(a)"Pediatric patient" means a patient younger than
13 years of age.
(b)A permit holder may not administer sedation/anesthesia
under a level 2, level 3, or level 4 permit to a pediatric patient
unless the permit holder has:
(1)completed a university or hospital-based residency
at least 12 months in length; or
(2)completed a board-approved education program that
includes a minimum of sixteen (16) hours of didactic training and
instruction in sedation/anesthesia of pediatric patients. Successful
completion of the program must include passing an examination covering
the course components. Didactic education must include:
(A)pre-anesthetic patient assessment/evaluation for
pediatric patients;
(B)physical evaluation and medical history of pediatric
patients, including obesity, limited neck mobility, micro/retrognathia,
macroglossia, tonsillar obstruction % (Malampatti), and limited oral
opening;
(C)pediatric anatomical and physiological differences;
(D)pediatric respiratory assessment, including airway
anatomy, physiology, and management;
(E)informed consent by parent, guardian, or care-giver;
(F)sedation/anesthesia pharmacology;
(G)sedation/anesthesia management of pediatric patients;
(H)pediatric patient monitoring;
(I)peri-operative patient assessment;
(J)emergency management of pediatric patients including
pediatric anesthesia equipment and resuscitation supplies;
(K)sedation/anesthesia technique;
(L)sedation/anesthesia record keeping;
(M)patient recovery and discharge; and
(N)pediatric case selection and reference behavior
scale; and
(3)completed satisfactory management of sedation/anesthesia
in at least fifteen (15) cases involving pediatric patients sedated/anesthetized
at the highest level of permit held. The cases must include at least
three (3) live cases in which the permit holder is the primary sedation/anesthesia
provider, no more than seven (7) cases observed on live patients,
and no more than five (5) cases performed as part of a hands-on high-fidelity
sedation simulation center or program. All of the cases must be performed
and documented under the on-site instruction and direct supervision
of a licensed dentist authorized to administer sedation/anesthesia
to pediatric patients.
(c)A permit holder is authorized to administer sedation/anesthesia
under a level 2, level 3, or level 4 permit to a pediatric patient
if they have completed the requirements above. The permit holder must
attest to their advanced training in pediatric patients on their initial
and/or renewal permit application and they will be required to produce
proof of completion as part of a permit inspection or an investigation
of a complaint involving sedation/anesthesia of a pediatric patient.
(d)The education hours described in subsection (b)(2)
of this section can be applied towards the permit holder’s continuing
education requirement for maintaining a sedation/anesthesia permit.
(e)The requirements described in subsection (b)(2)
and (3) of this section may not be fulfilled by the same didactic
and clinical training used to fulfill the requirements for initial
permit issuance.
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 February 26, 2018
TRD-201800809 Tyler Vance
Interim
Executive Director
State Board of Dental Examiners
Earliest possible date of adoption: April 8, 2018
For further information, please call: (512) 475-0977
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