1. A. Renewal of a Class I, Class II, or Class III Permit. Beginning in 2016 and thereafter, an applicant who seeks renewal of a Class I, Class II, or Class III permit shall:

   1. (1) Complete not less than 24 hours of clinical continuing education related to sedation or anesthesia in a classroom setting during the 5-year term of the permit; and

   2. (2) Maintain cardiopulmonary resuscitation certification from one of the following programs:

      1. (a) The American Heart Association's Basic Life Support for Healthcare Providers;
      2. (b) The American Red Cross's Cardiopulmonary Resuscitation for Professional Rescuers;
      3. (c) The American Safety & Health Institute; or
      4. (d) An equivalent program approved by the Board.

2. B. Additional Requirements for Renewal of a Class I Permit.

   1. (1) In addition to the requirements outlined in §A of this regulation, an applicant for the renewal of a Class I permit shall:

      1. (a) Complete a Board-approved course of at least 4 hours that provides instruction on medical emergencies and airway management;
      2. (b) Maintain Advanced Cardiac Life Support (ACLS) certification; or
      3. (c) Maintain Pediatric Advanced Life support certification (PALS).

   2. (2) The following courses may count toward the required hours of continuing education:

      1. (a) Advanced Cardiac Life Support (ACLS) course;
      2. (b) Pediatric Advanced Life Support (PALS) course; or
      3. (c) A Board-approved course in medical emergency and airway management.

3. C. Additional Requirements for Renewal of a Class II or Class III Permit.

   1. (1) In addition to the requirements outlined in §A of this regulation, an applicant for the renewal of a Class II or Class III permit shall:

      1. (a) Complete a Board-approved course of at least 4 hours that provides instruction on medical emergencies and airway management;
      2. (b) Maintain Advanced Cardiac Life Support (ACLS) certification; or
      3. (c) Maintain Pediatric Advanced Life Support (PALS) certification.

   2. (2) The following courses may count toward the required hours of continuing education:

      1. (a) Advanced Cardiac Life Support (ACLS) course;
      2. (b) Pediatric Advanced Life Support (PALS) course; or
      3. (c) A Board-approved course in medical emergency and airway management.

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)