N.D. Admin. Code 20-03-01-01.1

Current through Supplement No. 395, January, 2025
Section 20-03-01-01.1 - [Effective 10/1/2024] Expanded duties of dental assistants

A registered dental assistant shall apply for a permit to perform the following duties:

1. A registered dental assistant authorized by permit and under the direct supervision of a dentist may perform the following restorative functions:
a. Place, carve, and adjust amalgam, glass ionomer, or composite restorations with hand instruments or a slow-speed handpiece;
b. Adapt and cement stainless steel crowns; and
c. Place, contour, and adjust composite restorations where the margins are entirely within the enamel with hand instruments or a slow-speed handpiece.
2. A dental anesthesia assistant authorized by a class I permit and under the contiguous supervision of a dentist authorized by permit to provide moderate sedation, deep sedation, or general anesthesia may:
a. Initiate and discontinue an intravenous line for a patient being prepared to receive intravenous medications, sedation or general anesthesia;
b. Adjust the rate of intravenous fluids infusion only to maintain or keep the line patent or open;
c. Prepare anesthesia equipment and perform patient monitoring; and
d. Assist with emergency treatment and protocols.
3. A dental anesthesia assistant authorized by a class II permit and under the direct visual supervision of a dentist authorized by permit to provide moderate sedation, deep sedation, or general anesthesia may:
a. Draw up and prepare medications;
b. Follow instructions to deliver medication into an intravenous line upon verbal command of the supervising dentist;
c. Adjust the rate of intravenous fluids infusion beyond a keep-open rate upon verbal command of the supervising dentist; and
d. Adjust an electronic device to provide medications, such as an infusion pump upon verbal command of the supervising dentist.
4. A registered dental assistant authorized by permit and under the indirect supervision of a dentist may administer nitrous oxide analgesia to a patient who has not taken sedative medications before treatment in accordance with subsection 2 of section 20-03-01-05.

N.D. Admin Code 20-03-01-01.1

Adopted by Administrative Rules Supplement 2015-355, January 2015, effective 1/1/2015.
Adopted by Administrative Rules Supplement 2015-356, April 2015, effective 4/1/2015..
Amended by Administrative Rules Supplement 2017-365, July 2017, effective 7/1/2017.
Amended by Administrative Rules Supplement 2021-380, April 2021, effective 4/1/2021.
Amended by Administrative Rules Supplement 2022-385, July 2022, effective 7/1/2022.
Amended by Administrative Rules Supplement 2024-394, October 2024, effective 10/1/2024.

General Authority: NDCC 43-20-10

Law Implemented: NDCC 43-20-01.1, 43-20-08, 43-20-10, 43-20-13