(a)Pursuant to Section 258.1556 of the Act, the Board
establishes minimum emergency preparedness standards and requirements
for the administration of sedation/anesthesia.
(b)Consistent with the requirements of §§110.3,
110.4, 110.5, and 110.6, as applicable to the procedure, at [At
] any time a permit holder administers sedation/anesthesia[,]
the permit holder must have immediately available:
(1)an adequate and unexpired supply of drugs and anesthetic
agents, including but not limited to pharmacologic antagonists and
resuscitative drugs appropriate for the type of sedation/anesthesia
administered; [drugs used.]
(2)an automated external defibrillator, as defined
by Section 779.001 of the Texas Health and Safety Code;
(3)a positive pressure ventilation device;
(4)supplemental oxygen; and
(5)appropriate monitors and equipment for the
type of sedation/anesthesia administered, including but not
limited to:
(A)stethoscope;
(B)sphygmomanometer or automatic blood pressure monitor
;
(C)pulse oximeter when required by §§110.4,
110.5, or 110.6;
(D)an oxygen delivery system with adequate full face
masks and appropriate connectors that is capable of delivering high
flow oxygen to the patient under positive pressure, together with
an adequate backup system;
(E)suction equipment which permits aspiration of the
oral and pharyngeal cavities and a backup suction device which will
function in the event of a general power failure;
(F)a lighting system which permits evaluation of the
patient's skin and mucosal color and a backup lighting system of sufficient
intensity to permit completion of any operation underway in the event
of a general power failure; and[.]
(G)capnograph [ precordial/pretracheal
stethoscope], size-and-shape appropriate advanced airway device,
intravenous fluid administration equipment, and/or [and
/or] electrocardiogram, when required by [consistent
with the requirements of] §§110.3, 110.4, 110.5, or [
and] 110.6[, as applied to the permit holder].
(c)A permit holder who is administering sedation/anesthesia
for which a Level 4 permit is required must use capnography during
the administration of the sedation/anesthesia, as required by Section
258.1555 of the Act.
(d)Each permit holder must conduct an emergency drug
inspection for assurance of unexpired supply at least annually. Documentation
of emergency drug inspections must be maintained in the permit holder's
emergency drug log, required by §110.14.
(e)Each permit holder must conduct an equipment inspection
for assurance of function at least annually. Documentation of equipment
inspections must be maintained in the permit holder's equipment readiness
log, required by §110.14.
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-201900025 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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