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

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

Facilities

A 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