Administrative Rules of Montana
Department 24 - LABOR AND INDUSTRY
Chapter 24.138 - BOARD OF DENTISTRY
Subchapter 24.138.4 - General Provisions
Rule 24.138.425 - LIMITED ACCESS PERMIT TREATMENT GUIDELINES - PRACTICING UNDER PUBLIC HEALTH SUPERVISION
Universal Citation: MT Admin Rules 24.138.425
Current through Register Vol. 18, September 20, 2024
(1) Pursuant to 37-4-405, MCA, the LAP dental hygienist practicing under public health supervision, including providing prescriptive services, shall adhere to the following medical health guidelines:
(a) The LAP dental
hygienist shall gather and review the patient's current medical history,
including but not limited to:
(i) diagnosed
chronic diseases;
(ii) surgical
procedures;
(iii) medications;
(iv) drug allergies and/or adverse
reactions;
(v) blood pressure and
pulse rate; and
(vi) previous
difficulty associated with dental procedures.
(b) The LAP dental hygienist may provide
dental hygiene preventative services to a patient without prior physician,
dentist, nurse practitioner, or physician assistant authorization, unless the
patient has:
(i) a medical condition
requiring premedication;
(ii)
uncontrolled hypertension; or
(iii)
uncontrolled diabetes.
(c) If a patient has one or more severe
systemic diseases, the LAP dental hygienist shall consult with a physician,
dentist, nurse practitioner, or physician assistant responsible for the
patient's care regarding the appropriateness of treatment and the conditions
under which to provide dental hygiene preventative services.
(2) Pursuant to 37-4-405, MCA, the LAP dental hygienist practicing under public health supervision shall adhere to the following dental health guidelines:
(a) The LAP dental hygienist shall provide to
the public health facility a disclaimer indicating that the dental hygiene
preventative services provided do not preclude the need for a comprehensive
examination by a licensed dentist.
(b) The LAP dental hygienist shall recommend
patient referral to a licensed Montana dentist once each calendar year, or as
the patient's dental health status indicates. The patient's records shall be
made available for continued comprehensive dental care.
(c) The LAP dental hygienist shall document
the patient dental history and conduct a screening appraisal prior to providing
dental hygiene preventative services.
(d) If a LAP dental hygienist exposes
radiographs, a licensed Montana dentist shall evaluate the radiographs within
30 days of exposure.
(e) The LAP
dental hygienist shall maintain a dental record including, but not limited to:
(i) adverse medical history;
(ii) dental history and charting;
(iii) results of dental screening;
(iv) summary of discussions and consultations
with a physician(s) and/or dentist(s);
(v) dental hygiene preventative services
provided;
(vi) any agent
prescribed, administered, or dispensed including dose amount and refill, date
of the action, and rationale for prescribing; and
(vii) any radiographs exposed.
(f) Patient dental records shall
be the responsibility of the public health facility where the dental hygiene
preventative services are provided.
AUTH: 37-1-131, 37-4-205, 37-4-401, 37-4-405, MCA IMP: 37-1-131, 37-4-401, 37-4-405, MCA
Disclaimer: These regulations may not be the most recent version. Montana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
