Section 338.11601. General anesthesia; conditions; violation.

(1) A dentist shall not administer general anesthesia  to   a dental patient or delegate and supervise the performance of any act, task, or function involved in the administration of general anesthesia to a dental patient, unless all of the following conditions are satisfied:

(a)     The dentist has completed a minimum of 1 year of advanced training in general anesthesia and pain control in a program which meets the standards adopted in R 338.11603(l). This subdivision takes effect 1 year after the effective date of this amendatory rule.

(b)     The dentist and the delegatee, if any, maintain current certification in basic and advanced cardiac life support from an agency or organization that grants  such certification pursuant to standards substantially equivalent to the standards adopted in R 338.11603(3).

(c)      The facility in which the anesthesia is administered meets the equipment standards adopted in R 338.11603(4).

(d)    The dentist shall be physically present with the patient who is given any general anesthesia until he or she regains consciousness and the dentist shall remain on the premises  until  such  patient  is  capable  of being discharged.

(2)     A dentist who does not meet the requirements of subrule (1) of this rule shall not offer general anesthesia services for dental patients unless all of the following conditions are met:

(a)     General anesthesia services are directly provided through association with, and by, either of the following individuals:

(i)      A physician who is licensed under the provisions of part 170 or 175 of the act and who is a member in good standing on the anesthesiology staff of a hospital accredited by the joint commission on accreditation of hospitals.

(ii)     A dentist who meets the requirements of subrule (1)(a) and (b) of this rule.

(b)        A person who administers anesthesia, as authorized by the provisions of subdivision (a) of this subrule, shall be physically present with the patient who is given any general anesthesia until he or she  regains consciousness and the dentist shall remain on the actual premises where the general anesthesia is administered until the patient anesthetized is capable of being discharged.

(c)     The provisions of subrule (1)(b) and (c) of this  rule shall be complied with.

(3)         A dentist is in violation of section 16221(l)(g) of the act if he or  she administers general anesthesia to a dental patient or delegates and supervises the performance of any act, task,  or   function  involved  in   the administration of general

anesthesia to a dental patient or offers general anesthesia services for dental patients without  being  in  compliance  with subrules (1) and (2) of this rule.

History: 1990 AACS; 2011 AACS.