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(a) A dentist may delegate the administration of nitrous oxide to a dental hygienist who is licensed under AS 08.32 and has completed a course of instruction in administering nitrous oxide that meets the requirements of (b) or (c) of this section. The dentist shall provide either direct or indirect supervision of a dental hygienist administering nitrous oxide.
(b) A course of instruction for administering nitrous oxide, provided by an organization accredited by the Commission on Dental Accreditation of the American Dental Association, must contain a minimum of three hours of clinical and three hours of didactic instruction.
(c) A course of instruction approved by the board must contain
(1) a minimum of three hours of clinical instruction sufficient to establish the hygienists' ability to
(A) inspect, operate, and decontaminate nitrous oxide delivery and scavenging systems;
(B) properly induce nitrous oxide conscious sedation; and
(C) recognize and counteract complications;
(2) a minimum of three hours of didactic instruction including
(A) sedation techniques;
(B) physiology of respiration and pharmacology of nitrous oxide;
(C) nitrous oxide machines;
(D) induction techniques; and
(E) complications and their management;
(3) procedures for determining whether the hygienist has acquired the necessary knowledge and proficiency to administer nitrous oxide sedation.
(d) A dentist shall ensure that a patient receiving nitrous oxide is observed at all times, and that any adverse reaction or complication is reported to the dentist immediately.
(e) In this section,
(1) "administration of nitrous oxide" means dispensing, applying, or offering nitrous oxide to a dental patient;
(2) "direct supervision" has the meaning given in AS 08.32.190 ;
(3) "indirect supervision" has the meaning given in AS 08.32.190 .
History: Eff. 6/17/98, Register 146; am 1/28/2000, Register 153
Authority: AS 08.32.110
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Last modified 7/05/2006