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PDFWAC 246-817-724

Recordkeeping, equipment and emergency medications or drugs required in all sites where anesthetic agents of any kind are administered.

(1) Dental records must contain an appropriate medical history and patient evaluation. Any adverse reactions, and all medications and dosages, must be recorded.
(2) When sedation of any level is to be administered, excluding minimal sedation by inhalation, presedation vitals including, but not limited to, blood pressure and heart rate must be obtained and recorded, unless the cooperation of the patient or circumstances of the case will not allow it. If presedation vitals cannot be obtained, the reason(s) why must be recorded.
(3) Office facilities and equipment must include:
(a) Suction equipment capable of aspirating gastric contents from the mouth and pharynx;
(b) Portable oxygen delivery system including full face masks and a bag-valve-mask combination with appropriate connectors capable of delivering positive pressure, oxygen enriched ventilation to the patient;
(c) Blood pressure cuff (sphygmomanometer) of appropriate size;
(d) Stethoscope or equivalent monitoring device.
(4) The following emergency drugs must be available and maintained:
(a) Bronchodilator;
(b) Sugar (glucose);
(c) Aspirin;
(d) Antihistaminic;
(e) Coronary artery vasodilator;
(f) Anti-anaphylactic agent.
[Statutory Authority: RCW 18.32.0365 and 18.32.640. WSR 16-06-106, § 246-817-724, filed 3/1/16, effective 4/1/16; WSR 09-04-042, § 246-817-724, filed 1/30/09, effective 3/2/09.]
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