Wis. Admin. Code Dentistry Examining Board DE 11.035

Current through November 25, 2024

Section DE 11.035 - Board approved education program content

(1) A board approved education program that provides comprehensive training for a class II permit - enteral shall consist of a minimum of 18 hours in administration and management of moderate sedation, including all of the following course content:

(a) Historical, philosophical and psychological aspects of anxiety and pain control.

(b) Patient evaluation and selection through review of medical history taking, physical diagnosis and psychological profiling.

(c) Use of patient history and examination for ASA classification, risk assessment and pre-procedure fasting instruction.

(d) Definitions and descriptions of physiological and psychological aspects of anxiety and pain.

(e) Description of the sedation anesthesia continuum, with special emphasis on the distinction between the conscious and the unconscious state.

(f) Review of adult respiratory and circulatory physiology and related anatomy.

(g) Pharmacology of local anesthetics and agents used in moderate sedation, including drug interactions and contraindications.

(h) Indications and contraindications for use of moderate sedation.

(i) Review of dental procedures possible under moderate sedation.

(j) Patient monitoring using observation, monitoring equipment, with particular attention to vital signs, ventilation, breathing and reflexes related to consciousness.

(k) Maintaining proper records with accurate chart entries recording medical history, physical examination, informed consent, time-oriented anesthesia record, including the names of all drugs administered, doses and monitored physiological parameters.

(L) Prevention, recognition and management of complications and emergencies.

(m) Description, maintenance and use of moderate sedation monitors and equipment.

(n) Discussion of abuse potential.

(o) Description and rationale for the technique to be employed.

(p) Prevention, recognition and management of systemic complications of moderate sedation, with particular attention to airway maintenance and support of the respiratory and cardiovascular systems.

(q) Twenty cases, which may include group observation cases, that each meet all of the following requirements:

1. At least 3 cases must occur in person as live clinical dental experiences. These cases may occur at any time or location permitted by the education program. The remaining cases may include simulations or video presentations.

2. One case must have experience in returning a patient from deep to moderate sedation, which may be done by simulation or video presentation.

3. Include full review of patient medical history, including pertinent lab values.

4. Applicant shall be present and participate for the duration of live clinical dental experience cases up through recovery and discharge of the patient and shall participate in any remaining cases via simulation or video presentation to completion.

5. Applicant shall observe the administration of medicines.

6. Patient and any anesthesia monitors shall be in full view of the applicant.

(2) A board approved education program that provides comprehensive training for a class II permit - parenteral shall consist of a minimum of 60 hours in administration and management of moderate sedation, including all of the following course content:

(a) Historical, philosophical and psychological aspects of anxiety and pain control.

(b) Patient evaluation and selection through review of medical history taking, physical diagnosis and psychological profiling.

(c) Use of patient history and examination for ASA classification, risk assessment and pre-procedure fasting instruction.

(d) Definitions and descriptions of physiological and psychological aspects of anxiety and pain.

(e) Description of the sedation anesthesia continuum, with special emphasis on the distinction between the conscious and the unconscious state.

(f) Review of adult respiratory and circulatory physiology and related anatomy.

(g) Pharmacology of local anesthetics and agents used in moderate sedation, including drug interactions and contraindications.

(h) Indications and contraindications for use of moderate sedation.

(i) Review of dental procedures possible under moderate sedation.

(j) Patient monitoring using observation, monitoring equipment, with particular attention to vital signs, ventilation, breathing and reflexes related to consciousness.

(k) Maintaining proper records with accurate chart entries recording medical history, physical examination, informed consent, time oriented anesthesia record, including the names of all drugs administered, doses and monitored physiological parameters.

(L) Prevention, recognition and management of complications and emergencies.

(m) Description, maintenance and use of moderate sedation monitors and equipment.

(n) Discussion of abuse potential.

(o) Intravenous access anatomy, equipment and technique.

(p) Prevention, recognition and management of complications of venipuncture and other parenteral techniques.

(q) Description and rationale for the technique to be employed.

(r) Prevention, recognition and management of systemic complications of moderate sedation, with particular attention to airway maintenance and support of the respiratory and cardiovascular systems.

(s) Twenty individually managed cases that each meet the all of following requirements:

1. Must occur in person.

2. Include full review of patient medical history, including pertinent lab values.

3. Applicant shall be in the room for the duration of the case;

4. Applicant shall supervise recovery and discharge of the patient.

5. Applicant shall have full view of the patient and access to the patient's airway.

6. Anesthesia monitors shall be in full view of the applicant.

Wis. Admin. Code Dentistry Examining Board DE 11.035

Adopted by, CR 19-132: cr. Register August 2020 No. 776, eff. 9-1-20; correction in (1) (intro.), (2) (intro.) made under s. 35.17, Stats., Register August 2020 No. 776, eff. 9/1/2020

Amended by, CR EmR2216: renum. (1) (q) to (1) (q) (intro.) and am., cr. (1) (q) 1. to 5., renum. (2) (s) to (2) (s) (intro.) and am., cr. (2) (q) 1. to 6., eff. 11-28-22; CR 22-086: renum. (1) (q) to (1) (q) (intro.) and am., cr. (1) (q) 1. to 6., renum. (2) (s) to (2) (s) (intro.) and am., cr. (2) (q) 1. to 6. Register October 2023 No. 814, eff. 11-1-23; correction in (1) (q) (intro.), (2) (s) (intro.), 1. to 5. made under s. 35.17, Stats., Register October 2023 No. 814, eff. 11/1/2023