(a)Previous Nitrous Oxide Monitoring
Certificate Holders.
(1)Until September 1, 2019, the State Board of Dental
Examiners shall issue a "nitrous oxide monitoring registration" to
a dental assistant who holds a current nitrous oxide monitoring certificate
issued by the board before that date and who meets the continuing
education requirements established by the board under 22 TAC §114.12.
These persons will not be required to meet the requirements of subsection
(d) of this section to obtain or renew the nitrous oxide monitoring
registration. A nitrous oxide monitoring registration must be renewed
biennially in accordance with the requirements of Tex. Occ. Code §265.0017
and 22 TAC §114.2(d).
(2)Beginning on September 1, 2019, the board shall
cease issuing nitrous oxide monitoring registrations to any person
who does not comply with the provisions of subsection (d) of this
section. Persons who have obtained a nitrous oxide monitoring registration
under paragraph (a)(1) of this subsection may continue to practice
and renew their nitrous oxide monitoring registrations. Nitrous oxide
monitoring registrations which have been expired more than one year
may not be renewed, and instead shall require qualification under
subsection (d) of this section.
(b)[(a)] The following words
and terms, when used in this section, shall have the following meanings,
unless the context clearly indicates otherwise:
(1)"Dental industry professional organization"--any
organization, the primary mission of which is to represent and support
dentists, dental hygienists, and/or dental assistants.[;]
(2)"Didactic education" requires the presentation
and instruction of theory and scientific principles.
(3)"Direct Supervision" requires that the dentist
responsible for the procedure shall be physically present during patient
care and shall be aware of the patient's physical status and well-being.
(c)[(b)] A Texas-licensed dentist
may delegate the monitoring of the administration of nitrous oxide
to a dental assistant, if the dental assistant:
(1)works under the direct supervision of the licensed
dentist; and
(2)holds a current nitrous oxide monitoring registration
granted by the provisions of this rule.[is certified pursuant
to subsection (c) of this section.]
(d)[(c)] A dental assistant
wishing to obtain nitrous oxide monitoring registration[certification
] under this section must:
(1)pay [Pay] an application
fee set by board rule; and
(2)on [On] a form prescribed
by the board, provide proof that the applicant has:
(A)a dental assistant registration
issued by the board pursuant to 22 TAC §114.2 that is not expired
and is not under probated or enforced suspension;
(B)[(A)] successfully [
Successfully] completed a current course in basic life support;
and
(C)[(B)] completed [
Completed] a minimum of 8 hours of didactic education and testing
in monitoring the administration of nitrous oxide taken through a provider
[CODA-accredited dental, dental hygiene or dental assisting
program,] approved by the board under 22 TAC §104.2,
whose course of instruction includes:
(i)Texas jurisprudence [Jurisprudence],
including but not limited to: anesthesia standard of care, anesthesia/analgesia,
enteral conscious sedation, and this rule, regarding monitoring the
administration of nitrous oxide;
(ii)dental[Dental] anatomy and physiology;
(iii)pharmacology [Pharmacology];
(iv)sedation [Sedation] equipment;
(v)infection [Infection] control;
(vi)patient [patient] monitoring;
and
(vii)recognition [recognition]
and management of medical emergencies.
(e)[(d)] The jurisprudence assessment
may be completed to satisfy the requirements set out in subsection (d)(2)(C)(i)
[(c)(2)(B)(i)] of this section.
(f)[(e)] A program seeking to
offer a course in monitoring the administration of nitrous oxide must
submit a written request for approval to the board demonstrating that
it meets the requirements set forth in subsection (d)(2)(C) [
(c)(2)(B)] of this section. Additionally, all courses must include
a mandatory competency evaluation with a minimum of 50 test items.
Course documentation must be maintained by the course provider for
no less than three years.
(g)[(f)] Approved courses may
be offered at annual meetings of dental industry professional organizations.
(h)[(g)] Courses taken to satisfy
the requirements of this section are valid for five (5) years from
the date of course completion for nitrous oxide monitoring registration
[certification] purposes.
(i)Applicants for nitrous oxide monitoring
registration under this rule are ineligible if they are in violation
of a board order at the time of application.
The agency certifies that legal counsel has
reviewed
the proposal and found it to be within the state agency's legal authority
to adopt.
Filed with the Office
of the Secretary of State on October 19, 2018
TRD-201804576 W. Boyd Bush, Jr.
Executive Director
State Board of Dental Examiners
Earliest possible date of adoption: December 2, 2018
For further information, please call: (512) 475-0987
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