Ohio § 4715.231

§ 4715.231.

(A) As used in this section, “ direct supervision ” means a dentist licensed under this chapter is present, for purposes of consultation

and direction, at the location where a dental hygienist performs the administration

of local anesthesia to a patient.  “Direct supervision” does not mean that the dentist must observe the administration

of local anesthesia to a patient. (B) Under the direct supervision of a dentist, a dental hygienist may administer intraoral

block and infiltration local anesthesia to a patient if the dental hygienist is in

compliance with division (D) of this section and either of the following is the case: (1) The dental hygienist has met both of the following requirements: (a) Successfully completed a course in the administration of local anesthesia approved

by the state dental board and offered by a dental or dental hygiene program that is

accredited by the commission on dental accreditation of the American dental association; (b) Within eighteen months of completion of the anesthesia course, successfully passed

a state or regional written examination on local anesthesia approved by the board. (2) The dental hygienist is authorized to administer local anesthesia by another state's

licensing authority with jurisdiction over the practice of dental hygiene and both

of the following conditions are met: (a) The dental hygienist was required by the licensing authority of the other state to

complete, and the dental hygienist successfully completed, a course or instruction

as a requirement to be authorized to administer local anesthesia. (b) Either of the following applies: (i) The required hours and content of the course or instruction described in division

(B)(2)(a) of this section are substantially equivalent, as determined by the board,

to the required hours and content of the course described in division (C) of this

section. (ii) The board determines that the required hours and content of the course or instruction

described in division (B)(2)(a) of this section are not substantially equivalent to

the required hours and content of the course described in division (C) of this section,

but the dental hygienist submits evidence satisfactory to the board that the dental

hygienist obtained, within the forty-eight months immediately preceding the date that

the dental hygienist applied under section 4715.21 of the Revised Code for a license to practice as a dental hygienist, twenty-four consecutive months of

experience in the administration of local anesthesia in the other state where the

dental hygienist is authorized to administer local anesthesia. (C) To be approved by the board, the local anesthesia administration course described

in division (B)(1)(a) of this section must contain not less than fifteen hours of

didactic instruction and not less than fourteen hours of clinical experience and include

instruction on each of the following subjects: (1) Theory of pain control; (2) Selection of pain control modalities; (3) Anatomy; (4) Neurophysiology; (5) Pharmacology of local anesthetics; (6) Pharmacology of vasoconstrictors; (7) Psychological aspects of pain control; (8) Systemic complications; (9) Techniques of maxillary and mandibular anesthesia taught by a dentist or other qualified

instructor; (10) Infection control; (11) Local anesthesia medical emergencies. (D) A dental hygienist may administer local anesthesia only if the dental hygienist has

obtained current certification to perform basic cardiac life-support procedures as

required by section 4715.251 of the Revised Code .