<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".14" citation="COMAR 10.44.12.14" title_num="10" subtitle_num="44" chapter_num="12" heading="Inducing a Level of Sedation for a Patient.">
  <paragraph num="A.">
    <text>Administration of moderate enteral sedation, moderate parenteral sedation, deep sedation, or general anesthesia to a patient requires at least the following appropriately trained individuals:</text>
    <paragraph num="(1)">
      <text>The treating dentist;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An individual trained and competent in basic life support or its equivalent to assist the treating dentist; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Another individual trained and competent in basic life support or its equivalent in close proximity to assist if needed.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A dentist administering moderate enteral sedation, moderate parenteral sedation, deep sedation, or general anesthesia to a patient:</text>
    <paragraph num="(1)">
      <text>May not leave the site until the patient:</text>
      <paragraph num="(a)">
        <text>Is conscious;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is spontaneously breathing;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Has stable vital signs;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Is ambulatory with assistance; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Is under the care of a responsible adult; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>May not induce a second patient until the first patient:</text>
      <paragraph num="(a)">
        <text>Is conscious;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is spontaneously breathing;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Has stable vital signs;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Is ambulatory with assistance; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Is under the care of a responsible adult.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A treating dentist who allows a physician, another dentist, or certified registered nurse anesthetist to administer moderate enteral sedation, moderate parenteral sedation, deep sedation, or general anesthesia under Regulation .31, .32, or .33 of this chapter shall ensure that the physician, dentist, or certified registered nurse anesthetist does not leave the site until the patient:</text>
    <paragraph num="(1)">
      <text>Is conscious;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is spontaneously breathing;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Has stable vital signs;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Is ambulatory with assistance; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Is under the care of a responsible adult.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A treating dentist who allows a physician, another dentist, or certified registered nurse anesthetist to administer moderate sedation, deep sedation, or general anesthesia shall ensure that the physician, dentist, or certified registered nurse anesthetist does not induce a second patient until the first patient:</text>
    <paragraph num="(1)">
      <text>Is conscious;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is spontaneously breathing;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Has stable vital signs;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Is ambulatory with assistance; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Is under the care of a responsible adult.</text>
    </paragraph>
  </paragraph>
</regulation>