Texas Register

TITLE 22 EXAMINING BOARDS
PART 5STATE BOARD OF DENTAL EXAMINERS
CHAPTER 110SEDATION AND ANESTHESIA
RULE §110.15Prevention of and Response to Sedation/Anesthesia Emergencies
ISSUE 05/04/2018
ACTION Final/Adopted
Preamble Texas Admin Code Rule

(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)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 sedation/anesthesia 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

  (5)appropriate monitors and equipment, including but not limited to:

    (A)stethoscope

    (B)sphygmomanometer or automatic blood pressure monitor

    (C)pulse oximeter

    (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.

    (G)precordial/pretracheal stethoscope, size-and-shape appropriate advanced airway device, intravenous fluid administration equipment, and /or electrocardiogram, consistent with the requirements of §§110.3, 110.4, 110.5, 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 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 April 20, 2018

TRD-201801755

Tyler Vance

Interim Executive Director

State Board of Dental Examiners

Effective date: May 10, 2018

Proposal publication date: February 2, 2018

For further information, please call: (512) 475-0977



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