Section 6.07 - Facility Permit D-C: Administration of Nitrous Oxide-oxygen Sedation Only(1)Application. An applicant shall submit an accurate and complete application on form(s) provided by the Board and accompanied by the permit fee to be determined annually by the Executive Office of Administration and Finance. The application shall, at a minimum, include the following: (a) Applicant name and Massachusetts dental license number;(b) Name(s) of dental establishment(s), owner(s) of said establishment(s), and address(es) of the site(s) where anesthesia will be administered; and(c) Documentation of the provision and maintenance of equipment, materials, and drugs required for emergency response and the administration of nitrous oxide-oxygen sedation.(2)Equipment Required for a Facility Permit D-C.(a) Alternative light source for use during power failure;(b) Automated or manual external defibrillator, except that the manual defibrillator shall only be operated by an individual certified in ACLS or PALS;(c) Disposable CPR masks (pediatric and adult);(d) Disposable syringes (assorted sizes);(e) Gas delivery system capable of positive pressure, which must include: 1. An oxygen fail-safe system;2. Safety-keyed hose attachments;3. Capability to administer 100% oxygen in all rooms (operatory, recovery, examination, and reception);4. Gas storage in compliance with safety codes;5. Adequate waste gas scavenging; and6. Nasal hood or cannula.(g) Sphygmomanometer and stethoscope (pediatric and adult); (i) Any other equipment as may be required by the Board.(3)Drugs Required for a Facility Permit D-C. The following drugs and/or categories of drugs shall be provided and maintained in accordance with the AHA/ACLS Guidelines ( 234 CMR 6.02) or as determined by the Board for emergency use. All drugs shall be current and not expired. (a) Acetylsalicylic acid (readily absorbable form);(d) Antihypoglycemic agent;(f) Epinephrine preloaded syringes (pediatric and adult);(g) Two epinephrine ampules; (j) Any other drugs or categories of drugs as may be required by the Board.