21 NCAC 16Q .0501. ANNUAL RENEWAL REQUIRED

(a)  General anesthesia and all sedation permits shall be renewed by the Board annually.  Such renewal shall be accomplished in conjunction with the license renewal process, and applications for permits shall be made at the same time as applications for renewal of licenses.  A one hundred ($100.00) annual renewal fee shall be paid at the time of renewal.

(b)  All sedation permits shall be subject to the same renewal deadlines as are dental practice licenses, in accordance with G.S. 90-31.  If the permit renewal application is not received by the date specified in G.S. 90-31, continued administration of general anesthesia or any level of conscious sedation shall be unlawful and shall subject the dentist to the penalties prescribed by Section .0700 of this Subchapter.

(c)  As a condition for renewal of the general anesthesia permit, the permit holder shall meet the requirements of 21 NCAC 16Q .0202 and document current, successful completion of advanced cardiac life support (ACLS) training, or its age-specific equivalent or other equivalent course, and auxiliary personnel shall document annual, successful completion of basic life support (BLS) training.

(d)  As a condition for renewal of the moderate conscious sedation permit or moderate pediatric conscious sedation permit, the permit holder shall meet the requirements of 21 NCAC 16Q .0302 and: 

(1)           document annual, successful completion of BLS training and obtain three hours of continuing education each year in one or more of the following areas, which may be counted toward fulfillment of the continuing education required each calendar year for license renewal:

(A)          sedation;

(B)          medical emergencies;

(C)          monitoring IV sedation and the use of monitoring equipment; 

(D)          pharmacology of drugs and agents used in IV sedation;

(E)           physical evaluation, risk assessment, or behavioral management;

(F)           audit ACLS/Pediatric Advanced Life Support (PALS) courses; and

(G)          airway management; or  

(2)           document current, successful completion of ACLS training or its age-specific equivalent, or other equivalent course and annual successful completion of BLS. 

(e)  moderate pediatric conscious sedation permit holders must have current PALS at all times.

(f)  As a condition for renewal of the minimal conscious sedation permit and the moderate conscious sedation permit limited to oral routes and nitrous oxide inhalation, the permit holder shall meet the requirements of 16Q .0402 and shall document annual, successful completion of BLS training and obtain six hours of continuing education every two years in one or more of the following areas, which may be counted toward fulfillment of the continuing education required each calendar year for license renewal: 

(1)           pediatric or adult sedation;

(2)           medical emergencies;

(3)           monitoring sedation and the use of monitoring equipment;

(4)           pharmacology of drugs and agents used in sedation;

(5)           physical evaluation, risk assessment, or behavioral management; or

(6)           audit ACLS/PALS courses; and

(7)           airway management.

(g)  Any dentist who fails to renew a general anesthesia or sedation permit on or before March 31 of each year must complete a reinstatement application, pay the one hundred dollar ($100.00) renewal fee and a one hundred dollar ($100.00) penalty and comply with all conditions for renewal set out in this Rule for the permit sought.  Dentists whose anesthesia or sedation permits have been lapsed for more than 12 calendar months must pass a facilities inspection as part of the reinstatement process.

 

History Note:        Authority G.S. 90-28; 90-30.1; 90-48;

Eff. February 1, 1990;

Amended Eff. August 1, 2002;

Transferred and Recodified from 16Q .0401 to 16Q .0501;

Temporary Amendment Eff. December 11, 2002;

Amended Eff. November 1, 2013; July 3, 2008; August 1, 2004.