<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0-000004 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } </style></head><body><div><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:04"><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000000">20:43:09:04</span></a><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000001">.  Moderate sedation permit requirements.</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> The board may issue a permit to a licensed dentist to </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">administer</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> moderate sedation </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">to</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> dental patients </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">12 years and older </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">on an outpatient basis if the dentist:</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    (1)  Has </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">successfully </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">completed a </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">moderate sedation </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">course approved by the board pursuant to § </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:04.03"><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000003">20:43:09:04.03</span></a><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">. If the course was completed more than 12 months before application, the applicant shall also:</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">            (A)  Hold a permit to administer moderate sedation, or an equivalent permit, in another state and have completed a minimum of 12 moderate sedation cases in the 12 months before application; or</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">            (B)  Undergo a review by the board of the applicant s recent training and experience and complete supplemental training, education, evaluation, or remediation required by the board. The applicant shall pay all costs of the training, education, evaluation, remediation, and associated proceedings;</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    (2)  </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">Has met </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">the requirements </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">outlined </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">in §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:12"><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000003">20:43:09:12</span></a><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:13"><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000003">20:43:09:13</span></a><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">;</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> and</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    (3)  Is certified in administering </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">A</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">dvanced </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">C</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">ardiovascular </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">L</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">ife </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">S</span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">upport by the American Heart Association or an equivalent program approved by the board</span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">.</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">A dentist with a moderate sedation permit may not administer moderate sedation without the presence and assistance of at least one individual who holds a permit to monitor patients under general anesthesia, deep sedation, or moderate sedation, or is otherwise authorized by law to monitor patients under general anesthesia, deep sedation, or moderate sedation.</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0-000004"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    A dentist administering moderate sedation may not use general anesthetics; shall be proficient in airway management and advanced cardiac life support; shall be capable of providing intravenous access; shall continuously evaluate the patient s blood pressure, pulse, respiratory function, and cardiac activity; and shall apply the current standard of care.</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    A dentist </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">that meets the requirements of this section may only be authorized by the board to administer moderate sedation to a child under 12 years if the dentist has successfully completed an accredited advanced dental education residency program that provides comprehensive and appropriate training necessary to administer and manage pediatric moderate sedation and is certified in Pediatric Advanced Life Support by the American Heart Association or an equivalent program approved by the board. A dentist that does not meet these requirements by June 30, 2022, may not administer moderate sedation to a child under 12 years.</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    A dentist </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">who administers moderate sedation shall maintain a margin of safety and a level of consciousness in the patient that does not approach general anesthesia or deep sedation and shall be able to rescue a patient whose level of sedation becomes deeper than initially intended.</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    If moderate </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">sedation results in a general anesthetic state, the requirements outlined in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:03"><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000003">20:43:09:03</span></a><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> for general anesthesia and deep sedation apply.</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    </span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">A moderate </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">permit incorporates the authority granted in a nitrous oxide sedation and analgesia permit and host permit. A dentist that holds a moderate sedation permit and utilizes a licensed anesthesia provider to administer general anesthesia, deep sedation, or moderate sedation to a patient under 12 years shall also be certified in Pediatric Advanced Life Support by the American Heart Association or an equivalent program approved by the board.</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000001">Source:</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> 9 SDR 49, effective October 25, 1982; 12 SDR 151, 12 SDR 155, effective July 1, 1986; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:04:11"><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000003">20:43:04:11</span></a><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">, 19 SDR 32, effective September 6, 1992; 37 SDR 131, effective January 6, 2011; 42 SDR 83, effective December 3, 2015</span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">; 48 SDR 62, effective December 13, 2021</span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">.</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000001">General Authority:</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000003">36-6A-14</span></a><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">(</span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">20</span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">).</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">    </span><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000001">Law Implemented:</span><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0-000003">36-6A-14</span></a><span class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cC0">(1)(3)(13)(14)(22).</span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p><p dir="ltr" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652cP0"><span xml:space="preserve" class="s16e2d4a5-8a4a-4f53-ab3d-115dc3a9652c000002"> </span></p></div></body></html>