Requirements of permit for expanded duties.

20-03-01-01.2. Requirements of permit for expanded duties. The board may grant a permit to a registered dental assistant registered dental hygienist, or any other individual who meets the criteria listed below. Individuals authorized by other North Dakota licensing boards and whose scope of practice encompasses the duties of a dental anesthesia assistant are not required to obtain the respective anesthesia permit from the board to carry out the duties listed in this section. 1. A class I dental anesthesia permitholder is authorized to provide anesthesia assistance under the supervision of a host dentist or a dentist who is authorized by permit to provide moderate sedation or deep sedation or general anesthesia. The board may issue or renew a class I dental anesthesia assistant permit to a registered dental assistant, registered dental hygienist, or any other individual meeting the following: a. The applicant submits evidence of completing hands-on training in intravenous access or phlebotomy that includes live experience in starting and maintaining intravenous lines and infection control. The evidence may be either a certificate of completion issued by a board-approved dental anesthesia assistant education and training course or an attestation by a supervising dentist who provided the training. A supervising dentist providing the training shall retain documentation of the training and provide it to the board upon request. b. The applicant submits evidence of completing a board-approved dental anesthesia assistant education and training course that includes vital sign monitoring, training on emergency oxygen administration, suction, use of advanced automated external defibrillators, and crash cart equipment. c. The applicant holds current and valid certification for health care provider basic life support, advanced cardiac life support, or pediatric advanced life support; and d. The applicant provides a copy of a valid North Dakota general anesthesia, deep sedation, or moderate sedation permit of the dentist under whose supervision the individual will be performing anesthesia assistant services. 2. A class II dental anesthesia permitholder is authorized to provide anesthesia assistance under the supervision of a host dentist or a dentist who is authorized by permit to provide moderate sedation, or deep sedation or general anesthesia. The board may issue or renew a class II dental anesthesia assistant permit to a registered dental assistant, registered dental hygienist, or any other individual meeting the following criteria: a. The applicant submits evidence of completing the dental anesthesia assistant national course or an equivalent board-approved pharmacology course. b. The applicant submits proof of current dental anesthesia assistant national certification, an equivalent pharmacology certification, or proof of passage within the two years preceding application of a board-approved competency examination; c. The applicant submits evidence of successfully completing a board-approved hands-on training in intravenous access or phlebotomy that includes live experience starting and 6 maintaining intravenous lines and infection control. The evidence may be a certificate of completion issued by a board-approved dental anesthesia assistant education and training course or an attestation by a supervising dentist who provided the training. A supervising dentist providing the training shall retain documentation of the training and provide it to the board upon request; d. The applicant holds current and valid certification for health care provider basic life support, advanced cardiac life support, or pediatric advanced life support; and e. The applicant provides a copy of a valid North Dakota general anesthesia, deep sedation, or moderate sedation permit of the dentist under whose supervision the individual will be performing anesthesia assistant services. 3. The board may issue or renew a restorative care permit on forms prescribed by the board authorizing a registered dental assistant or registered dental hygienist under the direct supervision of a dentist to provide restorative functions if the applicant meets any of the following requirements: a. The applicant has completed successfully a board-approved curriculum from a program accredited by the commission on dental accreditation of the American dental association or other board-approved course within the last five years. The course must include a clinical and written examination. The board may require successful completion of the restorative function component of the dental assisting national board's certified restorative functions dental assistant certification examination; or b. The applicant has passed successfully a board-approved dental testing agency examination over five years from the date of application, and successfully completed the restorative function component of the dental assisting national board's certified restorative functions dental assistant certification examination or other board-approved examination and provides evidence from another state or jurisdiction where the applicant legally is or was authorized to perform restorative functions and certification from the supervising dentist of successful completion of at least twenty-five restorative procedures within the immediate five years from the date of application. History: Effective July 1, 2022; amended effective October 1, 2024; April 1, 2026. General Authority: NDCC 43-20-10 Law Implemented: NDCC 43-20-13.2