1. (a) In the case of a practitioner applying for the initial issuance of a permit for moderate sedation or general anesthesia pursuant to section 20-123b of the Connecticut General Statutes, or the reinstatement of a lapsed moderate sedation or general anesthesia permit, the on-site evaluation team shall conduct an on-site evaluation at the facility where the sedation or general anesthesia is to be performed. The department shall forward the applications of qualified practitioners who have met the requirements for the initial issuance of a permit for moderate sedation or general anesthesia as set forth in sections 20-123b-3 or 20-123b-4, respectively, of the Regulations of Connecticut State Agencies to the CSOMS to schedule the on-site evaluation. The on-site evaluation shall occur in such facility that maintains the office equipment, personnel and emergency medications required pursuant to section 20-123b-9 of the Regulations of Connecticut State Agencies and as specified on the list posted by the commissioner on the department’s internet site pursuant to section 20-123b(d) of the Connecticut General Statutes.
2. (b) During the on-site evaluation, an exact simulation of the method of management of medical emergencies shall be demonstrated by the practitioner with full participation of the personnel, and may include, but not be limited to, the management of: laryngospasm, bronchospasm, emesis, aspiration of vomitus, foreign body in airway, angina pectoris, acute myocardial infarction, acute hypotensive and hypertensive crises, cardiopulmonary resuscitation, acute allergic reactions, hyperventilation syndrome, syncope, and convulsions of unknown etiology.
3. (c) The on-site evaluation team shall review the practitioner’s office equipment, emergency medications and anesthesia records to determine full compliance with the requirements established pursuant to section 20-123b(d) of the Connecticut General Statutes and to determine compliance with the ADA Guidelines for the Use of Sedation and General Anesthesia by Dentists.
4. (d) An exit interview between the practitioner and the on-site evaluation team shall be conducted to review deficiencies and make positive suggestions for improving the office facility and patient emergency management.
5. (e) The on-site evaluation team shall verify that the practitioner is currently certified in BLS-HCP and ACLS and that the practitioner’s personnel are currently certified in BLS.
6. (f) The on-site evaluation team shall submit the completed evaluation to the department indicating the pass or fail result of the on-site evaluation. CSOMS shall retain records of each on-site evaluation, which shall be provided to the department upon request.

(Effective January 27, 1994; Amended November 4, 2004; Amended February 11, 2026)