Each dentist shall:
(1) conduct his/her practice in a manner consistent
with that of a reasonable and prudent dentist under the same or similar
circumstances;
(2) maintain patient records that meet the requirements
set forth in §108.8 of this title (relating to Records of the
Dentist);
(3) maintain and review an initial medical history
and perform a limited physical evaluation for all dental patients;
(A) The 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 would
do so under the same or similar circumstances.
(B) The limited physical examination shall include,
but shall not necessarily be limited to, measurement of blood pressure
and pulse/heart rate. Blood pressure and pulse/heart rate measurements
are not required to be taken on any patient twelve (12) years of age
or younger, unless the patient's medical condition or history indicates
such a need.
(4) obtain and review an updated medical history and
limited physical evaluation when a reasonable and prudent dentist
would do so under the same or similar circumstances. At a minimum,
a medical history and limited physical evaluation should be obtained
and reviewed at the initial appointment and updated annually;
(5) 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 under 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 under the same or similar circumstances; and
(D) shall adhere to generally accepted protocols and/or
standards of care for management of complications and emergencies;
(6) successfully complete a current course in basic
cardiopulmonary resuscitation given or approved by either the American
Heart Association or the American Red Cross;
(7) 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 the patient has been adjudicated incompetent to manage
the patient's personal affairs. A signed, written informed consent
is required for all treatment plans and procedures where a reasonable
possibility of complications from the treatment planned or a procedure
exists, or the treatment plans and procedures involve risks or hazards
that could influence a reasonable person in making a decision to give
or withhold consent. Such consents must disclose any and all complications,
risks and hazards;
(8) safeguard patients against avoidable infections
as required by this chapter;
(9) not be negligent in the provision of dental services;
(10) use proper diligence in the dentist's practice;
(11) maintain a centralized inventory of drugs;
(12) report patient death or hospitalization as required
by this chapter;
(13) abide by sanitation requirements as required by
this chapter;
(14) abide by patient abandonment requirements as required
by this chapter;
(15) abide by requirements concerning notification
of discontinuance of practice as required by this chapter; and
(16) hold a Level 1 permit (Minimal Sedation permit)
issued by the Board before prescribing and/or administering Halcion
(triazolam), and should administer Halcion (triazolam) in an in-office
setting.
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| Source Note: The provisions of this §108.7 adopted to be effective February 20, 2001, 26 TexReg 1494; amended to be effective December 30, 2001, 26 TexReg 10569; amended to be effective May 10, 2004, 29 TexReg 4474; amended to be effective September 14, 2010, 35 TexReg 8344; amended to be effective September 3, 2014, 39 TexReg 6855; amended to be effective April 1, 2021, 46 TxReg 2012; amended to be effective September 30, 2021, 46 TexReg 6404 |
