Md. Code Regs. 10.44.12.09

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Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.44.12.09 - Administration Evaluation

A. Class I Permit. To qualify for a Class I permit, the dentist who will perform the administration shall pass:

(1) An office inspection evaluation;

(2) A clinical evaluation consistent with the age level of the patients treated by the dentist;

(3) An evaluation of the dentist to safely administer sedation techniques; and

(4) An evaluation of the ability of the dentist to effectively respond to sedation related emergencies.

B. The clinical evaluation required in §A of this regulation shall require the participation of the office staff.

C. The clinical evaluation required by §A(2) of this regulation shall include evaluating treatment of at least the following:

(1) Laryngospasm;

(2) Foreign body airway obstruction;

(3) Emergency airway management;

(4) Emesis and aspiration;

(5) Acute allergic reaction;

(6) Bronchospasm;

(7) Angina;

(8) Conditions requiring advanced cardiac life support, including:

(a) Bradycardia;

(b) Tachycardia;

(c) Ventricular fibrillation; and

(d) Cardiac arrest;

(9) Hypotension;

(10) Hypoglycemia;

(11) Hypertension;

(12) Seizure; and

(13) Syncope.

D. Class II or Class III Permit.

(1) To qualify for a Class II or Class III permit, the dentist who will perform the administration shall pass an administration evaluation that consists of an office inspection and clinical evaluation.

(2) The clinical evaluation required by §D(1) of this regulation shall:

(a) Require the participation of the clinical office staff; and

(b) Evaluate the technical competency of the dentist to:

(i) Safely administer moderate parenteral sedation, deep sedation, or general anesthesia; and

(ii) Effectively respond to anesthesia related emergencies.

E. The clinical evaluation required by §D(1) of this regulation shall include evaluating the treatment of at least the following: