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WX!FXXWXX!FXXWX!F  _      9  M-XX!F:M-  ,    ?+ 4 <DL!X?&  9  LocalanesthesiaPRIVILEGESfordentalhygienistsinWest  VirginiaB     >C  '9݌   Ќ  :XX.:X!FX:X   ,  E+ 4 <DL!4X!E9  M-XX!F:M-    & 0 9k  DEFINITIONSB     (C  9k݌  Ќ  :XX:X!FXX:X  9  M-XX!F:M-    9  LocalAnesthesiameanstheeliminationofsensations,especially   pain,inonepartofthebodybytopicalapplicationorregional   injectionofdrugswithoutcausingthelossofconsciousness.B    jC  '09R݌   Ќ  :XX:X!FXX:X  M-XX!F:M- ApprovedcoursemeansacourseinwhichtheBoardhasapproved    fortheeducationandclinicaltrainingoflicensedԀdentalhygieniststo   administerlocalanesthesia:XX:X!FXX:X.   9  M-XX!F:M-    &   9  BoardmeanstheWestVirginiaBoardofDentalExaminersB     C  ' # 9/ ݌   Ќ  :XX:X!FXX:X  M-XX!F:M- Clockhourmeans50to60minutesofinstruction  A  ::::    A   DentalHygienistmeansapersonlicensedbytheBoardwho 4 providespreventativeoralhealthcareservicestopatientsinthe @ dentaloffice:Provided,Thatnooccupationaltitleotherthandental L hygienistmaybeusedtodescribethisauxiliary.A f ݌ X Ќ  ::::  A  ::::    A@   A@ ݌̌  ::::  DentistmeansanindividuallicensedbytheBoardtopractice  p dentistry ,| A  ::::    A  A6݌ 8 Ќ  ::::  9  ::::    &   9  LOCALANESTHESIAPRIVILEGESFORDENTALHYGIENISTSB     C  ' DW9c݌ D Ќ  ::::  A  ::::   X  ?(4 4 <DL!X!?A  A. 4 AftersatisfyingtheBoardsrequirementstoadministerlocal \  anesthesia,adentalhygienistmayadministerinfiltrationand h! blockanesthesiaunderthedirectsupervisionofadentistand t" afterdelegatedtodueso. Al݌ # Ќ  ::::   XB+ 4 <DL!44X!B   X?(4 4 <DL!X!?B. 4 Competencetoadministerlocalanesthesiamustbe %  demonstratedbysuccessfullycompletingacourseconsistingof &!! atleast: '#"  H(03\/ /" "  ,XB+ 4 <DL!44X!B  ,?(` ` <DL!X!?t2  1  )3     ` 12hoursofdidacticinstruction,2)15hoursofclinical ( $# application,:XX:X!FXX:XԀM-XX!F:M-and/or3)anequivalentlocalanesthesia )%$ curriculumastaughtbydentalschoolsaccreditedbythe *$&% CommissiononDentalAccreditation.:XX:X!FXX:XԀM-XX!F:M-Thecoursecontent +0'& mustinclude,butnotbelimitedto:tL݌ ,<(' Ќ X' 44X!` ` X!'    J(00H/ /""  ,XB+ 4 <DL!44X!B  > F,?(" " <DL!X!?2  1  .3     Indicationsandcontraindicationsfortheuseoflocal  anestheticagents݌   Ќ XF* 44X!"  " X!* >  > FX<%" " <DL!44X!<2. " Medicalhistoryevaluationprocedures  3. " Headandneckanatomy $ >  :::: F?% <DL!" " X!?  F  <%" " <DL!  X!<&   >  4. " TheoryofpaincontrolB     C  ' >%݌ 0 Ќ  FF*" " X!" " X!*::::  ?%" " <DL!" " X!?&   5. " Reviewofcardiovascularandrespiratorysystems'    < 6. " Pharmacologicalactionofanestheticsand  H vasoconstrictors  T 7. " Psychologicalaspectsofpaincontrol  ` B(" 4" <DL!" " X!B8. " Selectionofpaincontrolmodalities l  B%" " <DL!" 4" X!B9. " Complicationsandmanagementoflocalanesthetic (x  emergencies 4   H(00J"" > XFE+4 4 <DL!" " X!E  > FX?(" " <DL!4X!?#2  1  .3     " Systemiccomplications#$݌ @  Ќ FF-" " X!" " X!- >>  ?%" " <DL!" " X!?11. " Properinfectioncontroltechniques L  G  >>:::: FB(  <DL!" " X!B  F  ?%" " <DL! X!?G&  12. " Techniqueofadministrationofmaxillaryandmandibular X injectionsG&"'݌ d Ќ  FF*" " X!" " X!*:::: >>  ?%" " <DL!" " X!?13. " Laboratoryandclinicalpractice p 14. " Recordkeeping | 15. " Medico/legalaspectsoflocalanesthesia   > ,FE+ 4 <DL!" " X!E@  :::: ,,E+ 4 <DL!4X!E   ,  E+ 4 <DL!4X!E@)  Thecoursemustalsoinclude,butnotlimitedto:@) +݌  Ќ  ,'4X!X!'::::   @  :::: ,,E+ 4 <DL!4X!E   ,  E+ 4 <DL!4X!E@ ,  Competencyevaluationsforeachoftheareasbelow:@ ,S-݌  Ќ  ,'4X!X!'::::   @  :::: ,,E+ 4 <DL!4X!E    @k.  @k.=/݌  Ќ  ,,*4X!4X!*::::    L(00H/ /""  ,,E+ 4 <DL!4X!E  X,?(4 4 <DL!X!?02  1  .3     4 Inferioralveolar/lingualnerveblock01݌  Ќ ,X'4X!44X!'   ""  ,,E+ 4 <DL!4X!E  X,?(4 4 <DL!X!?22  2  .3     4 Mentalnerveblock23݌   Ќ ,X'4X!44X!'   ""  ,,E+ 4 <DL!4X!E  X,?(4 4 <DL!X!?n42  3  .3     4 Longbuccalnerveblock;andn4I5݌ , Ќ ,X'4X!44X!'   ""  ,,E+ 4 <DL!4X!E  X,?(4 4 <DL!X!?;62  4  .3     4 MaxillaryandMandibularInfiltration;67݌ 8 Ќ ,X'4X!44X!'   :XX:X!FXX:X@  M-XX!F:M- ,,E+ 4 <DL!4X!E    @O8  @O8!9݌  D Ќ  ,,*4X!4X!*:XX:X!FXX:X   @  M-XX!F:M- ,,E+ 4 <DL!4X!E   ,  E+ 4 <DL!4X!E@ :  C. 4 Thecoursemustbetaught:@ :<;݌ "P Ќ  ,'4X!X!':XX:X!FXX:X    J(00L/ /""  ,,E+ 4 <DL!4X!E   ,?( ` <DL!X!?M-XX!F:M-<2  1  .3    :XX:X!FXX:X ` M-XX!F:M-Onlocationatadentalordentalhygieneprogramaccredited  #\ bytheCommissiononDentalAccreditationofthe $h AmericanDentalAssociationand/orapprovedbythe $%t  Board.<!>݌ 0&!  Ќ ,*4X! ` X!*   ""  ,,E+ 4 <DL!4X!E   ,?( ` <DL!X!?Z@2  2  .3     ` Bythefacultyofanaccrediteddentalordentalhygiene <'"! institutionwhoaretrainedinlocalanesthesiaandactively H(#" involvedinclinicalinstruction.Z@CA݌ T)$# Ќ ,*4X! ` X!*   ""  ,,E+ 4 <DL!4X!E   ,?( ` <DL!X!?B2  3  .3     ` Withafacultystudentratiomaintainednotinexcessof1to `*%$ 6forclinicalinstruction.BC݌ l+&% Ќ ,*4X! ` X!*   :XX:X!FXX:XA  M-XX!F:M-   ,  ?% <DL!4X!?AOE  4. AfterawrittenrequestissubmittedtotheBoardincluding x,'& allcoursecontentasspecifiedherein.AOEF݌ -(' Ќ  :XX:X!FXX:X   B+ 4 <DL!  X!BM-XX!F:M-AllinstitutionswithapprovedcoursesshallkeeptheBoardinformed  priortoanychangesincourseobjectives,and/orԀcontentatthetime   suchchangesoccur.  A  ::::    AH  TheBoardmay,atanytimedenyorrescindapprovalofanapproved 0 courseforfailuretomeetorcontinuetomeetthecriteriaforapproval  < ofacourse.AHQI݌  H Ќ  ::::  Coursesofferedpursuanttothisrulearesubjecttounannounced  ` auditsbytheBoard.AnyBoardmemberordesigneeoftheBoard l  shallbeprovidedfullaccesstocoursematerialsortheԀclassroomor (x  clinicduringinstruction. 4   ?( <DL!X!?  XB(4 4 <DL!  X!BD. 4 Uponcompletionoftheapplicationprocessandwithin12 L  monthsofcoursework,theapplicantmustpassawritten X examinationprovidedbytheNortheastRegionalBoard(NERB) d orequivalentstateorregionalexaminationwithaminimum p scoreofseventyfive(75%). |   XB+ 4 <DL!44X!B  X?(4 4 <DL!X!?E. 4 Adentalhygienistwhohasbeenlicensedandtrainedto  administerlocalanesthesiainanotherstatemayqualifyfor  localanesthesiaadministrationbypresentingwritten  documentationoflicensureandtrainingtotheBoard,providing  theymeettherequirementssetforthherein.    XB+ 4 <DL!44X!B  X?(4 4 <DL!X!?F. 4 Followingadministrationoflocalanesthesiabyalicensed , dentalhygienistthefollowinginformationshallbedocumented 8 inthepatientrecord.  D / /""  ,XB+ 4 <DL!44X!B  X,?(4 4 <DL!X!?7R2  1  .3     4 Dateofadministration7RS݌ "P Ќ XX$ 44X!44X!$   ""  ,XB+ 4 <DL!44X!B  X,?(4 4 <DL!X!?S2  2  .3     4 IdentityofindividualadministeringtheanestheticST݌  #\ Ќ XX$ 44X!44X!$   ""  ,XB+ 4 <DL!44X!B  X,?(4 4 <DL!X!?U2  3  .3     4 TypeofanesthesiaadministeredUV݌ $h Ќ XX$ 44X!44X!$   ""  ,XB+ 4 <DL!44X!B  X,?(4 4 <DL!X!?W2  4  .3     4 Dosage/amountadministeredWxX݌ $%t  Ќ XX$ 44X!44X!$    XB+ 4 <DL!44X!BB  ::::     BY  REQUIREMENTSFORAPPROVALOFALICENSEDDENTAL <'"! HYGIENISTFORADMINISTRATIONOFLOCALANESTHESIABY8Z݌ H(#" Ќ  ::::  Dentalhygienistsmust: `*%$ F  :::: <% <DL!X!<    F}[  1. SubmitanapplicationtotheBoardforapprovalto l+&%  administerlocalanesthesia. F}[F\݌ x,'& Ќ  $ X!  X!$::::   F  :::: <% <DL!X!<    F]  2. Holdacurrentlicensetopracticedentalhygieneinthe   StateofWestVirginiaF]r^݌   Ќ  $ X!  X!$::::    N(00J/ /""  ,B+ 4 <DL!X!B   ,?( ` <DL!X!?`2  3  .3     ` SubmitproofofsuccessfulcompletionofaBoardapproved  courseandpassageofawrittenexaminationwithascore $ of75%.`ea݌ 0 Ќ ' X! ` X!'   <% <DL!X!<Applicantstakingoutofstatecoursesmust:  <   9"z z <DL!  X!9a. z SubmitanapplicationtotheBoard  H  P(00N/ /""  ,E+ 4 <DL!z z <X!E  ,9"z z <DL!X!9d2  b  .3     z Providecoursesyllabus,nameandlocationof  T institution,dateofcourseandcertificateof  ` completionofaminimumofa27hourcourseof l  theiroriginalcourseandlatestrefreshercourse (x  taken.Thecoursemustmeetorexceedthebasic 4  courserequirementssetforthbytheBoardfor @  didacticandclinicalinstruction.de݌ L  Ќ *z z <X!z z <X!*   ""  ,E+ 4 <DL!z z <X!E  ,9"z z <DL!X!9h2  c  .3     z TaketheclinicalcourseoutlinedbytheBoard X unlessotherwiseapprovedbytheBoardandhh݌ d Ќ *z z <X!z z <X!*   ""  ,E+ 4 <DL!z z <X!E  ,9"z z <DL!X!97j2  d  .3     z TakeandpasstheNERBwrittenexaminationor p equivalentwithascoreof75%andfulfillallother | requirementsstatedherein.7j k݌  Ќ *z z <X!z z <X!*    ?% <DL!z z <X!? N(00P""  ,B+ 4 <DL!  X!B   ,?( ` <DL!X!?pm2  5  .3     ` Provideproofofcurrentcertificationinhealthcareprovider  CPRthroughtheAmericanHeartAssociationorthe  AmericanRedCross.Thisisaprerequisitetothe  anesthesiacourseandproofofpassagemustbe  presentedtothecourseinstructorbeforeadmittanceinto   theclass.pmVn݌ , Ќ '   X! ` X!'   :XX:X!FXX:XA  M-XX!F:M-  X  ?(4 4 <DL!  X!?Ap  Apq݌̌  :XX:X!FXX:X  ;  M-XX!F:M-  X  B+ 4 <DL!44X!B&   ;2r  DenialofapprovalB    ! MsC  '  r;2rs݌  D Ќ  :XX:X!FXX:X  & $ M-XX!F:M-IftheBoarddeniesapproval,theapplicantshallbegivenan "P opportunitytoahearingbeforetheBoardandshallhavetherightto  #\ presentevidenceonhisorherownbehalf'$"t $h A  ::::    AXu  ExpirationandrenewalofprivilegesAXuu݌ 0&!  Ќ  ::::  A  ::::    Av  Av,w݌̌  ::::  A  ::::    Aw  PermissionԀtoadministerlocalanestheticagentsexpiresonthedate H(#" thedentalhygienistslicenseexpiresorisrevokedorsuspended.Aw1x݌ T)$# Ќ  ::::  A  ::::  ,  E+ 4 <DL!XXEAy  Ay[z݌̌  ::::  A  ::::    Az  AzZ{݌   ::::  A  ::::    A{  A{c|݌ x,'& Ќ  ::::  9  ::::  ,    H.` hp x !4X!H& $  9}  NITROUSOXIDEanalgesiafordentalhygienists/dental   assistantsinB    ~C  9}}݌   Ќ  :.::.:  9  :.::.:    9G  WestVirginiaB    C  '$}9G݌  Ќ  :.::.:    :XX:X!FXX:X9  M-XX!F:M-    &   9  DEFINITIONSB    C  ' 9݌   Ќ  :XX:X!FXX:X  A  M-XX!F:M-    & $ A  Monitoringmeansobservingthereceivingofnitrousoxide   analgesia,recognizingadversereactionsorcomplications,and  " reportingthemtothesupervisingdentistimmediately.'$ %A1݌  . Ќ  :XX:X!FXX:X  A  M-XX!F:M-    AƄ  AƄ7݌̌  :XX:X!FXX:X  M-XX!F:M- ApprovedcoursemeansacoursewhichtheBoardhasapproved  F  fortheeducationandtrainingofdentalhygienists/dentalassistantsto R  monitornitrousoxideanalgesia.:XX:X!FXX:XԀ ^  9  M-XX!F:M-    &   9R  BoardmeanstheWestVirginiaBoardofDentalExaminersB    DC  ' Ç9Rχ݌ P  Ќ  :XX:X!FXX:X  M-XX!F:M- Clockhourmeans50to60minutesofinstruction h A  ::::    A  DentalHygienistmeansapersonlicensedbytheBoardwho 0 providespreventativeoralhealthcareservicestopatientsinthe < dentaloffice:Provided,Thatnooccupationaltitleotherthandental H hygienistmaybeusedtodescribethisauxiliary.A݌ T Ќ  ::::  A  ::::    A܋  A܋M݌̌  ::::  DentistmeansanindividuallicensedbytheBoardtopractice l dentistry x =  ::::    & H =T   DentalAssistantmeansapersonqualifiedbyeducation,training,  andexperiencewhoaidsorassistsadentistinthedeliveryofpatient  careinaccordancewithdelegatedproceduresorwhomayperform   nonclinicaldutiesinthedentaloffice:Provided,Thatnooccupation ! titleotherthandentalassistantshallbyusedtodescribethis " auxiliary.B    C  'HՍ=T݌ # Ќ  ::::  :XX:X!FXX:X9  M-XX!F:M-    &  9  NITROUSOXIDEANALGESIAPRIVILEGESFORDENTAL %!  HYGIENISTSANDDENTALASSISTANTSB    7C  '%9݌ &"! Ќ  :XX:X!FXX:X  M-XX!F:M-A  ::::   X  E(4 4 <DL!X ,EA<  A. 4 AftersatisfyingtheBoardsrequirementstovisuallymonitor (2$# nitrousanalgesia,adentalhygienist/dentalassistantmay )>%$ visuallymonitornitrousoxideanalgesiaunderthedirect *J&% supervisionofadentist. A<݌ ,V'& Ќ  ::::   XB+ 4 <DL!44X!B  -b('   X?(4 4 <DL!X!?B. 4 Competencetomonitornitrousoxideanalgesiamustbe  demonstratedbysuccessfullycompletingaboardapproved   courseconsistingofatleast2hoursofdidacticinstructionand  passinganexaminationwitha75%.:XX:X!FXX:XԀM-XX!F:M-Thecoursecontentmust $ include,butnotbelimitedto: 0   XB+ 4 <DL!44X!B J(00N/ /""  ,B+ 4 <DL!X!B  ,?(` ` <DL!X!?2  1  .3     ` Nitrousoxideadministration݌  H Ќ ' X!` ` X!'   ""  ,B+ 4 <DL!X!B  ,?(` ` <DL!X!?2  2  .3     ` PharmacologyofnitrousoxideconscioussedationW݌  T Ќ ' X!` ` X!'   ""  ,B+ 4 <DL!X!B  ,?(` ` <DL!X!?]2  3  .3     ` Nitrousoxidearmamentarium/equipmentincluding  ` demonstration]5݌ l  Ќ ' X!` ` X!'   ""  ,B+ 4 <DL!X!B  ,?(` ` <DL!X!?\2  4  .3     ` Reactionsandcomplications\4݌ (x  Ќ ' X!` ` X!'   ""  ,B+ 4 <DL!X!B  ,?(` ` <DL!X!?&2  5  .3     ` Responsetopossibleemergencysituations&݌ 4  Ќ ' X!` ` X!'   ""  ,B+ 4 <DL!X!B  ,?(` ` <DL!X!?2  6  .3     ` Removalofnitrousoxideգ݌ @  Ќ ' X!` ` X!'   ""  ,B+ 4 <DL!X!B  ,?(` ` <DL!X!?ä2  7  .3     ` Discontinueuseofnitrousoxideanalgesiaä݌ L  Ќ ' X!` ` X!'   ""  ,B+ 4 <DL!X!B  ,?(` ` <DL!X!?2  8  .3     ` Postoperativeinstructions݌ X Ќ ' X!` ` X!'   :XX:X!FXX:XA  M-XX!F:M-    A  A݌̌  :XX:X!FXX:X  @  M-XX!F:M- ,B+ 4 <DL!X!B   ,  E+ 4 <DL!4X!E@  C. 4 Thecoursemustbetaught:@Ъ݌ p Ќ  $ X!X!$:XX:X!FXX:X   @  M-XX!F:M- ,B+ 4 <DL!X!B   ,  <" <DL!4X!<@ګ  1. Onlocationatadentalordentalhygieneprogram | accreditedbytheCommissiononDental  AccreditationoftheAmericanDentalAssociation  and/orapprovedbytheBoard.@ګ݌  Ќ  $ X!  X!$:XX:X!FXX:X    P(00J""  XB+4 4 <DL!X!B   X9" DL!4X!9M-XX!F:M-U2  1  .3    :XX:X!FXX:X M-XX!F:M-Bythefacultyofanaccrediteddentalordental  hygieneinstitutionwhoaretrainedandactively  involvedinclinicalinstruction.Us݌  Ќ * X!  X!*   :XX:X!FXX:XA  M-XX!F:M-     9" <DL!X!9A  3. AfterawrittenrequestissubmittedtotheBoard   includingallcoursecontentasspecifiedherein.Ax݌ , Ќ  :XX:X!FXX:X   B+ 4 <DL!  X!BM-XX!F:M-AllinstitutionswithapprovedcoursesshallkeeptheBoardinformed  D priortoanychangesincourseobjectives,and/orcontent,atthetime "P suchchangesoccur.  #\ A  ::::    A  TheBoardatanytimemaydenyorrescindapprovalofanapproved $%t  courseforfailuretomeetorcontinuetomeetthecriteriaforapproval 0&!  ofacourse.A݌ <'"! Ќ  ::::  Coursesofferedpursuanttothisrulearesubjecttounannounced T)$# auditsbytheBoard.AnyBoardmemberordesigneeoftheBoard `*%$ shallbeprovidedfullaccesstocoursematerialsortheԀclassroomor l+&% clinicduringinstruction. x,'& A  ::::  ,  B+ 4 <DL!X!BA@  A@݌ -(' Ќ  ::::   R(00P/ /""  ,,E+ 4 <DL!4X!E   X,?(4 4 <DL!X!?S2  D  .3     4 Adentalhygienist/dentalassistantwhohasbeentrainedto  administer/monitornitrousoxideinanotherStatemayqualify   fornitrousoxidemonitoringbypresentingwritten  documentationonlicensureandtrainingtotheBoardproviding $ theymeettherequirementssetforthherein.S<݌ 0 Ќ ,X'4X!44X!'   ,E+ 4 <DL!4X!EB  ::::     Bξ  REQUIREMENTSFORAPPROVALOFADENTAL  H HYGIENIST/DENTALASSISTANTFORMONITORINGOF  T NITROUSOXIDESEDATIONBξB݌  ` Ќ  ::::  Dentalhygienists/dentalassistantsmust: (x  F  :::: <% <DL!X!<    F  1. SubmitanapplicationtotheBoardforapprovaltomonitor 4  nitrousoxide.F݌ @  Ќ  $ X!  X!$::::   A  ::::     <% <DL!X!<A  2. Provideproofofcurrentcertificationinhealthcare X providerCPRthroughtheAmericanHeartAssociationor d theAmericanRedCross.Thisisaprerequisitetothe p nitrousoxidecourseandproofofpassagemustbe | presentedtothecourseinstructorbeforeadmittanceinto  theclass.A݌  Ќ  ::::   B+ 4 <DL!  X!B j ?(  <DL!X!?3. Applicantstakingoutofstatecoursesmust:   L(00R"" j E+` 4 <DL! X!E  9"z z <DL!` X!9O2  a  .3     z Providecoursesyllabus,nameandlocationof  institution,dateofcourse,certificateofcompletion  ofaminimumofa2hourcourse.O$݌   Ќ * X!z z <X!* j  "" j E+` 4 <DL! X!E  9"z z <DL!` X!92  b  .3     z Meetorexceedthebasiccourserequirementsset , forthfordidacticinstruction.݌ 8 Ќ * X!z z <X!* j  "" j E+` 4 <DL! X!E  9"z z <DL!` X!92  c  .3     z TakeandpassaBoardapprovedwritten  D examinationwithascoreof75%andfulfillallother "P requirementsstatedherein.݌  #\ Ќ * X!z z <X!* j  :XX:X!FXX:X;  M-XX!F:M-  j   H. N V^! X!H&  ;K  B    hC  ;K/݌̌  :XX:X!FXX:X  K+ 4 <DL!X!K