Ohio Admin. Code 4715-11-03.2 - Certified assistant; practice when the dentist is not physically present
(A)
Subject to the requirements set forth in paragraph (B)
of this rule, the certified assistant may provide all of the following services
to a patient when the supervising dentist is not physically present at the
location where the services are provided:
(1)
Recementation of
temporary crowns or recementation of crowns with temporary
cement;
(2)
Application of fluoride varnish;
(3)
Application of
disclosing solutions;
(4)
Application of desensitizing agents;
(5)
Caries
susceptibility testing;
(6)
Instruction on oral hygiene home care, including the
use of toothbrushes and dental floss; and
(7)
Pit and fissure
sealants if the educational requirement of paragraph (B)(1)(a) and the
observation requirement in paragraph (B)(1)(c) of rule
4715-11-03
of the Administrative Code have been satisfied.
(B)
A currently
certified assistant may provide the dental assistant services in paragraph (A)
of this rule for not more than fifteen consecutive business days, to a patient
when the supervising dentist is not physically present at the location at which
the services are provided if all of the following requirements are met:
(1)
The certified
assistant has at least two years and a minimum of three thousand hours of
experience practicing as a dental assistant. This experience shall be
documented on a form supplied by the board, with any necessary supporting
documentation attached, and the form shall be maintained in the facility(s)
where the certified assistant is working.
(2)
The certified
assistant has successfully completed a course approved by the state dental
board in the identification and prevention of potential medical emergencies.
This board approved course shall be taken through a permanent sponsor, shall be
at least four hours in duration, and shall include, at a minimum, the following
topics:
(a)
Medical history;
(b)
Recognition of common medical emergency
situations;
(c)
Office emergency protocols;
(d)
Basic airway
management;
(e)
Prevention of emergency situations during dental
appointments; and
(f)
Recognition of symptoms, first aid treatment and
possible outcomes for patients who exhibit bleeding injuries, cardiovascular
disease, insulin reaction, diabetic coma, shock, syncope, epileptic seizures
and allergic reactions.
(3)
The supervising
dentist has evaluated the certified assistant's skills and has made a
determination that the certified assistant is competent to treat patients
without the dentist being physically present. This determination shall be
documented on a form supplied by the board, and the form shall be maintained at
the facility(s) where the certified assistant is working.
(4)
The supervising
dentist examined the patient not more than one year prior to the date the
certified assistant provides the dental assisting services to the
patient.
(5)
The supervising dentist has established written
protocols or written standing orders for the dental assistant to follow during
and in the absence of an emergency.
(6)
The supervising
dentist completed and evaluated a medical and dental history of the patient not
more than one year prior to the date the certified assistant provides dental
assisting services to the patient, and the supervising dentist determines that
the patient is in a medically stable condition.
(7)
In advance of the
appointment for dental assistant services, the patient is notified that the
supervising dentist will be absent from the location and that the certified
assistant cannot diagnose the patient's dental health care status. This
notification must be documented in the patient record.
(8)
The dental
assistant is employed by, or under contract with, one of the following:
(a)
The supervising
dentist;
(b)
A dentist licensed under this chapter who is one of the
following:
(i)
The employer of the supervising dentist;
(ii)
A shareholder in
a professional association formed under Chapter 1785. of the Revised Code of
which the supervising dentist is a shareholder;
(iii)
A member or
manager of a limited liability company formed under Chapter 1705. of the
Revised Code of which the supervising dentist is a member or
manager;
(iv)
A shareholder in a corporation formed under division
(B) of section 1701.03 of the Revised Code of
which the supervising dentist is a shareholder;
(v)
A partner or
employee of a partnership or a limited liability partnership formed under
Chapter 1775. or 1776. of the Revised Code of which the supervising dentist is
a partner or employee.
(c)
A government
entity that employs the dental assistant to provide services in a public school
or in connection with other programs the government entity
administers.
(C)
A certified
assistant may apply pit and fissure sealants prior to a dentist examining the
patient and rendering a diagnosis, and when a dentist is not physically present
at the location where the service is provided, if all of the following are the
case:
(1)
The
educational requirement in paragraph (B)(1)(a) of rule
4715-11-03
of the Administrative Code has been satisfied.
(2)
All of the
conditions specified in paragraph (B) of this rule have been satisfied, except
for paragraphs (B)(4) and (B)(6) of this rule.
(3)
The dental
assistant is providing the service as part of a program operated through any of
the following: a school district board of education or the governing board of
an educational service center; the board of health of a city or general health
district or the authority having the duties of a board of health under section
3709.05 of the Revised Code; a
national, state, district, or local dental association; or any other public or
private entity recognized by the state dental board.
(4)
A supervising
dentist for the program described in paragraph (C)(3) of this rule meets both
of the following conditions:
(a)
Is employed by or a volunteer for, and the patients are
referred by, the entity through which the program is operated;
(b)
Is available for
consultation by telephone, video conferencing, or other means of electronic
communication.
(5)
The application of pit and fissure sealants is limited
to erupted permanent posterior teeth without suspicion of dentinal
cavitation.
(6)
If the patient is a minor, a parent, guardian, or other
person responsible for the patient has been notified that a dentist will not be
present at the location and that the dental assistant is not trained to
diagnose or treat other serious dental concerns that could
exist.
Notes
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39, 4715.62, 4715.66
Rule Amplifies: 4715.03, 4715.39, 4715.62, 4715.66
Prior Effective Dates: 09/12/2016
Promulgated Under: 119.03
Statutory Authority: 4715.03, 4715.39, 4715.62, 4715.66
Rule Amplifies: 4715.03, 4715.39, 4715.62, 4715.66
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