<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.44.12.11" title_num="10" subtitle_num="44" chapter_num="12" heading="Facility Evaluation Criteria.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Oxygen and gas delivery system, backup system fail-safe;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Gas storage facility;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Safety indexed gas system;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Suction and backup system;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Auxiliary lighting system;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Suitability of operating room:</text>
      <paragraph num="(a)">
        <text>Size;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Lighting;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Communications; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>EMT accessibility;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Recovery area, including oxygen, suction, and visual and electronic monitoring, which may include the operating room;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Appropriate emergency drugs;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Nonexpired drugs;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Appropriate devices to maintain an airway with positive pressure ventilation;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Preoperative medical history and physical evaluation form;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Anesthesia records, including monitoring and discharge records;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Monitoring equipment, including pulse oximeter and blood pressure monitoring;</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Anesthesia and monitoring equipment to ensure they are in proper working order;</text>
    </paragraph>
    <paragraph num="(15)">
      <text>Defibrillator or automated external defibrillator (AED);</text>
    </paragraph>
    <paragraph num="(16)">
      <text>For deep sedation or general anesthesia in pediatric patients:</text>
      <paragraph num="(a)">
        <text>A precordial stethoscope;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A pretracheal stethoscope; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A capnograph; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>For Class II and Class III permits:</text>
      <paragraph num="(a)">
        <text>An electrocardiogram (EKG);</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A capnograph measuring device; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Pulse oximeter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>An applicant for a permit may not transport anesthesia or sedation equipment from one dental office to another for facility examination purposes.</text>
  </paragraph>
</regulation>