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  • Who can provide IV moderate sedation in Ontario?
    IV moderate sedation is procedure authorized by the RCDSO. You must be registered with and authorized by the RCDSO to administer sedation.
  • Who can get Authorization to provide IV moderate sedation in Ontario?
    Dentists who qualify to administer deep sedation and general anesthesia (Dentist anesthesiologists and OMFS), or dentists in good standing with RCDSO and a valid RCDSO general or speciality licence. Dentists must demonstrate that they have successfully completed a course on IV moderate sedation that fulfills RCDSO’s standards of practice (revised in November, 2018) Additionally, dentist must have valid ACLS (Advanced Cardiovascular Life Support) certification. PALS (Pediatric Advanced Life Support) cannot substitute ACLS as per the RCDSO standards. This is because IV moderate sedation is not permitted on individuals under age of 12 by sedation providers, unless the dentist holds a valid, deep sedation and general anesthesia licence.
  • Does this course full-fill the RCDSO Training?
    Yes, the RCDSO updated its standards of practice in November 2018, which stipulate that trainings must be: Held where adequate facility, patient care and emergency medications are present and taught by dental specialist formally trained in anesthesia and sedation. Our course’s clinical training is held in a Type A (DG) facility, which is the highest level of permit available from the RCDSO and the course’s didactic and clinical training are taught by Ontario-certified dental anesthesiologists and OMFS. The course has also been designed to provide more than the RCDSO’s 40 hours of didactic lectures and seminars, and are taught exclusively by dental specialists. Additionally, dentists are provided with the full experience, from check-in to discharge, through active participation in the clinical requirement of providing IV sedation with dental treatment on 20 patients.
  • What happens if a dentist does not have ACLS training?
    We provide ACLS training in collaboration with the Heart and Stroke Foundation of Canada, within the course for convenience of participants
  • What does this course look like?
    The course kicks off with three days of lectures and seminars in conference room setting. This is followed by a two-day ACLS training in one of our designated training centers. Additional lectures take place in a clinical setting for one day and the course concludes with four days of active IV moderate sedation administration on patients. Case-base seminars and lecture take place throughout the course. Breakfast and Lunch arrangements are included for all participants. The course will close with a social and dinner event with the instructors.
  • What IV moderate sedation is taught?
    In keeping with RCDSO standards we train participants on Midazolam IV moderate sedation
  • What does successful completion of the course look like?
    In order to receive a course completion certificate, dentist must: - Actively participate in in both lecture and seminar - Achieve a score of 80% on two multiple-choice didactic evaluations - Achieve a score of “meets expectations” on both hands-on evaluations - Meet requirements for ACLS certification (provided by Heart and Stroke Foundation of Canada, link to their site)
  • What happens when a dentist completes the course?
    With successful completion of the course, dentists will not only receive 90 Core 2 CE hours but also receive specific certificate of completion from the course director.
  • Does the course completion authorize a dentist to provide IV moderate sedation right away?
    No. Dentists must have RCDSO authorization to provide IV moderate sedation. To do so, dentists must apply to the RCDSO. Requirements include: 1. Completion of the application form 2. Submission of certificate of course completion 3. Proof of active CPR and ACLS 4. Paying the required fee
  • Is there any additional information dentists need to be aware of?
    Part of the process of completing the application, is to designate if you are applying for visiting or non-visiting permit. Non-visiting permit means the provider will not bring equipment with them and it will be provided by the facility. Dentists must designate at which facility IV moderate sedation will be performed. This is because regardless of having a visiting or non-visiting IV moderate sedation authorization permit, the facility where the sedation is to occur must also have a facility permit. This is either a A (P1 or greater) permit or B permit. For more information on permits visit: B permits facility have limited equipment and a visiting provider must bring nearly all drugs and equipment with them. The more common Type A permit, is for a facility which houses all the sedation equipment and drugs and this is where a non-visiting authorization permit holder would likely work.
  • What is the mandatory “The Sedation Team”?
    IV moderate sedation in the dental setting must be administered with an approved sedation team. This team has a minimum of 3 individuals present at all times while IV moderate sedation is administered. There are 2 team set-ups; A minimum: Dentist: Qualified and responsible for the sedation and also performing the dental procedures Sedation assistant Operative assistant A minimum: Dentist: Only performing dental procedures only Another dentist or a physician: Qualified and responsible for the sedation only Operative assistant The sedation team must have, in addition to the dentist or physician who responsible for the sedation, a minimum of 1 other team member (typically the sedation assistant) with current BLS certification (CPR Level HCP) and has successfully completed a provider course in ACLS.
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