Each dentist licensed by the State Board of Dental Examiners and practicing
in Texas shall conduct his/her practice in a manner consistent with that of
a reasonable and prudent dentist under the same or similar circumstance. Further,
each dentist:
(1) Shall maintain a patient record:
(A) from which a diagnosis may be made;
(B) which includes a description of treatment rendered;
(C) includes the date on which treatment is performed; and
(D) which includes any information a reasonable and prudent
dentist in the same or similar circumstances would include.
(2) Shall maintain and review an initial medical history and
perform limited physical evaluation for all dental patients to wit:
(A) The initial medical history shall include, but shall not
necessarily be limited to, known allergies to drugs, serious illness, current
medications, previous hospitalizations and significant surgery, and a review
of the physiologic systems obtained by patient history. A "check list", for
consistency, may be utilized in obtaining initial information. The dentist
shall review the medical history with the patient at any time a reasonable
and prudent dentist in the same or similar circumstances would so do.
(B) The initial limited physical examination should include,
but shall not necessarily be limited to, blood pressure and pulse/heart rate
as may be indicated for each patient.
(3) Shall obtain and review an updated medical history and
limited physical evaluation when a reasonable and prudent dentist under the
same or similar circumstances would determine it is indicated.
(4) Shall, for office emergencies:
(A) maintain a positive pressure breathing apparatus including
oxygen which shall be in working order.
(B) maintain other emergency equipment and/or currently dated
drugs as a reasonable and prudent dentist with the same or similar training
and experience in the same or similar circumstances would maintain;
(C) provide training to dental office personnel in emergency
procedures which shall include, but not necessarily be limited to, basic cardiac
life support, inspection and utilization of emergency equipment in the dental
office, and office procedures to be followed in the event of an emergency
as determined by a reasonable and prudent dentist in the same or similar circumstances;
and
(D) shall adhere to generally accepted protocols and/or standards
of care for management of complications and emergencies.
(5) Shall successfully complete a current course in basic cardiopulmonary
resuscitation given or approved by either the American Heart Association or
the American Red Cross.
(6) Should maintain a written informed consent signed by the
patient, or a parent or legal guardian of the patient if the patient is a
minor, or a legal guardian of the patient if the patient has been adjudicated
incompetent to manage the patient's personal affairs. Such consent is required
for all procedures where a reasonable possibility of complications from the
procedure exists, and such consent should disclose risks or hazards that could
influence a reasonable person in making a decision to give or withhold consent.
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