Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
313 - BOARD OF DENTAL PRACTICE
Chapter 12 - PRACTICE REQUIREMENTS
Section 313-12-II - SPECIFIC PRACTICE REQUIREMENTS - ADMINISTRATION OF NITROUS OXIDE ANALGESIA
Universal Citation: 02 ME Code Rules ยง 313-12-II
Current through 2024-38, September 18, 2024
A. DENTAL HYGIENIST RESPONSIBILITIES
(1)
Limitations. A dental hygienist who is not authorized to
administer nitrous oxide analgesia from the Board may, during nitrous oxide
analgesia administration by the dentist, observe the gauges and advise the
dentist of any changes in gauge indices or readings but shall not in any way or
under any circumstances adjust, manipulate, or control the nitrous oxide
apparatus or equipment.
(2)
Authorization. A dental hygienist issued a permit or authority to
administer nitrous oxide analgesia may administer nitrous oxide analgesia
utilizing induction via titration and not to exceed 50% concentration under the
direct supervision of a dentist.
B. DENTIST RESPONSIBILITIES
(1) A dentist who is providing the direct
supervision of the administration of nitrous oxide analgesia must:
(a) Decide which patient will receive nitrous
oxide analgesia and document this decision by note or prescription in the
patient dental record;
(b) Note in
the patient dental record the condition of the patient's recovery prior to the
patient's discharge; and
(c)
Utilize engineering controls and maintenance procedures to ensure safety of
inhalation equipment.
(2) A dentist who is supervising the delivery
of nitrous oxide analgesia or providing the delivery of nitrous oxide analgesia
to a patient is responsible to ensure that any nitrous oxide delivery system
within the dental practice adheres to the hazard controls recommendations of
nitrous oxide during anesthetic administration as established by the following
publications of the U.S. Department of Health and Human Services ("DHHS"), CDC,
National Institute for Occupational Safety and Health (NIOSH):
(a) DHHS (NIOSH) Publication No. 94-100,
"Controlling Exposures to Nitrous Oxide During Anesthetic
Administration"
(b) DHHS (NIOSH)
Publication No. 94-118, "NIOSH Warns: Nitrous Oxide Continues to Threaten
Health Care Workers" and
(c) DHHS
(NIOSH) Publication No. 96-107, "Control of Nitrous Oxide in Dental
Operatories."
Copies of the foregoing publications may be obtained on line at http://www.cdc.gov/niosh/pubs.html by calling 1-800-356-4674, or by writing to the physical address at:
NIOSH
4676 Columbia Parkway, Mail Slot C-13
Cincinnati, OH 45226
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