D.C. Mun. Regs. tit. 17, r. 17-10712

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

Rule 17-10712 - FACILITY OWNERS AND ANESTHESIA AND SEDATION PERFORMED BY ITINERANT PROVIDERS

10712.1

In order to obtain a permit from the Board for an itinerant provider to administer anesthesia or sedation in his or her facility the owner of the facility shall demonstrate the following to the satisfaction of the Board:

(a) The itinerant provider is certified by the Board at the appropriate individual certification class level, if he or she is a dentist, or

(b) The itinerant provider is licensed in good standing with the District of Columbia Board of Medicine or Nursing, as applicable, and authorized to administer anesthesia and sedation.

10712.2

The owner of a facility shall prominently display the itinerant provider's permit at the dental facility.

10712.3

The owner of a facility shall ensure that the facility:

(a) Is certified by the Board at the appropriate facility certification class level;

(b) Is properly equipped in accordance with this chapter;

(c) Is properly staffed in accordance with this chapter; and

(d) Has appropriate non-expired drugs and non-expired emergency drugs.

10712.4

The owner of a facility or the treating dentist who wishes to allow an itinerant provider to administer anesthesia and sedation to a patient at his or her dental facility shall:

(a) Obtain a permit from the Board before allowing the itinerant provider to administer anesthesia and sedation at his or her dental facility;

(b) Ensure the proper maintenance of all required oxygen equipment, emergency equipment, monitors, back up equipment, suction, and lighting; and

(c) Require the itinerant provider to contractually agree that he or she will accompany a patient to the emergency room if a patient is transported to the emergency room.

10712.5

A separate permit shall be required for each itinerant provider and for each separate facility location.

10712.6

The owner of a facility or the treating dentist shall ensure that:

(a) The operatory size is appropriate;

(b) The dental chair facilitates management of anesthesia emergencies;

(c) There is adequate lighting in the operatory;

(d) There is adequate staff present for the level of anesthesia level being administered;

(e) Appropriate suction is in place at all times; and

(f) The itinerant provider does not leave the dental facility until after the last patient is stable and discharged.

10712.7

To apply for a permit to allow an itinerant provider to administer anesthesia and sedation, the owner of a facility or the treating dentist shall:

(a) Apply to the Board on a form approved by the Board;

(b) Provide an affidavit to the Board stating whether an incident has ever occurred while the owner or treating dentist, as applicable, treated a patient under moderate sedation, deep sedation, or general anesthesia, in accordance with the requirements set forth in § 10717.3 of this chapter;

(c) Provide documentation acceptable to the Board that the itinerant provider is a dentist that is registered with the Board at the appropriate individual certification class level, or is a physician or certified registered nurse anesthetist that is licensed and in good standing with the appropriate District of Columbia Health Occupations Board and authorized to administer anesthesia and sedation;

(d) Submit any other pertinent documents or information requested by the Board, which may include patient records; and

(e) Pay a nonrefundable application fee.

10712.8

The owner or treating dentist who holds a certification to allow an itinerant provider to administer anesthesia or sedation at his or her facility shall be present in the operatory as the clinical provider of treatment during the administration of the anesthesia or sedation.

10712.9

A certification issued to an owner or treating dentist allowing an itinerant provider to administer anesthesia and sedation at his or her facility shall expire at 12:00 midnight on December 31^st on the fourth (4th) year following the effective date of the certification.

10712.10

An owner or treating dentist may apply to renew his or her certification to allow an itinerant provider to administer anesthesia or sedation by submitting a renewal application on a form approved by the Board, which shall require the same type of documentation and information as was required for the initial certification, and payment of a nonrefundable fee.

D.C. Mun. Regs. tit. 17, r. 17-10712

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