to control behavior to a level
				  that dental treatment may be performed without injury to the patient or
				  dentist.
(10) "Behavioral
				  management" - the use of pharmacological or psychological techniques, singly or
				  in combination, to modify behavior to a level that dental treatment may be
				  performed without injury to the patient or dentist.
(11) "Competent" - displaying special skill
				  or knowledge derived from training and experience.
(12) "Conscious sedation" - an induced state
				  of a depressed level of consciousness that retains the patient's ability to
				  maintain an airway without assistance and respond to physical stimulation and
				  verbal commands, and that is produced by pharmacologic or non-pharmacologic
				  agents, or a combination thereof. All dentists who perform conscious sedation
				  shall have an unexpired sedation permit from the Dental Board.
(13) "CRNA" - Certified Registered Nurse
				  Anesthetist.
(14) "Deep sedation" -
				  an induced state of a depressed level of consciousness accompanied by partial
				  loss of protective reflexes, including the ability to maintain an airway
				  without assistance or respond to verbal command, produced by pharmacological
				  agents. All dentists who perform deep sedation shall have an unexpired general
				  anesthesia permit from the Dental Board.
(15) "Deliver" - to assist a permitted
				  dentist in administering sedation or anesthesia drugs by providing the drugs to
				  the patient pursuant to a direct order from the dentist and while under the
				  dentist's direct supervision.
(16)
				  "Direct supervision" - the dentist responsible for the sedation or anesthesia
				  procedure shall be immediately available and shall be aware of the patient's
				  physical status and well being at all times.
(17) "Emergencies manual" - a written manual
				  that documents:
(a) the location of all
				  emergency equipment and medications in each facility;
(b) each staff member's role during medical
				  emergencies; and
(c) the
				  appropriate treatment for laryngospasm, bronchospasm, emesis and aspiration,
				  respiratory depression and arrest, angina pectoris, myocardial infarction,
				  hypertension, hypotension, allergic reactions, convulsions, syncope,
				  bradycardia, hypoglycemia, cardiac arrest, and airway obstruction.