DE 11.035(2)(o)(o) Intravenous access anatomy, equipment and technique.
DE 11.035(2)(p)(p) Prevention, recognition and management of complications of venipuncture and other parenteral techniques.
DE 11.035(2)(q)(q) Description and rationale for the technique to be employed.
DE 11.035(2)(r)(r) Prevention, recognition and management of systemic complications of moderate sedation, with particular attention to airway maintenance and support of the respiratory and cardiovascular systems.
DE 11.035(2)(s)(s) Twenty individually managed cases that each meet the all of following requirements:
DE 11.035(2)(s)1.1. Must occur in person.
DE 11.035(2)(s)2.2. Include full review of patient medical history, including pertinent lab values.
DE 11.035(2)(s)3.3. Applicant shall be in the room for the duration of the case;
DE 11.035(2)(s)4.4. Applicant shall supervise recovery and discharge of the patient.
DE 11.035(2)(s)5.5. Applicant shall have full view of the patient and access to the patient’s airway.
DE 11.035(2)(s)6.6. Anesthesia monitors shall be in full view of the applicant.
DE 11.035 HistoryHistory: CR 19-132: cr. Register August 2020 No. 776, eff. 9-1-20; correction in (1) (intro.), (2) (intro.) made under s. 35.17, Stats., Register August 2020 No. 776, eff. 9-1-20; EmR2216: renum. (1) (q) to (1) (q) (intro.) and am., cr. (1) (q) 1. to 5., renum. (2) (s) to (2) (s) (intro.) and am., cr. (2) (q) 1. to 6., eff. 11-28-22; CR 22-086: renum. (1) (q) to (1) (q) (intro.) and am., cr. (1) (q) 1. to 6., renum. (2) (s) to (2) (s) (intro.) and am., cr. (2) (q) 1. to 6. Register October 2023 No. 814, eff. 11-1-23; correction in (1) (q) (intro.), (2) (s) (intro.), 1. to 5. made under s. 35.17, Stats., Register October 2023 No. 814.
DE 11.075DE 11.075Continuing education. A dentist with a sedation permit shall complete 2 hours of continuing education on the topic of sedation and anesthesia each biennium. The continuing education completed under this section shall count toward the continuing education requirement under s. DE 13.03.
DE 11.075 HistoryHistory: CR 19-132: cr. Register August 2020 No. 776, eff. 9-1-20.
DE 11.085DE 11.085Auxiliary Personnel.
DE 11.085(1)(1)Auxiliary personnel shall be certified in basic life support for the health care provider.
DE 11.085(2)(2) A dentist administering sedation shall have one additional individual present during the procedure and another individual on the premises and available to respond to a patient emergency.
DE 11.085(3)(3) A dentist administering general anesthesia or deep sedation shall have 2 additional individuals present during the procedure.
DE 11.085(4)(4) If a dentist is both performing the dental procedure and administering moderate or deep sedation, or general anesthesia, one auxiliary personnel must be designated to only monitor the patient. The designated auxiliary personnel may be one of the additional individuals required in sub. (2) or (3).
DE 11.085 HistoryHistory: CR 19-132: cr. Register August 2020 No. 776, eff. 9-1-20.
DE 11.09DE 11.09Standards of care.
DE 11.09(1)(1)General. A dentist administering anesthesia or sedation shall be in the room to continuously monitor the patient until the patient meets the criteria for transfer to recovery and may not leave the dental office or facility until the patient meets the criteria for discharge and is discharged from the dental office or facility.
DE 11.09(2)(2) Preoperative preparation. Preoperative preparation for the administration of anesthesia or sedation shall include all of the following steps:
DE 11.09(2)(a)(a) Determine the adequacy of the oxygen supply and equipment necessary to deliver oxygen under positive pressure.
DE 11.09(2)(b)(b) Take and record the patient’s baseline vital signs, including blood pressure, respiratory rate and heart rate. For the administration of general anesthesia and deep and moderate sedation, baseline vital signs include weight, height, blood pressure, heart rate, respiratory rate, blood oxygen saturation by pulse oximetry, and body temperature when appropriate. The inability to take vital signs due to the patient’s behavior or condition shall be documented in the patient record.
DE 11.09(2)(c)(c) Complete medical history and a focused physical evaluation.
DE 11.09(2)(d)(d) Instruct the patient on specific dietary limitations based upon the sedative and anesthetic technique to be used and patient’s physical status.
DE 11.09(2)(e)(e) Provide preoperative instructions to the patient or, as appropriate, to the patient’s parent or legal guardian.
DE 11.09(2)(f)(f) Notify and require a patient to arrive and leave with a vested escort.