21 NCAC 16Q .0206         ITINERANT (Mobile) GENERAL ANESTHESIA PERMIT, EQUIPMENT AND EVALUATION

(a)  A dentist who holds a general anesthesia permit from the Board and who wishes to provide general anesthesia or other sedation services in the office of another practitioner shall obtain a mobile general anesthesia permit from the Board by completing the application requirements of this Rule and paying a one hundred dollar ($100.00) application fee and a two-hundred seventy-five dollar ($275.00) inspection fee. No mobile permit shall be required to administer general anesthesia in a hospital or credentialed surgery center.

(b)  Before a mobile general anesthesia permit may be issued, a general anesthesia permit holder appointed by the Board shall inspect the applicant's equipment and medications to ensure that they comply with Paragraphs (c) and (d) of this Rule.

(c)  The permit holder shall maintain in good working order the following equipment:

(1)           small, medium, and large supraglottic airways devices;

(2)           small, medium, and large anesthesia circuits;

(3)           rebreathing device;

(4)           scavenging system;

(5)           intermittent compression devices;

(6)           gastric suction device;

(7)           endotracheal tube and pulmonary suction device;

(8)           equipment for performing emergency cricothyrotomies and delivering positive pressure ventilation; and

(9)           the equipment required by Rule .0202(a)(1) of this Section.

(d)  A neuromuscular blocking agent, an anti-malignant hyperthermia agent, and the medications required by Rule .0202(a)(2) of this Section shall be on site, unexpired, and available to the permit holder.

(e)  The evaluation and on-site inspection shall be conducted as set out in Rule .0204 of this Section.

(f)  Prior to administering general anesthesia or sedation at another provider's office, the mobile permit holder shall inspect the host facility within 24 business hours before each procedure and shall ensure that:

(1)           the operatory's size and design permit emergency management and access of emergency equipment and personnel;

(2)           there is a CPR board or dental chair without enhancements suitable for providing emergency treatment;

(3)           there is lighting to permit performance of all procedures planned for the facility;

(4)           there is suction equipment, including non-electrical back-up suction; and

(5)           the facility shall be staffed with at least two BLS certified auxiliaries, one of whom shall be dedicated to patient monitoring and recording general anesthesia or sedation data throughout the sedation procedure. This Subparagraph shall not apply if the dentist permit holder is dedicated to patient care and monitoring regarding general anesthesia or sedation throughout the sedation procedure and is not performing the surgery or other dental procedure.

(g)  Upon inspection, the permit holder shall document that the facility where the general anesthesia or sedation procedure will be performed was inspected and that it met the requirements of Paragraph (f) of this Rule. The permit holder shall retain the inspection and compliance record required by this Paragraph for 10 years following the procedure and provide these records to the Board upon request.

(h)  The mobile general anesthesia permit shall be displayed in the host facility where it is visible to patients receiving treatment.

(i)  All applicants for mobile general anesthesia permit shall be in good standing with the Board.

History Note:        Authority G.S. 90-28; 90-30.1; 90-39; 90-48;

Eff. June 1, 2017;

Amended Eff. August 1, 2021; August 1, 2018.