HAR §16-79-2. §16-79-2 Definitions

For the purposes of this chapter, the following definitions are applicable: "ADA" means the American Dental Association. "ADEX dental examination" means the dental examination developed by the American Board of Dental Examiners. "ADHA" means the American Dental Hygienist Association. "BLS" means basic life support. "Block anesthesia" means local anesthetic solution deposited close to a main nerve trunk usually located at a distance from the site of treatment. "CE" means continuing education. "CODA" means the American Dental Association Commission on Dental Accreditation. "CPR" means cardiopulmonary resuscitation. "Dental assistant" means a non-licensed person, who may perform dental supportive procedures authorized by the provisions of this chapter under the direct supervision of a licensed dentist. "General anesthesia" means a drug-induced, loss of consciousness accompanied by partial or complete loss of protective reflexes, including the inability to continually maintain an airway independently and to respond appropriately to physical stimulation or verbal command. Patients under general anesthesia require assistance in maintaining a patent airway and positive pressure ventilation due to inadequate spontaneous ventilatory function. "Inactive license" means a license which has been placed on an inactive status upon a written request by a licensee. "License in good standing" means a license that is current, unencumbered, and held by a person who is actively practicing. "Licensed dental hygienist" means a person who is authorized to practice dental hygiene in the State of Hawaii. "Licensed dentist" means a person who is authorized to practice dentistry in the State of Hawaii. "Local anesthesia" means the elimination of sensations, especially pain, in one part of the body by subcutaneous injection of a drug. "National Board Dental Examination" or "National Board Dental Hygiene Examination" means the didactic examination developed by the American Dental Association Joint Commission on National Dental Examinations. "NPDB" means the National Practitioner Data Bank. "Sedation" means the calming of an apprehensive individual by use of systemic drugs, without inducing loss of consciousness. 79-4 §16-79-3 "Supervision" means prescribing objectives and procedures and assigning work, provided that the person supervising shall be a licensed dentist. The levels of supervision are defined as follows: (1) "Direct supervision" means that the supervising licensed dentist examines and diagnoses the condition to be treated, authorizes each procedure, remains in the dentist's office or in any facility defined in section 447-3, HRS, while the procedures are being performed, and shall be responsible for all delegated acts and procedures performed by dental assistants and licensed dental hygienists. (2) "General supervision" means that the supervising licensed dentist has examined and diagnosed the condition to be treated, and has authorized each procedure to be carried out in accordance with the dentist's diagnosis and treatment plan. The presence of the supervising dentist is not required; provided the dentist shall be available for consultation and shall be responsible for all delegated acts and procedures performed by licensed dental hygienists. In the case of programs under the supervision and control by the department of health or in any facility specified in section 447-3, HRS, the foregoing shall not apply except that the supervising licensed dentist shall be available for consultation, shall be responsible for all delegated acts and procedures performed by licensed dental hygienists and the procedures pursuant to section 447-3, HRS, shall have been prescribed by a licensed dentist or otherwise be authorized by law. [Eff 7/2/64; am and ren §16-79-2, 2/13/81; am 1/27/86; am and comp 2/9/89; comp 8/20/90; comp 2/9/01; comp 2/9/02; am and comp 1/27/14; am and comp 8/22/16] (Auth: HRS §448-6) (Imp: HRS §§436B-13.3, 447-1, 447-1.5, 447-3, 448-1, 448-3, 448-6, 448-9.6)