TEXT OF RULE
Section 1. DE 3.03 (1) is amended to read:
DE 3.03 (1) Administer or prescribe, either narcotic or analgesics or systemic-affecting nonnarcotic drugs, or anesthetics except as provided under ch. DE 15. Section 2. DE 11.03 (1) is amended to read:
DE 11.03 (1) A dentist or a dental hygienist who holds a valid certificate under ch. DE 15 may use nitrous oxide inhalation on an outpatient basis for dental patients provided that he or she has adequate equipment with failsafe features and a 25% minimum oxygen flow. Section 3. Chapter DE 15 is created to read: CERTIFICATION OF DENTAL HYGIENISTS TO ADMINISTER NITROUS OXIDE INHALATION ANALGESIA
DE 15.02 Definitions. In this chapter:
(1) “Accredited” has the meaning given in s. 447.01 (1), Stats. (2) “ADA CERP” means american dental association continuing education recognition program.
(3) “AGD PACE” means academy of general dentistry program approval for continuing education.
DE 15.03 Qualifications for certification of licensed dental hygienists to administer nitrous oxide inhalation analgesia. An applicant for certification to administer nitrous oxide inhalation analgesia shall be granted a certificate by the board if the applicant complies with all of the following:
(1) Has a current license to practice as a dental hygienist in this state.
(2) Has completed the educational requirements of s. DE 15.05. (3) Has submitted the information required in the application under s. DE 15.04. DE 15.04 Application procedure. An applicant for a certificate to administer nitrous oxide inhalation analgesia shall file a completed application on a form provided by the board. The application shall include all of the following:
(1) The dental hygienist license number in this state and the signature of the applicant.
(2) Evidence of successful completion of a didactic and clinical certification program, resulting in the dental hygienist becoming competent to administer nitrous oxide inhalation analgesia under the delegation and supervision of a dentist, the curriculum of which meets or exceeds the basic course requirements set forth in s. DE 15.05. DE 15.05 Educational requirements. The following educational requirements are necessary for the board to approve and grant certification to a licensed dental hygienist in the administration of nitrous oxide inhalation analgesia:
(1) The certification program in the administration of nitrous oxide inhalation analgesia shall be sponsored by an accredited dental or dental hygiene school or be an approved ADA CERP or AGD PACE provider.
(2) The nitrous oxide inhalation analgesia administration certification program shall provide a minimum of 8 hours of instruction and shall consist of all of the following:
(a) Didactic instruction including all of the following:
1. Legal aspects of nitrous oxide inhalation analgesia administration in Wisconsin.
2. Physiological and psychological aspects of anxiety.
3. Stages of consciousness and the levels of sedation.
4. Respiratory and circulatory physiology and related anatomy.
5. Pharmacology of nitrous oxide.
6. Advantages and disadvantages as well as the indications and contraindications for nitrous oxide inhalation analgesia administration.
7. Patient evaluation, selection, and preparation for nitrous oxide inhalation analgesia administration.
8. The function of the basic components of nitrous oxide inhalation analgesia delivery and scavenging systems including all of the following:
a. Inspecting all components of the nitrous oxide inhalation analgesia delivery equipment.
b. Assembling and disassembling components.
c. Operating nitrous oxide inhalation analgesia equipment.
d. Disinfecting and sterilizing nitrous oxide inhalation analgesia equipment.
9. Safe and effective administration of nitrous oxide inhalation analgesia to patients in a clinical setting including all of the following:
a. Determining the patient’s ideal flow rate and tidal volume.
b. Performing titration to effect.
c. Determining the ideal percentage of nitrous oxide flow rate for individual patients.
d. Calculating the percentage of nitrous oxide at peak flow.
10. Monitoring and documenting a patient undergoing nitrous oxide inhalation analgesia.
11. Complications associated with nitrous oxide inhalation analgesia administration and the prevention, recognition, and management of associated medical emergencies.
12. Troubleshooting problems with nitrous oxide inhalation analgesia administration.
13. Potential health hazards associated with nitrous oxide inhalation analgesia administration.
