OAR 818-026-0040
Qualifications, Standards Applicable, and Continuing Education Requirements for Anesthesia Permits: Nitrous Oxide Permit
(1)
The Board shall issue a Nitrous Oxide Permit to an applicant who:(a)
Is either a licensed dentist or licensed hygienist in the State of Oregon;(b)
Maintains a current BLS for Healthcare Providers certificate or its equivalent; and(c)
Has completed a training course of at least 14 hours of instruction in the use of nitrous oxide from a dental school or dental hygiene program accredited by the Commission on Dental Accreditation of the American Dental Association, or as a postgraduate.(2)
The following facilities, equipment and drugs shall be on site and available for immediate use during the procedure and during recovery:(a)
An operating room large enough to adequately accommodate the patient on an operating table or in an operating chair and to allow delivery of appropriate care in an emergency situation;(b)
An operating table or chair which permits the patient to be positioned so that the patient’s airway can be maintained, quickly alter the patient’s position in an emergency, and provide a firm platform for the administration of basic life support;(c)
A lighting system which permits evaluation of the patient’s skin and mucosal color and a backup lighting system of sufficient intensity to permit completion of any operation underway in the event of a general power failure;(d)
Suction equipment which permits aspiration of the oral and pharyngeal cavities and a backup suction device which will function in the event of a general power failure;(e)
An oxygen delivery system with adequate full face masks and appropriate connectors that is capable of delivering high flow oxygen to the patient under positive pressure, together with an adequate backup system;(f)
A nitrous oxide delivery system with a fail-safe mechanism that will insure appropriate continuous oxygen delivery and a scavenger system; and(g)
Sphygmomanometer and stethoscope and/or automatic blood pressure cuff.(3)
Before inducing nitrous oxide sedation, a permit holder shall:(a)
Evaluate the patient;(b)
Give instruction to the patient or, when appropriate due to age or psychological status of the patient, the patient’s guardian;(c)
Certify that the patient is an appropriate candidate for nitrous oxide sedation; and(d)
Obtain informed consent from the patient or patient’s guardian for the anesthesia. The obtaining of the informed consent shall be documented in the patient’s record.(4)
If a patient chronically takes a medication which can have sedative side effects, including, but not limited to, a narcotic or benzodiazepine, the practitioner shall determine if the additive sedative effect of nitrous oxide would put the patient into a level of sedation deeper than nitrous oxide. If the practitioner determines it is possible that providing nitrous oxide to such a patient would result in minimal sedation, a minimal sedation permit would be required.(5)
A patient under nitrous oxide sedation shall be visually monitored by the permit holder or by an anesthesia monitor at all times. The patient shall be monitored as to response to verbal stimulation, oral mucosal color and preoperative and postoperative vital signs.(6)
The permit holder or anesthesia monitor shall record the patient’s condition. The record must include documentation of all medications administered with dosages, time intervals and route of administration.
Source:
Rule 818-026-0040 — Qualifications, Standards Applicable, and Continuing Education Requirements for Anesthesia Permits: Nitrous Oxide Permit, https://secure.sos.state.or.us/oard/view.action?ruleNumber=818-026-0040
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