<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.s04b3be6e-f757-43c1-884a-55928023332bP0 { 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.s04b3be6e-f757-43c1-884a-55928023332bC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s04b3be6e-f757-43c1-884a-55928023332bC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s04b3be6e-f757-43c1-884a-55928023332bC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s04b3be6e-f757-43c1-884a-55928023332bC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s04b3be6e-f757-43c1-884a-55928023332b000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s04b3be6e-f757-43c1-884a-55928023332bC3 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:04.03"><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000000">20</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000000">:</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000000">43</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000000">:</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000000">09</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000000">:</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000000">04.03</span></a><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000001">.  Moderate sedation course requirements.</span><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0-000001"> </span><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">The board may approve a moderate sedation training course as referenced in subdivision </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:04"><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000002">20:43:09:04</span></a><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">(1) if the course meets the following requirements:</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (1)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course satisfies all objectives and content as described in Part 5 of the Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students;</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (2)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course includes a minimum of 60 clock hours of coursework that is provided through didactic instruction;</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (3)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course includes the administration of moderate parenteral sedation via the intravenous route to at least 20 individually managed live patients of the appropriate age. The course participant must be listed on the anesthesia record, administer the drugs, and document the administration and physiologic findings on the anesthesia record;</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (4)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course includes clinical experience in the management of the compromised airway and establishment of intravenous access;</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (5)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course is directed by a dentist or physician qualified by experience and training, including the following</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">:</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">            (A)  </span><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course director </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC3">has not been disciplined for conduct that, in the opinion of the board, would jeopardize the safety of the public or patients;</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC3">            (B)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course director holds a current permit or license to administer general anesthesia and deep sedation or moderate sedation in at least one state; and</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">            (C)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course director has at least three years of experience administering general anesthesia and deep sedation or moderate sedation, including formal postdoctoral residency training in anxiety and pain control;</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (6)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course has a clinical participant-faculty ratio of not more than four-to-one;</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (7)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course includes a mechanism for the course participant to evaluate the performance of individuals presenting the course material, a summary of which is maintained and available for review;</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (8)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course provides additional clinical experience if the course participant has not achieved competency within the time allotted for the course; and</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    (9)  </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The course director certifies the competency of a course participant in each moderate sedation technique, including instruction, clinical experience, managing the airway, intravascular or intraosseous access, and reversal drugs, before the course participant is issued documentation verifying successful completion of the course.</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">The board shall conduct a review of moderate sedation courses annually and may only approve courses that have submitted documentation necessary to verify that the course requirements outlined in this section have been met. A course director may be required to participate in an interview as part of the course review before the board approves the course.</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000001">Source:</span><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0"> </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">48 SDR 62, effective December 13, 2021</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">.</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000001">General Authority:</span><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000002">36-6A-14</span></a><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">(20).</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000001">Law Implemented:</span><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="s04b3be6e-f757-43c1-884a-55928023332bC0-000002">36-6A-14</span></a><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">(1)(3)(13)(22)</span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">.</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0">    </span><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332bC0-000001">References: </span><span class="s04b3be6e-f757-43c1-884a-55928023332bC0">"Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students," 2016 Edition, American Dental Association. Copies may be obtained from the American Dental Association at www.ada.org free of charge.</span></p><p dir="ltr" class="s04b3be6e-f757-43c1-884a-55928023332bP0"><span xml:space="preserve" class="s04b3be6e-f757-43c1-884a-55928023332b000003"> </span></p></div></body></html>