[(C)The dentist must determine and document that the
patient's level of consciousness, oxygenation, ventilation, and circulation
are satisfactory prior to discharge. The dentist shall not leave the
facility until the patient meets the criteria for discharge and is
discharged from the facility. ]
[(D)Post-procedure verbal and written instructions
must be given to the patient, parent, escort, guardian, or care-giver.
Post-procedure, patients should be accompanied by an adult caregiver
for an appropriate period of recovery.]
[(7)Emergency Management. Because sedation is a continuum,
it is not always possible to predict how an individual patient will
respond. If a patient enters a deeper level of sedation than the dentist
is qualified to provide, the dentist must stop the dental procedure
until the patient returns to the intended level of sedation. The dentist
is responsible for the sedative management, adequacy of the facility
and staff, diagnosis and treatment of emergencies related to the administration
of minimal sedation, and providing the equipment and protocols for
patient rescue. A dentist must be able to rescue patients who enter
a deeper state of sedation than intended.]
[(8)Management of Children. For children twelve (12)
years of age and under, the dentist should observe the American Academy
of Pediatrics/American Academy of Pediatric Dentists Guidelines for
Monitoring and Management of Pediatric Patients During and After Sedation
for Diagnostic and Therapeutic Procedures.]
(f)[(d)] A dentist who holds
a minimal sedation permit shall not intentionally administer moderate
sedation, deep sedation, or general anesthesia.
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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