Section 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: (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. Eff. 4/10/70, Register 34; am 5/29/98, Register 146; am 6/24/2012, Register 202; am 12/15/2013, Register 208, January 2014; am 4/14/2018, Register 226, July 2018; am 12/9/2018, Register 228, January 2019; am 5/1/2019, Register 230, April 2019 ; am 3/5/2020, Register 233, April 2020Authority:AS 08.01.065
AS 08.36.070
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