20:43:09 :10.  Permit requirements to monitor patients under general anesthesia, deep sedation, or moderate sedation. The board may issue a permit to a dental hygienist, registered dental assistant, or dental assistant to monitor patients under general anesthesia, deep sedation, or moderate sedation while under the direct supervision of a dentist who holds a current permit to administer general anesthesia and deep sedation or moderate sedation if the dental hygienist, registered dental assistant, or dental assistant has met the following requirements:

 

          (1)  Is certified in administering basic life support by the American Heart Association for the Healthcare Provider, the American Red Cross for the Professional Rescuer, or an equivalent program approved by the board; and

 

          (2)  Has successfully completed at least an eight-hour board approved course in anesthetic assisting and either:

 

               (a)  Completed the course within thirteen months prior to application; or

 

               (b)  Completed the course more than thirteen months prior to application, has legally monitored patients receiving analgesic or anesthetic agents for a period of time during the two years preceding application, and provides written documentation from a dentist that has employed or supervised the applicant, attesting to the current clinical proficiency of the applicant to monitor patients under general anesthesia, deep sedation, or moderate sedation.

 

          Source: 19 SDR 32, effective September 6, 1992; 37 SDR 131, effective January 6, 2011; 42 SDR 19, effective August 17, 2015; 42 SDR 83, effective December 3, 2015.

          General Authority: SDCL 36-6A-14(10).

          Law Implemented: SDCL 36-6A-14(10)(22).

 

          20:43:09:10.01.  Delegation of injection of medication. A dentist may authorize a dental hygienist, registered dental assistant, or dental assistant to inject medication through an intravenous site if the following requirements have been met:

 

          (1)  The dental hygienist, registered dental assistant, or dental assistant holds a permit to monitor patients under general anesthesia, deep sedation, or moderate sedation;

 

          (2)  The dental hygienist, registered dental assistant, or dental assistant has successfully passed the Dental Anesthesia Assistant National Certification Examination administered by the American Association of Oral and Maxillofacial Surgeons and is currently certified in Dental Anesthesia Assisting by the American Association of Oral and Maxillofacial Surgeons;

 

          (3)  The supervising dentist holds a current permit to administer general anesthesia and deep sedation or moderate sedation;

 

          (4)  The supervising dentist draws up the medications that will be utilized during the procedure;

 

          (5)  The dental hygienist, registered dental assistant, or dental assistant is operating under the personal supervision of the supervising dentist and the supervising dentist maintains direct visual supervision during the injection of the medication through an intravenous site; and

 

          (6)  The supervising dentist authorizes the procedure by verbal command, clearly articulating the specific medication and the amount of the medication to be administered and the dental hygienist, registered dental assistant, or dental assistant repeats the verbal command back to the supervising dentist before injecting medication through an intravenous site.

 

          Source: 42 SDR 83, effective December 3, 2015.

          General Authority: SDCL 36-6A-14(10)(13).

          Law Implemented: SDCL 36-6A-14(10)(13)(22).

 

          20:43:09:10.02.  Injecting medication. For purposes of § 20:43:09:10.01, injecting medication through an intravenous site includes the following:

 

          (1)  Initiating an intravenous line for a patient being prepared to receive intravenous medications, sedation, or general anesthesia, as directed by the supervising dentist;

 

          (2)  Adjusting the rate of intravenous fluids infusion to maintain the line patent or increase the rate of intravenous fluids infusion beyond a keep open rate, to a rate directed by the supervising dentist;

 

          (3)  Delivering medication into an intravenous line, as directed by the supervising dentist; or

 

          (4)  Adjusting an electronic device to provide medications, such as an infusion pump, to a setting directed by the supervising dentist.

 

          Source: 42 SDR 83, effective December 3, 2015.

          General Authority: SDCL 36-6A-14(10).

          Law Implemented: SDCL 36-6A-14(10)(22).