12 AAC 28.340. Requirements for course of instruction in local anesthetics

A course of instruction in local anesthetics must include

(1) at least 16 clock hours of classroom lecture;

(2) at least eight clock hours of laboratory instruction during which time three injections each of the anterior palatine, incisive palatine, anterior and middle superior alveolar, posterior superior alveolar, inferior alveolar, mental, long buccal, and infiltration injections are administered;

(3) clinical experience sufficient to establish the hygienist's ability to adequately anesthetize the entire dentition and supporting structures in a clinical setting, requiring not less than six clock hours, under the direct supervision of course faculty;

(4) instruction in

(A) medical history evaluation procedures;

(B) anatomy of the head, neck and oral cavity as it relates to administering local anesthetic agents;

(C) pharmacology of local anesthetic agents, vasoconstrictors and preservatives, including physiologic actions, types of anesthetics, and maximum dose per weight;

(D) systemic conditions which influence selection and administration of anesthetic agents;

(E) signs and symptoms of reactions to local anesthetic agents, including monitoring of vital signs;

(F) management of reactions to, or complications associated with, the administration of local anesthetic agents to include

(i) a currently valid cardiopulmonary resuscitation certification card from either the American Heart Association or the American Red Cross; or

(ii) a provision for instruction and certification in cardiopulmonary resuscitation from an instructor certified in cardiopulmonary resuscitation by the American Heart Association or the American Red Cross as a part of the course curriculum;

(G) selection and preparation of the armamentaria for administering various local anesthetic agents;

(H) methods of administering local anesthetic agents with emphasis on

(i) technique;

(ii) aspiration;

(iii) slow injection;

(iv) minimum effective dosage.

(5) instruction by a faculty member of the college or university presenting the course; and

(6) procedures for determining whether the hygienist has acquired the necessary knowledge and proficiency to administer local anesthetic agents.

History: Eff. 5/31/81, Register 78; am 3/30/2001, Register 157

Authority: AS 08.32.110

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