<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.safe866cf-8e3f-42a6-8338-47e0e1255cd3P0 { 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.safe866cf-8e3f-42a6-8338-47e0e1255cd3C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.safe866cf-8e3f-42a6-8338-47e0e1255cd3000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003 { color: #0000FF; 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="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:04.01"><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000000">20:43:09:04.01</span></a><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000001">.  Employing or contracting with licensed anesthesia provider that provides general anesthesia, deep sedation, or moderate sedation in dental office.</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> </span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">A dentist that holds a general anesthesia and deep sedation, moderate sedation, or host permit and utilizes </span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">a licensed anesthesia provider </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">to administer</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> general anesthesia, deep sedation, or moderate sedation in a dental office </span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">or facility </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">on an outpatient basis</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> to a dental patient on whom the dentist is performing a dental procedure shall</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">:</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (1)  Have a </span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">written </span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">contract </span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">or written agreement </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">with the licensed anesthesia provider that outlines the appropriate roles and responsibilities of the dentist, licensed anesthesia provider, and clinical staff, for the administration of sedation or anesthesia, that shall include requirements that the licensed anesthesia provider:</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (A)  </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Collaborate with the dentist on patient selection based on clearly defined patient selection criteria;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (B)  </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Be continuously present during the administration of the anesthetic;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (C)  </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Remain with the patient until the patient is communicating effectively;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (D)  </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Transfer care of the patient to an 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; and</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (E)  </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Remain on the premises of the facility where the anesthesia was administered until the anesthetized patient is fully recovered and discharged from the facility to a responsible adult;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (2)  Notify the board </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">of the location of any dental office or facility where</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> general anesthesia, deep sedation, or moderate sedation services </span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">will be </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">provided;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (3)  </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Ensure the availability of</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> auxiliary personnel that are 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;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (4)  </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Verify that the</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> requirements for the level of anesthesia or sedation being provided, as required in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:13"><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">20:43:09:13</span></a><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> or </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:13"><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">20:43:09:13</span></a><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">.01</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">, are satisfied</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (5)  Hold a </span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">general anesthesia and deep sedation, </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">moderate sedation</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">, or host</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> permit and have completed the inspection, as required in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:12"><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">20:43:09:12</span></a><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (6)  Ensure that the licensed anesthesia provider holds a license in good standing in South Dakota;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (7)  Ensure that the licensed anesthesia provider</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">'s qualifications and competency to deliver the necessary sedation or anesthesia services have been meaningfully verified; and</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (8)  </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Ensure that the licensed anesthesia provider is not administering general anesthesia and deep sedation without the presence and assistance of at least one individual, other than the dentist completing the dental procedure, 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 and deep sedation.</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000001">Source:</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> 37 SDR 131, effective January 6, 2011; 42 SDR 83, effective December 3, 2015</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">; 48 SDR 62, effective December 13, 2021</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">.</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000001">General Authority:</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">36-6A-14</span></a><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">(</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">20</span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">).</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    </span><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000001">Law Implemented:</span><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">36-6A-14</span></a><span class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">(1)(13)(14)(22).</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p></div></body></html>