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QDA - Permit for Expanded Functions

Anesthesia Assistant Duties-QDA

Dental Anesthesia Assistant Permit; Class I and Class II

As of July 1, 2022, QDAs may apply for this permit. 

Class I Permit:

The Board may issue a Class I permit allowing the permitholder to provide anesthesia assistance under the contiguous supervision of a dentist who is authorized to provide moderate sedation, deep sedation, or general anesthesia once the applicant successfully:

1. Completes a board-approved dental anesthesia assistant education and training course;
2. Submits current certification status from the AAOMS dental anesthesia assistant national certification or a board-approved competency examination.;
3. Submits proof of current BLS, ACLS or PALS;
4. Provides proof of the anesthesia permit issued to the dentist who will be supervising the anesthesia assistant’s services.

An individual authorized by a Class I permit may provide the following duties under contiguous supervision of a dentist who is authorized to provide moderate sedation, deep sedation, or general anesthesia:

1. Initiate and discontinue an IV line for a patient being prepared to receive IV medication, sedation or  general anesthesia; and
2. Adjust the rate of intravenous fluids infusion only to maintain or keep the line patent or open.
3. Prepare anesthesia equipment and perform patient monitoring; and
4. Assist with emergency treatment and protocols.

 Class II Permit:

The Board may issue a Class II permit authorizing the permitholder to provide anesthesia assistance under the direct visual supervision of a dentist who is authorized to provide moderate sedation, deep sedation, or general anesthesia once the applicant:

1. Completes a board-approved dental anesthesia assistant education and training course;
2. Submits proof of current dental anesthesia assistant national certification or a board approved competency examination;
3. Has successfully completed hands-on training in IV access or phlebotomy that includes live experience starting and maintaining intravenous lines;
4. Holds current and valid BLS, ACLS, or PALS; and
5. Provides proof of the anesthesia permit issued to the dentist who will be supervising the anesthesia assistant services.

An individual authorized by a Class II permit may provide the following duties under direct visual supervision of a dentist who is authorized to provide moderate sedation, deep sedation, or general anesthesia::

1. Draw up and prepare medications;
2. Follow instructions to deliver medication into an intravenous line upon verbal command of the supervising dentist;
3. Adjust the rate of intravenous fluids infusion beyond a keep-open rate upon verbal command of the supervising dentist; and
4. Adjust an electronic device to provide medications such as an infusion pump upon verbal command of the supervising dentist.

Anesthesia Assistant Permit Application

Anesthesia Assistant Courses Accepted by the NDBDE

• The Dental Anesthesia Assistant National Certification Examination (DAANCE) is a two-part 36 hour continuing education program comprised of self-study material and a standardized computer based exam. The course is designed for auxiliary who assist a dentist or OMFS with a valid North Dakota sedation or anesthesia permit. DAANCE certification is valid for five years. To recertify, permit holders must retake the DAANCE examination every five years and maintain current BLS and/or ACLS certifications. Note: Online CPR certifications are not accepted. The course meets the requirements for a North Dakota Class I Dental Anesthesia Assistant Permit.  
• Sedation Consult, LLC:  Allan Schwartz, DDS, CRNA provides a 3 day course,  Monitoring Sedation/General Anesthesia & I.V. Certification meets the requirements for requirements of North Dakota Class II Dental Anesthesia Assistant Permit.  
• The American Dental Society of Anesthesiology is a two-day, 12 hour CE sedation course for auxiliaries featuring an in-depth approach designed especially for those who work in general anesthesia and moderate sedation practices. The course provides a certificate for the completion of the CE but does not provide certification or testing therefore to achieve Permit I, the DAANCE exam would also be required.