Fla. Admin. Code Ann. R. 64B5-14.001 - Definitions
(1) Anesthesia - The loss of feeling or
sensation, especially loss of the sensation of pain.
(2) General anesthesia - A controlled state
of unconsciousness, produced by a pharmacologic agent, accompanied by a partial
or complete loss of protective reflexes, including inability to independently
maintain an airway and respond purposefully to physical stimulation or verbal
command. This modality includes administration of medications via parenteral
routes; that is: intravenous, intramuscular, subcutaneous, submucosal, or
inhalation, as well as enteral routes, that is oral, rectal, or
transmucosal.
(3) Deep Sedation - A
controlled state of depressed consciousness accompanied by partial loss of
protective reflexes, including either or both the inability to continually
maintain an airway independently or to respond appropriately to physical
stimulation or verbal command, produced by pharmacologic or non-pharmacologic
method or combination thereof. Deep sedation includes administration of
medications via parenteral routes; that is intravenous, intra muscular,
subcutaneous, submucosal, or inhalation, as well as enteral routes, that is
oral, rectal, or transmucosal.
(4)
Moderate sedation - A depressed level of consciousness produced by the
administration of pharmacologic substances, that retains the patient's ability
to independently and continuously maintain an airway and respond appropriately
to physical stimulation and verbal command. This modality includes
administration of medications via all parenteral routes, that is, intravenous,
intramuscular, subcutaneous, submucosal, or inhalation, as well as enteral
routes, that is oral, rectal, or transmucosal. The drugs, and techniques used
shall carry a margin of safety wide enough to render unintended loss of
consciousness unlikely.
(5)
Pediatric Moderate Sedation - A depressed level of consciousness produced by
the administration of pharmacologic substances, that retains a child patient's
ability to independently and continuously maintain an airway and respond
appropriately to physical stimulation or verbal command. This modality includes
administration of medication via all parenteral routes; that is intravenous,
intramuscular, subcutaneous, submucosal, or inhalation, and all enteral routes;
that is oral, rectal, or transmucosal. The drugs, doses, and techniques used
shall carry a margin of safety wide enough to render unintended loss of
consciousness unlikely. For the purposes of this chapter, a pediatric patient
is defined as an individual under 18 years of age, or any person who has
special needs, which means having a physical or mental impairment that
substantially limits one or more major life activities.
(6) Nitrous-oxide inhalation analgesia - The
administration by inhalation of a combination of nitrous-oxide and oxygen
producing an altered level of consciousness that retains the patient's ability
to independently and continuously maintain an airway and respond appropriately
to physical stimulation or verbal command.
(7) Local anesthesia - The loss of sensation
of pain in a specific area of the body, generally produced by a topically
applied agent or injected agent without causing the loss of
consciousness.
(8) Analgesia -
Absence of sensibility of pain, designating particularly the relief of pain
without loss of consciousness.
(9)
Office team approach - A methodology employed by a dentist in the
administration of general anesthesia, deep sedation, moderate sedation, and
pediatric sedation whereby the dentist uses two or more qualified
assistants/dental hygienists who, working under the direct supervision of the
dentist, assist the dentist, and assist in emergency care of the patient. A
dentist who is permitted by these rules to administer and employ the use of
general anesthesia, deep sedation, moderate sedation, or pediatric moderate
sedation shall employ the office team approach. A dentist who is permitted by
these rules to administer and employ the use of general anesthesia, deep
sedation, moderate sedation, or pediatric moderate sedation shall employ the
office team approach.
(10) Minimal
Sedation - The perioperative use of medication to relieve anxiety before or
during a dental procedure which does not produce a depressed level of
consciousness and maintains the patient's ability to maintain an airway
independently and to respond appropriately to physical and verbal stimulation.
This minimal sedation shall include the administration of a single enteral
sedative or a single narcotic analgesic medication administered in a single
dose appropriate for the unsupervised treatment of anxiety and pain. If
clinically indicated, an opiod analgesic may also be administered during or
following a procedure if needed for the treatment of pain. Except in extremely
unusual circumstances, the cumulative dose shall not exceed the maximum
recommended dose (as per the manufacturers recommendation). It is understood
that even at appropriate doses a patient may occasionally drift into a state
that is deeper than minimal sedation. As long as the intent was minimal
sedation and all of the above guidelines were observed, this shall not
automatically constitute a violation. A permit shall not be required for the
perioperative use of medication for the purpose of providing minimal
sedation.
(11) Titration of Oral
Medication - The administration of small incremental doses of an orally
administered medication until an intended level of moderate sedation is
observed.
(12) Physician
anesthesiologist - Any physician licensed pursuant to Chapter 458 or 459, F.S.,
who is currently board certified or board eligible by the American Board of
Anesthesiology or the American Osteopathic Board of Anesthesiology, or
currently holds anesthesia clinical privileges in a hospital or ambulatory
surgical facility licensed pursuant to Chapter 395, F.S., and such privileges
are commensurate with the anesthesia being provided in a dental office (e.g.,
pediatric anesthesia privileges is pediatric patients are being treated in the
dental office).
(13) Qualified
Anesthetist: means an Advanced Practice Registered Nurse who is licensed in
this state to practice professional nursing and who is certified in the
advanced or specialized nursing practice as a certified registered nurse
anesthetist pursuant to Chapter 464, Part I, F.S.
(14) Certified Registered Dental Hygienist:
means any Florida licensed dental hygienist who is certified by the Board and
has received a certificate from the Department of Health that allows the
administration of local anesthesia while the CRDH is directly supervised by a
Florida licensed dentist.
Notes
Rulemaking Authority 466.004(4), 466.017(3), 466.017(6) FS. Law Implemented 466.017(3), 466.017(5) FS.
New 1-31-80, Amended 4-7-86, Formerly 21G-14.01, Amended 12-31-86, 6-1-87, 9-1-87, 2-1-93, Formerly 21G-14.001, Amended 12-20-93, Formerly 61F5-14.001, Amended 8-8-96, Formerly 59Q-14.001, Amended 3-9-03, 11-4-03, 7-3-06, 6-11-07, 8-5-12, 11-13-17, 3-10-20.
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.