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Rule: 24.138.3225 Prev     Up     Next    
Rule Title: FACILITY STANDARDS
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Department: LABOR AND INDUSTRY
Chapter: BOARD OF DENTISTRY
Subchapter: Anesthesia Rules
 
Latest version of the adopted rule presented in Administrative Rules of Montana (ARM):

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24.138.3225    FACILITY STANDARDS

(1) A deep sedation/general anesthesia facility under these rules must contain a minimum of equipment, supplies, and drugs, including, but not limited to, the following:

(a) a positive pressure oxygen delivery system;

(b) stethoscope and sphygmomanometer;

(c) laryngoscope, endotracheal tubes, a Magill forcep, and alternative airway devices such as a laryngeal mask airways of appropriate size;

(d) oral pharyngeal and/or nasopharyngeal airways;

(e) electrocardiac monitor and defibrillator;

(f) appropriate drugs for emergencies to include drugs to provide advanced cardiac life support;

(g) a precordial or pretracheal stethoscope and capnograph;

(h) pulse oximeter;

(i) suction devices, standard and emergency;

(j) for intubated patients under general anesthesia, must include end tidal CO2 monitoring; and

(k) when malignant hyperthermia triggering agents are routinely used, medications used to treat hyperthermia must be immediately available.

(2) A moderate sedation facility under these rules must contain a minimum of equipment, supplies, and drugs, including, but not limited to, the following:

(a) a positive pressure oxygen delivery system;

(b) precordial or pretracheal stethoscope and capnograph;

(c) pulse oximeter;

(d) stethoscope and sphygmomanometer;

(e) oral pharyngeal and/or nasopharyngeal airways;

(f) appropriate drugs for emergencies;

(g) suction devices, standard and emergency; and

(h) continuous electrocardiac monitoring on American Society of Anesthesiologists (ASA) Class 2 and greater patients.

(3) A facility in which nitrous oxide/oxygen is used must contain a minimum of equipment and supplies appropriate to meet emergencies. 

 

History: 37-1-131, 37-4-205, MCA; IMP, 37-1-131, 37-4-101, 37-4-511, MCA; 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.


 

 
MAR Notices Effective From Effective To History Notes
24-138-76 12/28/2019 Current History: 37-1-131, 37-4-205, MCA; IMP, 37-1-131, 37-4-101, 37-4-511, MCA; 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.
24-138-68 12/9/2011 12/28/2019 History: 37-1-131, 37-4-205, MCA; IMP, 37-1-131, 37-4-101, 37-4-511, MCA; 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.
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