15 May 2012

Q. I treat anxious adult patients with RA and have recently been advised that they must always attend the surgery with an escort. Is this really the case?

The Department of Health guidance Conscious Sedation in the Provision of Dental Care states in section 15 that for an adult receiving nitrous oxide/oxygen inhalation sedation the requirement that a responsible adult escort must accompany the patient home is less rigid and each patient must be assessed individually.

Further into the document, at section 18.2 it advises that adult patients who have received nitrous oxide and oxygen inhalation sedation may leave unaccompanied at the discretion of the sedationist.

In accordance with this guidance therefore it is not mandatory for an adult receiving nitrous oxide/oxygen inhalation sedation to be accompanied home by a responsible adult and this decision is subject to discretion. However, it is important to ensure that pre and postoperative assessments are recorded in the records to support the decision to proceed with treatment and discharge without the presence of an accompanying responsible adult. If you ask your dental nurse or the receptionist to telephone the patient to see that they are safely home and comfortable after their treatment you should also note their response in the record. It is also a great way to demonstrate the caring ethos of the practice.

Dental Protection Limited is registered in England (No. 2374160) and is a wholly owned subsidiary of The Medical Protection Society Limited (MPS) which is registered in England (No.36142). Both companies use Dental Protection as a trading name and have their registered office at 33 Cavendish Square, London W1G 0PS.

Dental Protection Limited serves and supports the dental members of MPS with access to the full range of benefits of membership, which are all discretionary, and set out in MPS’s Memorandum and Articles of Association. MPS is not an insurance company. Dental Protection® is a registered trademark of MPS.

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