12 AAC 28.640. Mandatory reporting

(a) If a dental patient dies during or immediately after the administration of parenteral sedation, the permittee shall submit a report of the incident to the board within 48 hours after the death. The report must include

(1) the name, age, and address of the patient;

(2) the name of the dentist and other staff present during the incident;

(3) the address of the facility or office where the incident occurred;

(4) the medical history of the patient;

(5) the technique of parenteral sedation being administered at the time of the incident;

(6) the dosages of drugs administered to the patient;

(7) a narrative description of the incident including approximate times and evolution of symptoms; and

(8) any additional information that the department requests and that is relevant to investigating the incident.

(b) If a dental patient experiences complications that require hospitalization during or immediately after the administration of parenteral sedation, the permittee shall submit a report of the incident to the board within 30 days after the occurrence of the incident. The report must include

(1) the name, age, and address of the patient;

(2) the name of the dentist and other staff present during the incident;

(3) the address of the facility or office where the incident occurred;

(4) the medical history of the patient;

(5) the technique of parenteral sedation being administered at the time of the incident;

(6) the dosages of drugs administered to the patient;

(7) a narrative description of the incident including approximate times and evolution of symptoms; and

(8) any additional information that the department requests and that is relevant to investigating the incident.

(c) If a permittee fails to report an incident in accordance with (a) and (b) of this section, the board will immediately suspend the parenteral sedation permit and may subject the dentist to other disciplinary actions.

History: Eff. 4/13/91, Register 118; am 11/10/2001, Register 160

Authority: AS 08.01.075

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