1. (1) A permit holder performing deep sedation/general anesthesia must maintain a minimum of equipment, supplies, and drugs onsite, including, but not limited to, the following:

   1. (a) a positive pressure oxygen delivery system;
   2. (b) stethoscope and sphygmomanometer;
   3. (c) laryngoscope, endotracheal tubes, a Magill forcep, and alternative airway devices such as a laryngeal mask airways of appropriate size;
   4. (d) oral pharyngeal and/or nasopharyngeal airways;
   5. (e) electrocardiac monitor and defibrillator;
   6. (f) appropriate drugs for emergencies to include drugs to provide advanced cardiac life support;
   7. (g) a precordial or pretracheal stethoscope and capnograph;
   8. (h) pulse oximeter;
   9. (i) suction devices, standard and emergency;
   10. (j) for intubated patients under general anesthesia, must include end tidal CO2 monitoring; and
   11. (k) when malignant hyperthermia triggering agents are routinely used, medications used to treat hyperthermia must be immediately available.

2. (2) A permit holder performing moderate sedation must maintain a minimum of equipment, supplies, and drugs onsite, including, but not limited to, the following:

   1. (a) a positive pressure oxygen delivery system;
   2. (b) precordial or pretracheal stethoscope and capnograph;
   3. (c) pulse oximeter;
   4. (d) stethoscope and sphygmomanometer;
   5. (e) oral pharyngeal and/or nasopharyngeal airways;
   6. (f) defibrillator;
   7. (g) appropriate drugs for emergencies;
   8. (h) suction devices, standard and emergency; and
   9. (i) continuous electrocardiac monitoring on American Society of Anesthesiologists (ASA) Class 2 and greater patients.
3. (3) A licensed dentist administering nitrous oxide/oxygen must maintain a minimum of equipment and supplies onsite appropriate to meet emergencies.

Authorizing statute(s): 37-1-131, 37-4-205, MCA

Implementing statute(s): 37-1-131, 37-4-101, 37-4-511, MCA

History: NEW, 1985 MAR p. 1994, Eff. 12/27/85; AMD, 1987 MAR p. 155, Eff. 2/14/87; AMD, 1989 MAR p. 2179, Eff. 12/22/89; AMD, 1994 MAR p. 1130, Eff. 4/29/94; AMD, 1994 MAR p. 1130, Eff. 4/29/94; TRANS, from Commerce, & AMD, 2003 MAR p. 2435, Eff. 10/31/03; AMD and TRANS, from 24.138.3205, 2011 MAR p. 2629, Eff. 12/9/11; AMD, 2019 MAR p. 2366, Eff. 12/28/19; AMD, 2024 MAR p. 2205, Eff. 9/21/24.