<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.se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0 { 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.se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se1fdf034-1d07-4d4b-a134-38fbd9af8f2c000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000004 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:09:06.01"><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000000">20:43:09:06.01</span></a><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000001">.  Local anesthesia permit requirements </span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000001">and authorization </span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000001">-- Dental hygienists.</span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0"> The </span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">State Board of Dentistry</span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0"> may issue a permit to a dental hygienist to administer local anesthesia to dental patients on an outpatient basis under the supervision of a dentist if the dental hygienist has met the following requirements:</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2c000002"> </span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">    (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="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">State Board of Dentistry</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">; and</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2c000002"> </span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">    (2)  Has successfully completed a </span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">State Board of Dentistry-</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">approved educational course on local anesthesia from an accredited dental or dental hygiene school and either:</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2c000002"> </span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">        (a)  Completed the course within thirteen months prior to application</span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0"> for a permit</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">; or</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">        (b)  Completed the course more than thirteen months prior to application</span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0"> for a permit</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">, has legally administered local anesthesia for a period of time during the three years preceding application, and provides written documentation from a dentist that has employed or supervised the applicant, attesting to the current clinical proficiency of the applicant to administer local anesthesia.</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2c000002"> </span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">    </span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">A dental hygienist with a permit to administer local anesthesia may administer local anesthesia 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="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000003">36-6A-1</span></a><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">.</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2c000002"> </span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">    </span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">A dental hygienist with a permit to administer local anesthesia may administer local anesthesia 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="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000003">36-6A-1</span></a><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">, 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 local anesthesia. </span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000004">The dentist shall ensure a written emergency response protocol is in place for patients receiving local anesthesia by the dental hygienist under general supervision</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000004">.</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2c000002"> </span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">    </span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000001">Source:</span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0"> 37 SDR 131, effective January 6, 2011; 42 SDR 83, effective December 3, 2015</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">; 50 SDR 12, effective August 8, 2023</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">.</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">    </span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000001">General Authority:</span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000003">36-6A-14</span></a><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">(10)(</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">20</span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">).</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">    </span><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000001">Law Implemented:</span><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000003">36-6A-14</span></a><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">(1)(3)(7)(10)(13)(14)(22), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-40"><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0-000003">36-6A-40</span></a><span class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cC0">.</span></p><p dir="ltr" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2cP0"><span xml:space="preserve" class="se1fdf034-1d07-4d4b-a134-38fbd9af8f2c000002"> </span></p></div></body></html>