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 33.331 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and phrases, when used in this
						subchapter, have the following meanings, unless the context clearly indicates
						otherwise:
AAOMS
-American Association of Oral and
						Maxillofacial Surgeons.
AAOMS Guidelines-AAOMS Parameters and Pathways
						2000 Clinical Practice Guidelines for Oral and Maxillofacial Surgery,
						Anesthesia in Outpatient Facilities
(AAOMS Par Path 2000),
						4/15/99.
AAOMS Manual-AAOMS Office Anesthesia
						Manual
, 6th Edition, 2000.
AAPD
-American Academy of Pediatric
						Dentistry.
AAPD Guidelines-AAPD Guidelines for the Elective
						Use of Conscious Sedation, Deep Sedation and General Anesthesia in Pediatric
						Dental Patients
(May, 1998).
ACLS
-Advanced Cardiac Life
						Support.
ADA
-American Dental Association.
ADA Guidelines-ADA Guidelines for the Use of
						Conscious Sedation, Deep Sedation and General Anesthesia for Dentists
(October, 2000).
Adult patient
-A patient 18 years of age
						or older.
Authorized agent
-An organization or
						individual that the Board has officially authorized to act as the Board's agent
						in carrying out the mandates of the Board, the act or this chapter.
BLS
-Basic Life Support.
Board
-The State Board of
						Dentistry.
CRNA
-A registered nurse certified as a
						Registered Nurse Anesthetist by the Council on Certification or Recertification
						of Nurse Anesthetists of the American Association of Nurse Anesthetists
						authorized to administer anesthesia under §
											21.17 (relating to the
						administration of anesthesia by a registered nurse.)
Clinical evaluation
-A determination of
						the dentist's current technical competency to safely administer general
						anesthesia, deep sedation or conscious sedation and to effectively respond to
						anesthesia related emergencies, in accordance with the AAOMS Manual for OMSs or
						the ADA Guidelines (for adult patients) and the AAPD Guidelines (for pediatric
						patients) for general dentists.
Communications equipment
-Equipment
						capable of being used to elicit a response in an emergency by voice, video or
						electronic data transmission, such as a telephone, video link, intercom,
						two-way radio or other similar device.
Conscious sedation
-A minimally depressed
						level of consciousness that is produced by a pharmacologic method, a
						nonpharmacologic method, or a combination of both, in which the patient retains
						the ability to maintain an airway independently and continuously and to respond
						appropriately to physical stimulation or verbal command.
Deep sedation
-A controlled,
						pharmacologically induced state of depressed consciousness from which the
						patient is not easily aroused and which may be accompanied by a partial loss of
						protective reflexes, including the ability to maintain a patent airway
						independently or respond purposefully to physical stimulation or verbal
						command, or both.
General anesthesia
-A controlled state of
						unconsciousness that is produced by a pharmacologic method, a nonpharmacologic
						method, or a combination of both, and that is accompanied by a complete or
						partial loss of protective reflexes that include the patient's inability to
						maintain an airway independently and to respond purposefully to physical
						stimulation or verbal command.
General dentist
-A dentist who is not an
						oral and maxillofacial surgeon.
Nitrous oxide/oxygen analgesia
-The
						diminution or elimination of pain in the conscious patient through the use of
						nitrous oxide/oxygen.
OMS
-Oral and Maxillofacial Surgeon who
						is a current member of the PSOMS or AAOMS.
Office inspection
-A determination as to
						whether the offices where the dentist administers anesthesia is properly
						equipped as 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), as appropriate to the type of permit, and in
						accordance with the AAOMS Manual for OMSs, or the ADA Guidelines (for adult
						patients) and the AAPD Guidelines (for pediatric patients) for general
						dentists.
PALS
-Pediatric Advanced Life
						Support.
PSOMS
-Pennsylvania Society of Oral and
						Maxillofacial Surgeons.
Patient physical evaluation
-An
						assessment of the patient's physical and mental condition relevant to the
						surgery to be performed and anesthesia or anesthetic to be utilized.
Pediatric patient
-A patient under 18
						years of age.
Peer evaluation organization
-An entity
						approved by the Board for administering a program whereby licensed dentists
						conduct office inspections and clinical evaluations for dentists seeking
						initial or renewal unrestricted or restricted I permits in accordance with
						§
											33.336b (relating to approved peer
						evaluation organizations for administering clinical evaluations and office
						inspections).
Peer evaluator
-A licensed dentist with a
						current unrestricted permit or restricted permit I who conducts an office
						inspection or clinical evaluation under the auspices of an approved peer
						evaluation organization.
Physician
-A Pennsylvania licensed
						medical or osteopathic physician who is currently certified by the American
						Board of Anesthesiology or the American Osteopathic Board of Anesthesiology, or
						is credentialed to administer anesthesia in a hospital or ambulatory surgical
						facility licensed by the Department of Health.
The provisions of this §
													33.331 issued under sections 11.2
						  and 11.3 of The Dental Law (63 P. S. §§
														130c and
						  130d); amended under sections
						  3(o) and 11.2(a) of The Dental Law (63 P. S. §§
														122(o) and
						  130c(a)).
This section cited in 49 Pa. Code §
													33.341 (relating to duties of
						  dentists who are not permitholders).