(a)The Board shall renew a sedation/general anesthesia
[an anesthesia/sedation] permit annually if required
fees are paid and the required emergency management training and continuing
education requirements are satisfied. The Board shall consider
disciplinary history in Texas and in other jurisdictions in its review
of a sedation/general anesthesia permit renewal application. The
Board shall not renew a sedation/general anesthesia [an
anesthesia/sedation] permit if, after notice and opportunity
for hearing, the Board finds the permit holder has provided, or is
likely to provide, sedation/general anesthesia [anesthesia/sedation
] services in a manner that does not meet the minimum standard
of care. If a hearing is held, the Board shall consider factors including
patient complaints, morbidity, mortality, and anesthesia consultant
recommendations.
(b)Fees. Annual dental license renewal certificates
shall include the annual permit renewal, except as provided for in
this section. The licensee shall be assessed an annual renewal fee
in accordance with the fee schedule in Chapter 102 of this title.
(c)Emergency Management Training.
To renew a sedation/general anesthesia permit, a dentist shall demonstrate
maintenance of competency in emergency management. Specifically, a
dentist must provide proof of the emergency management certification
required of the dentist’s highest sedation/general anesthesia
permit level, as follows:
(1)Nitrous Oxide/Oxygen Inhalation Sedation and Level
1 Minimal Sedation - current certification in Basic Life Support (BLS).
(2)Levels 2 and 3: Moderate Sedation - current certification
in BLS and current certification in Advanced Cardiac Life Support
(ACLS). A dentist who obtained pediatric privileges by meeting the
requirements of rule 110.11(b)(1), may meet this requirement by maintaining
current certification in BLS and current certification in Pediatric
Advanced Life Support (PALS).
(3)Level 4: Deep Sedation/General Anesthesia - current
certification in BLS and current certification in ACLS. A dentist
who obtained pediatric privileges by meeting the requirements of rule
110.11(b)(1), may meet this requirement by maintaining current certification
in BLS and current certification in Pediatric Advanced Life Support
(PALS).
(d)Continuing Education. In addition
to the continuing education required for renewal of dental licensure,
a dentist seeking to renew a minimal sedation, moderate sedation,
or deep sedation/general anesthesia permit must submit proof of completion
of additional continuing education to maintain a sedation/anesthesia
permit. A dentist shall, at a minimum, complete the following hours
of continuing education every two years on the administration of or
medical emergencies associated with the permitted level of sedation:
(1)Level 1: Minimal Sedation - twelve (12) hours,
including eight hours of sedation/general anesthesia emergency preparedness
training
(2)Levels 2 and 3: Moderate Sedation - twelve (12)
hours, including eight hours of sedation/general anesthesia emergency
preparedness training
(3)Level 4: Deep Sedation/General Anesthesia - sixteen
(16) hours, including eight hours of sedation/general anesthesia emergency
preparedness training.
(e)The emergency management training
and continuing education requirements required by this rule shall
be in addition to any additional continuing education required to
maintain dental licensure. ACLS, BLS, and Pediatric Advanced Life
Support (PALS) courses may not be used to fulfill continuing education
required for renewal of dental licensure or renewal of a sedation/anesthesia
permit under this section.
(f)A licensee’s emergency management
and continuing education is subject to audit in Board investigation
and as described in rule 104.5.
(g)Continuing education courses must
meet the provider endorsement requirements of rule 104.2.
[(c)Continuing Education.]
[(1)In conjunction with the annual renewal of a dental
license, a dentist seeking to renew a minimal sedation, moderate sedation,
or deep sedation/general anesthesia permit must submit proof of completion
of the following hours of continuing education every two years on
the administration of or medical emergencies associated with the permitted
level of sedation:]
[(A)Level 1: Minimal Sedation - six (6) hours]
[(B)Levels 2 and 3: Moderate Sedation - eight (8)
hours]
[(C)Level 4: Deep Sedation/General Anesthesia - twelve
(12) hours]
[(2)The continuing education requirements under this
section shall be in addition to any additional courses required for
licensure. Advanced Cardiac Life Support (ACLS) course and Pediatric
Advanced Life Support (PALS) course may not be used to fulfill the
continuing education requirement for renewal of the permit under this
section.]
[(3)Continuing education courses must meet the provider
endorsement requirements of §104.2 of this title.]
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 December 5, 2016
TRD-201606155 Kelly
Parker
Executive Director
State Board of Dental Examiners
Earliest possible date of adoption: January 15, 2017
For further information, please call: (512) 475-0977
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