WSR 14-05-024
PROPOSED RULES
DEPARTMENT OF HEALTH
(Dental Quality Assurance Commission)
[Filed February 10, 2014, 10:05 a.m.]
Original Notice.
Preproposal statement of inquiry was filed as WSR 13-19-084.
Title of Rule and Other Identifying Information: WAC 246-817-550 Acts that may be performed by licensed dental hygienists under general supervision, adds application of topical anesthetic agents to the list of acts that a licensed dental hygienist may perform under the general supervision of a dentist.
Hearing Location(s): Department of Health, Point Plaza East, Room 152/153, 310 Israel Road S.E., Tumwater, WA 98501, on April 18, 2014, at 8:05 a.m.
Date of Intended Adoption: April 18, 2014.
Submit Written Comments to: Jennifer Santiago, P.O. Box 47852, Olympia, WA 98504-7852, e-mail http://www3.doh.wa.gov/policyreview/, fax (360) 236-2901, by April 11, 2014.
Assistance for Persons with Disabilities: Contact Jennifer Santiago by April 11, 2014, TTY (800) 833-6388 or 711.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The proposal would enact rules to carry out HB 1330 (chapter 87, Laws of 2013), which amended RCW 18.29.050 and authorized a dentist to delegate to a dental hygienist application of topical anesthetic agents.
Reasons Supporting Proposal: WAC 246-817-550 lists the acts a dentist may allow a dental hygienist to perform under the dentist's general supervision. The proposed rule will provide a reference source for both dentists and dental hygienists regarding the application of topical anesthetic agents.
Statutory Authority for Adoption: RCW 18.32.0365 and 18.29.050.
Statute Being Implemented: RCW 18.32.0365 and 18.29.050.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Washington state dental quality assurance commission, governmental.
Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Jennifer Santiago, 111 Israel Road S.E., Tumwater, WA 98501, (360) 236-4893.
No small business economic impact statement has been prepared under chapter 19.85 RCW. Under RCW 19.85.025 and 34.05.310 (4)(c), a small business economic impact statement is not required for proposed rules that adopt or incorporate by reference - without material change - federal statutes or regulations, Washington state law, the rules of other Washington state agencies, or national consensus codes that generally establish industry standards.
A cost-benefit analysis is not required under RCW 34.05.328. The agency did not complete a cost-benefit analysis under RCW 34.05.328. RCW 34.05.328 (5)(b)(iii) exempts rules that adopt or incorporate by reference without material change federal statutes or regulations, Washington state law, the rules of other Washington state agencies, or national consensus codes that generally establish industry standards.
A preliminary cost-benefit analysis may be obtained by contacting Jennifer Santiago, P.O. Box 47852, Olympia, WA 98504-7852, phone (360) 236-4893, fax (360) 236-2901, e-mail jennifer.santiago@doh.wa.gov.
February 10, 2014
Trina Castle
Executive Director
AMENDATORY SECTION (Amending WSR 95-21-041, filed 10/10/95, effective 11/10/95)
WAC 246-817-550 Acts that may be performed by licensed dental hygienists under general supervision.
A dentist may allow a dental hygienist licensed under the provisions of chapter 18.29 RCW to perform the following acts under the dentist's general supervision:
(1) Oral inspection and measuring of periodontal pockets, with no diagnosis.
(2) Patient education in oral hygiene.
(3) Take intra-oral and extra-oral radiographs.
(4) Apply topical preventive or prophylactic agents.
(5) Polish and smooth restorations.
(6) Oral prophylaxis and removal of deposits and stains from the surfaces of the teeth.
(7) Record health histories.
(8) Take and record blood pressure and vital signs.
(9) Perform sub-gingival and supra-gingival scaling.
(10) Perform root planing.
(11) Apply sealants.
(12) Apply topical anesthetic agents.