1. A. Administration of moderate enteral sedation, moderate parenteral sedation, deep sedation, or general anesthesia to a patient requires at least the following appropriately trained individuals:

   1. (1) The treating dentist;
   2. (2) An individual trained and competent in basic life support or its equivalent to assist the treating dentist; and
   3. (3) Another individual trained and competent in basic life support or its equivalent in close proximity to assist if needed.

2. B. A dentist administering moderate enteral sedation, moderate parenteral sedation, deep sedation, or general anesthesia to a patient:

   1. (1) May not leave the site until the patient:

      1. (a) Is conscious;
      2. (b) Is spontaneously breathing;
      3. (c) Has stable vital signs;
      4. (d) Is ambulatory with assistance; and
      5. (e) Is under the care of a responsible adult; and

   2. (2) May not induce a second patient until the first patient:

      1. (a) Is conscious;
      2. (b) Is spontaneously breathing;
      3. (c) Has stable vital signs;
      4. (d) Is ambulatory with assistance; and
      5. (e) Is under the care of a responsible adult.

3. C. A treating dentist who allows a physician, another dentist, or certified registered nurse anesthetist to administer moderate enteral sedation, moderate parenteral sedation, deep sedation, or general anesthesia under Regulation .31, .32, or .33 of this chapter shall ensure that the physician, dentist, or certified registered nurse anesthetist does not leave the site until the patient:

   1. (1) Is conscious;
   2. (2) Is spontaneously breathing;
   3. (3) Has stable vital signs;
   4. (4) Is ambulatory with assistance; and
   5. (5) Is under the care of a responsible adult.

4. D. A treating dentist who allows a physician, another dentist, or certified registered nurse anesthetist to administer moderate sedation, deep sedation, or general anesthesia shall ensure that the physician, dentist, or certified registered nurse anesthetist does not induce a second patient until the first patient:

   1. (1) Is conscious;
   2. (2) Is spontaneously breathing;
   3. (3) Has stable vital signs;
   4. (4) Is ambulatory with assistance; and
   5. (5) Is under the care of a responsible adult.

Authority: Health Occupations Article, §4-205, Annotated Code of Maryland

Effective date: February 11, 1985 (12:3 Md. 245)

Regulation .04 amended effective March 8, 1999 (26:5 Md. R. 392)

Regulation .07B, C amended effective September 23, 1996 (23:19 Md. R. 1376)

Regulation .09 amended effective February 19, 1990 (17:3 Md. R. 300); March 8, 1999 (26:5 Md. R. 392)

Regulation .10C amended effective September 23, 1996 (23:19 Md. R. 1376); March 8, 1999 (26:5 Md. R. 392)

Regulations .01—.13 under General Anesthesia, repealed, and new Regulations .01—.37 under Anesthesia and Sedation, adopted effective January 4, 2010 (36:18 Md. R. 1380)

Chapter revised effective May 11, 2015 (42:9 Md. R. 648)

Regulation .11A amended effective December 30, 2019 (46:26 Md. R. 1165)

Regulation .21G amended effective December 30, 2019 (46:26 Md. R. 1165)