(1) To administer minimal sedation with nitrous oxide, a licensed dentist shall successfully complete a minimum of 14 hours of education and training in one of the following:

(a) Minimal sedation with nitrous oxide;

(b) Moderate sedation with nitrous oxide;

(c) Advanced education program accredited by the CODA that meets comprehensive and appropriate training necessary to administer and manage minimal sedation with nitrous oxide; or

(d) Education and training must be consistent with ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, adopted by ADA House of Delegates October 2016 or prior adopted version in effect at the time training was completed.

(2) A licensed dentist shall ensure:

(a) Delegation of administration for minimal sedation with nitrous oxide is under the close supervision of an anesthesia provider qualified under this chapter.

(b) A second individual is in the office and able to immediately respond to any request from the licensed dentist or anesthesia provider.

(3) A licensed dentist shall comply with recordkeeping, equipment, and emergency medication requirements in WAC 246-817-724.

(4) Dental records must contain documentation in the chart of nitrous oxide, and oxygen administered or dispensed.

(a) In the case of nitrous oxide sedation only, the record must include the maximum nitrous oxide concentration used and the times started and stopped or total time of administration.

(b) Other inhalation agents require a dose record noting the time each concentration or agent was administered or dispensed.

(5) A licensed dentist who administers minimal sedation with nitrous oxide shall complete seven hours of continuing education every five years as required in WAC 246-817-773.

(6) A licensed dentist who administers minimal sedation with nitrous oxide must hold a current and valid BLS certification.

(7) A permit of authorization is not required.

PDFWAC 246-817-740

Minimal sedation with nitrous oxide.