Proposed Anesthesia Inspection Process1/7/2022
The revised anesthesia administrative rules (ARSD 20:43:09) went into effect in December. The Board would like to thank the ACC, stakeholders and licensees for participating in that rule promulgation process. The second phase of the anesthesia project includes updating the anesthesia inspection process. Below you will find information outlining proposed changes to the inspection process and draft documents. If you would like to provide feedback regarding the proposed process or draft documents outlined below, you may submit feedback here. The Board will review the proposed inspection process and draft documents at its upcoming meeting on January 14th. All board meetings are open to the public and meeting materials can be accessed here.
Temporary Host, Moderate, Moderate + Pediatric, or General Anesthesia and Deep Sedation Permit - Facility Inspection
A facility inspection required to obtain a temporary permit:
1. Practitioner Checklist: Practitioner completes the Practitioner Anesthesia Inspection Checklist.
2. Facility Inspection*: Inspector and Practitioner connect via video conferencing or in person to conduct a review of the facility/layout to ensure familiarity with the facility and ability to readily access emergency equipment and drugs. Inspector completes the Facility Inspection/Temporary Permit Office Anesthesia Inspection Results Form during the facility inspection. *Utilization of video conferencing to conduct a facility inspection (temporary permit) is allowed if an inspection has been conducted in the facility in the prior 5 years.
Temporary Permit Issued (12 Months)
A temporary permit allows a dentist to administer sedation/anesthesia or host a licensed anesthesia provider for a period of up to 12 months. During the term of the temporary permit, the dentist must pass a full inspection (below) to obtain a regular permit. To maintain the permit, the dentist must pass a full inspection once in every five-year licensure cycle.
Host, Moderate, Moderate + Pediatric, or General Anesthesia and Deep Sedation Permit - Full Inspection
A full inspection required to obtain and maintain a permit:
1. Practitioner Checklist/Anesthesia Records: Practitioner Completes the Practitioner Anesthesia Inspection Checklist and submits three redacted anesthesia records. Inspector then completes the Office Anesthesia Inspection Results Full Inspection - Form 1 (Checklist and Records Review).
2. Inspection*: Inspector and Practitioner connect via video conferencing to conduct a review of:
a. Emergency Roles and Responsibilities;
b. Written Resources;
c. Emergency Drugs;
e. Demonstrations; and
f. Simulated Emergencies.
Inspector completes Office Anesthesia Inspection Results Full Inspection - Form 2 (Emergency Response Review) during the inspection. * Inspection does not include a patient procedure.