Those with Authorization from the RCDSO.

Dentists who qualify to administer deep sedation and general anesthesia (Dentist Anesthesiologists and OMFS). Dentists in good standing with a current RCDSO general or specialty license who also:

• Have successfully completed a course on IV moderate sedation that fulfills the new standards of practice from November 2018 RCDSO.
• Hold a current ACLS (Advanced Cardiac Life Support) certification.

Why not PALS (Pediatric Advanced Life Support)? The RCDSO standards state that IV moderate sedation is not permitted for individuals under the age of 12 unless the provider holds a deep sedation and general anesthesia license.

Yes. This course meets and exceeds the RCDSO standards of practice from November 2018:

• Held in a facility with adequate patient care and emergency medications.
• Clinical training conducted in a Type A (DG) Facility, the highest level of permit available from the RCDSO.
• Taught by Ontario-certified dental anesthesiologists and OMFS with formal training in anesthesia and sedation.

• Specifically designed for Ontario dentists.
• Instruction by Ontario-certified specialists with expertise in anesthesia and sedation.
• Focus on RCDSO requirements, certification processes, and practical sedation techniques.
• Convenient schedule for busy practitioners, with ACLS training included within the course timeframe.
• Located in the heart of the GTA with all training resources provided (patients, equipment, and assistants).
• Real-world discussions with practicing dental specialists and auxiliary nurses.

First 3 days: Lecture-heavy sessions with relevant seminars in a hotel conference room. Next 2 days: ACLS training at a designated training center. Day 6: Lecture and seminar participation in a clinical setting. Last 4 days: Active IV moderate sedation administration on live patients, interspersed with case-based seminars and lectures. Additional Details:

• Breakfast and lunch are included.
• Course-end dinner and social event with instructors.

Training focuses on Midazolam IV moderate sedation, in keeping with RCDSO standards.

• Active CPR certification from Heart and Stroke or a similar provider.
• Active general or specialty license with the RCDSO in good standing with no limitations.

• Active participation in both lecture and seminar sessions.
• Score of 80% or higher on two multiple-choice didactic evaluations.
• Score of “meets expectations” on hands-on evaluations.
• Fulfillment of ACLS certification requirements (provided by Heart and Stroke Canada).

• Successful participants receive 90 Core 2 CE hours.
• Certification of completion from the course director to use in their RCDSO application.

No. Authorization from the RCDSO is required. Steps to Apply for Authorization:

• Complete the application form.
• Provide certification of course completion.
• Provide active CPR and ACLS certification.
• Pay the required fee.

Additional Requirements:

• Visiting Permit: Equipment and drugs are brought by the provider.
• Non-Visiting Permit: Equipment is provided by the facility.

Specify the facility where IV moderate sedation will be performed:

• Facilities must hold a Type A (P1 or greater) or Type B permit.
• Type A facilities house all sedation equipment and drugs, suitable for non-visiting authorization holders.
• Type B facilities are equipped for visiting providers who bring their own equipment.

Sedation is a procedure authorized by the RCDSO. You must be registered with and authorized by the RCDSO to administer sedation.

Must have at least current within one year Healthcare BLS and recently completed a course successfully that fulfills the requirements RCDSO’s standards of practice (revised in November, 2018).

• Actively participate in both lecture and seminar sessions.
• Achieve a score of 80% on two multiple-choice didactic evaluations.
• Achieve a score of “meets expectations” on both hands-on evaluations.
• Demonstrate understanding in appropriate implications and patient safety.

No. Dentists must have RCDSO authorization to provide sedation. To do so, dentists must apply to the RCDSO. Requirements include:

• Completion of the application form.
• Submission of certificate of course completion.
• Proof of active at least BLS/CPR certification.
• Paying the required fee.

Part of the process of completing the application is to designate if you are applying for a 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 moderate sedation will be performed. This is because regardless of having a visiting or non-visiting moderate sedation authorization permit, the facility where the sedation is to occur must also have a facility permit. This is either a Type A (OM or greater) permit or Type B permit. For more information on permits, visit the RCDSO website.

• Type B facilities 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.