64B5-14.0032. Itinerate/Mobile Anesthesia - Physician Anesthesiologist  


Effective on Monday, November 13, 2017
  • 1The provisions of this rule control the treatment of dental patients in an outpatient dental office setting where a physician anesthesiologist has performed the sedation services. This rule shall control notwithstanding any rule provision in this chapter that prohibits such conduct. The level of sedation is not restricted to the level of the permit held by the treating dentist. The level of sedation may be any level necessary for the safe and effective treatment of the patient.

    78(1) General Anesthesia Permit Holders:

    83A dentist who holds a general anesthesia permit may treat their adult, pediatric, or special needs patients when a physician anesthesiologist performs the sedation services. The following conditions shall apply:

    113(a) The physician anesthesiologist performs the administration of the anesthesia and the physician anesthesiologist is responsible for the anesthesia procedure;

    133(b) The dental treatment takes place in the general anesthesia permit holder’s board-inspected and board-registered dental office.

    150(2) Pediatric Moderate Sedation Permit Holders:

    156A pediatric dentist, as recognized by the American Dental Association, who holds a pediatric Moderate sedation permit may treat their pediatric or special needs dental patients when a physician anesthesiologist performs the sedation services. The following conditions shall apply:

    195(a) The physician anesthesiologist performs the administration of the anesthesia, and the physician anesthesiologist is responsible for the anesthesia procedure;

    215(b) The treatment takes place in the permit holder’s board-inspected and board-registered dental office;

    229(c) The dental office meets the supply, equipment, and facility requirements as mandated in Rule 24464B5-14.008, 245F.A.C.;

    246(d) A board-approved inspector performs an inspection of the dental office and the inspector reports the office to be in full compliance with the minimum supply, equipment, and facility requirements.

    276A pediatric dentist who holds an active Moderate sedation permit and not a pediatric moderate sedation permit shall meet the sedation permit requirement of this rule until the next biennial license renewal cycle that follows the effective date of this rule. At the next biennial license renewal cycle that follows the effective date of this rule, a pediatric dentist who hold a moderate sedation permit may transfer the permit to a pediatric moderate sedation permit without any additional cost besides the renewal fee.

    359(3) Moderate Sedation Permit Holders:

    364A dentist who holds a moderate sedation permit may treat their adult or adult special needs dental patients when a physician anesthesiologist performs the sedation services.  The following conditions shall apply:

    395(a) The physician anesthesiologist performs the administration of the anesthesia, and the physician anesthesiologist is responsible for the anesthesia procedure;

    415(b) The treatment takes place in the permit holder’s properly board-inspected and board-registered dental office;

    430(c) The dental office meets the supply, equipment, and facility requirements as mandated in Rule 44564B5-14.008, 446F.A.C.;

    447(d) A board-approved inspector performs an inspection of the dental office and the inspector reports the office to be in full compliance with the minimum supply, equipment, and facility requirements.

    477(4) Non-Sedation Permit Holders:

    481All provisions of this Chapter relating to the administration of any type of anesthesia or sedation and treatment to sedated patients shall remain in full force and effect. Nothing in this section supersedes, alters, or creates a variance to any prohibitions and mandates applicable to non-sedation permit holding dentists.

    530(5) Staff or Assistants:

    534A dentist treating a patient pursuant to this rule must have at least three (3) properly credentialed individuals present as mandated in Rule 55764B5-14.003, 558F.A.C. To fulfill the mandatory minimum required personnel requirements of Rule 56964B5-14.003, 570F.A.C., a physician anesthesiologist assistant or a certified registered nurse anesthetist in addition to, or in lieu of a dental assistant or dental hygienist may be utilized. However, the dentist must have a dedicated member of the team to assist in the dental procedure or during dental emergencies.

    618(6) Equipment:

    620A dentist may comply with the electrocardiograph and end tidal carbon dioxide monitor equipment standards set by Rule 63864B5-14.008, 639F.A.C., by utilizing mobile or non-fixed equipment if the dentist meets the following conditions:

    653(a) During the required board inspection, the equipment is available for inspection, or the dentist supplies an inspection of the equipment, which a licensed health care risk manager performed. A licensed health care risk manager inspection is valid for a period of twelve months; and,

    698(b) The dentist shall make the inspected equipment available during all required inspections, if specifically requested within 48 hours in advance of the inspection, and the equipment must be immediately available for an adverse incident inspection.

    734(7) Records:

    736The treating dentist shall maintain a complete copy of the anesthesia records in the patient’s dental chart. The dentist shall make certain that name and license numbers identify the treating dentist, the physician anesthesiologist, and all personnel utilized during the procedure.

    777Rulemaking Authority 779466.004(4), 780466.017(3) FS. 782Law Implemented 784466.017(3) FS. 786History–New 8-20-12, Amended 11-19-12, 2-21-13, 12-16-13, 11-13-17.

     

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