S.D. Admin. R. 20:43:09:10.01 - Delegation of injection of medication

A dentist may authorize a dental hygienist. registered dental assistant or dental assistant to inject medication through an intravenous site if the following requirements have been met:

(1) The dental hygienist registered dental assistant or dental assistant holds a permit to monitor patients under general anesthesia, deep sedation. or moderate sedation:

(2) The dental hygienist. registered dental assistant or dental assistant has successfully passed the Dental Anesthesia Assistant National Certification Examination administered by the American Association of Oral and Maxillofacial Surgeons and is currently certified in Dental Anesthesia Assisting by the American Association of Oral and Maxillofacial Surgeons:

(3) The supervising dentist holds a current permit to administer general anesthesia and deep sedation or moderate sedation:

(4) The supervising dentist draws up the medications that will be utilized during the procedure:

(5) The dental hygienist registered dental assistant, or dental assistant is operating under the personal supervision of the supervising dentist and the supervising dentist maintains direct visual supervision during the injection of the medication through an intravenous site:

(6) The supervising dentist authorizes the procedure by verbal command, clearly articulating the specific medication and the amount of the medication to be administered and the dental hygienist. registered dental assistant or dental assistant repeats the verbal command back to the supervising dentist before injecting medication through an intravenous site.

For purposes of this section, injecting medication through an intravenous site includes the following:

(1) Initiating an intravenous line for a patient being prepared to receive intravenous medications, sedation or general anesthesia, as directed by the supervising dentist;

(2) Adjusting the rate of intravenous fluids infusion to maintain the line patent or increase the rate of intravenous fluids infusion beyond a keep open rate, to a rate directed by the supervising dentist:

(3) Delivering medication into an intravenous line, as directed by the supervising dentist:

(4) Adjusting an electronic device to provide medications, such as an infusion pump, to a setting directed by the supervising dentist:

Notes

S.D. Admin. R. 20:43:09:10.01

42 SDR 83, effective 12/3/2015

General Authority: SDCL 36-6A-14(10)(13).

Law Implemented: SDCL 36-6A-14(10)(13)(22).