Dental assistants may not administer nitrous oxide to patients
but may monitor nitrous oxide sedation (as defined in rule
0460-02-.07 ) upon becoming
certified pursuant to the following process:
(1) A dental assistant must be currently
registered, pursuant to Rule 0460-04-.02, by the Board in order to be eligible
to attend a certification course in monitoring nitrous oxide and/or qualify for
(2) To be eligible
for certification, the registered dental assistant must successfully complete a
Board-approved nitrous oxide monitoring certification course, or have
successfully completed a comparable training course in another state, or be
currently enrolled in an ADA-accredited or Board-approved program which offers
this course as part of their curriculum. Once eligible for certification, the
registered dental assistant shall not monitor nitrous oxide until certification
has been issued by the Board.
If the registered dental assistant completed a nitrous oxide monitoring course
in another state which was approved by the board in the other state, the Board
consultant must determine the course to be equivalent to the Board-approved
course in Tennessee. The information regarding content of the course and proof
of completion must be sent directly from the course provider to the Board's
administrative office. If a certification or permit was issued by the other
state, verification of the certificate or permit must be received directly from
the other board. Once eligible for certification, the registered dental
assistant shall not monitor nitrous oxide until certification has been issued
by the Board.
(4) Nitrous oxide
monitoring certification shall be added to the registration of the registered
dental assistant, if the registered dental assistant has successfully completed
a Board-approved certification course and notification of completion has been
submitted to the Board's Administrative Office by the course director on a form
provided by the Board.
Registered dental assistants with nitrous oxide monitoring certification shall
only monitor patients under the direct supervision of a licensed Tennessee
dentist. This assistant shall not monitor more than one (1) patient at a time
and shall physically remain with the patient at all times.
(6) Registered dental assistants with nitrous
oxide monitoring certification are not permitted to administer nitrous oxide.
This assistant is only permitted to adjust the dosage or terminate the nitrous
oxide at the specific direction and under the protocol of the supervising
dentist or in cases of patient distress.
(7) Registered dental assistants with nitrous
oxide monitoring certification shall prominently display their current
registration certificate, which is received upon registration and renewal, at
their place of employment.
Certification in monitoring nitrous oxide is only valid as long as the
registered dental assistant has a current registration. If the registration
expires or is retired, the certification is also considered expired or retired
and the dental assistant may not monitor nitrous oxide until the registration
is reinstated or reactivated.
Application review and decisions required by this Rule shall be governed by
Tenn. Comp. R. & Regs.
Original rule certified
June 7, 1974. Repeal filed August 26, 1980; effective December 1, 1980.
Amendment filed October 13, 1983; effective November 14, 1983. Repeal and new
rule filed December 11, 1991; effective January 25, 1992. Amendment filed
February 18, 2003; effective May 4, 2003. Amendment filed September 17, 2003;
effective December 1, 2003. Amendment filed October 12, 2007; effective
December 26, 2007.
Authority: T.C.A. §§
4-5-204, 63-5-105, 63-5-105(3),
63-5-105(4), 63-5-105(7), 63-5-108, 63-5-108(b) through 63-5-108(d), and