201 KAR 8:571. Registration of dental assistants

Link to law: http://www.lrc.ky.gov/kar/201/008/571.htm
Published: 2015

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      201 KAR 8:571. Registration of dental assistants.

 

      RELATES TO: KRS 214.615, 313.030,

313.045, 313.050, 313.080, 313.130

      STATUTORY AUTHORITY: KRS 214.615(2),

313.021(1)(a), (b), (c), 313.030(3), 313.045

      NECESSITY, FUNCTION, AND CONFORMITY: KRS

313.045(1) requires the board to promulgate administrative regulations relating

to requirements and procedures for registration, duties, training, and

standards of practice for dental assistants. This administrative regulation

establishes the requirements and procedures for registration, duties, training,

and standards of practice for dental assistants.

 

      Section 1. Definitions. (1) "Coronal

polishing" means a procedure that is the final stage of a dental

prophylaxis on the clinical crown of the tooth after a dentist or a hygienist

has verified there is no calcareous material.

      (2) "Dental assistant" mean a

person who is directly involved with the care and treatment of a patient under

the direct supervision of a dentist and performs reversible procedures

delegated by dentist licensed in the Commonwealth.

 

      Section 2. General Registration

Requirements and General Training Requirements. (1) A dentist licensed in the

Commonwealth shall register all dental assistants in his or her practice on the

Application for Renewal of Dental Licensure incorporated by reference in 201

KAR 8:530.

      (2) The dentist shall retain in the

personnel file for the registered dental assistant the following:

      (a) A copy of the certificate of

completion issued for the completion of the Coronal Polishing Course if the

course has been taken by the dental assistant;

      (b) A copy of the certificate of

completion issued for the completion of the Radiation Safety Course if the

course has been taken by the dental assistant;

      (c) A copy of the certificate of

completion issued for the completion of the Radiation Techniques Course if the

course has been taken by the dental assistant;

      (d) A copy of the certificate of

completion issued for the completion of the Starting Intravenous Access Lines

if the course has been taken by the dental assistant;

      (e) A copy of proof of having current

certification in cardiopulmonary resuscitation (CPR) that meets or exceeds the

guidelines set forth by the American Heart Association, as incorporated by reference

in 201 KAR 8:531; and

      (f) A statement of the competency of procedures

delegated to the dental assistant from the delegated duties list that includes

the name of the:

      1. Individual trained; and

      2. Licensee attesting to the competency

of the Dental Assistant.

 

      Section 3. Coronal Polishing

Requirements. (1) A registered dental assistant may perform coronal polishing.

If coronal polishing is performed by a registered dental assistant, the

assistant shall have:

      (a) Completed the training described in

subsection (2) of this section; and

      (b) Obtained a certificate from the

authorized institution.

      (2) The required training shall consist

of an eight (8) hour course taught at an institution of dental education

accredited by the Council on Dental Accreditation to include the following:

      (a) Overview of the dental team;

      (b) Dental ethics, jurisprudence, and

legal understanding of procedures allowed by each dental team member;

      (c) Management of patient records,

maintenance of patient privacy, and completion of proper charting;

      (d) Infection control, universal

precaution, and transfer of disease;

      (e) Personal protective equipment and overview

of Occupational Safety and Health Administration requirements;

      (f) Definition of plaque, types of stain,

calculus, and related terminology and topics;

      (g) Dental tissues surrounding the teeth

and dental anatomy and nomenclature;

      (h) Ergonomics of proper positioning of

patient and dental assistant;

      (i) General principles of dental

instrumentation;

      (j) Rationale for performing coronal polishing;

      (k) Abrasive agents;

      (l) Coronal polishing armamentarium;

      (m) Warnings of trauma that can be caused

by improper techniques in polishing;

      (n) Clinical coronal polishing technique

and demonstration;

      (o) Written comprehensive examination

covering the material listed in this section, which shall be passed by a score

of seventy-five (75) percent or higher;

      (p) Completion of the reading component

as required by subsection (3) of this section; and

      (q) Clinical competency examination supervised

by a dentist licensed in Kentucky, which shall be performed on a live patient.

      (3) A required reading component for each

course shall be prepared by each institution offering coronal polishing education

that shall:

      (a) Consist of the topics established in

subsection (2)(a) to (n) of this section;

      (b) Be provided to the applicant prior to

the course described in subsection (2) of this section; and

      (c) Be reviewed and approved by the board

based on the requirements of subsection (2)(a) to (n) of this section.

      (4) The institutions of dental education

approved to offer the coronal polishing course in Kentucky shall be:

      (a) University of Louisville School of

Dentistry;

      (b) University of Kentucky College of

Dentistry;

      (c) Western Kentucky University Dental Hygiene

Program; and

      (d) Kentucky Community Technical College

System Dental Hygiene or Dental Assisting Programs.

      (5) An institution of dental education

from a state outside of Kentucky meeting the standards of the institutions

listed in subsection (4) of this section shall be approved upon request to the

Kentucky Board of Dentistry.

 

      Section 4. X-rays by Registered Dental

Assistants. A registered dental assistant may take x-rays under the direct

supervision of a dentist licensed in Kentucky. If a registered dental assistant

takes x-rays under the direct supervision of a dentist licensed in Kentucky,

the dental assistant shall have completed:

      (1) A six (6) hour course in dental

radiography safety; and

      (2) Four (4) hours of instruction in

dental radiography technique while under the employment and supervision of the

dentist in the office or a four (4) hour course in radiography technique.

 

      Section 5. Requirements for Starting

Intravenous Access Lines. (1) An individual registered as a dental assistant in

Kentucky and not subject to disciplinary action under KRS Chapter 313 who desires

to start intravenous (IV) access lines while under the direct supervision of a

dentist who holds a sedation or anesthesia permit issued by the board shall submit

documentation to the licensed dentist for whom the registered dental assistant

will be providing services proving successful completion of a board-approved

course in starting IV access lines based on:

      (a) Patient Safety Techniques;

      (b) Anatomy and physiology of the patient;

      (c) Techniques in starting and

maintaining an IV access line; and

      (d) Appropriate methods of discontinuing

an IV access line.

      (2) A registered dental assistant shall

not start an IV access line if the individual has not completed a Board

approved course in IV access lines.

 

      Section 6. A dental assistant operating

under this administrative regulation shall be under the direct supervision of

the dentist licensed in the Commonwealth. The dentist licensed in the Commonwealth

shall accept sole responsibility for the actions of the dental assistant or

dental auxiliary personnel while in the performance of duties in the dental

office.

 

      Section 7. Incorporation by Reference. (1)

"Delegated Duty List", May 2014, is incorporated by reference.

      (2) This material may be inspected,

copied, or obtained, subject to applicable copyright law, at the Kentucky Board

of Dentistry, 312 Whittington Parkway, Suite 101, Louisville, Kentucky 40222,

Monday through Friday, 8 a.m. to 4:30 p.m. This material is also available on

the board’s Web site at http://dentistry.ky.gov. (37 Ky.R. 1929; 2377;

eff. 5-6-2011; 40 Ky.R. 2343; 41 Ky.R. 257; eff. 9-5-2014.)