Clinical Evaluation :
Prior to issuing an unrestricted permit , an applicant must pass a clinical evaluation conducted by the Board through its authorized agents in accordance with the AAOMS Manual ( for OMSs ) and the ADA Guidelines ( for non- OMSs ).
Duties :
• Must ensure that a patient medical history is taken or updated
• Must give patients a physical evaluation
• Must have proper equipment
• Must have signed patient consent
• Must obtain 15 hours of continuing education credits in courses related to general anesthesia or deep sedation every licensure cycle . This counts toward the overall 30-hour CE requirement .
Auxiliary Personnel :
• Must be properly trained for delegated duties
• Must perform duties under direct onpremise supervision of the permit holder
• Must be certified in BLS
• Nurse anesthetists must perform their duties under direct on-premise supervision , perform duties that are under scope of practice and maintain ACLS certification .
Restricted Permit II Holders
( nitrous oxide / oxygen analgesia )
Requirements :
A permit holder must do one ( 1 ) of the following :
1 . Complete a course in nitrous oxide / analgesia of at least fourteen ( 14 ) hours of didactic instruction and clinical experience in a program conforming to Part I or Part III of the ADA Guidelines .
2 . Certifies that there are written procedures for handling emergencies .
3 . Certifies that the equipment is properly installed and calibrated , and that it contains a fail-safe system .
Duties :
• Must ensure that a patient medical history is taken or updated
• Must give patients a physical evaluation
• Must have proper equipment that is calibrated per manufacturer ’ s guidelines
• Must have signed patient consent
• Must administer nitrous / analgesia in conformation with AAOMS Guidelines ( for OMSs ), ADA Guidelines ( for non-OMSs ) or the AAPD Guidelines ( for non-OMSs treating pediatric patients )*
* Conflicts between the AAOMS Guidelines , the ADA Guidelines or the AAPD Guidelines , and the Board ’ s regulations , will be resolved in favor of the applicable Guidelines .
Non-Permit Holders / Itinerant Providers Duties :
The non-permit holder must verify with the permit holder that all monitoring equipment and equipment used to administer anesthesia / sedation is present , properly installed and calibrated according to manufacturer guidelines . This equipment must contain a fail-safe system .
The non permit holder must have 5 hours of continuing education in courses related to the type of anesthesia administered by the itinerans provider . This counts toward the overall 30 hour CE requirement .
Equipment transported to a non-permit holder ’ s dental office must pass inspection by the Board through its authorized agents in accordance with the AAOMS Manual ( for OMS ), ADA Guidelines ( for non-OMS ) and AAPF Guidelines for pediatric patients .
2024