<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s48f257db-a268-4b3e-b7de-b5562e2dc2d6C3 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000004 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s48f257db-a268-4b3e-b7de-b5562e2dc2d6C2 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; text-decoration: underline; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:06"><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000000">20:43:09:06</span></a><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001">.  Nitrous oxide </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001">sedation and</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001"> analgesia permit requirements</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001"> and authorization</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001"> -- Dental hygienists and registered dental assistants.</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> The </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">State Board of Dentistry</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> may issue a permit to a dental hygienist or a registered dental assistant to </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">administer</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> nitrous oxide </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">sedation and</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> analgesia </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">to</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> dental patients on an outpatient basis under the supervision of a dentist if the dental hygienist or registered dental assistant:</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    (1)  Is certified in administering basic life support by the American Heart Association for the Healthcare Provider, the American Red Cross for the Professional Rescuer, or an equivalent program approved by the </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">State Board of Dentistry</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">; and</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    (2)  Has successfully completed a </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">State Board of Dentistry-</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">approved educational course that substantially meets the objectives and content as described in Part 4 of the Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students and either:</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">        (</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">a</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">)  Completed the course within </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">thirteen</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> months </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">prior to</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> application</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> for a permit</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">; or</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">        (</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">b</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">)  Completed the course more than </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">thirteen</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> months </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">prior to</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> application</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> for a permit</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">, has legally administered nitrous oxide </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">sedation and</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> analgesia for a period of time during the three years preceding application, and provides written documentation from a dentist </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">who</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> has employed or supervised the applicant, attesting to the current clinical proficiency of the applicant to administer nitrous oxide </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">sedation and</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> analgesia.</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    </span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">A dental hygienist or registered dental assistant </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">who</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> administers nitrous oxide sedation and analgesia </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">shall</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> use equipment with fail-safe features, a </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">thirty</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">-percent-minimum oxygen flow, and a scavenger system.</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    </span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">A dental hygienist or registered dental assistant with a permit to administer </span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C3">nitrous oxide sedation and analgesia </span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">may administer </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C3">nitrous oxide sedation and analgesia</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> to dental patients under the dentist s indirect supervision, as that term is defined in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-1"><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000003">36-6A-1</span></a><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">.</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    </span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">A dental hygienist with a permit to administer </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C3">nitrous oxide sedation and analgesia</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> may administer </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C3">nitrous oxide sedation and analgesia</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> to dental patients eighteen years and older under the dentist s general supervision, as that term is defined in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-1"><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000003">36-6A-1</span></a><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">, if the supervising dentist has authorized the administration and the authorization is included in the patient's record. If there has been a relevant change in the patient's medical history since the authorization, the dental hygienist must consult with the dentist before administering </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C3">nitrous oxide sedation and analgesia</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">. </span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000004">The dentist shall ensure a written emergency response protocol is in place for patients receiving </span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C3">nitrous oxide sedation and analgesia </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000004">by the dental hygienist under general supervision</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000004">.</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001">Source:</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> 19 SDR 32, effective September 6, 1992; 32 SDR 188, effective May 15, 2006; 37 SDR 131, effective January 6, 2011; 42 SDR 19, effective August 17, 2015; 42 SDR 83, effective December 3, 2015</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">; 48 SDR 62, effective December 13, 2021; 50 SDR 12, effective August 8, 2023</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">.</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001">General Authority:</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000003">36-6A-14</span></a><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">(</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">10</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">)</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">(20)</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">.</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001">Law Implemented:</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000003">36-6A-14</span></a><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">(1)(3)(7)(10)(13)(14)(22), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-40"><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000003">36-6A-40</span></a><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">.</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">    </span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0-000001">Reference:</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> "Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students," 201</span><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0">6</span><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> Edition, American Dental Association. Copies may be obtained from the American Dental Association at </span><a href="http://www.ada.org/"><span class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C2">www.ada.org</span></a><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6C0"> free of charge.</span></p><p dir="ltr" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6P0"><span xml:space="preserve" class="s48f257db-a268-4b3e-b7de-b5562e2dc2d6000002"> </span></p></div></body></html>