Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 33 - STATE BOARD OF DENTISTRY › Subchapter E - ADMINISTRATION OF GENERAL ANESTHESIA, DEEP SEDATION, CONSCIOUS SEDATION AND NITROUS OXIDE/OXYGEN ANALGESIA › Section 33.341 - Duties of dentists who are not permitholders

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A dentist who does not possess a permit
					 issued under this subchapter may not allow general anesthesia, deep sedation,
					 conscious sedation or nitrous oxide/oxygen analgesia to be administered on an
					 outpatient basis in his dental office unless the following conditions are met:
(1) The Board receives prior notice of the
					 first time that the dental office will be used for the administration of
					 general anesthesia, deep sedation, conscious sedation or nitrous oxide/oxygen
					 analgesia.
(2) The dental office
					 meets the appropriate equipment and facility requirements prescribed in §
												33.340(a)(2),
					 §
												33.340a(a)(2) or
					 §
												33.340b(a)(2)
					 (relating to duties of dentists who are unrestricted permitholders; duties of
					 dentists who are restricted permit I holders; and duties of dentists who are
					 restricted permit II holders) and the Board receives a written certification
					 from the dentist to that effect.
(3) The general anesthesia, deep sedation,
					 conscious sedation and nitrous oxide/oxygen analgesia, are administered by one
					 of the following:
(i) The holder of a permit
					 under this subchapter or CRNA delegatee.
(ii) A physician as defined in §
													33.331 (relating to
					 definitions).
(4) Either
					 the dentist who performs the dental procedure or the CRNA, physician or
					 permitholder who administers the general anesthesia, deep sedation or conscious
					 sedation possesses a current certification in ACLS.
(5) The nonpermitholder dentist receives a
					 written certification from the permitholder that all monitoring equipment and
					 equipment used to administer general anesthesia, deep sedation, conscious
					 sedation and nitrous oxide/oxygen analgesia is present in the nonpermitholder's
					 office, is properly installed, maintained and calibrated according to the
					 equipment manufacturer's guidelines, contains a fail-safe system and is in
					 proper working condition prior to the administration of general anesthesia,
					 deep sedation, conscious sedation or nitrous oxide/oxygen analgesia, and that
					 monitoring equipment is being used during the administration of general
					 anesthesia.
(6) The nonpermitholder
					 receives a written certification from the permitholder that the permitholder
					 has satisfactorily completed a clinical evaluation and the equipment
					 transported to the nonpermitholder dentist's office for the administration of
					 general anesthesia, deep sedation, conscious sedation or nitrous oxide/oxygen
					 analgesia by a permitholder has satisfactorily completed an inspection
					 conducted by an approved peer evaluation organization under §
												33.336b(a) 
					 (relating to approved peer evaluation organizations for administering clinical
					 evaluations and office inspection), in accordance with the requirements of the
					 AAOMS Manual and AAOMS Guidelines (OMS), ADA Guidelines or AAPD Guidelines, as
					 applicable.