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 33.340b - Duties of dentists who are restricted permit II holders

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A dentist who possesses a restricted
					 permit II issued under this subchapter shall ensure that:
(1) Prior to the administration of nitrous
					 oxide/oxygen analgesia, the permitholder takes or updates a patient medical
					 history and gives the patient a physical evaluation sufficient to determine the
					 patient's suitability to receive nitrous oxide/oxygen analgesia.
(2) The dental office in which the
					 permitholder administers nitrous oxide/oxygen analgesia on an outpatient basis
					 contains the following:
(i) An operating
					 room.
(ii) An operating table or
					 chair.
(iii) A lighting
					 system.
(iv) Dental office suction
					 equipment.
(v) Oxygen and
					 supplemental gas delivery systems, including primary and back-up sources and a
					 fail-safe control mechanism.
(vi) A
					 sterilization area.
(vii) A gas
					 storage area and scavenger system.
(viii) Communications equipment.
(ix) Monitoring equipment, procedures and
					 documentation to conform to the age, size and condition of the patient and the
					 AAOMS Manual and AAOMS Guidelines for adult and pediatric patients (OMS), the
					 ADA Guidelines for adult patients (general dentists) and the AAPD Guidelines
					 for pediatric patients (general dentists).
(x) Results of patient medical history,
					 patient physical evaluation and identification of the nitrous oxide/oxygen
					 analgesia procedure to be utilized, prior to the administration of nitrous
					 oxide/oxygen analgesia.
(xi)
					 Signed, written, informed patient consent, prior to the administration of
					 nitrous oxide/oxygen analgesia, which includes a description of the procedure,
					 its risks and possible alternative treatments. Consent for a minor patient
					 shall be obtained from the minor's parent or guardian.
(xii) Stethoscope.
(3) Nitrous oxide/oxygen analgesia is
					 administered to adult and pediatric patients in accordance with the AAOMS
					 Guidelines and AAOMS Manual (OMS) or to adult patients in accordance with the
					 ADA Guidelines (general dentists) or to pediatric patients in accordance with
					 the AAPD Guidelines (general dentists). Conflicts between the AAOMS Guidelines,
					 the AAOMS Manual, the ADA Guidelines or the AAPD Guidelines and this subchapter
					 shall be resolved in favor of this subchapter.
(4) Monitoring equipment and equipment used
					 to administer nitrous oxide/oxygen analgesia is 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 nitrous oxide/oxygen analgesia.
(5) Patient records are prepared, maintained
					 and retained in accordance with §
												33.209 (relating to preparing,
					 maintaining and retaining patient records).