|(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
(relating to Continuing Education for Certificate Holders). 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) (relating to Registration of Dental Assistants).
(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) The following words and terms, when used in this
section, shall have the following meanings, unless the context clearly
(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) A Texas-licensed dentist may delegate the monitoring
of the administration of nitrous oxide to a dental assistant, if the
(1) works under the direct supervision of the licensed
(2) holds a current nitrous oxide monitoring registration
granted by the provisions of this rule.
(d) A dental assistant wishing to obtain nitrous oxide
monitoring registration under this section must:
(1) pay an application fee set by board rule; and
(2) 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) successfully completed a current course in basic
life support; and
(C) completed a minimum of 8 hours of didactic education
and testing in monitoring the administration of nitrous oxide taken
through a CODA-accredited dental, dental hygiene or dental assisting
program, approved by the board, whose course of instruction includes:
(i) Texas jurisprudence, including but not limited
to: anesthesia standard of care, anesthesia/analgesia, enteral conscious
sedation, and this rule, regarding monitoring the administration of
(ii) dental anatomy and physiology;
(iv) sedation equipment;
(v) infection control;
(vi) patient monitoring; and
(vii) recognition and management of medical emergencies.
(e) The jurisprudence assessment may be completed to
satisfy the requirements set out in subsection (d)(2)(C)(i) of this
(f) 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) 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) Approved courses may be offered at annual meetings
of dental industry professional organizations.
(h) 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 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.