Florida Senate - 2012                                    SB 1040
       
       
       
       By Senator Bogdanoff
       
       
       
       
       25-00525B-12                                          20121040__
    1                        A bill to be entitled                      
    2         An act relating to dental hygienists; amending s.
    3         466.017, F.S.; authorizing a dental hygienist, under
    4         the supervision of a dentist, to administer local
    5         anesthesia to certain patients if the hygienist meets
    6         certain criteria; providing the criteria that a dental
    7         hygienist must meet in order to administer local
    8         anesthesia; authorizing a dental hygienist to apply
    9         for certification to administer local anesthesia;
   10         requiring the Department of Health to issue the
   11         certificate under certain circumstances; authorizing
   12         the board to charge a fee, not to exceed a specified
   13         amount, to defray the cost of verifying criteria and
   14         issuing a certificate; providing that the certificate
   15         is part of the dental hygienist’s permanent record;
   16         requiring that the certificate be prominently
   17         displayed; amending s. 466.023, F.S.; authorizing a
   18         dental hygienist to administer local anesthesia;
   19         providing an effective date.
   20  
   21  Be It Enacted by the Legislature of the State of Florida:
   22  
   23         Section 1. Present subsections (5) and (6) of section
   24  466.017, Florida Statutes, are renumbered as subsections (7) and
   25  (8), respectively, and new subsections (5) and (6) are added to
   26  that section, to read:
   27         466.017 Prescription of drugs; anesthesia.—
   28         (5) Notwithstanding s. 466.003(11), a dental hygienist
   29  under the direct supervision of a dentist may administer local
   30  anesthesia, including both intraoral block and soft tissue
   31  infiltration anesthesia, to a nonsedated patient who is 18 years
   32  of age or older, if the following criteria are met:
   33         (a) The dental hygienist has successfully completed a
   34  course in the administration of local anesthesia which is
   35  offered by a dental or dental hygiene program accredited by the
   36  Commission on Dental Accreditation of the American Dental
   37  Association or approved by the board. A course involving the
   38  administration of local anesthesia must contain a minimum of 30
   39  hours of didactic instruction and 30 hours of clinical
   40  experience. This course involving the administration of local
   41  anesthesia must include instruction in:
   42         1. Theory of pain control.
   43         2. Selection-of-pain-control modalities.
   44         3. Anatomy.
   45         4. Neurophysiology.
   46         5. Pharmacology of local anesthetics.
   47         6. Pharmacology of vasoconstrictors.
   48         7. Psychological aspects of pain control.
   49         8. Systemic complications.
   50         9. Techniques of maxillary anesthesia.
   51         10. Techniques of mandibular anesthesia.
   52         11. Infection control.
   53         12. Medical emergencies involving local anesthesia.
   54         (b) The dental hygienist maintains and shows evidence of
   55  current certification in basic or advanced cardiac life support.
   56         (c) The dental hygienist holds a certificate issued under
   57  subsection (6).
   58         (6) An individual dental hygienist may apply for
   59  certification to administer local anesthesia under subsection
   60  (5). According to rules adopted by the board, the department or
   61  its designee shall issue a certificate to a dental hygienist who
   62  proves that he or she has met the criteria in paragraphs (5)(a)
   63  and (b). The board may charge a fee, not to exceed $35, to
   64  defray the cost of verifying that the dental hygienist has met
   65  the criteria in paragraphs (5)(a) and (b) and issuing the
   66  certificate. The certificate is not subject to renewal but is
   67  part of the dental hygienist’s permanent record and must be
   68  prominently displayed at the location where the dental hygienist
   69  is authorized to administer local anesthesia.
   70         Section 2. Subsection (7) is added to section 466.023,
   71  Florida Statutes, to read:
   72         466.023 Dental hygienists; scope and area of practice.—
   73         (7) A dental hygienist may administer local anesthesia as
   74  provided in s. 466.017.
   75         Section 3. This act shall take effect July 1, 2012.