Limited Supervision Rules

21 NCAC 16Z .0101
ELIGIBILITY TO PRACTICE HYGIENE OUTSIDE DIRECT SUPERVISION

(a) To be eligible to perform the clinical hygiene procedures set out in G.S. 90-221(a) without the direct supervision of a dentist, a dental hygienist must:

(1) maintain an active license to practice dental hygiene in this State;

(2) have no prior disciplinary history in any State;

(3) complete at least three years of experience in clinical dental hygiene or at least 2,000 hours of performing primarily prophylaxis or periodontal debridement under the supervision of a dentist licensed in this State within the five calendar years immediately preceding initial approval to work without directsupervision;

(4) successfully complete annual CPR certification;

(5) successfully complete at least six hours of Board approved continuing education in dental office medical emergencies, in addition to the requirements of G.S. 90-225.1.

(b) To retain eligibility to perform the clinical hygiene procedures set out in G.S. 90-221(a) without direct supervision of a dentist, a dental hygienist must:

(1) successfully complete at least six hours of Board approved continuing education in dental office medical emergencies each year, in addition to the requirements of G.S. 90-225.1;

(2) successfully complete annual CPR certification;

(3) comply with all provisions of the N.C. Dental Practice Act and all rules of the Dental Board applicable to dental hygienists; and

(4) cooperate fully with all lawful Board inspections of any facility at which the hygienist provides dental hygiene services without direct supervision of a dentist.

History Note:Statutory authority G.S. 90-221; 90-233;
Eff. February 1, 2008.

21 NCAC 16Z .0102 RECORD KEEPING

(a) A dentist who designates a dental hygienist employee as capable of providing clinical dental hygiene procedures without direct supervision of the dentist must keep and maintain the following records for at least ten years:

(1) names of all hygienists who provide clinical dental hygiene procedures without direct supervision;

(2) proof that each hygienist, at the time of initial approval, met the experience requirements set out in .0101(a) of this subchapter;

(3) names and locations of all facilities at which each hygienist has providedclinical dental hygiene procedures without direct supervision;

(4) work schedulesreflecting all locations at which each hygienist is scheduled to provide clinical dental hygiene procedures without direct supervision in the next30days;

(5) work schedules of all hygienists indirectly supervised by the dentist, with sufficient detail to demonstrate that a single dentist does not supervise more than two hygienists employed in clinical dental hygiene positions at any given time;

(6) records reflecting the personal examination of the patient and theprocedures directed by the dentist; and

(7) proof that the dentist and hygienist complied with the requirements of G.S. 90-233(a1)

(1) – (3).

(b) The dentist shall produce all records required to be kept under this Rule to the Dental Board or its employees upon request and shall provide an annual report to the Board in compliance with G.S. 90-233(a4).

History Note:Statutory authority G.S. 90-221; 90-233;
Eff. February 1, 2008.

21 NCAC 16Z .0103 INSPECTIONS

All locations at which a hygienist performs clinical dental hygiene procedures without direct supervision of a dentist shall be subject to random, unannounced inspection by the Dental Board or its agents for the purpose of determining if services are provided in compliance with the Center for Disease Control and OSHA standards for infection control and patient treatment.

History Note:Statutory authority G.S. 90-221; 90-233;
Eff. February 1, 2008.

Important

Please make sure that the Medical Emergencies Course that you are taking has been approved by the NC State Board of Dentistry as appropriate for Limited Supervision Dental Hygiene rule compliance. Several of the courses offered recently do NOT have Board approval, and will not count towards this requirement. You may need to call the Board office to check on approval. NCDHA is working to formulate a course that will be Board approved, and as soon as the course is available, it will be posted on this NCDHA website.