R156-69-808a. Expanded Functions of Dental Auxiliaries -- Dental Hygienist -- Certification for Delegated Maxillofacial Administration of Botulinum Toxin -- Parameters -- CPE

(1) Under Subsections 58-69-808(1)(a) and (2), the qualifications, training, and safety standards for a dental hygienist to obtain a certification for the delegated maxillofacial administration of botulinum toxin are established in this section. (2) Under Subsection 58-69-808(2)(a), a dental hygienist applying for the delegated maxillofacial administration of botulinum toxin certification shall: (a) hold the Utah dental hygienist with local anesthesia license for at least two years; (b) have actively practiced as a dental hygienist with local anesthesia for at least 3,500 hours within the six years immediately preceding the application for the certification; (c) complete and pass an approved course on administering botulinum toxin injections that meets the educational requirements of Subsection R156-69-301a(5)(b); and (d) demonstrate clinical competency: (i) by successfully performing at least eight botulinum toxin injections: (A) under the direct supervision of a licensed dentist who: (I) meets the requirements of Subsection R156-69-301a(5); and (II) is approved by the Division; (B) after obtaining written informed consent from each patient that meets the requirements of Subsection R156-69-808d(2); (C) that meets the parameters of Subsections (3)(b) through (h); and (D) within a one-year period; and (ii) that is confirmed by the supervising dentist under Subsection (2)(d)(i)(A) who submits a letter directly to the Division that: (A) verifies the applicant competently completed the requirements of Subsection (2)(d)(i); and (B) endorses the applicant's competence in administering botulinum toxin injections. (3) Under Subsections 58-69-808(1)(a) and (2)(b), a dental hygienist with a certification under this section shall only provide botulinum toxin injections to a patient under the following parameters: (a) after obtaining consent from each patient that meets the requirements of Subsection R156-69-808d(1); (b) as part of a dentist's comprehensive dental treatment plan; (c) the supervising dentist obtains and maintains professional liability insurance for the dental hygienist for work performed while engaging in the practice of injecting botulinum toxin; (d) when a dentist who meets the requirements of Subsection R156-69-301a(5): (i) delegates the procedure; and (ii) supervises the procedure; (e) in the regularly announced office location of the supervising dentist who meets the requirements of Subsection R156-69-301a(5); (f) within the oral and maxillofacial areas of a patient for one of the following purposes: (i) for cosmetic purposes; or (ii) as a therapeutic treatment to reduce the pain or discomfort for a diagnosis of TMD or other medical conditions of the oral and maxillofacial areas including bruxism and migraines; (g) the supervising dentist completes a final evaluation of the patient and the injection before the patient leaves; and (h) the patient's record specifies that the dental hygienist completed the injection. (4) Under Subsection 58-69-808(2)(b), a dental hygienist with certification for the delegated maxillofacial administration of botulinum toxin shall complete the CPE requirements for the practice of injecting botulinum toxin under Subsection R156-69-304a(6)(a).