<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:04.01"><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000000">20:43:09:04.01</span></a><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">a licensed anesthesia provider </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">to administer</span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> general anesthesia, deep sedation, or moderate sedation in a dental office </span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">or facility </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">on an outpatient basis</span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">:</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (1)  Have a </span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">written </span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">contract </span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">or written agreement </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (A)  </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (B)  </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (C)  </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (D)  </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">            (E)  </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (2)  Notify the board </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">of the location of any dental office or facility where</span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> general anesthesia, deep sedation, or moderate sedation services </span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">will be </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">provided;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (3)  </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Ensure the availability of</span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (4)  </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">Verify that the</span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">20:43:09:13</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> or </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:13"><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">20:43:09:13</span></a><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">.01</span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">, are satisfied</span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (5)  Hold a </span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">general anesthesia and deep sedation, </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">moderate sedation</span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">, or host</span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">20:43:09:12</span></a><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">;</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (7)  Ensure that the licensed anesthesia provider</span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    (8)  </span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000001">Source:</span><span style="white-space: pre-wrap;" 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 style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">; 48 SDR 62, effective December 13, 2021</span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">.</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">36-6A-14</span></a><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">(</span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">20</span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">).</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">    </span><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0-000003">36-6A-14</span></a><span style="white-space: pre-wrap;" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3C0">(1)(13)(14)(22).</span></p><p dir="ltr" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="safe866cf-8e3f-42a6-8338-47e0e1255cd3000002"> </span></p></div></body></html>