New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 5 - DENTISTRY (DENTISTS, DENTAL HYGIENISTS, ETC.) › Part 17 - DENTISTS AND DENTAL HYGIENISTS, COLLABORATIVE PRACTICE › Section 16.5.17.12 - COLLABORATIVE DENTAL HYGIENE PRACTICE AND LIMITATIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A. A dental hygienist in a collaborative
				practice may perform the procedures in a dental hygienist's scope of practice
				listed in 16.5.29 NMAC without general supervision while the hygienist is in a
				cooperative working relationship with a consulting dentist, pursuant to rules
				promulgated by the board and the committee.
B. A collaborative practice dental hygienist
				may have more than one consulting dentist.
C. A dentist shall have a consulting
				agreement with no more than three collaborative practice dental hygienists. The
				board may grant exception to this limitation for public health settings on a
				case-by-case basis.
D. The
				collaborative practice dental hygienist may own and manage a dental hygiene
				practice, or enter into a contractual arrangement, in any location or setting
				in New Mexico.
E. The committee,
				through the board, may take any disciplinary action allowed by the Uniform
				Licensing Act, against a dental hygienist certified in collaborative
				practice.
F. Collaborative dental
				hygienist can administer local anesthesia under general supervision as defined
				in 16.5.28.8 NMAC and
				16.5.28.12 NMAC.
G. A collaborative dental hygienist may
				assess for pit and fissure sealants without a dentist's evaluation as provided
				in Subsection D of
				16.5.29.8 NMAC.
H. A collaborative dental hygienists may
				prescribe, administer and dispense topically applied fluoride and topically
				applied antimicrobials as provided for in
				16.5.29.11 NMAC.
I. Perform dental hygiene focused
				assessment.
J. A collaborative
				practice dental hygienist shall not:
(1)
				administer local anesthesia except under the general supervision of a dentist;
				and only if certified to do so through the committee and ratified by the
				board;
(2) administer a drug or
				medication, except those directly indicated as dental topical therapeutic or
				preventive agents; other therapeutic agents may only be dispensed if the
				collaborative practice dental hygienist holds a class C clinic license; any
				drugs dispensed as a class C clinic (as designated and defined by the New
				Mexico board of pharmacy) shall be on the specific individual authorization of
				a dentist:
(a) all non-controlled substance
				medications requiring a prescription or order from the dentist may only be
				dispensed for immediate use in the collaborative practice dental hygienist
				office, and only on the specific order or protocol from the consulting dentist;
				a log of these dispensing shall be kept and a copy of this log shall be sent to
				the corresponding consulting dentist every six months; collaborative practice
				dental hygienists may not dispense or administer any controlled
				substance;
(b) prescription drugs,
				which are kept in bulk at the collaborative practice dental hygienist's office,
				to be dispensed or used by the collaborative practice dental hygienist as in
				16.5.17.12 NMAC, shall be
				purchased on an order or prescription by a consulting
				dentist;
(3) diagnose
				dental disease, but may advise the patient of suspected pathology and
				periodontal status;
(4) perform
				oral hygiene procedures on any patient identified as having a significant
				health risk from the procedures; unless the patients' current health history
				has been reviewed by the patient's dentist of record or the consulting dentist;
				or for patients who reside in residential or long term care facilities, the
				patient's dentist or physician;
(5)
				perform treatments requiring the diagnosis of a dentist without a
				prescription/order from the consulting dentist; such treatments include but are
				not limited to, root planing, sealant application in presence of cavitation,
				administration of therapeutic agents and other services defined in Subsection B
				of Section
				61-5A-4 NMSA 1978 as within the
				scope of dental hygiene practice but which require a dentists
				diagnosis;
(6) modify the standard
				collaborative practice protocol without a prescription or order from the
				consulting dentist;
(7) take
				impressions for bleaching trays, deliver bleaching materials or provide systems
				of home bleaching, or provide instructions to patients on using bleaching
				materials unless it is authorized on a case by case basis by prescription from
				a consulting dentist;
(8) provide
				in office bleaching systems unless under indirect supervision of a consulting
				dentist.