Local Anaesthetic Supervision

Added to Handbook: Prior to June 2004
Updated: September 2013

PURPOSE

To provide guidelines on the supervision requirements for administration of local anaesthetic by dental hygienists.

BACKGROUND

Under section 6(4) of the Dental Hygienists Regulation:

"No registrant may administer oral local anaesthetic except

  1. Where a dentist is on the site and immediately available, or
  2. In a facility if the oral local anaesthetic has been authorized by a medical practitioner or dentist and a person qualified to act in a medical emergency is immediately available"

The following interpretation is provided to assist dental hygienists and facilities to meet the Regulation.

POLICY

Dental Offices

dentist must be present in the office during the administration of oral local anaesthetic and for 10 minutes thereafter.

Facilities

person other than the dental hygienist, who is qualified to act in a medical emergency, must be present in the facility during the administration of oral local anaesthetic and for 10 minutes thereafter.

  • A "person qualified to act in a medical emergency" is defined as the "person the facility has designated in its own policies and procedures to act in a medical emergency."

It is the responsibility of the dental hygienist to ascertain who this person is for each facility shift during which the dental hygienist is practicing.

REFERENCE