ARC 1810C

ARC 1810C

DENTAL BOARD[650]

Adopted and Filed

Pursuant to the authority of Iowa Code section 147.76, the Dental Board hereby amends Chapter 29, "Sedation and Nitrous Oxide Inhalation Analgesia," Iowa Administrative Code.

These amendments include:

•Requiring all moderate sedation permit holders to use capnography or a pretracheal/precordial stethoscope at all facilities where they provide sedation beginning January 1, 2015; and

•Allowing moderate sedation permit holders who sedate pediatric patients to maintain Pediatric Advanced Life Support (PALS) certification in lieu of Advanced Cardiac Life Support (ACLS) certification.

Notice of Intended Action for these amendments was published in the Iowa Administrative Bulletin on October 1, 2014, as ARC 1658C. A public hearing was held on October 21, 2014, at 2 p.m.at the office of the Iowa Dental Board. There were no attendees. One written comment was received in support of the amendment to require capnography or a pretracheal/precordial stethoscope. These amendments are identical to those published under Notice of Intended Action.

These amendments were approved by the Board by teleconference on December 9, 2014.

After analysis and review of this rule making, no impact on jobs has been found.

These amendments are intended to implement Iowa Code sections 153.33 and 153.34.

These amendments will become effective on February 11, 2015.

The following amendments are adopted.

Item 1. Amend rule 650—29.4(153) as follows:

650—29.4(153) Requirements for the issuance of moderate sedation permits.

29.4(1) No change.

29.4(2) A dentist utilizing moderate sedation shall maintain a properly equipped facility. The dentist shall maintain and be trained on the following equipment at each facility where sedation is provided: capnography or pretracheal/precordial stethoscope, EKG monitor, positive pressure oxygen, suction, laryngoscope and blades, endotracheal tubes, magill forceps, oral airways, stethoscope, blood pressure monitoring device, pulse oximeter, emergency drugs, defibrillator. A licensee may submit a request to the board for an exemption from any of the provisions of this subrule. Exemption requests will be considered by the board on an individual basis and shall be granted only if the board determines that there is a reasonable basis for the exemption.

29.4(3) No change.

29.4(4) A dentist administering moderate sedation must document and maintain current, successful completion of an Advanced Cardiac Life Support (ACLS) course. A dentist administering moderate sedation to pediatric patients may maintain current certification in Pediatric Advanced Life Support (PALS) in lieu of ACLS.

29.4(5) to 29.4(8) No change.

Item 2. Adopt the following new subrule 29.5(12):

29.5(12) Use of capnography or pretracheal/precordial stethoscope required for moderate sedation permit holders. Beginning January 1, 2015, all moderate sedation permit holders shall use capnography or a pretracheal/precordial stethoscope at all facilities where they provide sedation.

[Filed 12/10/14, effective 2/11/15]

[Published 1/7/15]

Editor's Note: For replacement pages for IAC, see IAC Supplement 1/7/15.