(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 developed [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 (relating to Sedation and Anesthesia), 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 (relating to Prevention of and Response to Sedation/Anesthesia
Emergencies); 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.
(f)All policies and procedures described
in subsections (c), (d), and (e) of this section must be reviewed
and updated at least annually, and must be reviewed and updated as
soon as possible after the permit holder obtains a higher permit level.
Permit holders must maintain versions of the policies and procedures
described in subsections (c), (d), and (e) of this section for at
least two years after the creation or update of the policies and procedures.
The agency certifies that legal counsel has reviewed
the proposal and found it to be within the state agency's legal authority
to adopt.
Filed with the Office
of the Secretary of State on January 4, 2019
TRD-201900024 W. Boyd Bush, Jr.
Executive Director
State Board of Dental Examiners
Earliest possible date of adoption: February 17, 2019
For further information, please call: (512) 305-9332
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