Md. Code Regs. 10.44.04.20

Current through Register Vol. 52, No. 1, January 10, 2025

Section 10.44.04.20 - Board-Approved Course of Instruction for Administering Nitrous Oxide

The 6-hour Board-approved course of instruction shall include but not be limited to the following:

A. 4 hours of didactic classroom training, including at least the following:

(1) The history, philosophy, and psychology of nitrous oxide minimal sedation;

(2) The definition and descriptions of the physiological and psychological aspects of pain and anxiety;

(3) Concepts and management of pain and anxiety;

(4) Indications and contraindications for nitrous oxide sedation;

(5) Anatomy and physiology of pediatric and adult respiration;

(6) Medical assessment of a patient before administration of nitrous oxide;

(7) Moderate sedation, deep sedation, and general anesthesia versus nitrous oxide;

(8) Pharmacological and physiological effects of nitrous oxide including drug interactions;

(9) A description of the stages of drug induced central nervous system depression through all levels of consciousness and unconsciousness with emphasis on the distinction between the conscious and unconscious state;

(10) Administering and monitoring the flow of nitrous oxide, including the monitoring of a patient's vital functions;

(11) Recognition and management of complications and medical emergencies;

(12) Occupational exposure; and

(13) Preventing, recognizing, and managing possible complications of inhalation sedation; and

B. 2 hours of clinical training, including the direct observation of the performance of procedures.

Md. Code Regs. 10.44.04.20

Regulations .20 amended effective April 29, 2013 (40:8 Md. R. 724); recodified from Regulations .19 effective 43:23 Md. R. 1279, eff. 11/24/2016