ARM 24.138.3225
ARM 24.138.3225. EQUIPMENT STANDARDS
Cite as Mont. Admin. R. 24.138.3225
(1) A permit holder performing deep sedation/general anesthesia must maintain a minimum of equipment, supplies, and drugs onsite, including, but not limited to, the following:
(a) a positive pressure oxygen delivery system;
(b) stethoscope and sphygmomanometer;
(c) laryngoscope, endotracheal tubes, a Magill forcep, and alternative airway devices such as a laryngeal mask airways of appropriate size;
(d) oral pharyngeal and/or nasopharyngeal airways;
(e) electrocardiac monitor and defibrillator;
(f) appropriate drugs for emergencies to include drugs to provide advanced cardiac life support;
(g) a precordial or pretracheal stethoscope and capnograph;
(h) pulse oximeter;
(i) suction devices, standard and emergency;
(j) for intubated patients under general anesthesia, must include end tidal CO2 monitoring; and
(k) when malignant hyperthermia triggering agents are routinely used, medications used to treat hyperthermia must be immediately available.
(2) A permit holder performing moderate sedation must maintain a minimum of equipment, supplies, and drugs onsite, including, but not limited to, the following:
(a) a positive pressure oxygen delivery system;
(b) precordial or pretracheal stethoscope and capnograph;
(c) pulse oximeter;
(d) stethoscope and sphygmomanometer;
(e) oral pharyngeal and/or nasopharyngeal airways;
(f) defibrillator;
(g) appropriate drugs for emergencies;
(h) suction devices, standard and emergency; and
(i) continuous electrocardiac monitoring on American Society of Anesthesiologists (ASA) Class 2 and greater patients.
(3) A licensed dentist administering nitrous oxide/oxygen must maintain a minimum of equipment and supplies onsite appropriate to meet emergencies.