Section 11.02. Definitions.

  In this chapter,

(1)  "Analgesia" means the diminution or elimination of pain in a conscious patient.

(1m)  "Anxiolysis" means the use of medication to relieve anxiety before or during a dental procedure which produces a minimally depressed level of consciousness, during which the patient's eyes are open and the patient retains the ability to maintain an airway independently and to respond appropriately to physical and verbal command.

(1s)  "Class I permit" means a sedation permit enabling a dentist to administer oral conscious sedation-enteral.

(1t)  "Class II permit" means a sedation permit enabling a dentist to administer conscious sedation-parenteral and conscious sedation-enteral.

(1u)  "Class III permit" means a sedation permit enabling a dentist to administer deep sedation, general anesthesia, conscious sedation-parenteral, and conscious sedation-enteral.

(2)  "Conscious sedation" means a depressed level of consciousness during which the patient mimics physiological sleep, has vitals that are not different from that of sleep, has his or her eyes closed most of the time while still retaining the ability to independently and continuously maintain an airway and respond appropriately to physical stimulation and verbal command, produced by a pharmacologic or non-pharmacologic method, or a combination of pharmacologic and non-pharmacologic methods.

(3)  "Deep sedation" means a controlled state of depressed consciousness, accompanied by partial loss of protective reflexes, including the ability to independently and continuously maintain an airway and to respond purposefully to verbal command, produced by a pharmacologic or non-pharmacologic method, or a combination of pharmacologic and non-pharmacologic methods.

(4)  "General anesthesia" means a controlled state of unconsciousness accompanied by partial or complete loss of protective reflexes, including the ability to independently maintain an airway and respond purposefully to physical stimulation or verbal command, produced by a pharmacologic or non-pharmacologic method, or a combination of pharmacologic and non-pharmacologic methods.

(6)  "Nitrous oxide inhalation" means analgesia by administration of a combination of nitrous oxide and oxygen in a patient.

(7)  "Operative supervision" means the dentist is in the operatory performing procedures with the aid of qualified staff.

(8)  "Qualified staff" means a person is certified in the administration of basic life support in compliance with the standards set forth by the American Heart Association, the American Red Cross, or other organization approved by the board, and has training in how to monitor vital signs, and how to use a pulse oximeter, blood pressure cuff, and a precordial or a pretracheal stethoscope. If the dentist is administering deep sedation and general anesthesia under s. DE 11.07 , a person shall also be trained in how to use an EKG.

(9)  "Routes of administration" include the following:

(a) "Enteral" means administration by which the agent is absorbed through the gastrointestinal tract or through the oral, rectal or nasal mucosa.

(b) "Inhalation" means administration by which a gaseous or volatile agent is introduced into the pulmonary tree and whose primary effect is due to absorption through the pulmonary bed.

(c) "Parenteral" means administration by which the drug bypasses the gastrointestinal tract through either intramuscular (IM), intravenous (IV), intranasal (IN), submucosal (SM), subcutaneous (SC), or intraocular (IO) methods.

(d) "Transdermal or transmucosal" means administration by which the drug is administered by patch or iontophoresis.

(10)  "Time-oriented anesthesia record" means documentation at appropriate intervals of drugs, doses and physiologic data obtained during patient monitoring.

History: Cr. Register, August, 1985, No. 356 , eff. 9-1-85; r. and recr. Register, October, 1988, No. 394 , eff. 11-1-88; r. (4), renum. (1) to (3) to be (2) to (4) and am., cr. (1) and (5), Register, August, 1991, No. 428 , eff. 9-1-91; CR 04-095 : am. (1) to (4), cr. (1m) and (6) to (10), r. (5) Register August 2006 No. 608 , eff. 1-1-07; CR 13-061 : cr. (1s) to (1u) Register June 2014 No. 702 , eff. 7-1-14.