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(a)Pursuant to §258.1557 of the Act, a permit
holder 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 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 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 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, consistent with the requirements of §§110.3,
110.4, 110.5 and 110.6, 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 response to a respiratory
emergency and 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 monthly reviews
for assurance of unexpired supply;
(4)Equipment readiness log indicating annual reviews
for assurance of function of the equipment required by §110.15;
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.
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 September 29, 2017
TRD-201703954 Kelly Parker
Executive
Director
State Board of Dental Examiners
Earliest possible date of adoption: November 12, 2017
For further information, please call: (512) 475-0977
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