OAR 818-026-0120
Reporting of Death, Serious Complications or Injury

If a death, any serious complication or any injury occurs which may have resulted from the administration of any central nervous system anesthesia or sedation, the licensee performing the dental procedure must submit a written detailed report to the Board within five days of the incident along with the patient’s original complete dental records. If the anesthetic agent was administered by a person other than the person performing the dental procedure, that person must also submit a detailed written report. The detailed report(s) must include:

(1)

Name, age and address of patient;

(2)

Name of the licensee and other persons present during the incident;

(3)

Address where the incident took place;

(4)

Type of anesthesia and dosages of drugs administered to the patient;

(5)

A narrative description of the incident including approximate times and evolution of symptoms; and

(6)

The anesthesia record and the signed informed consent form for the anesthesia when required.

Source: Rule 818-026-0120 — Reporting of Death, Serious Complications or Injury, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=818-026-0120.

Last Updated

Jun. 8, 2021

Rule 818-026-0120’s source at or​.us