SECTION .0200 - GENERAL ANESTHESIA

21 NCAC 16Q .0201         GENERAL ANESTHESIA CREDENTIALS AND PERMIT

(a)  Before a dentist licensed to practice in North Carolina may administer or supervise a CRNA to administer general anesthesia or perform deep sedation, the dentist shall obtain a general anesthesia permit from the Board by completing the application requirements of this Rule and paying a four hundred seventy-five dollar ($475.00) fee that includes the one-hundred dollar ($100.00) application fee and the three-hundred seventy-five dollar ($375.00) inspection fee. The permit shall be renewed annually and shall be displayed with the current renewal at all times in the permit holder's facility where it is visible to patients receiving treatment.

(b)  A dentist applying for a general anesthesia permit shall be in good standing with the Board, has an unexpired ACLS certification, and demonstrates that he or she has one of the following qualifications:

(1)           has completed a minimum of two years of advanced training in anesthesiology and related academic subjects beyond the undergraduate dental school level;

(2)           has graduated from a program certified by the American Dental Association in Oral and Maxillofacial Surgery;

(3)           is a Diplomate of or eligible for examination by the American Board of Oral and Maxillofacial Surgery; or

(4)           is a Fellow of the American Dental Society of Anesthesiology.

(c)  Before receiving a general anesthesia permit, all applicants shall pass an evaluation and inspection as set out in Rule .0104 of this Subchapter. Every location other than a hospital or credentialed surgery center where a general anesthesia permit holder administers general anesthesia shall pass an inspection as set out in Rule .0204 of this Section.

(d)  A dentist who holds a general anesthesia permit may administer any level of sedation without obtaining a separate sedation permit.

(e)  A dentist who does not hold a general anesthesia permit may not employ a CRNA to administer general anesthesia services. A dentist who holds a general anesthesia permit may employ a CRNA to administer general anesthesia services under supervision of the dentist.

(f)  A general anesthesia permit holder may provide general anesthesia at the office of another licensed dentist, regardless of the permit, if any held, by the hosting dentist. The permit holder shall ensure that the facility where the general anesthesia is administered has been inspected and complies with the requirements set out in Rules .0103 and .0202 of this Subchapter, and shall obtain an itinerant general anesthesia permit and comply with the requirements of Rule .0206 of this Section.

History Note:        Authority G.S. 90-28; 90-30.1; 90-39;

Eff. February 1, 1990;

Amended Eff. April 1, 2001; August 1, 2000;

Temporary Amendment Eff. December 11, 2002;

Amended Eff. June 1, 2017; February 5, 2008;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018;

Amended Eff. August 1, 2024.