Section R. 338.11602 - Moderate or minimal sedation; requirementsRule 1602.
(1) A general dentist who does not hold a specialty license in dental anesthesiology or oral and maxillofacial surgery, shall not administer moderate or minimal sedation to a dental patient in a dental office unless all of the following requirements are satisfied:(a) The dentist has demonstrated competency by meeting all of the following requirements: (i) Completing either of the following: (A) A comprehensive training program in moderate sedation that satisfies the requirements described in the moderate sedation section of the ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students when the training was commenced, which must include 60 hours of classroom training and hands-on interaction in moderate sedation with 20 patients.(B) An advanced education program accredited by CODA that provides comprehensive training to administer moderate sedation.(ii) Maintaining certification in BLS and ACLS for healthcare providers with a hands-on component from an agency or organization that grants certification under 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 basic life support for the healthcare provider and PALS with a hands-on component from AHA meets the requirements of this paragraph.(iii) Completing a course in managing medical emergencies that includes all of the following: (A) 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.(B) Equipment used in an anesthesia or sedation emergency.(C) The personnel needed for anesthesia or sedation.(D) The drugs needed for resuscitation in an emergency.(b) If moderate sedation is performed in a dental office, any allied dental personnel and dental therapists that 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 moderate or minimal 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(2).Mich. Admin. Code R. 338.11602
1990 AACS; 1997 AACS; 2011 AACS; 2017 AACS; 2021 AACS; 2023 MR 19, Eff. 10/2/2023