12 AAC 28.010 - Permit requirements for use of deep sedation or general anesthesia
(a) Before
administering deep sedation or general anesthesia a dentist licensed under AS
08.36 must have a deep sedation or general anesthesia permit issued by the
board.
(b) An applicant for an
initial or renewed permit to administer deep sedation or general anesthesia
must
(1) submit a completed application on a
form provided by the board;
(2)
submit a dated and signed affidavit stating that the information provided is
true, and that the dentist has read and complied with all applicable statutes
and regulations;
(3) submit, on a
form provided by the board, a dated and signed affidavit attesting that the
dentist's facility meets the requirements of this chapter for the
administration of deep sedation or general anesthesia;
(4) hold a current registration to prescribe
and administer controlled substances in this state issued by the United States
Drug Enforcement Administration (DEA);
(5) provide proof of current certification in
advanced resuscitative techniques with hands-on simulated airway and megacode
training for healthcare providers, including basic electrocardiographic
interpretation; qualifying certification for an applicant who seeks to treat
patients 13 years of age or older includes the American Heart Association's
Advanced Cardiac Life Support (ACLS) for Health Professional; qualifying
certification for an applicant who, seeks to treat patients younger than 13
years of age includes Pediatric Advanced Life Support (PALS) for Health
Professionals; an applicant who seeks to treat patients any of age must also be
certified in both ACLS for Health Professionals and PALS for Health
Professionals or must be certified in equivalent qualifying certifications
under this paragraph, one for advanced cardiac life support for health
professionals and one for pediatric advanced life support for health
professionals; and
(6) submit the
applicable fees specified in
12 AAC 02.190.
(c) In addition to meeting the
requirements of (b) and (d) of this section, an applicant for an initial permit
to provide deep sedation or general anesthesia must provide documentation that
the applicant
(1) is a member of the American
Association of Oral and Maxillofacial Surgery;
(2) successfully completed an advanced
educational program in oral maxillofacial surgery accredited by the Commission
on Dental Accreditation (CODA) of the American Dental Association; or
(3) successfully completed an advanced
educational program in dental anesthesiology accredited by the Commission on
Dental Accreditation (CODA) of the American Dental Association.
(d) In addition to meeting the
requirements of (b) and (c) of this section, an applicant for an initial permit
to provide deep sedation or general anesthesia must provide documentation that
(1) within three years immediately before
application, the applicant completed training or education identified in (c)(2)
or (3) of this section in general anesthesia or deep sedation;
(2) if more than three years but less than
five years have elapsed since completing training or education identified in
(c)(2) or (3) of this section in general anesthesia or deep sedation, the
applicant completed all continuing education at would have been required for a
deep sedation or general anesthesia permit under this section;
(3) if more than three years but less than
five years have elapsed since completing training or education identified in
(c)(2) or (3) of this section in general anesthesia or deep sedation, the
applicant completed a comprehensive review course approved by the board;
(4) if more than five years have
elapsed since completing training or education identified in (c)(2) or (3) of
this section in general anesthesia or deep sedation, the applicant holds a
permit for general anesthesia or deep sedation or another jurisdiction where
the applicant is also licensed to practice dentistry and where the applicant
completed at least 25 anesthesia cases at the requested permit level not
earlier than the 12 months immediately preceding application; or
(5) demonstrates current competency to the
satisfaction of the board that the applicant has adequate sedation or
anesthesia skill to safely deliver deep sedation or general anesthesia services
to the public.
(e) In
addition to meeting the requirements of (b) of this section, on or after March
1, 2019, a dentist who seeks to renew a permit to administer deep sedation or
general anesthesia must
(1) during each
biennial licensing period participate in four or more contact hours of
continuing education that relates specifically to hands-on advanced airway
management or general anesthesia; if the permit holder provides
(A) anesthesia for patients younger than 13
years of age, the course must be a pediatric course;
(B) anesthesia for patients older and younger
than 13 years of age, at least four contact hours of continuing education must
relate specifically to hands-on advanced airway management of patients older
than 13 years of age, and at least four additional contact hours of continuing
education must relate specifically to hands-on advanced airway management of
patients younger than 13 years of age;
(2) during each biennial licensing period
participate in eight contact hours of continuing education that focuses on one
or more of the following:
(A) physical
evaluation;
(B) medical
emergencies;
(C) monitoring and use
of monitoring equipment;
(D)
pharmacology of drugs and agents used in deep sedation and general
anesthesia;
(3) complete
at least 50 general anesthesia or deep sedation cases each biennial licensing
period;
(4) maintain continuing
education records that can be audited, including course titles, instructors,
dates attended, sponsors, and number of contact hours for each course; and
(5) if seeking to renew a permit
to administer general anesthesia or deep sedation to a patient younger than 13
years of age,
(A) meet the requirements of
this section; and
(B) provide
documentation that at least 20 of the 50 anesthesia or deep sedation cases were
individually managed patients younger than 13 years of age.
(f) A dentist who has
met the requirements of this section to administer deep sedation or general
anesthesia to patients younger than 13 years of age will be issued a permit
that so indicates.
(g) A permit to
administer deep sedation and general anesthesia
(1) will be renewed when the dentist's license to practice is
renewed, if the dentist demonstrates continued compliance with AS 08.36 and
this chapter;
(2) lapses or
expires on the date the dentist's license lapses or expires; and
(3) may be reinstated if the permit has
lapsed more than 60 days but less than two years if the applicant submits
(A) a completed application for renewal on a
form provided by the department;
(B) the applicable renewal fee established in
12 AAC 02.190; and
(C) evidence of continuing education and
documentation of sedation cases required by (e)(1), (2), (3), and (5) of this
section, as applicable; The sedation cases required under this subparagraph
must be completed while holding a current deep sedation and general anesthesia
permit, or while under the supervision of a current deep sedation or general
anesthesia permit holder, or an anesthesiologist or certified registered nurse
anesthetist.
(h) For purposes of this section,
(1) one contact hour equals 50 minutes of
instruction;
(2) one academic
semester credit hour equals 15 contact hours;
(3) one academic quarter credit equals 10
contact hours; and
(4) one
continuing education credit equals one contact hour.
(i) Credit is given only for class hours and
not hours devoted to class preparation.
Notes
Authority:AS 08.01.065
AS 08.36.070
AS 08.36.100
AS 08.36.110
AS 08.36.234
AS 08.36.250
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.