§ 1107. RDH Course in Periodontal Soft Tissue Curettage, Local Anesthesia, and Nitrous Oxide-Ox...
16 CA ADC § 1107Barclays Official California Code of Regulations
16 CCR § 1107
§ 1107. RDH Course in Periodontal Soft Tissue Curettage, Local Anesthesia, and Nitrous Oxide-Oxygen Analgesia (SLN).
(a) Approval of Course. The Board shall approve only those educational courses of instruction in local anesthetic, nitrous oxide-oxygen analgesia and periodontal soft tissue curettage that continuously meet all course requirements. Continuation of approval will be contingent upon compliance with these requirements.
(2) An applicant course provider shall submit an “Application for Approval of a Course in Soft Tissue Curettage, Local Anesthesia, and Nitrous Oxide-Oxygen Analgesia (SLN)” (DHBC SLN-01 (03/2021)) hereby incorporated by reference, accompanied by the appropriate fee, and shall receive approval prior to enrollment of students.
(b) Requirements for Approval. In order to be approved, a course shall provide the resources necessary to accomplish education as specified in this section. Course providers shall be responsible for informing the Board of any changes to the course content, physical facilities, and faculty, within 10 days of such changes.
(1) Administration. The course provider shall require course applicants to possess current certification in Basic Life Support for health care providers as required by Title 16, Division 10, Chapter 1, Article 4, Section 1016 (b)(1)(C) of the California Code of Regulations in order to be eligible for admission to the course, and one of the following:
(C) Provide a letter of certification from the dean or program director of an educational program accredited by the Commission on Dental Accreditation that the course applicant is in his or her final academic term and is expected to meet all educational requirements for graduation. The school seal must be affixed to the letter with the name of the program.
(3) Facilities and Equipment. Preclinical and clinical instruction shall be held at a physical facility. Physical facilities and equipment shall be maintained and replaced in a manner designed to provide students with a course designed to meet the educational objectives set forth in this section. A physical facility shall have all of the following:
(D) At least one complete nitrous oxide-oxygen unit shall be provided for each six (6) students enrolled in the course and shall include a fail-safe flowmeter, functional scavenger system and disposable or sterilizable nasal hoods for each laboratory partner or patient. All tubing, hoses and reservoir bags shall be maintained and replaced at regular intervals to prevent leakage of gases. When not attached to a nitrous oxide-oxygen unit, all gas cylinders shall be maintained in an upright position, secured with a chain or in a cart designed for storage of gas cylinders.
(5) Clinical Education. As of January 1, 2016, each course's clinical training shall be given at a dental or dental hygiene school or facility approved by the Board, which has a written contract for such training. Such written contract shall include a description of the settings in which the clinical training may be received and shall provide for direct supervision of such training by faculty designated by the course provider. A facility shall not include a dental office unless such office is an extramural facility of an educational program approved by the Board.
(A) The organization of the curriculum for the course shall be flexible, creating opportunities for adjustments to and research of advances in the administration of local anesthetic, nitrous oxide-oxygen analgesia and periodontal soft tissue curettage as provided in the section of this article on Requirements for RDH Programs.
(A) Local anesthetic agents curriculum must include at least thirty (30) hours of instruction, including at least fifteen (15) hours of didactic and preclinical instruction and at least fifteen (15) hours of clinical instruction. Preclinical instruction shall include a minimum of two (2) experiences per injection, which may be on another student. Clinical instruction shall include at least four (4) clinical experiences per injection to include two (2) experiences on the right side of a patient and two (2) experiences on the left side of a patient, of which only one (1) may be on another student. Curriculum must include maxillary and mandibular anesthesia techniques for local infiltration, field blocks and nerve blocks to include anterior superior alveolar (ASA), middle superior alveolar (MSA), anterior middle superior alveolar (AMSA), posterior superior alveolar (PSA), greater palatine, supraperiosteal, inferior alveolar (IA), lingual, and buccal injections. Clinical instruction for the mental and incisive injections shall include at least two (2) clinical experiences per injection to include one (1) experience on the right side of a patient and one (1) experience on the left side of a patient, of which only one (1) may be on another student. Clinical instruction for the nasopalatine injection shall include four (4) clinical experiences, of which only one (1) may be on another student. One clinical experience per injection shall be used to determine clinical competency in the course. The competency evaluation for each injection and technique must be achieved at a minimum of 75%.
Injection Type | Didactic Instruction | Clinical Instruction | Required Preclinical Injections | Required Clinical Injections |
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(At least 15 hours of instruction required.) | (At least 15 hours of instruction required.) | (Injections may be on another student.) | Injections to include two (2) experiences on the right side of a patient and two (2) experiences on the left side of a patient. | |
Only one (1) experience may be on another student. | ||||
Anterior Superior Alveolar (ASA) | Yes | Yes | 2 | 4 |
Middle Superior Alveolar (MSA) | Yes | Yes | 2 | 4 |
Anterior Middle Superior Alveolar (AMSA) | Yes | Yes | 2 | 4 |
Posterior Superior Alveolar (PSA) | Yes | Yes | 2 | 4 |
Greater Palatine (GP) | Yes | Yes | 2 | 4 |
Supraperiosteal | Yes | Yes | 2 | 4 |
Inferior Alveolar (IA) | Yes | Yes | 2 | 4 |
Lingual | Yes | Yes | 2 | 4 |
Buccal | Yes | Yes | 2 | 4 |
Competency evaluation for each injection and technique must be achieved at a minimum of 75%. |
Injection | Didactic Instruction | Clinical Instruction | Required Preclinical Injections | Required Clinical Injections |
At least 15 hours of instruction required | At least 15 hours of instruction required | Injections may be on another student | ||
Nasopalatine | Yes | Yes | 2 | 4 |
Mental | Yes | Yes | 2 | 1. One (1) experience on the right side of a patient |
2. One (1) experience on the left side of a patient | ||||
3. Only one (1) expereince may be on another student. | ||||
Incisive | Yes | Yes | 2 | 1. One (1) experience on the right side of a patient |
2. One (1) experience on the left side of a patient | ||||
3. Only one (1) experience may be on another student. |
Compentency evaluation for each injection and technique must be achieved at a minimum of 75%. |
(B) Nitrous oxide-oxygen analgesia curriculum must include at least eight (8) hours of instruction, including at least four (4) hours of didactic and preclinical instruction and at least four (4) hours of clinical instruction. This includes at least two (2) preclinical experiences on patients, both of which may be on another student, and at least three (3) clinical experiences on patients, of which only one may be on another student and one of which will be used to determine clinical competency in the course. Each clinical experience shall include the performance of a dental hygiene procedure while administering at least twenty (20) minutes of nitrous oxide-oxygen analgesia, from the beginning of titration of nitrous oxide-oxygen to the discontinuation of nitrous oxide and beginning of final oxygenation. The competency evaluation must be achieved at a minimum of 75%.
Nitrous Oxide-Oxygen Sedation Requirements | Didactic and Preclinical Instruction | Clinical Instruction | Required Preclinical Experiences | Required Clinical Experiences |
Minimum 8 hours of instruction | Yes | Yes | 1. Minimum two experiences | 1. Minimum three experiences |
Minimum 4 hours instruction | Minimum 4 hours instruction | 2. Both experiences may be on another student | 2. One experience may be on another student | |
3. One experience must be used to determine competency | ||||
4. Minimum of 20 minutes of nitrous oxide-oxygen exposure for each experience | ||||
5. Competency evaluation must be achieved at a minimum of 75%. |
(C) Periodontal soft tissue curettage curriculum must include at least six (6) hours of instruction, including at least three (3) hours of didactic and preclinical instruction and at least three (3) hours of clinical instruction. Education may include use of a laser approved for soft tissue curettage. This includes at least three (3) clinical experiences on patients, of which only one may be on another student and one of which will be used to determine clinical competency in the course. The competency evaluation for this procedure must be achieved at a minimum of 75%.
(10) Certificate of Completion. A course provider shall issue a certificate of completion “Certification in Administration of Periodontal Soft Tissue Curettage, Local Anesthesia, and Nitrous Oxide-Oxygen Analgesia” (DHBC SLN-02 (03/2021)), hereby incorporated by reference, only after a student has achieved clinical competency of the three procedures.
(2) Any course provider whose approval is denied or withdrawn shall be granted an informal conference before the Executive Officer or his or her designee prior to the effective date of such action. The course provider shall be given at least ten days' notice of the time and place of such informal conference and the specific grounds for the proposed action.
(A) Appearing at the informal conference. The Executive Officer shall notify the course provider of the final decision of the Executive Officer within ten days of the informal conference. Based on the outcome of the informal conference, the course provider may then request a hearing to contest the Executive Officer's final decision. A course provider shall request a hearing by written notice to the Board within 30 calendar days of the postmark date of the letter of the Executive Officer's final decision after informal conference. Hearings shall be held pursuant to the provisions of Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code. Or;
(B) Notifying the Board in writing the course provider's election to forego the informal conference and to proceed with a hearing pursuant to the provisions of Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code. Such notification shall be made to the Board before the date of the informal conference.
Credits
Note: Authority cited: Sections 1905, 1906, 1909 and 1944, Business and Professions Code. Reference: Sections 1905, 1909, 1917 and 1944, Business and Professions Code.
History
1. New section filed 8-4-2014; operative 8-4-2014 pursuant to Government Code section 11343.4(b)(3) (Register 2014, No. 32).
2. Change without regulatory effect amending subsections (b)(9)(A)-(B) filed 8-30-2017 pursuant to section 100, title 1, California Code of Regulations (Register 2017, No. 35).
3. Amendment of section heading and section filed 4-20-2021; operative 7-1-2021 (Register 2021, No. 17). Filing deadline specified in Government Code section 11349.3(a) extended 60 calendar days pursuant to Executive Order N-40-20 and an additional 60 calendar days pursuant to Executive Order N-71-20.
This database is current through 4/19/24 Register 2024, No. 16.
Cal. Admin. Code tit. 16, § 1107, 16 CA ADC § 1107
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