La. Admin. Code tit. 46 § XXXIII-1503

Current through Register Vol. 50, No. 12, December 20, 2024

Section XXXIII-1503 - Personal Permits for Sedation/Anesthesia

A. The board issues the following types of personal permits for sedation and/or general anesthesia, listed in order from lowest to highest level:

1. nitrous oxide inhalation permit;

2. moderate sedation;

3. general anesthesia/deep sedation.

4. general anesthesia/deep sedation.

B.

1. In order to receive personal permit to administer nitrous oxide sedation, the dentist must show proof to the board of completion of a course on nitrous oxide sedation that consists of a minimum of 14 hours of didactic instruction, plus six clinically-oriented experiences during which competency in nitrous oxide sedation techniques is demonstrated.

2. In order to receive a personal permit to administer moderate sedation, the dentist must show proof to the board of completion of a course on moderate parenteral sedation that includes:

a. a minimum of 60 hours of instruction plus the administration of sedation for at least 20 individually managed patients.

b. certification of competence in moderate sedation techniques.

c. certification of competence in rescuing patients from a deeper level of sedation than intended including managing the airway, intravascular or intraosseous access, and reversal medications.

d. provision by course director or faculty of additional clinical experience if participant competency has not been achieved in time allotted.

e. records of instruction and clinical experiences (i.e., number of patients managed by each participant in each modality/route) that are maintained and available for participant review.

3. In order to receive a personal permit to administer general anesthesia/deep sedation, the dentist must show proof to the board of having completed an advanced education program accredited by the Commission on Dental Accreditation that provided training in deep sedation and general anesthesia.

C. If the training program described in Subsection B of this Section was completed five years or more before the application for the personal permit is made, the board may, in its discretion, through the chairman of its anesthesia committee, issue the requested permit if the licensee has been legally and safely providing sedation/anesthesia at the level of the requested permit in another state since completing the program.

D. In addition to the requirements of Subsection B, in order to receive or renew any personal sedation/general anesthesia permit or a nitrous oxide analgesia/sedation permit, the licensee must provide proof of current certification in cardiopulmonary resuscitation, course "C", basic life support for the health care provider as defined by the American Heart Association, or its equivalent.

E. In addition to the requirements of Subsections B and D, in order to receive or renew a personal moderate sedation permit or a personal deep sedation/general anesthesia permit, the licensee must provide proof of current certification in advanced cardiac life support as defined by the American Heart Association or its equivalent. The board will only accept an ACLS course which includes a practical component which is personally attended. If a dentists practice is restricted to treating only children, the certification in pediatric life support (PALS) described in §1504. A.4 will suffice as a substitute for ACLS.

F. Licensees who have received permits to administer sedation or anesthesia prior to the effective date of this Rule and whose permits are still valid are exempt from the training program requirements in Subsection B upon renewal of their permits.

La. Admin. Code tit. 46, § XXXIII-1503

Promulgated by the Department of Health and Hospitals, Board of Dentistry, LR 20:658 (June 1994), Promulgated by the Department of Health and Hospitals, Board of Dentistry, LR 4253 (1/1/2016), Amended LR 43955 (5/1/2017), Amended LR 451761 (12/1/2019).

AUTHORITY NOTE: Promulgated in accordance with R.S. 37:760(8).