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DE 11.085DE 11.085 Auxiliary 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 11.09 Standards 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.
DE 11.09(2)(g)(g) Establish and secure, where clinically indicated, an intravenous line throughout the procedure, except as provided for pediatric or special needs patients.
DE 11.09(2)(h)(h) Advise the patient of fasting requirements.
DE 11.09(3)(3) Monitoring and evaluation of general anesthesia, deep sedation or moderate sedation. A dentist administering general anesthesia, deep sedation, or moderate sedation shall continuously monitor and evaluate all of the following:
DE 11.09(3)(a)(a) Level of consciousness.
DE 11.09(3)(b)(b) Oxygenation saturation by pulse oximetry.
DE 11.09(3)(c)(c) Chest excursions.
DE 11.09(3)(d)(d) Ventilation monitored by end-tidal carbon dioxide.
DE 11.09(3)(e)(e) Auscultation of breath sounds by precordial or pretrachial stethoscope.
DE 11.09(3)(f)(f) Respiration rate.
DE 11.09(3)(g)(g) Heart rate and rhythm via electrocardiogram.
DE 11.09(3)(h)(h) Blood pressure.
DE 11.09(3)(i)(i) Color of mucosa, skin or blood.
DE 11.09(3)(j)(j) Body temperature whenever triggering agents associated with malignant hyperthermia are administered.
DE 11.09(4)(4) Monitoring and evaluation of minimal sedation. A dentist administering minimal sedation shall continuously monitor and evaluate all of the following:
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