Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-817 - Dental quality assurance commission › ADMINISTRATION OF ANESTHETIC AGENTS FOR DENTAL PROCEDURES › Section 246-817-710 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout WAC
					 246-817-701 through
					 246-817-790 unless the context
					 clearly requires otherwise.
(1)
				  "Advanced cardiac life support" or "ACLS" means a set of clinical interventions
				  for the urgent treatment of cardiac arrest, stroke, and other life-threatening
				  medical emergencies, as well as the knowledge and skills to deploy those
				  interventions.
(2) "American
				  Society of Anesthesiologists patient classification I" means a normal healthy
				  patient.
(3) "American Society of
				  Anesthesiologists patient classification II" means a patient with mild systemic
				  disease.
(4) "American Society of
				  Anesthesiologists patient classification III" means a patient with severe
				  systemic disease.
(5) "American
				  Society of Anesthesiologists patient classification IV" means a patient with
				  severe systemic disease that is a constant threat to life.
(6) "Analgesia" means the diminution of pain
				  in the conscious patient.
(7)
				  "Anesthesia" means the loss of feeling or sensation, especially loss of
				  sensation of pain.
(8) "Anesthesia
				  monitor" means a credentialed health care provider specifically trained in
				  monitoring patients under sedation and capable of assisting with procedures,
				  problems and emergency incidents that may occur as a result of the sedation or
				  secondary to an unexpected medical complication.
(9) "Anesthesia provider" means a dentist,
				  physician anesthesiologist, dental hygienist, or certified registered nurse
				  anesthetist (CRNA) licensed, authorized, competent, and qualified to perform
				  anesthesia within the state of Washington.
(10) "Automated external defibrillator" or
				  "AED" means a portable electronic device that automatically diagnoses the
				  life-threatening cardiac arrhythmias of ventricular fibrillation and pulseless
				  ventricular tachycardia, and is able to treat through defibrillation.
(11) "Basic life support" or "BLS" means a
				  type of care health care providers and public safety professionals provide to
				  anyone who is experiencing cardiac arrest, respiratory distress, or an
				  obstructed airway.
(12) "Carbon
				  dioxide" or "CO" means a gas consisting of one part carbon and two parts
				  oxygen.
(13) "Close supervision"
				  means that a supervising dentist whose patient is being treated has personally
				  diagnosed the condition to be treated and has personally authorized the
				  procedures to be performed. The supervising dentist is continuously on-site and
				  physically present in the treatment facility while the procedures are performed
				  by the assistive personnel and capable of responding immediately in the event
				  of an emergency. Close supervision does not require a supervising dentist to be
				  physically present in the operatory.
(14) "Commission on Dental Accreditation" or
				  "CODA" means a national organization that develops and implements accreditation
				  standards that promote and monitor the continuous quality and improvement of
				  dental education programs.
(15)
				  "Deep sedation" means a drug induced depression of consciousness during which
				  patients cannot be easily aroused but respond purposefully following repeated
				  or painful stimulation. The ability to independently maintain ventilatory
				  function may be impaired. Patients may require assistance in maintaining a
				  patent airway, and spontaneous ventilation may be inadequate. Cardiovascular
				  function is usually maintained.
(16) "Dental anesthesia assistant" means a
				  health care provider certified under chapter 18.350 RCW and specifically
				  trained to perform the functions authorized in
				  RCW
				  18.350.040 under supervision of an oral and
				  maxillofacial surgeon or dental anesthesiologist.
(17) "Enteral" means any technique of
				  administration in which an agent is absorbed through the gastrointestinal
				  tract.
(18) "General anesthesia"
				  means a drug induced loss of consciousness during which patients are not
				  arousable, even by painful stimulation. The ability to independently maintain
				  an airway and respond purposefully to physical stimulation or verbal command,
				  produced by a pharmacologic or nonpharmacologic method, or combination thereof
				  may be impaired. Patients often require assistance in maintaining a patent
				  airway, and positive pressure ventilation may be required because of depressed
				  spontaneous ventilation or drug-induced depression of neuromuscular function.
				  Cardiovascular function may be impaired.
(19) "Minimal sedation" means a minimally
				  depressed level of consciousness, produced by a pharmacological method, that
				  retains the patient's ability to independently and continuously maintain an
				  airway and respond normally to tactile stimulation and verbal commands.
				  Although cognitive function and coordination may be modestly impaired,
				  ventilatory and cardiovascular functions are unaffected.
(20) "Moderate sedation" means a drug induced
				  depression of consciousness during which patients respond purposefully to
				  verbal commands, either alone or accompanied by light tactile stimulation. No
				  interventions are required to maintain a patent airway, and spontaneous
				  ventilation is adequate. Cardiovascular function is usually maintained.
				  Moderate sedation can include both enteral and parenteral routes of
				  administration.
(21) "Nothing by
				  mouth" or "NPO" means the time before an examination or procedure during which
				  a patient cannot eat or drink.
(22)
				  "Parenteral" means a technique of administration in which the drug bypasses the
				  gastrointestinal (GI) tract including, but not limited to, intramuscular,
				  intravenous, intranasal, submuscosal, subcutaneous, and intraosseous.
(23) "Pediatric" means a child 12 years of
				  age or younger.
(24) "Pediatric
				  advanced life support" or "PALS" means a type of care that focuses on providing
				  advanced airway and life support skills in immediate emergency care to
				  children.
Statutory Authority:
						RCW
						18.32.640 and
						18.32.0365. WSR 09-04-042, §
						246-817-710, filed 1/30/09, effective 3/2/09. Statutory Authority: RCW
						18.32.035. WSR 95-21-041, § 246-817-710, filed 10/10/95, effective
						11/10/95.