1. (a) Each facility holding a facility or facility hosting permit shall maintain the following documentation:

   1. (1) Written anesthesia consent;

   2. (2) Anesthesia record including the following:

      1. a. Date of procedure;
      2. b. Nothing by mouth (NPO) status;
      3. c. Availability of responsible adult escort;
      4. d. Vital signs pursuant to the incorporated requirements in Den 304.08(a), including time-oriented monitoring of oxygenation, ventilation, and circulation; and
      5. e. Drugs and doses administered pursuant to the incorporated requirements in Den 304.08(a) listing administration times;

   3. (3) Anesthetic emergency record including the following:

      1. a. Date;
      2. b. Diagnosis of critical event such as laryngospasm or cardiac arrest;
      3. c. Medical history;
      4. d. Time of onset;
      5. e. Vital signs at time of onset and continuous monitoring;
      6. f. Administered drugs;
      7. g. Drug doses;
      8. h. Route and time of administration;
      9. i. When cardiopulmonary resuscitation (CPR) began and ended;
      10. j. Time of transfer and by whom; and
      11. k. Vital signs at transfer;
   4. (4) Emergency patient transfer form that is site specific for each location;
   5. (5) Scripted scenario for emergency 911 contact;
   6. (6) Plan describing the role and responsibility for each team member in an emergency; and
   7. (7) Post-anesthesia instructions.

2. (b) At a dental facility hosting a qualified provider in the manner described in Den 304.01(b), the facility shall, in addition to the requirements of Den 304.09(a) above, have:

   1. (1) A dated and signed attestation described in Den 403.01(e) from the qualified provider;
   2. (2) An updated attestation required by Den 403.01(c) and (d) above from the provider each biennium thereafter;
   3. (3) Documentation that the attestations required by (1) and (2) above have been submitted to the OPLC; and
   4. (4) If the relationship between the dental facility, hosting a qualified provider in the manner described in Den 304.01(b), and the qualified provider is terminated, documentation that the hosting facility has notified the OPLC of that termination in accordance with Den 403.01(g).

Source. #14246, eff 8-3-25, EXPIRES: 8-3-35