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5. Permits Available to Qualified Dental Assistants
6. Permits Available to Qualified Dental Assistants

Permits Available to Qualified Dental Assistants

Class I Anesthesia Permit

A dental hygienst, registered dental asssitant, qualified dental assistant, or any other individual, may apply for a Class I anesthesia permit care permit as explained at NDAC 20-03-01-01.2(1). The scope of work of a Class I anesthesia permit holder is found at NDAC 20-03-01-01.1(2). Prohibitions related to anesthesia-related functions are found at NDAC 20-04-01-02. Dentists and dental hygienists are strongly encouraged to have a full understanding of these laws. A summary, however, is proivded below for convenience. 

The Board may issue a Class I permit once the applicant:

1. 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.
2. The applicant submits proof of current certification status from the American association of oral and maxillofacial surgeon's dental anesthesia assistant national certification evidence of completing a board-approved competency examinationdental 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.
3. The applicant holds current and valid certification for health care provider basic life support, advanced cardiac life support, or pediatric advanced life support; and
4. The applicant provides a copy of a valid North Dakota general anesthesia, deep sedation, or moderate sedation permit of the dentist where the registered dental assistantindividual will be performing anesthesia assistant services.

An individual authorized by a Class I permit may provide the following duties under contiguous supervision of a dentist who is authorized to provide moderate sedation, deep sedation, or general anesthesia:

1. Initiate and discontinue an IV line for a patient being prepared to receive IV medication, sedation or general anesthesia; and
2. Adjust the rate of intravenous fluids infusion only to maintain or keep the line patent or open
3. Prepare and monitor anesthesia equipment;
4. Perform patient monitoring including vital signs, adverse events, and patient positioning; and
5. Assist with emergency treatment and protocols, including the use of suction, automated defibrillators, and crash cart equipment.

Class II Anesthesia Permit

A dental hygienst, registered dental asssitant, or any other individual, may apply for a Class II anesthesia permit care permit as explained at NDAC 20-03-01-01.2(2). The scope of work of a Class II anesthesia permit holder is found at NDAC 20-03-01-01.1(3). Prohibitions related to anesthesia-related functions are found at NDAC 20-04-01-02. Dentists and dental hygienists are strongly encouraged to have a full understanding of these laws. A summary, however, is proivded below for convenience. 

The Board may issue a Class II permit once:

1. The applicant submits evidence of completing the dental anesthesia assistant national course or an equivalent Board-approved dental anesthesia assistant education and training pharmacology course.
2. The applicant submits either proof of current dental anesthesia assistant national certification or an equivalent pharmacology certification, or proof of passage within the two years preceding application of a Board-approved competency examination;
3. The applicant submits evidence of successfully completing a Board-approved hands-on training in intravenous access or phlebotomy that includes live experience 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;
4. The applicant holds current and valid certification for health care provider basic life support, advanced cardiac life support, or pediatric advanced life support; and
5. The applicant provides a copy of a valid North Dakota general anesthesia, deep sedation, or moderate sedation permit of the dentist where the registered or qualified dental assistantindividual will be performing anesthesia assistant services.

An individual authorized by a Class II permit may provide the following duties under direct visual supervision of a dentist who is authorized to provide moderate sedation, deep sedation, or general anesthesia::

1. Draw up, label, prepare, and waste medications;
2. Follow instructions to deliver medication into an intravenous line upon verbal command of the supervising dentist;
3. Adjust the rate of intravenous fluids infusion beyond a keep-open rate upon verbal command of the supervising dentist; and
4. Adjust an electronic device to provide medications such as an infusion pump upon verbal command of the supervising dentist.

Anesthesia Assistant Permit Application