West Virginia Code of State Rules › Agency 5 - Dentistry, WV Board of › Title 5 - LEGISLATIVE RULE WEST VIRGINIA BOARD OF DENTISTRY › Series 5-12 - Administration of Anesthesia by Dentists › Section 5-12-2 - Definitions

Current through Register Vol. XLI, No. 28, July 12, 2024
As used in this rule and unless the context clearly requires
				  a different meaning, the following terms have the meanings ascribed in this
				  section.
2.1. "AAOMS" means the
				American Association of Oral and Maxillofacial Surgeons.
2.2. "AAPD" means the American Academy of
				Pediatric Dentistry.
2.3. "ACLS"
				means Advanced Cardiac Life Support.
2.4. "ADA" means the American Dental
				Association.
2.5. "AMA" means the
				American Medical Association.
2.6.
				"Anxiolysis/minimal sedation" or premedication for anxiety - means removing,
				eliminating or decreasing a patient's anxiety by the use of a single anxiolytic
				or analgesia medication that is administered in an amount consistent with the
				manufacturer's current recommended dosage for the unsupervised treatment of
				anxiety, insomnia or pain, in conjunction with nitrous oxide and oxygen. This
				term does not include multiple dosing or exceeding current normal dosage limits
				set by the manufacturer for unsupervised use by the patient (at home), for the
				treatment of anxiety.
2.7. "ASA"
				means American Society of Anesthesiologists
2.8. "BLS" means Basic Life
				Support.
2.9. "Board" means West
				Virginia Board of Dentistry.
2.10.
				"Central Nervous System Anesthesia" means an induced controlled state of
				unconsciousness or depressed consciousness produced by a pharmacologic
				method.
2.11. Class 2 Permit means
				a licensed dentist is authorized to induce anxiolysis/minimal
				sedation.
2.12. Class 3 Permit
				means a licensed dentist is authorized to induce conscious sedation/moderate
				sedation as limited enteral (3a) and/or comprehensive parenteral (3b), and
				anxiolysis/minimal sedation.
2.13.
				Class 4 Permit means a licensed dentist is authorized to induce general
				anesthesia/deep conscious sedation, conscious sedation/moderate sedation, and
				anxiolysis/minimal sedation.
2.14.
				"Conscious sedation/moderate sedation" means an induced controlled state of
				depressed consciousness, produced through the administration of nitrous oxide
				and oxygen and/or the administration of other agents whether enteral or
				parenteral, in which the patient retains the ability to independently and
				continuously maintain an airway and to respond purposefully to physical
				stimulation and to verbal command.
2.15. "CPR" means Cardiopulmonary
				Resuscitation.
2.16. "CRNA" means
				Certified Registered Nurse Anesthetist.
2.17. "Dentist Anesthesiologist" means a
				dentist who is trained in the practice of anesthesiology and has completed an
				additional approved anesthesia education course;
2.18 "Dental Assistant" means a person
				qualified by education, training or experience who aids or assists a dentist in
				the delivery of patient care.
2.19.
				"Facility Permit" means a permit for a facility where sedation procedures are
				used that correspond with the level of anesthesia provided.
2.20. "General anesthesia/deep conscious
				sedation" means an induced controlled state of unconsciousness in which the
				patient experiences complete loss of protective reflexes, as evidenced by the
				inability to independently maintain an airway, the inability to respond
				purposefully to physical stimulation, or the inability to respond purposefully
				to verbal command. "Deep conscious sedation/general anesthesia" includes
				partial loss of protective reflexes and the patient retains the ability to
				independently and continuously maintain an airway.
2.21. "Health Care Provider BLS/CPR" means
				Health Care Provider Basic Life Support/Cardiopulmonary
				Resuscitation.
2.22. "Operating
				Team" means the dentists, physicians, certified registered nurse anesthetists,
				qualified monitors or dental assistants participating in a dental procedure in
				which levels of sedation are being administered.
2.23. "PALS" means Pediatric Advanced Life
				Support.
2.24. "Pediatric Patient"
				means an infant or child.
2.25.
				"Physician Anesthesiologist" means a physician, MD or DO, who is specialized in
				the practice of anesthesiology;
2.26. "Qualified Monitor" means an individual
				who by virtue of credentialing and/or training checks closely and documents the
				status of a patient undergoing anesthesia and observes utilized
				equipment;
2.27. "Qualified Monitor
				Certificate" certifies an individual is authorized to act as a qualified
				monitor during sedation procedures.
2.28. "Relative analgesia/minimal sedation"
				means an induced controlled state of minimally depressed consciousness,
				produced solely by the inhalation of a combination of nitrous oxide and oxygen,
				or single oral pre-medication without the addition of nitrous oxide and oxygen
				in which the patient retains the ability to independently and continuously
				maintain an airway and to respond purposefully to physical stimulation and to
				verbal command. Dosage of oral pre-medication is not to exceed the recommended
				dosage limits set by the manufacturer for the treatment of anxiety, insomnia or
				pain.
2.29. "Subcommittee" means
				West Virginia Board of Dentistry Subcommittee on
				Anesthesia.