49 Pa. Code § 33.340b - Duties of dentists who are restricted permit II holders
(a) A dentist who possesses a restricted
permit II issued under this subchapter shall ensure that:
(1) Prior to the administration of nitrous
oxide/oxygen analgesia, the permitholder takes or updates a patient medical
history and gives the patient a physical evaluation sufficient to determine the
patient's suitability to receive nitrous oxide/oxygen analgesia.
(2) The dental office in which the
permitholder administers nitrous oxide/oxygen analgesia on an outpatient basis
contains the following:
(i) An operating
room.
(ii) An operating table or
chair.
(iii) A lighting
system.
(iv) Dental office suction
equipment.
(v) Oxygen and
supplemental gas delivery systems, including primary and back-up sources and a
fail-safe control mechanism.
(vi) A
sterilization area.
(vii) A gas
storage area and scavenger system.
(viii) Communications equipment.
(ix) Monitoring equipment, procedures and
documentation to conform to the age, size and condition of the patient and the
AAOMS Manual and AAOMS Guidelines for adult and pediatric patients (OMS), the
ADA Guidelines for adult patients (general dentists) and the AAPD Guidelines
for pediatric patients (general dentists).
(x) Results of patient medical history,
patient physical evaluation and identification of the nitrous oxide/oxygen
analgesia procedure to be utilized, prior to the administration of nitrous
oxide/oxygen analgesia.
(xi)
Signed, written, informed patient consent, prior to the administration of
nitrous oxide/oxygen analgesia, which includes a description of the procedure,
its risks and possible alternative treatments. Consent for a minor patient
shall be obtained from the minor's parent or guardian.
(xii) Stethoscope.
(3) Nitrous oxide/oxygen analgesia is
administered to adult and pediatric patients in accordance with the AAOMS
Guidelines and AAOMS Manual (OMS) or to adult patients in accordance with the
ADA Guidelines (general dentists) or to pediatric patients in accordance with
the AAPD Guidelines (general dentists). Conflicts between the AAOMS Guidelines,
the AAOMS Manual, the ADA Guidelines or the AAPD Guidelines and this subchapter
shall be resolved in favor of this subchapter.
(4) Monitoring equipment and equipment used
to administer nitrous oxide/oxygen analgesia is installed, maintained and
calibrated according to the equipment manufacturer's guidelines, contains a
fail-safe system and is in proper working condition prior to the administration
of nitrous oxide/oxygen analgesia.
(5) Patient records are prepared, maintained
and retained in accordance with §
33.209 (relating to preparing,
maintaining and retaining patient records).
(b) A dentist's failure to comply with this
section will be considered unprofessional conduct and will subject the dentist
to disciplinary action under section 4.1 of the act (63 P. S. §
123.1).
Notes
The provisions of this § 33.340b issued under sections 3(o) and 11.2(a) of The Dental Law (63 P. S. §§ 122(o) and 130c(a)).
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