49 Pa. Code § 33.341 - Duties of dentists who are not permitholders
(a) A dentist who does not possess a permit
issued under this subchapter may not allow general anesthesia, deep sedation,
conscious sedation or nitrous oxide/oxygen analgesia to be administered on an
outpatient basis in his dental office unless the following conditions are met:
(1) The Board receives prior notice of the
first time that the dental office will be used for the administration of
general anesthesia, deep sedation, conscious sedation or nitrous oxide/oxygen
analgesia.
(2) The dental office
meets the appropriate equipment and facility requirements prescribed in §
33.340(a)(2),
§
33.340a(a)(2) or
§
33.340b(a)(2)
(relating to duties of dentists who are unrestricted permitholders; duties of
dentists who are restricted permit I holders; and duties of dentists who are
restricted permit II holders) and the Board receives a written certification
from the dentist to that effect.
(3) The general anesthesia, deep sedation,
conscious sedation and nitrous oxide/oxygen analgesia, are administered by one
of the following:
(i) The holder of a permit
under this subchapter or CRNA delegatee.
(ii) A physician as defined in §
33.331 (relating to
definitions).
(4) Either
the dentist who performs the dental procedure or the CRNA, physician or
permitholder who administers the general anesthesia, deep sedation or conscious
sedation possesses a current certification in ACLS.
(5) The nonpermitholder dentist receives a
written certification from the permitholder that all monitoring equipment and
equipment used to administer general anesthesia, deep sedation, conscious
sedation and nitrous oxide/oxygen analgesia is present in the nonpermitholder's
office, is properly 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 general anesthesia,
deep sedation, conscious sedation or nitrous oxide/oxygen analgesia, and that
monitoring equipment is being used during the administration of general
anesthesia.
(6) The nonpermitholder
receives a written certification from the permitholder that the permitholder
has satisfactorily completed a clinical evaluation and the equipment
transported to the nonpermitholder dentist's office for the administration of
general anesthesia, deep sedation, conscious sedation or nitrous oxide/oxygen
analgesia by a permitholder has satisfactorily completed an inspection
conducted by an approved peer evaluation organization under §
33.336b(a)
(relating to approved peer evaluation organizations for administering clinical
evaluations and office inspection), in accordance with the requirements of the
AAOMS Manual and AAOMS Guidelines (OMS), ADA Guidelines or AAPD Guidelines, as
applicable.
(b) A dentist
shall submit to the Board a complete written report on a death or an incident
requiring medical care and resulting in physical or mental injury that directly
resulted from the administration of general anesthesia, deep sedation,
conscious sedation or nitrous oxide/oxygen analgesia in his dental office. The
report shall be submitted within 30 days of the death or incident.
(c) 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).
(d) Beginning April 1, 2005, and for all
subsequent renewal periods, non-permitholder licensees who maintain offices in
which general anesthesia, deep sedation or conscious sedation is administered,
shall have completed 5 hours of Board-approved courses related to anesthesia.
These 5 hours shall be credited toward the nonpermitholder licensee's
continuing education requirement under §
33.401(a)(1)
(relating to credit hour requirements).
Notes
The provisions of this § 33.341 issued under sections 11.2 and 11.3 of The Dental Law (63 P. S. §§ 130c and 130d); amended under sections 3(o) and 11.2(a) of The Dental Law (63 P. S. §§ 122(o) and 130c(a)).
This section cited in 49 Pa. Code § 33.342 (relating to inspection of dental offices).
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