| (a) Pursuant to §258.1557 of the Act, all permit
holders, including nitrous oxide, must develop written emergency preparedness
policies and procedures specific to the permit holder's practice setting
that establish a plan for the management of medical emergencies in
each practice setting in which the dentist administers sedation/anesthesia.
(b) The emergency preparedness policies and procedures
must include written protocols, policies, procedures, and training
requirements specific to the permit holder's equipment and drugs for
responding to emergency situations involving sedation/anesthesia,
including information specific to respiratory emergencies.
(c) The permit holder must annually review the emergency
preparedness policies and procedures to determine whether an update
is necessary. The permit holder must maintain documentation of the
dates of the emergency preparedness policies and procedures' creation,
the most recent update, and the most recent annual review.
(d) Policies and procedures develop by all permit holders
must include basic life support protocols, advanced cardiac life support
rescue protocols, and/or pediatric advanced cardiac life support rescue
protocols if treating pediatric patients, consistent with the requirements
of §§110.3 - 110.6 of this chapter, as applied to the permit
holder.
(e) Policies and procedures developed by all permit
holders must include, at a minimum, the following documents:
(1) Specific protocols for response to a sedation/anesthesia
emergency, including specific protocols for advanced airway management
techniques;
(2) Staff training log, documenting staff training
in emergency prevention, recognition, and response on at least an
annual basis;
(3) Emergency drug log documenting annual reviews for
assurance of unexpired supply;
(4) Equipment readiness log indicating annual reviews
for assurance of function of the equipment required by §110.15
of this chapter; and
(5) Individual office staff roles and responsibilities
in response to an emergency, including roles and responsibilities
specific to a response to a respiratory emergency.
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