Current through September 24, 2024
A licensed dental hygienist in Tennessee must obtain
certification to administer local anesthesia before he/she can administer local
anesthesia on any patient.
(1)
Qualifications for Certification - One (1) of the following qualifications must
be completed:
(a) Be a graduate of an ADA
Commission on Dental Accreditation approved dental hygiene program which
teaches the administration of local anesthesia to clinical competency;
or
(b) Complete a Board-approved
certification course in administration of local anesthesia; or
(c) Have completed a comparable dental
hygiene training program on administration of local anesthesia in another
state, which is comparable to the Board-approved course. The licensed dental
hygienist is eligible to apply directly to the Board for certification in
administration of local anesthesia without additional training, provided the
course is determined by the Board consultant to be equivalent to the
Board-approved course in Tennessee. The course provider must submit the
curriculum, including the number of hours and injections required in the
course, and a letter attesting that the course was taught to clinical
competency to the Board's Administrative Office. If a certification or permit
was issued by the other state, verification of the certificate or permit must
be received directly from the other board. If it is determined that the course
is not equivalent, the licensed dental hygienist will be required to comply
with the provisions of subparagraphs (a) or (b) before certification can be
issued.
(2) Procedures
for Certification - After successful completion of a Board-approved
certification course, an ADA Commission on Dental Accreditation dental hygiene
program which included instruction in the administration of local anesthesia or
a certification course from another state that is equivalent to the
Board-approved course, an applicant shall:
(a)
Submit a completed application on a form provided by the Board Administrative
Office; and
(b) Cause verification
of successful completion of the course attesting that the course was taught to
demonstrate clinical competency to be sent directly from the school to the
Board Administrative Office. If the course was Board-approved, a temporary
permit will be issued pending verification of completion of the
externship.
(3)
Conditions of Certification
(a) Certification
in administration of local anesthesia is valid only when the dental hygienist
has a current license to practice dental hygiene. If the license expires or is
retired, the certification is also considered expired or retired and the dental
hygienist may not perform administration of local anesthesia until the license
is reinstated or reactivated.
(b) A
licensed dental hygienist with certification to administer local anesthesia
shall prominently display, at the place of employment, the current renewal
certificate, which is received upon licensure and renewal.
(c) A licensed dental hygienist with
certification to administer local anesthesia shall administer local anesthesia
only under the direct supervision of a licensed dentist who
1. Examines the patient before prescribing
the procedures to be performed; and
2. Is physically present at the same office
location when the local anesthesia is administered; and
3. Designates a patient of record upon whom
the procedures are to be performed and describes the procedures to be
performed; and
4. Examines the
patient upon completion of the procedures.
(d) Following the administration of local
anesthesia by a licensed dental hygienist the following information shall be
documented in the patient record:
1. Date and
time of administration;
2. Identity
of individual administering;
3.
Type of anesthesia administered;
4.
Dosage/amount administered;
5.
Location/site of administration; and
6. Any adverse reaction.
Authority: T.C.A. §§
4-5-202,
4-5-204,
63-5-105,
63-5-108, 63-5-115, and 63-5-116.