Md. Code Regs. 10.44.04.29

Current through Register Vol. 51, No. 12, June 14, 2024
Section 10.44.04.29 - Administering Medication
A. A dental hygienist who is recognized by the Board to administer medication may, under the general supervision of a dentist, administer medication including:
(1) Topical and systemic types of prescription or over-the-counter fluoride preparations;
(2) Topical antimicrobial rinses;
(3) Ibuprofen not exceeding 600 mg every 6 hours for up to 3 days after nonsurgical periodontal therapy;
(4) Premedication antibiotics by mouth as required for dental treatment;
(5) Subgingival antibiotics and antimicrobials; and
(6) Nonopioid pain medication.
B. A dental hygienist may not administer a medication:
(1) That is classified as a controlled dangerous substance under Criminal Law Article, Title 5, Subtitle 4, Annotated Code of Maryland, or a controlled substance as defined by 21 U.S.C. § 812;
(2) The prescription of which requires a federal Drug Enforcement Agency Registration; or
(3) Except for local anesthesia that is administered by intramuscular, subcutaneous, intravenous, or intradermal injection and administered in accordance with Health Occupations Article, § 4-206.1 or 4-206.3, Annotated Code of Maryland, and this chapter.
C. A dental hygienist may administer a medication under §A of this regulation under a standing order in the patient's record that is authorized by the supervising dentist, if the dental hygienist includes the following information in the patient's record:
(1) The name of the medication;
(2) The dosage of the medication;
(3) The date and time the medication was administered; and
(4) The route by which the medication was administered.
D. The standing order entered into the patient's record by the supervising dentist shall include at least the:
(1) Name of the medication;
(2) Dosage of the medication;
(3) Particular circumstances under which the medication should:
(a) Be administered; or
(b) Not be administered.

Md. Code Regs. 10.44.04.29

Regulations .29 adopted effective 49:18 Md. R.819, eff. 9/5/2022