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Wisconsin Administrative Code (Last Updated: January 10, 2017) |
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Agency DE. Dentistry Examining Board |
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Chapter 11. Anesthesia |
Section 11.10. Reporting of adverse occurrences related to anesthesia administration.
Latest version.
- Dentists shall submit a report within 30 days to the board of any mortality or other incident which results in temporary or permanent physical or mental injury requiring hospitalization of a patient during, or as a result of, anesthesia administration under this chapter. The report shall be on a form approved by the board and shall include, at the minimum, responses to all of the following:(1) A description of the dental procedures.(2) The names of all participants in the dental procedure and any witnesses to the adverse occurrence.(3) A description of the preoperative physical condition of the patient.(4) A list of drugs and dosage administered before and during the dental procedures.(5) A detailed description of the techniques utilized in the administration of all drugs used during the dental procedure.(6) A description of the adverse occurrence, including the symptoms of any complications, any treatment given to the patient, and any patient response to the treatment.(7) A description of the patient's condition upon termination of any dental procedures undertaken.
Note
Forms are available at the office of the Dentistry Examining Board located at 1400 East Washington Avenue, P.O. Box 8935, Madison, WI 53708.
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