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


Effective on Tuesday, March 10, 2020
  • 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) A physician anesthesiologist shall only have one patient at a time induced. A second patient shall not be induced until the first patient has been discharged out of the dental office or is arousable, spontaneously breathing, has stable vital signs and is under the care of a licensee or assistant that is trained in anesthesia recovery;

    190(c) The dental treatment takes place in the general anesthesia permit holder’s dental office that is on file with the board as an authorized location to perform sedation services and that has been inspected pursuant to Rule 22764B5-14.007, 228F.A.C.

    229(2) Pediatric Moderate Sedation Permit Holders:

    235A 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:

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

    294(b) A physician anesthesiologist shall only have one patient at a time induced. A second patient shall not be induced until the first patient has been discharged out of the dental office or is arousable, spontaneously breathing, has stable vital signs and is under the care of a licensee or assistant that is trained in anesthesia recovery;

    351(c) The treatment takes place in the permit holder’s dental office that is on file with the board as an authorized location to perform sedation services and that has been inspected pursuant to Rule 64B5-14.007, F.A.C.

    387(d) The dental office meets the supply, equipment, and facility requirements as mandated in rule 40264B5-14.008, 403F.A.C.;

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

    435(3) Moderate Sedation Permit Holders:

    440A 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:

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

    491(b) A physician anesthesiologist shall only have one patient at a time induced. A second patient shall not be induced until the first patient has been discharged out of the dental office or is arousable, spontaneously breathing, has stable vital signs and is under the care of a licensee or assistant that is trained in anesthesia recovery;

    548(c) The treatment takes place in the permit holder’s dental office that is on file with the board as an authorized location to perform sedation services and that has been inspected pursuant to Rule 58264B5-14.007, 583F.A.C.

    584(d) The dental office meets the supply, equipment, and facility requirements as mandated in Rule 59964B5-14.008, 600F.A.C.;

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

    632(4) Non-Sedation Permit Holders:

    636All 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.

    685(5) Staff or Assistants:

    689A dentist treating a patient pursuant to this rule must have at least three (3) properly credentialed individuals present as mandated in Rule 71264B5-14.003, 713F.A.C. To fulfill the mandatory minimum required personnel requirements of Rule 72464B5-14.003, 725F.A.C., an anesthesiologist assistant licensed pursuant to Section 733458.3475, F.S., 735or Section 737459.023, F.S., 739or 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 emergencies.

    781(6) Equipment:

    783A dentist may comply with the electrocardiograph equipment requirements set by Rule 79564B5-14.008, 796F.A.C., by utilizing the physician’s mobile or non-fixed equipment if the dentist meets the following conditions:

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

    855(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.

    891(c) As long as the permit holder’s dental office meets the supply, equipment, and facility requirements as mandated in Rule 91164B5-14.008, 912F.A.C., nothing in this rule shall be interpreted to prevent a physician anesthesiologist from utilizing their non-fixed mobile equipment when providing anesthesia services in the permit holder’s dental office.

    941(7) Records:

    943The 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.

    984Rulemaking Authority 986466.004(4), 987466.017(3) FS. 989Law Implemented 991466.017(3) FS. 993History–New 8-20-12, Amended 11-19-12, 2-21-13, 12-16-13, 11-13-17, 3-10-20.