Current through Vol. 24-21, December 1, 2024
Section R. 338.11601 - General anesthesia; conditions; violationRule 1601.
(1) A dentist shall not administer general anesthesia to a dental patient or delegate and supervise the performance of any act, task, or function involved in the administration of general anesthesia to a dental patient, unless all of the following conditions are satisfied:(a) The dentist has completed a minimum of 1 year of advanced training in general anesthesia and pain control in a program that meets the standards adopted in R 338.11603(l). A program that is accredited by CODA as meeting the accreditation standards for advanced dental education programs in anesthesiology meets the requirements of this subdivision.(b) The dentist and the delegatee, if any, maintain current certification in basic and advanced cardiac life support for health care providers with a hands-on component from an agency or organization that grants certification pursuant to standards substantially equivalent to the standards adopted in R 338.11603(2). A certification in basic and advanced cardiac life for health care providers with a hands-on component from AHA meets the requirements of this subdivision.(c) The facility in which the anesthesia is administered meets the equipment standards adopted in R 338.11603(3).(d) The dentist shall be physically present with the patient who is given any general anesthesia until he or she regains consciousness and the dentist shall remain on the premises until the patient is capable of being discharged.(2) A dentist who does not meet the requirements of subrule (1) of this rule shall not offer general anesthesia services for dental patients unless all of the following conditions are met: (a) General anesthesia services are directly provided through association with, and by, either of the following individuals: (i) A physician who is licensed under the provisions of part 170 or 175 of the code, MCL 333.17001 to 333.17097, and 333.17501 to 333.17556, and who is a member in good standing on the anesthesiology staff of a hospital accredited by the Joint Commission.(ii) A dentist who meets the requirements of subrule (1)(a) and (b) of this rule.(b) A person who administers anesthesia, under the provisions of subdivision (a) of this subrule, shall be physically present with the patient who is given any general anesthesia until he or she regains consciousness and the dentist shall remain on the premises where the general anesthesia is administered until the patient anesthetized is capable of being discharged.(c) The provisions of subrule (1)(b) and (c) of this rule must be complied with.(3) A dentist is in violation of section 16221(l)(h) of the code, MCL 333.16221, if he or she fails to comply with subrules (1) and (2) of this rule.Mich. Admin. Code R. 338.11601
1990 AACS; 2011 AACS; 2017 AACS; 2021 MR 8, Eff. 4/26/2021