Current through Register Vol. 63, No. 9, September 1, 2024
(1) A
dentist may supervise and enter into collaborative agreements with up to three
dental therapists at any one time.
(2) A dental therapist may enter into a
collaborative agreement with more than one dentist if each collaborative
agreement includes the same supervision and requirements of scope of
practice.
(3) The collaborative
agreement must include at least the following information:
(a) The level of supervision required for
each procedure performed by the dental therapist;
(b) Circumstances under which the prior
knowledge and consent of the dentist is required to allow the dental therapist
to provide a certain service or perform a certain procedure;
(c) The practice settings in which the dental
therapist may provide care;
(d) Any
limitation on the care the dental therapist may provide;
(e) Patient age-specific and
procedure-specific practice protocols, including case selection criteria,
assessment guidelines and imaging frequency;
(f) Procedures for creating and maintaining
dental records for patients treated by the dental therapist;
(g) Guidelines for the management of medical
emergencies in each of the practice settings in which the dental therapist
provides care;
(h) A quality
assurance plan for monitoring care provided by the dental therapist, including
chart review, patient care review and referral follow-up;
(i) Protocols for the dispensation and
administration of drugs by the dental therapist, (as described in ORS 679.621)
including circumstances under which the dental therapist may dispense and
administer drugs;
(j) Criteria for
the provision of care to patients with specific medical conditions or complex
medical histories, including any requirements for consultation with the dentist
prior to the provision of care; and
(k) Protocols for when a patient requires
treatment outside the dental therapist's scope of practice (in accordance with
ORS 679.618), including for referral of the patient for evaluation and
treatment by the dentist, a physician licensed under ORS chapter 677, a nurse
practitioner licensed under ORS
678.375 to
678.390 or other licensed health care provider.
(4) In addition to the information described
in subsection (3) of this section, a collaborative agreement must include a
provision that requires the dental therapist to consult with a dentist if the
dental therapist intends to perform an irreversible surgical procedure under
general supervision on a patient who has a severe systemic disease. Severe
systemic disease is defined as ASA III.
