Ohio Administrative Code › Title 4715 - State Dental Board › Chapter 4715-9 - Dental Hygienists › Section 4715-9-05 - Practice when the dentist is not physically present

Current through all regulations passed and filed through July 1, 2024
(A) A dental hygienist may provide, for not
			 more than fifteen consecutive business days,  dental hygiene services to a
			 patient when the supervising dentist is not physically present at the location
			 at which the services are provided if all of the following requirements are
			 met:
(1) The dental hygienist has at least
			 one
			 year and a minimum of one thousand five hundred hours
			 of experience in the practice of dental hygiene. This experience shall be
			 documented on a form supplied by the board, with any necessary supporting
			 information attached, and the form shall be maintained in the facility(s) where
			 the dental hygienist is working.
(2) The dental hygienist has successfully
			 completed a course approved by the state dental board in the identification and
			 prevention of potential medical emergencies. This board approved course shall
			 be taken through a permanent sponsor, shall be at least four hours in duration,
			 and shall include, at a minimum, the following topics:
(a) Medical history;
(b) Recognition of common medical emergency
			 situations;
(c) Office emergency
			 protocols;
(d) Basic airway
			 management;
(e) Prevention of
			 emergency situations during dental appointments; and
(f) Recognition of symptoms, first aid
			 treatment and possible outcomes for patients who exhibit bleeding injuries,
			 cardiovascular disease, insulin reaction, diabetic coma, shock, syncope,
			 epileptic seizures and allergic reactions.
Completion of this course shall be documented on a form
				supplied by the board, with all necessary supporting information attached, and
				the form shall be maintained in the facility(s) where the dental hygienist is
				working.
(3) The
			 dental hygienist must have completed a basic life-support training course
			 certified by the American heart association, American red cross, or the
			 American safety and health institute, and remain current at all times while
			 treating patients when the dentist is not physically present. This must be
			 verified on a form supplied by the board, with all necessary supporting
			 information attached, and the form shall be maintained in the facility(s) where
			 the dental hygienist is working.
(4) The dental hygienist complies with
			 written protocols for emergencies the supervising dentist
			 establishes.
(5) The supervising
			 dentist has evaluated the dental hygienist's skills and has made a
			 determination that the dental hygienist is competent to treat patients without
			 the dentist being physically present. This determination shall be documented on
			 a form supplied by the board, and the form shall be maintained at the
			 facility(s) where the dental hygienist is working.
(6) The supervising dentist examined the
			 patient not more than one year prior to the date the dental hygienist
			 provides the dental hygiene services to the patient.
(7) The dental hygienist complies with
			 written protocols or written standing orders that the supervising dentist
			 establishes, including an updated medical history.
(8) The supervising dentist completed and
			 evaluated a medical and dental history of the patient not more than one year
			 prior to the date the dental hygienist provides dental hygiene services to the
			 patient, unless there has been a medically significant change in the patient's
			 medical history since the last appointment, and, except when the dental hygiene
			 services are provided in a health care facility, the supervising dentist
			 determines that the patient is in a medically stable condition.
(9) If the dental hygiene services are
			 provided in a health care facility, a doctor of medicine and surgery or
			 osteopathic medicine and surgery who holds a current certificate issued under
			 Chapter 4731. of the Revised Code or a registered nurse licensed under Chapter
			 4723. of the Revised Code is present in the health care facility when the
			 services are provided.
(10) In
			 advance of the appointment for dental hygiene services, the patient is notified
			 that the supervising dentist will be absent from the location and that the
			 dental hygienist cannot diagnose the patient's dental health care status. This
			 notification must be documented in the patient record.