71-5-11. Level II permit: parenteral conscious sedation. (a) To be eligible for issuance of a level II permit, each dentist shall submit the following to the board:
(1) An application on the form provided by the board;
(2)(A) Evidence of a current "advanced cardiovascular life support" certificate from the American heart association;
(B) evidence of a current certificate deemed equivalent to the certificate specified in paragraph (a)(2)(A) by the board from a provider approved by the board; or
(C) evidence of satisfactory completion of a simulated office emergency course approved by the board;
(3)(A) Evidence of having successfully completed a course or postdoctoral training program in parenteral conscious sedation that is approved by the board; or
(B) evidence of performance of at least 20 clinical cases of parenteral sedation over the preceding two years, which shall be evaluated by the board;
(4) a level II permit fee of $150; and
(5) an explanation of any sedation-related mortality or morbidity that occurred to a patient of the applicant during the preceding five years and could have been associated with the administration of a sedative agent.
(b) To be approved by the board, each course or training program specified in paragraph (a)(3)(A) shall meet the following requirements:
(1) Provide comprehensive training in the administration and management of parenteral conscious sedation;
(2) include training in patient evaluation and selection, use of equipment, personnel requirements, monitoring, documentation, patient medical management, and emergency management, including emergency airway management; and
(3) include at least 40 hours of didactic instruction and 20 clinical cases of parenteral conscious sedation.
(c)(1) Each level II permit shall be required to be renewed before the expiration of the dentist's license and as part of the biennial license renewal.
(2) To apply for renewal of a level II permit, each dentist shall provide the following to the board:
(A)(i) Evidence of a current "advanced cardiovascular life support" certificate from the American heart association;
(ii) evidence of a current certificate deemed equivalent to the certificate specified in paragraph (c)(2)(A)(i) by the board from a provider approved by the board; or
(iii) evidence of satisfactory completion, within the 12-month period preceding the filing of the renewal application, of a simulated office emergency course approved by the board;
(B) in addition to the continuing education required to renew the dentist's license, proof of eight hours of continuing education limited to sedation, which shall include the complications associated with parenteral conscious sedation and their management; and
(C) the biennial renewal fee of $150.
(d) Before administering parenteral conscious sedation, each treating dentist shall meet all of the requirements specified in K.A.R. 71-5-10(d).
(e) During the administration of parenteral conscious sedation, each treating dentist shall meet the following requirements:
(1) Meet the requirements specified in K.A.R. 71-5-10(e);
(2) continuously monitor for the presence of exhaled carbon dioxide using a capnograph, unless doing so would be precluded or invalidated by the nature of the patient, procedure, or equipment; and
(3) ensure that an automated external defibrillator or defibrillator is available and in working order.
(f) Whenever parenteral conscious sedation is administered, a record containing the information specified in K.A.R. 71-5-10(f)(1), (3), (4), (5), (6), and (7) shall be contemporaneously created. This record shall include the following:
(1) The name and amount of each fluid administered;
(2) the site of administration of each medication and the type of catheter used, if applicable; and
(3) documentation of the sedative agents administered, the approximate time when the sedative agents were administered, the amount of each agent administered, and the patient's blood pressure, heart rate, and oxygen saturation readings at the start of sedation, at the end of the surgical or operative procedure, and at five-minute intervals throughout the procedure.
These records shall be maintained for at least 10 years as a part of the patient's record.
(g) During the administration of parenteral conscious sedation and the recovery phase, each treating dentist shall ensure that the requirements specified in K.A.R. 71-5-10(g)(1), (2), and (3) and the following conditions are met:
(1) The patient's blood pressure, heart rate, and oxygen saturation reading are recorded at least every five minutes.
(2) The patient's ability to appropriately respond to physical stimulation or verbal command is documented every five minutes.
(h) Following the administration of parenteral conscious sedation and the recovery phase, each treating dentist shall ensure that the requirements specified in K.A.R. 71-5-10(h) are met.
(i) Whenever parenteral conscious sedation is administered, the records required by K.A.R. 71-5-10(i) shall be contemporaneously created. These records shall be maintained for at least 10 years as part of the patient's record. (Authorized by K.S.A. 65-1444, K.S.A. 65-1447, and K.S.A. 74-1406; implementing K.S.A. 65-1444 and K.S.A. 65-1447; effective Nov. 19, 2010; amended Dec. 20, 2019.)
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