# COMAR Title 10 — Maryland Department of Health

## Subtitle 44 — Board of Dental Examiners

### Chapter 12 — Anesthesia and Sedation

#### Regulation .11 Facility Evaluation Criteria.

*COMAR 10.44.12.11*

A. Except as otherwise provided in this regulation, to qualify for a permit, the facility and the applicant shall pass an evaluation of facility equipment, medications, and clinical records to include at least the following:

  (1) Oxygen and gas delivery system, backup system fail-safe;

  (2) Gas storage facility;

  (3) Safety indexed gas system;

  (4) Suction and backup system;

  (5) Auxiliary lighting system;

  (6) Suitability of operating room:

    (a) Size;

    (b) Lighting;

    (c) Communications; and

    (d) EMT accessibility;

  (7) Recovery area, including oxygen, suction, and visual and electronic monitoring, which may include the operating room;

  (8) Appropriate emergency drugs;

  (9) Nonexpired drugs;

  (10) Appropriate devices to maintain an airway with positive pressure ventilation;

  (11) Preoperative medical history and physical evaluation form;

  (12) Anesthesia records, including monitoring and discharge records;

  (13) Monitoring equipment, including pulse oximeter and blood pressure monitoring;

  (14) Anesthesia and monitoring equipment to ensure they are in proper working order;

  (15) Defibrillator or automated external defibrillator (AED);

  (16) For deep sedation or general anesthesia in pediatric patients:

    (a) A precordial stethoscope;

    (b) A pretracheal stethoscope; or

    (c) A capnograph; and

  (17) For Class II and Class III permits:

    (a) An electrocardiogram (EKG);

    (b) A capnograph measuring device; and

    (c) Pulse oximeter.

B. In addition to the requirements outlined in §A of this regulation, to qualify for a permit, the dentist who will perform the administration and the dentist's staff shall be present in the operatory during the evaluation.

C. An applicant for a permit may not transport anesthesia or sedation equipment from one dental office to another for facility examination purposes.