Section Den 304.03 - Permits for Use of General Anesthesia, Deep Sedation and Moderate Sedation(a) No dentist shall use general anesthesia, deep sedation, or moderate sedation on an outpatient basis for dental patients except pursuant to Den 304.02 or as follows: (1) Such dentist shall possess a permit of authorization issued by the board;(2) Such permit shall be subject to review and shall be renewed every 2 years at the same time as biennial registration for the practice of dentistry;(3) Such dentist shall be certified in BLS-HCP; and(4) Such dentist shall be currently certified in American Heart Association (AHA) approved advanced cardiac life support (ACLS) if treating post-pubertal patients. Such dentists shall be currently certified in American Heart Association (AHA) approved pediatric advanced life support (PALS) if treating pre-pubertal patients. These requirements shall supersede any requirements for current ACLS or PALS certification stated in the American Academy of Pediatric Dentistry 2016 "Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures" as referenced in Den 304.04(b)(1).(b) In order to receive a permit to use general anesthesia, deep sedation and moderate sedation the dentist shall: (1) Apply on an "Initial Application to Administer General Anesthesia and/or Sedation" form, effective November 2017, to the board, as specified in Den 304.05;(2) Submit the application fee specified in Den 301.08; and(3) Provide evidence showing that he or she: a. Complies with one of the following: 1. Has completed advanced training in anesthesiology and related academic subjects beyond the undergraduate dental school level in a training program as described in Part III C. of the American Dental Association 2016 "Guidelines for the Use of Sedation and General Anesthesia by Dentists", as specified in Appendix II; or2. Has completed advanced training in anesthesiology and related academic subjects as described in the CODA requirements for each advanced program; andb. Has a properly staffed and equipped facility as set forth in:1. The 8th edition of the "Office Anesthesia Evaluation Manual" of the American Association of Oral and Maxillofacial Surgeons, 2012, as specified in Appendix II; or2. Part IV C. of the American Dental Association 2016 "Guidelines for the Use of Sedation and General Anesthesia by Dentists", as specified in Appendix II.N.H. Admin. Code § Den 304.03
Derived From Volume XXXVII Number 50, Filed December 14, 2017, Proposed by #12428, Effective 12/6/2017, Expires 12/6/2027.