Section 313-14-VIII - USE OF DEEP SEDATION AND GENERAL ANESTHESIA; PERMITS REQUIREDA.General. No dentist may administer deep sedation or general anesthesia without first obtaining a permit from by the board.B.Qualifications for Initial Permits for Deep Sedation/General Anesthesia: In order to qualify, dentist applicants must submit an application, pay the required fees, and satisfy each of the following: (1) Have successfully completed an advanced education program accredited by the ADA Commission on Dental Accreditation (CODA) that affords comprehensive and appropriate training necessary to administer and manage deep sedation or general anesthesia commensurate with Part IV.C of the "ADA Sedation Guidelines;"(2) Possess current life support certifications in accordance with Section V(H)(1)(b);(3) Have submitted to the Board a completed, signed certification form that attests that the office is staffed with a supervised team of auxiliary personnel capable of reasonably handling procedures, problems, and emergencies as outlined in the "ADA Sedation Guidelines;"(4) Have submitted to the Board a completed, signed certification form that attests to adhering to the equipment, personnel, procedures, techniques and documents as outlined in the "ADA Sedation Guidelines" and requirements in this chapter; and(5) If providing sedation services to an operating dentist, agree to comply with the notification requirements in this chapter that requires the sedation provider to submit to the Board, fourteen (14) days prior to delivering services in this chapter, a signed, written agreement between the operating dentist and sedation provider identifying the location of which sedation and/or general anesthesia services are to be administered and demonstrating compliance with the equipment, personnel, procedures, techniques and documents as outlined in the "ADA Sedation Guidelines" and requirements in this chapter. The agreement, at a minimum, must describe how emergency response training and protocols will be developed and practiced, procedures for verifying qualifications of personnel who assist in the care and monitoring of the patient, responsibilities for pre-operative, inter-operative, and post- operative patient assessment and monitoring, responsibilities for obtaining informed consent, and how compliance with applicable board statutes and regulations will be achieved and maintained at the site.02-313 C.M.R. ch. 14, § VIII