The following words and terms, when used in this section, shall have
the following meanings, unless the context clearly indicates otherwise.
(1) Analgesia--the diminution or elimination of pain.
(2) Competent--displaying special skill or knowledge derived
from training and experience.
(3) Conscious Sedation--a minimally depressed level of consciousness
that retains the patient's ability to independently and continuously maintain
an airway and respond appropriately to physical stimulation and verbal command,
and that is produced by a pharmacologic or non-pharmacologic method, or a
combination thereof. In accord with this particular definition, the drugs
and/or techniques used should carry a margin of safety wide enough to render
unintended loss of consciousness unlikely. Further, patients who are sleeping
and whose only response is reflex withdrawal from repeated painful stimuli
would not be considered to be in a state of conscious sedation.
(4) Deep Sedation--an induced state of depressed consciousness
accompanied by partial loss of protective reflexes, including the inability
to continually maintain an airway independently and/or respond purposefully
to verbal command, and is produced by a pharmacological or non-pharmacological
method, or a combination thereof.
(5) Direct supervision--the dentist responsible for the sedation/anesthesia
procedure shall be physically present in the office and shall be continuously
aware of the patient's physical status and well being.
(6) Facility--the office where a permit holder practices dentistry
and provides anesthesia/sedation services.
(7) Facility inspection--an on-site inspection to determine
if a facility where the applicant proposes to provide anesthesia/sedation
is supplied, equipped, staffed and maintained in a condition to support provision
of anesthesia/sedation services that meet the minimum standard of care; may
be required by the State Board of Dental Examiners prior to the issuance of
a sedation/anesthesia permit or any time during the term of the permit.
(8) General anesthesia--an induced state of unconsciousness
accompanied by partial or complete loss of protective reflexes, including
inability to independently maintain an airway and respond purposefully to
physical stimulation or verbal command, and is produced by a pharmacological
or non-pharmacological method or a combination thereof.
(9) Immediately available--on-site in the facility and available
for immediate use.
(10) Local anesthesia--the elimination of sensations, especially
pain, in one part of the body by the regional injection of a drug.
(11) May--indicates freedom or liberty to follow a reasonable
alternative.
(12) Must or shall--indicates an imperative need and/or duty;
an essential or indispensable item; mandatory.
(13) Behavioral management--to modify pharmacologically and/or
psychologically behavior to a level that dental treatment can be performed
effectively and efficiently.
(14) Enteral conscious sedation-- light to mild conscious sedation
administered not for analgesic effect, but primarily for behavioral management.
(15) Anti-anxiety sedative--a sedative agent administered in
a dosage intended to reduce anxiety without diminishing consciousness or protective
reflexes.
(16) Minor tranquilizer--a pharmacological agent which allows
for uninterrupted interactive ability in a totally awake patient with no compromise
in the ability to maintain a patent airway continuously and without assistance.
(17) Anxiolysis--pharmacological reduction of anxiety through
the administration of a minor tranquilizer, which allows for uninterrupted
interactive ability in a totally awake patient with no compromise in the ability
to maintain a patent airway continuously and without assistance.
(18) Enteral sedation--sedation that is achieved by a route
of administration through the alimentary tract either orally or rectally.
(19) Protective reflexes--includes the ability to swallow water
sprays and breath independently without coughing (i.e., laryngospasm) as well
as maintain an unobstructed airway (i.e., lack of snoring and other signs
of an obstructed airway). Severe and/or persistent coughing is probably indicative
of a deep sedation level and partial loss of protective reflexes.
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