D.C. Mun. Regs. tit. 17, r. 17-10707

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 17-10707 - QUALIFICATIONS FOR OBTAINING A DENTAL FACILITY CERTIFICATION TO ADMINISTER SEDATION OR GENERAL ANESTHESIA

10707.1

In addition to the other requirements in this chapter, to obtain a Class I, Class II, or Class III dental facility certification, each facility in which the dentist wishes to administer an anesthesia technique shall pass a facility evaluation in order to attain:

(a) A level beyond anxiolysis;

(b) Moderate sedation; or

(c) Deep sedation and general anesthesia.

10707.2

Except as otherwise provided in this regulation, to qualify for a certification, the facility and the applicant shall pass an evaluation of facility equipment, medications, and clinical records to include at least the following and ensure that they are properly utilized and maintained:

(a) Oxygen and gas delivery system, backup system fail-safe;

(b) Gas storage facility;

(c) Safety indexed gas system;

(d) Suction and appropriate backup system;

(e) Auxiliary lighting system;

(f) Suitability of operating room:

(1) Size;

(2) Lighting;

(3) Communications; and

(4) EMT accessibility;

(g) Recovery area, including oxygen, suction, and visual and electronic monitoring, which may include the operating room;

(h) Appropriate emergency drugs;

(i) Nonexpired drugs;

(j) Appropriate devices to maintain an airway with positive pressure ventilation;

(k) Appropriate preoperative medical history and physical evaluation forms;

(I) Appropriate anesthesia records, including monitoring and discharge records;

(m) Monitoring equipment, including pulse oximeter and blood pressure monitoring;

(n) Anesthesia and monitoring equipment to ensure they are in proper working order;

(o) Defibrillator or automated external defibrillator (AED) for adult patients;

(p) For Class I certifications:

(1) Pulse oximeter;

(2) A capnograph measuring device; and

(3) An electrocardiogram (ECG) may be used, however, continuous ECG monitoring shall be used for patients with significant cardiovascular disease;

(q) For Class II and Class III certifications:

(1) An electrocardiogram (ECG);

(2) A capnograph measuring device; and

(3) Pulse oximeter;

(r) For moderate or deep sedation, or general anesthesia in pediatric patients:

(1) Pulse oximeter;

(2) A capnograph; and

(3) Continuous ECG monitoring.

10707.3

The dentist who will perform the administration and the dentist's staff shall be present in the operatory during the evaluation.

10707.4

An applicant for a dental facility certification shall not transport anesthesia or sedation equipment from one dental office to another for facility examination purposes.

10707.5

A Board authorized evaluator shall hold a certification at the same or higher level as the certification sought by the applicant being evaluated.

10707.6

To the extent practicable, a Board authorized evaluator shall provide the results of the evaluation to the Board in writing within seven (7) days of an applicant's evaluation.

10707.7

The Board shall:

(a) Review the results of the evaluation; and

(b) Notify the applicant of the results in a timely manner.

10707.8

If requested, an applicant shall be provided with a copy of the evaluation provided to the Board.

10707.9

An applicant who fails either an administration evaluation or a facility evaluation twice shall be required to pay a fee equal to the renewal fee for the certification sought by the applicant before either the third evaluation or any subsequent evaluations.

10707.10

A dentist who has passed an administration and facility evaluation for a Class I, Class II, or Class III certification may receive the same type of certification for another facility or facilities if:

(a) The dentist holds an active Class I, Class II, or Class III certification for which the dentist has passed an administration and facility evaluation; and

(b) Each facility for which the dentist seeks another certification has at least one dentist who has passed an administration and facility evaluation for that type of certification at that location within two (2) years of the date of application for the additional certification.

10707.11

Alternatively, an applicant who has passed an administration and facility evaluation for a Class I, Class II, or Class III certification may receive the same type of certification for another facility or facilities if:

(a) The dentist holds an active Class I, Class II, or Class III certification for which the dentist has passed an administration and facility evaluation; and

(b) The dentist seeking the additional certification:

(1) Is present during a facility evaluation at which the dentist and the dentist's staff pass a facility evaluation; and

(2) Passes an evaluation, appropriate for the certification level, that includes simulated management of emergencies with the participation of the clinical office staff trained to handle emergencies.

10707.12

In addition to the requirements of §§ 10707.10 and 10707.11 of this subchapter, the dentist seeking the additional certification or certifications shall:

(a) Submit an application to the Board on a form provided by the Board; and

(b) Pay the appropriate fee.

D.C. Mun. Regs. tit. 17, r. 17-10707

Final Rulemaking published at 67 DCR 8806 (7/17/2020)