DQAC has determined that anesthesia permitting should be based on the "level" of anesthesia because anesthesia/sedation is a continuum, and the route of administration and drug combinations are both capable of producing a deeper level of sedation/anesthesia than is initially intended. Practitioners intending to produce a given level of sedation should be able to rescue patients who enter a state deeper than initially intended.
DQAC has modified the rules requiring automated external defibrillators (AEDs) in dental offices by adopting changes requested by WSDA.
Effective December 10th 2010 the rules will be changed to say that:
· All anesthesia providers must provide twenty-four hour, on-call availability following an anesthesia procedure, excluding those procedures using only local anesthetic.
· Every dental office in the state of Washington that administers minimal, moderate, or deep sedation, or general anesthesia, as defined in WAC 246-817-710, must have an automated external defibrillator (AED) or defibrillator.
· The dentist and staff must have access to the AED or defibrillator in an emergency, and it must be available and in reach within sixty seconds.
· A dental office may share a single AED or defibrillator with adjacent businesses if it meets the requirements in this section.