Okla. Admin. Code § 195:20-1-9

Current through Vol. 42, No. 4, November 1, 2024

Section 195:20-1-9 - Minimal standards for dentists utilizing general anesthesia or deep sedation

(a) Every dentist who utilizes general anesthesia or deep sedation shall be responsible for all aspects of the procedure as outlined in Part I, Section V in the American Dental Association Guidelines for the Use of Conscious Sedation, Deep Sedation and General Anesthesia for dentists and/or the American Association of Oral and Maxillofacial Surgeon's "Office Anesthesia Evaluation Manual." This shall include careful patient evaluation and informed consent prior to the start of any anesthetic procedure. Continuous monitoring of oxygenation, ventilation, and circulation with documentation of all procedures, drugs, and agents on an appropriate time-oriented anesthesia record shall be completed for each patient. A device capable of measuring body temperature should be readily available, if needed, during the administration of deep sedation/general anesthesia. When agents implicated in precipitating malignant hyperthermia are utilized, continual monitoring of body temperature must be performed. The dentist performing the anesthesia is required to be in the patient's presence at all times during the procedure. No provider shall have more than one patient under any form of sedation or anesthesia at the same time, exclusive of recovery. Supervised recovery and complete evaluation of the patient prior to discharge to a responsible adult is required. Minimal monitoring equipment shall include blood pressure apparatus (manual or automatic), pulse oximeter , end-tidal carbon dioxide monitor (intubated patients), temperature monitor, electrocardiograph , and a defibrillator.

(b) The anesthesia permit provider is responsible for the anesthetic management, adequacy of the facility, and treatment of emergencies associated with the administration of general anesthesia, including immediate access to pharmacologic antagonists, if any, and appropriately sized equipment for establishing a patent airway and providing positive pressure ventilation with oxygen.

Added at 14 Ok Reg 1547, eff 7-1-97¹; Amended at 16 Ok Reg 3273, eff 5-10-99 (emergency); Amended at 17 Ok Reg 1873, eff 7-1-00; Amended at 22 Ok Reg 1442, eff 7-1-05

¹On 4-6-99, subsection (b) of the rule promulgated at this cite was declared void and unenforceable by the Oklahoma Court of Civil Appeals, affirming a decision of the District Court of Oklahoma. [See Joseph Seay, D.D.S. v. The Board of Dentistry of the State of Oklahoma, Case No. CJ-97-4607, 12-16-97, Judge Niles Jackson, District Court of Oklahoma County; 70 OBJ 1086] The rule was later amended by emergency rulemaking, effective 5-10-99, and followed by permanent rulemaking, effective 7-1-00.