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Regulation Changes

RDH FEES:

  1. The initial licensure fee for a dental hygiene license applied for in a non-renewal year shall be $125.
  2. The initial licensure fee for a dental hygiene license applied for in a renewal year shall be seventy-five (75) dollars.
  3. The renewal fee for a dental hygiene license appropriately renewed on or before the expiration of the license shall be $110.
  4. The renewal reinstatement fee for a dental hygiene license renewed between January 1 and January 15 of the year following the expiration of the license shall be $130 in addition to the renewal fee.
  5. The renewal reinstatement fee for a dental hygiene license renewed between January 16 and January 31 of the year following the expiration of the license shall be $260 in addition to the renewal fee.
  6. The renewal reinstatement fee for a dental hygiene license renewed on or after February 1 of the year following the expiration of the license shall be $520 in addition to the renewal fee.
  7. The initial dental hygiene anesthesia registration fee shall be fifty (50) dollars.
  8. The initial dental hygiene general supervision registration fee shall be fifty (50) dollars.
  9. The initial dental hygiene intravenous access line registration fee shall be fifty (50) dollars.
  10. The initial dental hygiene laser debridement registration fee shall be fifty (50) dollars.
  11. The fee for reinstatement of a properly retired dental hygiene license shall be $125.

CONTINUING EDUCATION REQUIREMENTS:
201 KAR 8:562  Section 5:

  1. Each individual desiring renewal of an active dental hygiene license shall complete thirty (30) hours of continuing education which relates to or advances the practice of dental hygiene and would be useful to the licensee in his practice.
  2. Acceptable continuing education hours shall include course content designed to increase:
    (a) Competency in treating patients who are medically compromised or who experience medical emergencies during the course of dental hygiene treatment; 
    (b) Knowledge of pharmaceutical products and the protocol of the proper use of medications; 
    (c) Awareness of currently accepted methods of infection control; 
    (d) Knowledge of basic medical and scientific subjects including, but not limited to, biology, physiology, pathology, biochemistry, pharmacology, epidemiology, and public health; 
    (e) Knowledge of clinical and technological subjects including, but not limited to, clinical techniques and procedures, materials, and equipment; 
    (f) Knowledge of subjects pertinent to patient management, safety, and oral healthcare; 
    (g) Competency in assisting in mass casualty or mass immunization situations; 
    (h) Clinical skills through the volunteer of clinical charitable dental hygiene which meets the requirements of 2010 Ky. Acts ch. 85, sec. 22; 
    (i) Knowledge of office business operations and best practices; or
    (j) Participation in dental or dental hygiene association or society business meetings.
  3. A minimum of ten (10) hours shall be taken in a live interactive presentation format.
  4. A maximum of ten (10) hours total may be taken which meet the requirements of Section 5(2)(g)-(j) of this administrative regulation.
  5. All continuing education hours shall be verified by the receipt of a certificate of completion or certificate of attendance bearing:
    (a) The signature of the provider;
    (b) The name of the licensee in attendance;
    (c) The title of the course or meeting attended or completed;
    (d) The date of attendance or completion;
    (e) The number of hours earned; and
    (f) Evidence of the method of delivery if the course was taken in a live interactive presentation format.
  6. It shall be the sole responsibility of the individual dental hygienist to obtain documentation from the provider or sponsoring organization verifying participation as outlined in Section 5(5) and to retain the documentation for a minimum of five (5) years.
  7. At the time of license renewal, each licensee shall attest to the fact that he or she has complied with the requirements of this section.
  8. Each licensee shall be subject to audit of proof of continuing education compliance by the board.

RENEWAL REGULATIONS:

Each individual desiring renewal of an active dental hygiene license shall:
(a) Submit a completed and signed “Application for Renewal of Dental Hygiene Licensure”;
(b) Pay the fee required by 201 KAR 8:520;
(c) Maintain with no more than a thirty (30) day lapse CPR certification which meets or exceeds the guidelines set forth by the American Heart Association unless a hardship waiver is submitted to and subsequently approved by the board; 
(d) Meet the requirements of KRS 214.615(1) regarding HIV/AIDS education of healthcare providers; and
(e) Meet the continuing education requirements as outlined in Section 5 of this administrative regulation except in the following cases:

  1. If a hardship waiver has been submitted to and is subsequently approved by the board;
  2. If the licensee graduated in the first year of the renewal biennium, in which case the licensee shall complete one-half of the hours as outlined in Section 5 of this administrative regulation; and
  3. If the licensee graduated in the second year of the renewal biennium, in which case the licensee shall not be required to complete the continuing education requirements outlined in Section 5 of this administrative regulation.
    (2) If a licensee has not actively practiced dental hygiene in the two (2) consecutive years preceding the filing of the renewal application, he or she shall complete and pass a board approved refresher course prior to resuming the active practice of dental hygiene.

REQUIREMENTS FOR STARTING INTRAVENOUS ACCESS LINES:

  1. An individual licensed as a dental hygienist in Kentucky and not subject to disciplinary action under KRS Chapter 313 who desires to start intravenous (IV) access lines while under the direct supervision of a dentist who holds a sedation or anesthesia permit issued by the board shall:
    (a) Submit a signed and completed “Application for Intravenous Access Line Registration”;
    (b) Pay the fee required by 201 KAR 8:520;
    (c) Submit documentation proving successful completion of a board-approved course in starting IV access lines.
  2. Individuals authorized to practice under this provision shall receive a license from the board indicating registration to start IV access lines.
  3. A licensed dental hygienist shall not start IV access lines if the licensee does not hold a registration to start IV access lines issued by the board.  

REQUIREMENTS FOR PERFORMING LASER DEBRIDEMENT:

  1. An individual licensed as a dental hygienist in Kentucky and not subject to disciplinary action under KRS Chapter 313 who desires to perform laser debridement while under the direct supervision of a dentist licensed by the board shall:
    (a) Submit a signed and completed “Application for Laser Debridement Registration”;
    (b) Pay the fee required by 201 KAR 8:520;
    (c) Submit documentation proving successful completion of a board-approved course in performing laser debridement.
  2. Individuals authorized to practice under this provision shall receive a license from the board indicating registration to perform laser debridement.
  3. A licensed dental hygienist shall not perform laser debridement if the licensee does not hold a registration to do so issued by the board.

 

PUBLIC HEALTH DENTAL HYGIENIST:

(1) An individual licensed as a hygienist in Kentucky and not subject to disciplinary action who desires to practice as a public health registered dental hygienist shall:

(a) Submit a completed Public Health Registered Dental Hygienist Application;
(b) Meet the requirements established in KRS 313.040(8);
(c) Document through payroll records, employment records, or other proof that is independently verifiable, the dates and hours of employment by a dentist in the practice of dental hygiene that demonstrate the required two (2) years and 3,000 hours of experience; and
(d) During each renewal cycle, successfully complete a live three (3) hour course that has been approved by the board on the identification and prevention of potential medical emergencies that shall include, at a minimum, the following topics:

1. Medical history, including American Society of Anesthesiologists (ASA) classifications of physical status;
2. Recognition of common medical emergency situations, symptoms, and possible outcomes;
3. Office emergency protocols; and
4. Prevention of emergency situations during dental treatments.

(2) An individual authorized to practice pursuant to subsection (1) of this section shall receive a certificate from the board indicating registration to practice as a public health registered dental hygienist.

(3) A public health registered dental hygienist desiring to maintain certification as a public health registered dental hygienist shall be required to complete at least five (5) hours of continuing education in the area of public health or public dental health during each renewal cycle.

(4) Pursuant to KRS 313.040(8)(c), a public health registered dental hygienist may practice in a government-created public health program at the following sites:

(a) Local health departments;
(b) Public or private educational institutions that provide Head Start, preschool, elementary and secondary instruction to school-aged children under the jurisdiction of the State Board of Education, and that have an affiliation agreement with the health department of jurisdiction;
(c) Mobile and portable dental health programs under contract with a governing board of health; and
(d) Public or private institutions under the jurisdiction of a federal, state, or local agency.

(5) A public health registered dental hygienist shall perform dental hygiene services only under the supervision of the governing board of health, as required by KRS 313.040(3)(b), as established in KRS 313.040(8), and as identified by the Department for Public Health Practice Reference.

(a) These services shall be limited to preventative services.
(b) The public health registered dental hygienist shall only treat a patient who is in the ASA Patient Physical Status Classification of ASA I or ASA II as established in the current edition of Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students, American Dental Association.
(c) The informed consent shall be required prior to preventative services and shall include:

1. The name of the public health entity, including the name of the dentist, that assumes responsibility and control;
2. An inquiry as to the current dentist; and
3. A statement that services are provided by a dental hygienist without the direct supervision of a dentist.

(d) This administrative regulation shall not preclude a Kentucky-licensed dentist from directly participating in a public health program referenced in subsection 4(a), (b), (c), or (d) of this subsection.