SECTION .0300 - MODERATE CONSCIOUS SEDATION
21 NCAC 16Q .0301 CREDENTIALS AND PERMITS FOR MODERATE PARENTERAL AND ENTERAL CONSCIOUS SEDATION
(a) Before a dentist licensed to practice in North Carolina may administer or supervise a CRNA employed to administer, or an RN employed to deliver, moderate conscious sedation, the dentist shall obtain a permit from the Board by completing the application requirements in this Rule and paying a fee of three hundred seventy-five dollars ($375.00) that includes the one-hundred dollar ($100.00) application fee and the two-hundred seventy-five dollar ($275.00) inspection fee. The permit shall be renewed annually and shall be displayed with the current renewal at all times in the facility of the permit holder where it is visible to patients receiving treatment.
(b) The permit holder shall provide supervision to any CRNA employed to administer, or an RN employed to deliver, sedation, and shall ensure that the level of the sedation does not exceed the level of the sedation allowed by the permit holder's permit.
(c) A dentist applying for a permit to administer moderate conscious sedation shall provide documentation of the following:
(1) Training that may consist of either:
(A) Course: Completion of 60 hours of Board approved didactic training in intravenous conscious sedation, and 30 hours of clinical training that shall include a record of the applicant's individual management of all aspects of intravenous moderate sedation for a minimum of 20 live patients, under supervision of the course instructor. BLS training shall not count toward the required hours. Course training shall meet the requirements of the American Dental Association Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students for moderate sedation that are hereby incorporated by reference, including subsequent amendments and editions. The guidelines may be found at https://www.ada.org/-/media/project/ada-organization/ada/ada-
org/files/resources/library/oral-health topics/ada_sedation_teaching_guidelines.pdf at no charge. The course director shall provide a written certification of the applicant's competence in moderate sedation techniques and medications, and in rescuing patients from a deeper level of sedation than moderate, including managing the airway, intravascular or intraosseous access, and use of reversal medications; or
(B) Program: Completion of a pre-doctoral dental or postgraduate program that included intravenous conscious sedation training equivalent to that defined in Part (c)(1)(A) of this Rule;
(2) Unexpired ACLS certification; and
(3) All auxiliaries involved in sedation procedures that have unexpired BLS certification.
(d) All applicants for a moderate conscious sedation permit shall be in good standing with the Board.
(e) Prior to issuance of a moderate conscious sedation permit, the applicant shall pass an evaluation and a facility inspection. The applicant shall be responsible for passing the evaluation and inspection of his or her facility.
(f) A dentist who holds a moderate conscious sedation permit shall not (i) intentionally administer deep sedation; (ii) otherwise administer medications in a manner that induces deep sedation more than two times in one year; or (iii) administer reversal agents without documented clinical justification.
(g) A moderate conscious sedation permit holder may provide moderate conscious sedation at the office of another licensed dentist, regardless of the permit, if any held, by the hosting dentist. The moderate conscious sedation permit holder shall ensure that the facility where the moderate conscious sedation is administered has been inspected and complies with the requirements set out in Rules .0103 and .0302 of this Subchapter. The moderate conscious sedation permit holder shall also obtain an itinerant moderate conscious sedation permit and comply with the requirements of Rule .0304 of this Section.
History Note: Authority G.S. 90-30.1; 90-39; 90-48;
Eff. February 1, 1990;
Amended Eff. April 1, 2001; August 1, 2000; January 1, 1994;
Temporary Amendment Eff. December 11, 2002;
Amended Eff. June 1, 2017; July 1, 2010, July 3, 2008; August 1, 2004;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018;
Amended Eff. December 1, 2025; August 1, 2024; February 1, 2019; August 1, 2018.