Section 12 AAC 28.936 - Advanced practice permits(a) The board may issue an advanced practice permit to a dental hygienist with a license in good standing under AS 08.32 and who has a minimum of 4,000 hours of clinical experience. The permit is subject to all the requirements of AS 08.32.125 and this section. The applicant must submit(1) a completed, notarized application on the form provided by the department; the form must include the name and license number of the applicant and the name and location of the applicant's hygiene practice facility or business;(2) the applicable fees required under 12 AAC 02.190;(3) an affidavit stating that the applicant has a minimum of 4,000 hours of clinical experience during the five years preceding the date of application;(4) a copy of the applicant's current certification in cardiopulmonary resuscitation (CPR) techniques that meets the requirements of 12 AAC 28.920;(5) a copy of the applicant's current professional liability policy or declaration page that includes the policy number and expiration date; and(6) evidence of completing at least four contact hours of continuing education course work covering one or more of the subject areas listed in (e) of this section.(b) A dental hygienist holding an advanced practice permit shall (1) maintain dental charts and other records when treating the dental hygienist's own patients of record and notify the board of the location where these records are to be secured;(2) maintain a current, valid mailing address on file with the board at all times;(3) refer patients who have been assessed by the dental hygienist to a licensed dentist for treatment or planning that is outside of the dental hygienist's scope of practice;(4) only provide the services described in AS 08.32.125(a) to a patient who is unable to access dental treatments because of age, infirmity, or disability and in the locations described in AS 08.32.125(b); and(5) document in the patient's chart the name of the licensed dentist to whom the patient is referred.(c) A dental hygienist holding an advanced practice permit issued under AS 08.32.125 may delegate to a dental assistant who meets the requirements of AS 08.36.342 and has a current permit issued by the board under 12 AAC 28.810(1) the exposure and development of radiographs under indirect supervision;(2) the application of topical preventive agents under indirect or direct supervision;(3) the placement of pit and fissure sealants under direct supervision; and(4) the coronal polishing of teeth under direct supervision.(d) The board may not issue an advanced practice permit if, during the five years immediately preceding the date of application, the applicant is the subject of adverse disciplinary action under AS 08.32, AS 08.36, or this chapter, or a similar provision of another jurisdiction.(e) In addition to the continuing education requirements in 12 AAC 28.400 - 12 AAC 28.420, a dental hygienist who wishes to practice under an advanced practice permit must complete an additional four contact hours of continuing education each biennial licensing period in one or more of the following subject areas: (2) pediatric and other special health care needs;(5) public health, or other eleemosynary facility, relating to, or supporting charity;(7) general medicine and physical diagnosis.(f) In this section,(1) "direct supervision" means the hygienist is in the facility, personally diagnoses the condition to be treated, personally authorizes the procedure, and before dismissal of the patient evaluates the performance of the dental assistant;(2) "indirect supervision" means the hygienist is in the facility, authorizes the procedures, and remains in the facility while the procedures are being performed by the dental assistant.Eff. 3/5/2023, Register 245, April 2023Authority:AS 08.32.014
AS 08.32.030
AS 08.32.070
AS 08.32.110
AS 08.32.125
AS 08.36.070
AS 08.36.346