Iowa Admin. Code r. 650-29.4
Current through Register Vol. 47, No. 13, December 25, 2024
Rule 650-29.4 - Minimal sedation standards(1) A dentist shall evaluate a patient prior to the start of any sedative procedure. In healthy or medically stable patients (ASA I, II), the dentist should review the patient's current medical history and medication use. For a patient with significant medical considerations (ASA III, IV), a dentist may need to consult with the patient's primary care provider or consulting medical specialist. A dentist shall obtain informed consent from the patient or the patient's parent or legal guardian prior to providing minimal sedation.(2) Record keeping. A time-oriented anesthesia record must be maintained and must contain the names of all drugs administered, including local anesthetics and nitrous oxide, dosages, time administered, and monitored physiological parameters, including oxygenation, ventilation, and circulation.(3) Minimal sedation for ASA I or II nonpediatric patients. a. A dentist may prescribe or administer a single medication for minimal sedation via the enteral route that does not exceed the MRD for unmonitored home use. A dentist may administer a supplemental dose of the same drug provided the total aggregate dose does not exceed 1.5 times the MRD on the day of treatment. The dentist shall not administer a supplemental dose until the clinical half-life of the initial dose has passed.b. A dentist may administer a single medication for minimal sedation via the enteral route that does not exceed the MRD for monitored use on the day of treatment.c. A dentist may utilize nitrous oxide inhalation analgesia in combination with a single enteral drug.(4) Minimal sedation for ASA III, ASA IV or pediatric patients. a. A dentist may prescribe or administer a single medication for minimal sedation via the enteral route for ASA III or IV patients or pediatric patients that does not exceed the MRD for unmonitored home use.b. A dentist may administer a single medication for minimal sedation via the enteral route that does not exceed the MRD for monitored use on the day of treatment.c. A dentist may administer nitrous oxide inhalation analgesia for minimal sedation of ASA III or IV patients or pediatric patients provided the concentration does not exceed 50 percent and is not used in combination with any other drug.Iowa Admin. Code r. 650-29.4
ARC 8614B, IAB 3/10/10, effective 4/14/10; ARC 1194C, IAB 11/27/2013, effective 11/4/2013Amended by IAB January 7, 2015/Volume XXXVII, Number 14, effective 2/11/2015Amended by IAB December 6, 2017/Volume XL, Number 12, effective 1/10/2018Amended by IAB July 17, 2019/Volume XLII, Number 2, effective 8/21/2019