Review of TSBDE Rules and Mock Inspection Course (Online) by Dr Seifikar | Dec 4, 2018 Course Information TSBDE Rules and Mock Inspection Course Copyright Texas Sedation Rules, Regulations & Provider Inspections How did all this come about? BRP Report Senate Bill 313 Anxiety ADA Definition of Anxiolysis Minor Psychosedative/Tranquilizer Anxiolytic Options Nitrous Oxide Permit Nitrous Oxide Flow Sheet Consent for Nitrous Oxide Analgesia Pre-Anesthesia Instructions for Nitrous Oxide Post-Anesthesia Instructions for Nitrous Oxide Four Levels of Permits Level 1- Minimal Sedation Minimal Sedation Maximum Recommended Dose (MRD) Incremental Dosing Supplemental Dosing in Minimal Sedation Half Life vs. Clinical Half Life Minimal Sedation Video Level 2- Moderate Sedation (Enteral) Moderate Sedation Sedation Continuum Level 3- Moderate Sedation (Parenteral) Level 3- Moderate Sedation (Parenteral) Level 4 General Anesthesia Deep Sedation/General Anesthesia Levels of Awareness Informed Consent Monitoring Monitoring Monitoring must include: Recovery & Discharge Recovery & Discharge Aldrete Scale Recovery & Discharge Documentation Documentation Example Picture Components of Anesthesia Records Sample Sedation Record with Aldrete Scale Rule 110.9 Anesthesia Permit Renewal Rule 110.9 Rule 111.1 & 111.2 Prescribing Controlled Substances in Texas and Self-Query of PMP Rule 111.1 & 111.2 Prescribing Controlled Substances Online Course 110.13 Required Pre-operative check list for Administration of Nitrous Oxide and levels 1-4 Sedation/Anesthesia Rule 110.13 DAS Pre-operative Checklist Rule 110.14 Emergency Preparedness Policies & Procedures Rule 110.14 Sections of Rule 110.14 Code Positions Detailed Doctor & Staff Duties On-Site Office Emergency Evaluating, Training and Mock Provider Inspection Course Staff Training Log Emergency Management Rule 110.15 Prevention of and Response to Sedation/Anesthesia Emergencies Rule 110.15 Equipment Readiness Log Appropriate monitors and equipments Backup lighting system Additional items for higher permit holders Where to purchase supplies and equipments?? Annual Emergency drug logs and Equipment Inspection Emergency Kit Check List Emergency Drug Log/Check List Where to purchase supplies and equipments?? Level 1 Requirements Level 2 Requirements Level 3 Requirements Level 4 Requirements Rule 110.16 Sedation of High- Risk Patients 2 Day Course to Satisfy Rule 110.16 Rule 110.17 Sedation of Pediatrics Patients 2 Day Course to Satisfy Rule 110.17 Rule 110.18 Provider Inspections 110.8 Provider Inspection Cont. Anesthesia Provider Inspection Office Equipment Documentation Patient Sedation Record Audit New Lesson