Md. Code Regs. 10.44.21.09

Current through Register Vol. 52, No. 1, January 10, 2025
Section 10.44.21.09 - Exceptions
A. This regulation applies to the following facilities:
(1) A dental facility owned and operated by:
(a) The federal government;
(b) The State government; or
(c) A county or local government;
(2) A pubic [public] health department of:
(a) The State; or
(b) A county or local government;
(3) A public school of:
(a) The State; or
(b) A county or local government;
(4) A facility in which a program licensed by the Department of Health and Mental Hygiene is operating;
(5) A facility owned and operated by the Department of Juvenile Services;
(6) A facility owned and operated by the State, county, or local government that provides medical care to the poor, elderly, or handicapped;
(7) A facility in which a federally qualified health center or a federally qualified health center look-alike is located; or
(8) A facility in which a State-licensed Head Start Program or Early Head Start Program operates.
B. A general license to practice dental hygiene authorizes the licensee to practice dental hygiene under general supervision in a facility identified in §A of this regulation and apply:
(1) Sealants;
(2) Fluoride agents, such as professional topical fluoride agents;
(3) Mouth wash; or
(4) Varnish.
C. The Board may not require a facility identified in §A of this regulation to obtain a waiver in order to practice in accordance with §B of this regulation.
D. Before a facility may allow a dental hygienist to practice dental hygiene in a facility identified in §A of this regulation, the facility shall report to the Board:
(1) That the facility is operating under general supervision;
(2) The identity of each hygienist employed by the facility; and
(3) The identity of each supervising dentist.
E. A facility that authorizes a dental hygienist to practice dental hygiene in a facility identified in §A of this regulation shall insure that the supervising dentist for the facility:
(1) Holds an active general license to practice dentistry in the State;
(2) Holds a current certificate evidencing Health Care Provider Level C Proficiency, or its equivalent, in Cardiopulmonary Resuscitation; and
(3) Has at least 2 years of active clinical practice in direct patient care.
F. A facility that authorizes a dental hygienist to practice dental hygiene in a facility identified in §A of this regulation shall insure that the dental hygienist:
(1) Holds an active general license to practice dental hygiene in the State;
(2) Holds a current certificate evidencing Health Care Provider Level C Proficiency, or its equivalent, in Cardiopulmonary Resuscitation;
(3) Has at least 2 years of active clinical practice in direct patient care; and
(4) Is a permanent or contractual employee of:
(a) The federal government;
(b) A state government;
(c) A county or local government; or
(d) A federally qualified health center.
G. A facility that authorizes a dental hygienist to practice dental hygiene in a facility identified in §A of this regulation shall insure that:
(1) The facility has a medical emergency plan;
(2) Adequate equipment, including portable equipment where appropriate and appropriate armamentarium, is available for the appropriate delivery of dental hygiene services; and
(3) Adequate safeguards are present to protect the patient's health and safety.

Md. Code Regs. 10.44.21.09

Regulations .09 adopted as an emergency provision effective April 11, 1994 (21:9 Md. R. 747); emergency status expired October 7, 1994
Regulations .09 adopted effective October 10, 1994 (21:20 Md. R. 1733)
Regulations Regulation .09 recodified to be Regulation .10 and new .09 effective October 22, 2007 (34:21 Md. R. 1916)
Regulations .09 and new Regulation .09 adopted effective January 26, 2009 (36:2 Md. R. 101)