Section 313-14-XIII - NOTIFICATION REQUIREMENTS WHEN UTILIZING THE SERVICES OF A SEDATION PROVIDER.Failure to comply with the requirements of this section may result in disciplinary action against the operating dentist utilizing the services of a sedation provider, or disciplinary action against the dentist with a sedation permit issued under this chapter when providing sedation services for an operating dentist.
A.The following requirements must be met when an operating dentist intends to utilize the services of a sedation provider (a licensed dentist who holds a sedation permit issued under this chapter, a licensed physician or anesthesiologist, or a certified registered nurse anesthetist):(1)Notification requirements when the Sedation Provider is a Dentist. Fourteen (14) days prior to utilizing the services of a dentist as a sedation provider, the operating dentist must submit to the Board for approval an application that meets the following requirements:(a) A certification form, that is signed by the operating dentist and attests to the following: i. The sedation provider holds an active dentist license in good standing and holds an active sedation permit in good standing from the Board to provide moderate or deep sedation/general anesthesia services;ii. The sedation provider holds current life support certifications in accordance with Section V(H)(1)(b); and(b) A signed, written agreement between the operating dentist and sedation provider identifying the location at which sedation and/or general anesthesia services are to be administered by the sedation provider 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.(2)Notification requirements when the Sedation Provider is an Anesthesiologist. Fourteen (14) days prior to utilizing the services of an anesthesiologist as a sedation provider, the operating dentist must submit to the Board for approval an application that meets the following requirements: (a) A certification form, that is signed by the operating dentist and attests to the following: i. The sedation provider holds an active medical license in good standing and has successfully completed graduate medical education in the field of anesthesiology, as defined by the Maine Board of Licensure in Medicine or the Maine Board of Osteopathic Licensure;ii. The sedation provider holds current life support certifications in BLS, ACLS and PALS. PALS certification is required only when providing sedation services to pediatric patients and may be used in meeting the ACLS requirement; and(b) A signed, written agreement between the operating dentist and sedation provider identifying the location at which sedation and/or general anesthesia services are to be administered by the sedation provider 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.(3)Notification requirements when the Sedation Provider is a Certified Registered Nurse Anesthetist. Fourteen (14) days prior to utilizing the services of a certified registered nurse anesthetist, the operating dentist must submit to the Board for approval an application that meets the following requirements: (a) A certification form, that is signed by the operating dentist and attests to the following: i. The sedation provider holds an active license in good standing as a certified registered nurse anesthetist as defined by the Maine State Board of Nursing;ii. The sedation provider holds current life support certifications in BLS, ACLS and PALS. PALS certification is required only when providing sedation services to pediatric patients and may be used in meeting the ACLS requirement; and(b) A signed, written agreement between the operating dentist and sedation provider identifying the location at which sedation and/or general anesthesia services are to be administered by the sedation provider 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, § XIII