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PDFWAC 246-817-772

Anesthesia monitor requirements.

(1) When a licensed dentist is also administering moderate sedation with parenteral agents, deep sedation or general anesthesia, one additional appropriately trained team member must be designated for patient monitoring. The team member designated for patient monitoring when general anesthesia is being administered may not also perform dental assistant tasks.
(2) When moderate sedation with parenteral agents, deep sedation or general anesthesia is administered by a dedicated anesthesia provider who is not the operative dentist, the anesthesia provider may serve as the monitoring personnel.
(3) A licensed dentist cannot employ an individual to monitor patients receiving moderate sedation with parenteral agents, deep sedation or general anesthesia unless that individual has received a minimum of 14 hours of documented training, such as national certification American Association of Oral and Maxillofacial Surgeons, on-site or in-office training by a licensed dentist with a moderate sedation with parenteral agents or general anesthesia permit, or other education course specifically designed to include instruction and practical experience in use of equipment to include, but not be limited to, the following equipment:
(a) Sphygmomanometer or a device able to measure blood pressure;
(b) Pulse oximeter or other respiratory monitoring equipment;
(c) Electrocardiogram;
(d) Bag-valve-mask resuscitation equipment;
(e) Oral and nasopharyngeal airways;
(f) Defibrillator or automatic external defibrillator.
(4) The training referred to in subsection (3) of this section must also include instruction in:
(a) Basic sciences;
(b) Evaluation and preparation of patients with systemic diseases;
(c) Anesthetic drugs and techniques;
(d) Anesthesia equipment and monitoring; and
(e) Office anesthesia emergencies.
(5) A licensed dentist shall maintain training or certification documentation of the anesthesia monitor.
[Statutory Authority: RCW 18.32.0365 and 18.32.640. WSR 24-01-033, § 246-817-772, filed 12/11/23, effective 1/11/24; WSR 16-06-106, § 246-817-772, filed 3/1/16, effective 4/1/16; WSR 09-04-042, § 246-817-772, filed 1/30/09, effective 3/2/09.]
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