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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)obtain, maintain, and review an initial medical
history. 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 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. At a minimum, a medical history should be reviewed
and updated annually;
(4)perform and review a limited physical examination
when a reasonable and prudent dentist would do so under the same or
similar circumstances. At a minimum, a limited physical examination
should be performed and reviewed 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.
The agency certifies that legal counsel has
reviewed the adoption and found it to be a valid exercise of the agency's
legal authority.
Filed with the Office
of
the Secretary of State on May 13, 2022
TRD-202201874 Lauren Studdard
General Counsel
State Board of Dental Examiners
Effective date: June 2, 2022
Proposal publication date: March 11, 2022
For further information, please call: (512) 305-8910
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