Section 216-RICR-40-05-2.12 - Administration of Local Anesthesia by Dental HygienistsA. A dental hygienist shall be qualified to administer local anesthesia only after successfully completing a course in local anesthesia that: 1. Is offered by an institution accredited by the Commission on Dental Accreditation of the American Dental Association;2. Is a minimum of twenty (20) didactic hours and twelve (12) clinical hours;3. Includes no less than the following topics:a. Neurophysiology of pain and pain control;b. Pharmacology of local anesthetic solutions and drug interactions;c. Potential local and systemic complications;d. Medical and dental indications and contraindications and emergency management;e. Medical and dental history and assessment;f. Safe assembly and handling of a syringe;g. Location of anatomical landmarks associated with local anesthesia;i. Clinical experience with maxillary and mandibular injections by administering infiltration and block injections;j. Legal issues associated with local anesthesia administration by a dental hygienist;4. Provides written evidence of successful course completion provided by the sponsoring organization; and5. Current certification in basic life and cardiopulmonary resuscitation at the "health care provider" level by a nationally recognized organization.B. A dental hygienist qualified to administer local anesthesia shall have successfully completed a local anesthesia examination administered by the CDCA.C. A dental hygienist qualified to administer local anesthesia shall do so only under the indirect supervision of a licensed dentist. Dental hygiene faculty members who are licensed to administer local anesthesia may do so within the scope of the academic setting of which they are employed under the general supervision of the program's consulting dentist in the event that a supervising dentist is not available.D. If a dental hygienist graduated from an American Dental Association accredited school of dental hygiene that did not include a course in local anesthesia that meets the requirements of § 2.12(A) of this Part, a course that meets such requirements shall be successfully completed before local anesthesia may be administered by the dental hygienist.E. A dental hygienist who has qualified to administer local anesthesia in another jurisdiction may qualify for endorsement by the Board to perform that function by presenting written documentation of training equivalent to § 2.12(A) of this Part, including successful completion of the local anesthesia portion of the CDCA examination or successful completion of a substantially similar examination in the alternate jurisdiction. 2.12.2Application for PermitA. Application for a two-year permit shall be made on forms provided by the Board which shall be completed and submitted to the Board thirty (30) days prior to the scheduled date of the Board meeting. Such application shall be accompanied by the following documents (non-returnable and non-refundable):1. Local anesthesia. Supporting official transcripts of verification of the qualification requirements as set forth in § 2.12 of this Part;2. Nitrous Oxide. Supporting official transcripts of verification of the qualification requirements as set forth in § 2.13.3 of this Part;3. Local anesthesia. A statement attesting that he or she has or has not been involved in any morbidity or mortality secondary to the administration of local anesthesia;4. Nitrous Oxide. A statement attesting that he or she has or has not been involved in any morbidity or mortality secondary to the administration of nitrous oxide;5. Local anesthesia. A payment as set forth in the Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health (Part 10-05-2 of this Title) for a two (2) year permit;6. Nitrous Oxide. A payment as set forth in the Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health (Part 10-05-2 of this Title) for a two (2) year permit; and7. Such other information as may be deemed necessary and as may be requested by the Board.2.12.3Administration of Nitrous Oxide by Dental HygienistsA. A dental hygienist shall be qualified to administer nitrous oxide only after successfully completing a course in nitrous oxide administration that: 1. Is offered by an institution accredited by the Commission on Dental Accreditation of the American Dental Association;2. Is a minimum of fifteen (15) didactic hours and five (5) clinical hours;3. Includes no less than the following topics:a. Nitrous oxide techniques;b. Pharmacology of nitrous oxide;c. Nitrous oxide sedation medical emergency techniques; and d. Selection of pain control modalities, if available.4. Provides written evidence of successful course completion provided by the sponsoring organization; and5. Current certification in basic life and cardiopulmonary resuscitation at the "health care provider" level by a nationally recognized organization.B. A dental hygienist qualified to administer nitrous oxide shall have successfully completed a nitrous oxide examination administered by the CDCA C. A dental hygienist qualified to administer nitrous oxide shall do so only under the direct supervision of a dentist.D. If a dental hygienist graduated from an American Dental Association accredited school of dental hygiene that did not include a course in nitrous oxide that meets the requirements of § 2.12(A) of this Part, a course that meets such requirements shall be successfully completed before nitrous oxide may be administered by the dental hygienist.E. A dental hygienist who has qualified to administer nitrous oxide in another jurisdiction may qualify for endorsement by the Board to perform that function by presenting written documentation of training equivalent to § 2.12(A) of this Part, including successful completion of the nitrous oxide portion of the CDCA examination or successful completion of a substantially similar examination in the alternate jurisdiction.216 R.I. Code R. § 216-RICR-40-05-2.12
Amended effective 4/4/2019