Each licensed dental hygienist seeking to administer (initiate,
adjust, monitor, and terminate) nitrous oxide-oxygen
(N2O-O2) minimal sedation must
have completed a basic life-support training course certified by the American
heart association, the American red cross, or the American safety and health
institute, and remain current at all times when administering
N2O-O2 minimal sedation. In order
to administer N2O-O2 minimal
sedation the dental hygienist must have completed the education and examination
requirements set forth in paragraph (A) or (B) of this rule.
(A) The licensed dental hygienist has
successfully completed a six hour course in the administration of
N
2O-O
2 minimal sedation provided
by a permanent sponsor. The course shall include no less than four hours of
didactic instruction and at least two hours of clinical experience. The course
shall include, at a minimum, the following:
(1) The didactic component shall include the
following topics:
(a) The history, philosophy
and psychology of N2O-O2 minimal
sedation
(b) Definition and
descriptions of the physiological and psychological aspects of pain and anxiety
(c) Concepts and management of
pain and anxiety
(d) Indications
and
contraindications for
N2O-O2 minimal
sedation
physiology of respiration
(e) Anatomy and physiology of
respiration
(f) Pharmacological
and physiological effects of nitrous oxide
(g) Description of the stages of drug induced
central nervous system depression through all levels of consciousness and
unconsciousness with special emphasis on the distinction between the conscious
and unconscious state
(h) Medical
assessment of the patient prior to administration of
N2O-O2 minimal sedation
(i) Moderate and deep
sedation/general anesthesia versus minimal sedation
(j) Armamentarium used in the administration
of N2O-O2 minimal sedation
(k) Initiation, adjustment,
monitoring, and termination of
N2O-O2 minimal sedation
(l) Management of complications
and medical emergencies
(m) Legal
and ethical considerations
(n)
Occupational exposure
(2) The clinical experience shall include at
least the following topics:
(a) Patient
status assessment
(b) Safe and
effective use of appropriate armamentarium
(c) Techniques for administration of
N2O-O2 minimal sedation
(d) Post-operative care of the
patient
(3) Successful
completion of a written examination provided by the board-approved permanent
sponsor.
(4) A clinical
competency, provided by the board-approved sponsor, must be completed.
(5) A certificate, documenting
successful completion of the course, must be provided to the dental hygienist
by the permanent sponsor within ten days after successful completion of the
course, examination, and clinical competency examination. The original
certificate or a copy must be maintained in the office(s) wherein the dental
hygienist practices.
(B) A dental hygienist shall be exempt from
completing a N
2O-O
2 minimal
sedation administration course and the examination requirements provided in
paragraph (A) of this rule for either of the following:
(1) The licensed dental hygienist holds a
current dental hygiene license, certificate, permit, registration, or other
credential issued by another state for the administration of
N2O-O2 minimal sedation if the
training received is substantially equivalent, as determined by the board, to
the required hours, content and examination requirements of the course
described in paragraph (A) of this rule.
(2) The license dental hygienist has
graduated on or after January 1, 2010 from an American dental association
commission on dental accreditation approved dental hygiene program and has
completed the equivalent training within the dental hygiene curriculum.
Completion of basic life-support and all education and
examination requirements for the administration of
N2O-O2 minimal sedation shall be
documented on a form supplied by the board, with any necessary supporting
information attached. This form shall be maintained in the facility(s) where
the dental hygienist is working. The board retains the right and authority,
upon notification, to audit, monitor or request evidence demonstrating
adherence to Chapter 4715. of the Revised Code and/or agency 4715 of the
Administrative Code.
Notes
Ohio Admin. Code
4715-9-01.2
Five Year Review (FYR) Dates:
10/1/2021 and
10/01/2026
Promulgated
Under: 119.03
Statutory
Authority: 4715.03,
4715.39
Rule
Amplifies: 4715.23,
4715.39
Prior
Effective Dates: 12/24/2010,
09/17/2011
Five Year Review (FYR) Dates:
09/27/2016 and
09/25/2021
Promulgated
Under: 119.03
Statutory Authority: 4715.03, 4715.39
Rule
Amplifies: 4715.23, 4715.39
Prior Effective Dates: 12/24/2010,
09/17/2011
