The provisions of this rule control the treatment of dental
patients in an outpatient dental office setting where a physician
anesthesiologist has performed the sedation services. This rule shall control
notwithstanding any rule provision in this chapter that prohibits such conduct.
The level of sedation is not restricted to the level of the permit held by the
treating dentist. The level of sedation may be any level necessary for the safe
and effective treatment of the patient.
(1) General Anesthesia Permit Holders:
A dentist who holds a general anesthesia permit may treat
their adult, pediatric, or special needs patients when a physician
anesthesiologist performs the sedation services. The following conditions shall
apply:
(a) The physician
anesthesiologist performs the administration of the anesthesia and the
physician anesthesiologist is responsible for the anesthesia
procedure;
(b) A physician
anesthesiologist shall only have one patient at a time induced. A second
patient shall not be induced until the first patient has been discharged out of
the dental office or is arousable, spontaneously breathing, has stable vital
signs and is under the care of a licensee or assistant that is trained in
anesthesia recovery;
(c) The dental
treatment takes place in the general anesthesia permit holder's dental office
that is on file with the board as an authorized location to perform sedation
services and that has been inspected pursuant to Rule
64B5-14.007,
F.A.C.
(2) Pediatric
Moderate Sedation Permit Holders:
A pediatric dentist, as recognized by the American Dental
Association, who holds a pediatric Moderate sedation permit may treat their
pediatric or special needs dental patients when a physician anesthesiologist
performs the sedation services. The following conditions shall apply:
(a) The physician anesthesiologist performs
the administration of the anesthesia, and the physician anesthesiologist is
responsible for the anesthesia procedure;
(b) A physician anesthesiologist shall only
have one patient at a time induced. A second patient shall not be induced until
the first patient has been discharged out of the dental office or is arousable,
spontaneously breathing, has stable vital signs and is under the care of a
licensee or assistant that is trained in anesthesia recovery;
(c) The treatment takes place in the permit
holder's dental office that is on file with the board as an authorized location
to perform sedation services and that has been inspected pursuant to Rule
64B5-14.007, F.A.C.
(d) The dental office meets the supply,
equipment, and facility requirements as mandated in Rule
64B5-14.008, F.A.C.;
(e) A board-approved inspector performs an
additional inspection of the dental office and the inspector reports the office
to be in full compliance with the minimum supply, equipment, and facility
requirements.
(3)
Moderate Sedation Permit Holders:
A dentist who holds a moderate sedation permit may treat
their adult or adult special needs dental patients when a physician
anesthesiologist performs the sedation services. The following conditions shall
apply:
(a) The physician
anesthesiologist performs the administration of the anesthesia, and the
physician anesthesiologist is responsible for the anesthesia
procedure;
(b) A physician
anesthesiologist shall only have one patient at a time induced. A second
patient shall not be induced until the first patient has been discharged out of
the dental office or is arousable, spontaneously breathing, has stable vital
signs and is under the care of a licensee or assistant that is trained in
anesthesia recovery;
(c) The
treatment takes place in the permit holder's dental office that is on file with
the board as an authorized location to perform sedation services and that has
been inspected pursuant to Rule
64B5-14.007, F.A.C.
(d) The dental office meets the supply,
equipment, and facility requirements as mandated in Rule
64B5-14.008, F.A.C.;
(e) A board-approved inspector performs an
additional inspection of the dental office and the inspector reports the office
to be in full compliance with the minimum supply, equipment, and facility
requirements.
(4)
Non-Sedation Permit Holders:
All provisions of this Chapter relating to the administration
of any type of anesthesia or sedation and treatment to sedated patients shall
remain in full force and effect. Nothing in this section supersedes, alters, or
creates a variance to any prohibitions and mandates applicable to non-sedation
permit holding dentists.
(5)
Staff or Assistants:
A dentist treating a patient pursuant to this rule must have
at least three (3) properly credentialed individuals present as mandated in
Rule 64B5-14.003, F.A.C. To fulfill
the mandatory minimum required personnel requirements of Rule
64B5-14.003, F.A.C., an
anesthesiologist assistant licensed pursuant to Section
458.3475, or
459.023, F.S., or a certified
registered nurse anesthetist, in addition to or in lieu of a dental assistant
or dental hygienist, may be utilized. However, the dentist must have a
dedicated member of the team to assist in the dental procedure or during
emergencies.
(6) Equipment:
A dentist may comply with the electrocardiograph equipment
requirements set by Rule
64B5-14.008, F.A.C., by
utilizing the physician's mobile or non-fixed equipment if the dentist meets
the following conditions:
(a) During
the required board inspection, the equipment is available for inspection, or
the dentist supplies an inspection of the equipment, which a health care risk
manager performed. A health care risk manager inspection is valid for a period
of twelve months; and,
(b) The
dentist shall make the inspected equipment available during all required
inspections, if specifically requested within 48 hours in advance of the
inspection, and the equipment must be immediately available for an adverse
incident inspection.
(c) As long as
the permit holder's dental office meets the supply, equipment, and facility
requirements as mandated in Rule
64B5-14.008, F.A.C., nothing in
this rule shall be interpreted to prevent a physician anesthesiologist from
utilizing their non-fixed mobile equipment when providing anesthesia services
in the permit holder's dental office.
(7) Records:
The treating dentist shall maintain a complete copy of the
anesthesia records in the patient's dental chart. The dentist shall make
certain that name and license numbers identify the treating dentist, the
physician anesthesiologist, and all personnel utilized during the
procedure.
Notes
Fla. Admin.
Code Ann. R. 64B5-14.0032
Rulemaking Authority
466.004(4),
466.017(3) FS.
Law Implemented 466.017(3)
FS.
New 8-20-12, Amended
11-19-12, 2-21-13, 12-16-13, Amended by
Florida
Register Volume 43, Number 211, October 31, 2017 effective
11/13/2017,
Amended by
Florida
Register Volume 46, Number 038, February 25, 2020 effective
3/10/2020.
New 8-20-12, Amended 11-19-12, 2-21-13, 12-16-13, 11-13-17,
3-10-20.
