Notice of Proposed Rule

DEPARTMENT OF HEALTH
Board of Dentistry
RULE NO: RULE TITLE
64B5-14.007: Inspection of Facilities
PURPOSE AND EFFECT: The Board proposes the rule amendment to add a requirement for demonstration of sedation technique to board appointed consultant inspectors prior to issuance of a permit.
SUMMARY: The rule amendment will add a requirement for demonstration of sedation technique to board appointed consultant inspectors prior to issuance of a permit.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS: No Statement of Estimated Regulatory Cost was prepared.
Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.
SPECIFIC AUTHORITY: 466.017(3) FS.
LAW IMPLEMENTED: 120.60(8), 466.017(3) FS.
IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE SCHEDULED AND ANNOUNCED IN FAW.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Sue Foster, Executive Director, Board of Dentistry/MQA, 4052 Bald Cypress Way, Bin # C08, Tallahassee, Florida 32399-3258.

THE FULL TEXT OF THE PROPOSED RULE IS:

64B5-14.007 Inspection of Facilities and Demonstration of Sedation Technique.

(1) No change.

(2) Prior to issuance of a general anesthesia permit, conscious sedation permit, or pediatric conscious sedation permit, the applicant must demonstrate that he or she has knowledge of the use of the required equipment and drugs as follows:

(a) Demonstration of General Anesthesia/Deep Sedation. A dental procedure utilizing general anesthesia/deep sedation must be observed and evaluated. Any general anesthesia/deep sedation technique that is routinely employed may be demonstrated. The patient shall be monitored while sedated and during recovery. Furthermore, the dentist and his or her team must physically demonstrate by simulation an appropriate response to the following emergencies:

1. Airway obstruction

2. Bronchospasm

3. Aspiration of foreign object

4. Angina pectoris

5. Myocardial infarction

6. Hypotension

7. Hypertension

8. Cardiac arrest

9. Allergic reaction

10. Convulsions

11. Hypoglycemia

12. Syncope

13.  Respiratory depression.

(b) Demonstration of Conscious Sedation.  A dental procedure utilizing conscious sedation must be observed and evaluated.  Any conscious sedation technique that is routinely employed may be demonstrated. The patient shall be monitored while sedated and during recovery.  Futhermore, the dentist and his or her team must physically demonstrate by simulation an appropriate response to the following emergencies:

1. Airway obstruction

2. Bronchospasm

3. Aspiration of foreign object

4. Angina pectoris

5. Myocardial infarction

6. Hypotension

7. Hypertension

8. Cardiac arrest

9. Allergic reaction

10. Convulsions

11. Hypoglycemia

12. Syncope

13.  Respiratory depression.

(c) Demonstration of Pediatric Conscious Sedation. A dental procedure utilizing pediatric conscious sedation must be observed and evaluated.  Any pediatric conscious sedation technique that is routinely employed may be demonstrated.  The patient shall be monitored while sedated and during recovery.  Furthermore, the dentist and his or her team must physically demonstrate by simulation an appropriate response to the following emergencies:

1. Airway obstruction

2. Bronchospasm

3. Aspiration of foreign object

4. Angina pectoris

5. Myocardial infarction

6. Hypotension

7. Hypertension

8. Cardiac arrest

9. Allergic reaction

10. Convulsions

11. Hypoglycemia

12. Syncope

13.  Respiratory depression.

(2) through (9) renumbered (3) through (10) No change.

Specific Authority 466.017(3) FS. Law Implemented 120.60(8), 466.017(3) FS. History–New 10-24-88, Amended 3-27-90, 11-8-90, 4-24-91, 2-1-93, Formerly 21G-14.007, Amended 12-20-93, Formerly 61F5-14.007, Amended 8-8-96, Formerly 59Q-14.007, Amended 11-4-03,_________.

 


NAME OF PERSON ORIGINATING PROPOSED RULE: Board of Dentistry
NAME OF SUPERVISOR OR PERSON WHO APPROVED THE PROPOSED RULE: Board of Dentistry
DATE PROPOSED RULE APPROVED BY AGENCY HEAD: February 02, 2007
DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAW: March 9, 2007