Wisconsin Administrative Code › Dentistry Examining Board › Chapter DE 11 - Anesthesia › Section DE 11.035 - Board approved education program content

Current through June 24, 2024
(1) A board approved
			 education program that provides comprehensive training for a class II permit -
			 enteral shall consist of a minimum of 18 hours in administration and management
			 of moderate sedation, including all of the following course content:
(a) Historical, philosophical and
			 psychological aspects of anxiety and pain control.
(b) Patient evaluation and selection through
			 review of medical history taking, physical diagnosis and psychological
			 profiling.
(c) Use of patient
			 history and examination for ASA classification, risk assessment and
			 pre-procedure fasting instruction.
(d) Definitions and descriptions of
			 physiological and psychological aspects of anxiety and pain.
(e) Description of the sedation anesthesia
			 continuum, with special emphasis on the distinction between the conscious and
			 the unconscious state.
(f) Review
			 of adult respiratory and circulatory physiology and related anatomy.
(g) Pharmacology of local anesthetics and
			 agents used in moderate sedation, including drug interactions and
			 contraindications.
(h) Indications
			 and contraindications for use of moderate sedation.
(i) Review of dental procedures possible
			 under moderate sedation.
(j)
			 Patient monitoring using observation, monitoring equipment, with particular
			 attention to vital signs, ventilation, breathing and reflexes related to
			 consciousness.
(k) Maintaining
			 proper records with accurate chart entries recording medical history, physical
			 examination, informed consent, time-oriented anesthesia record, including the
			 names of all drugs administered, doses and monitored physiological
			 parameters.
(L) Prevention,
			 recognition and management of complications and emergencies.
(m) Description, maintenance and use of
			 moderate sedation monitors and equipment.
(n) Discussion of abuse potential.
(o) Description and rationale for the
			 technique to be employed.
(p)
			 Prevention, recognition and management of systemic complications of moderate
			 sedation, with particular attention to airway maintenance and support of the
			 respiratory and cardiovascular systems.
(q) Twenty cases, which may include group
			 observation cases, that each meet all of the following requirements:
1. At least 3 cases must occur in person as
			 live clinical dental experiences. These cases may occur at any time or location
			 permitted by the education program. The remaining cases may include simulations
			 or video presentations.
2. One case
			 must have experience in returning a patient from deep to moderate sedation,
			 which may be done by simulation or video presentation.
3. Include full review of patient medical
			 history, including pertinent lab values.
4. Applicant shall be present and participate
			 for the duration of live clinical dental experience cases up through recovery
			 and discharge of the patient and shall participate in any remaining cases via
			 simulation or video presentation to completion.
5. Applicant shall observe the administration
			 of medicines.
6. Patient and any
			 anesthesia monitors shall be in full view of the applicant.