Section R. 338.11601 - General anesthesia, deep sedation; requirementsRule 1601.
(1) A general dentist who does not hold a specialty license in dental anesthesiology or oral and maxillofacial surgery, shall not administer general anesthesia or deep sedation to a dental patient in a dental office unless the dentist complies with the following requirements:(a) The dentist has demonstrated competency by meeting all the following requirements:(i) Completing a minimum of 1 year of advanced training in general anesthesia and pain control in a program that meets the standards adopted in R 338.11603(l). A program that is accredited by CODA as meeting the accreditation standards for advanced dental education programs in anesthesiology or oral and maxillofacial surgery meets the requirements of this subdivision.(ii) Completing a course in managing medical emergencies that includes all of the following: (A) Current monitoring guidelines for adults from the ADA or the American ASA, or the AAOMS for oral and maxillofacial surgeons, and for children from the ASA, or AAOMS for oral and maxillofacial surgeons, the AAP, and the AAPD.(B) Equipment and material used in an anesthesia or sedation emergency.(C) The personnel needed for anesthesia or sedation.(D) The drugs needed for resuscitation in an emergency.(iii) Maintaining certification in BLS and ACLS for healthcare providers with a hands-on component from an agency or organization that grants certification pursuant to standards substantially equivalent to the standards adopted in R 338.11603(2). A certification in BLS and ACLS for healthcare providers with a hands-on component from AHA or BLS for the healthcare provider and PALS with a hands-on component from AHA meets the requirements of this subdivision.(b) If general anesthesia or deep sedation is performed in a dental office, any allied dental personnel and dental therapists who are directly involved in the procedure shall complete a course in managing medical emergencies that includes all of the following: (i) Current monitoring guidelines for adults from the ADA or the ASA, or AAOMS for oral and maxillofacial surgeons, and for children from the ASA, the AAP, and the AAPD or AAOMS for oral and maxillofacial surgeons.(ii) Equipment and materials used in an anesthesia or sedation emergency.(iii) The personnel needed for anesthesia or sedation.(iv) The drugs needed for resuscitation in an emergency.(2) A general dentist who does not hold a specialty license in dental anesthesiology or oral and maxillofacial surgery, shall not collaboratively provide general anesthesia or deep sedation with a physician anesthesiologist, oral surgeon, or nurse anesthetist, under section 17210 of the code, MCL 333.17210, in a dental office, unless the dentist, and allied dental personnel and dental therapists who are directly involved in the procedure, maintain certification in BLS for healthcare providers with a hands-on component from an agency or organization that grants certification pursuant to standards substantially equivalent to the standards adopted in R 338.11603(2). A certification in BLS for healthcare providers with a hands-on component from AHA or BLS for the healthcare provider and PALS with a hands-on component from AHA meets the requirements of this subdivision.(3) At no time is a RDA or RDH allowed to adjust medication levels during a procedure, other than nitrous oxide and oxygen, as allowed in R 338.11411(4).Mich. Admin. Code R. 338.11601
1990 AACS; 2011 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. 10/2/2023