Oregon Administrative Rules › Chapter 818 - OREGON BOARD OF DENTISTRY › Division 26 - ANESTHESIA › Section 818-026-0080 - Standards Applicable When a Dentist Performs Dental Procedures and a Qualified Provider Induces Anesthesia

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 A dentist who does not hold an anesthesia permit may perform dental procedures
			 on a patient who receives anesthesia induced by a physician anesthesiologist
			 licensed by the Oregon Board of Medical Examiners, another Oregon licensed
			 dentist holding an appropriate anesthesia permit, or a Certified Registered
			 Nurse Anesthetist (CRNA) licensed by the Oregon Board of Nursing.
(2) A dentist who does not hold a Nitrous
			 Oxide Permit for nitrous oxide sedation may perform dental procedures on a
			 patient who receives nitrous oxide induced by an Oregon licensed dental
			 hygienist holding a Nitrous Oxide Permit.
(3) A dentist who performs dental procedures
			 on a patient who receives anesthesia induced by a physician anesthesiologist,
			 another dentist holding an anesthesia permit, a CRNA, or a dental hygienist who
			 induces nitrous oxide sedation, shall maintain a current BLS for Healthcare
			 Providers certificate, or its equivalent, and have the same personnel,
			 facilities, equipment and drugs available during the procedure and during
			 recovery as required of a dentist who has a permit for the level of anesthesia
			 being provided.
(4) A dentist, a
			 dental hygienist or an Expanded Function Dental Assistant (EFDA) who performs
			 procedures on a patient who is receiving anesthesia induced by a physician
			 anesthesiologist, another dentist holding an anesthesia permit or a CRNA shall
			 not schedule or treat patients for non emergent care during the period of time
			 of the sedation procedure.
(5) Once
			 anesthetized, a patient shall remain in the operatory for the duration of
			 treatment until criteria for transportation to recovery have been
			 met.
(6) The qualified anesthesia
			 provider who induces moderate sedation, deep sedation or general anesthesia
			 shall monitor the patient until easily arousable and can independently and
			 continuously maintain their airway with stable vital signs. Once this has
			 occurred the patient may be monitored by a qualified anesthesia monitor until
			 discharge criteria is met. The patient's dental record shall document the
			 patient's condition at discharge as required by the rules applicable to the
			 level of anesthesia being induced. A copy of the anesthesia record shall be
			 maintained in the patient's dental record and is the responsibility of the
			 dentist who is performing the dental procedures.
(7) No qualified provider shall have more
			 than one person under any form of sedation or general anesthesia at the same
			 time exclusive of recovery.
(8) A
			 dentist who intends to use the services of a qualified anesthesia provider as
			 described in section 1 above, shall notify the Board in writing of his/her
			 intent. Such notification need only be submitted once every licensing
			 period.
Statutory/Other Authority: ORS 679
Statutes/Other Implemented: ORS
				  679.250(7)
				  & ORS
				  679.250(10)