Definition of terms are listed by category.
Categories are listed
alphabetically.
(A)
Advertising terms
(1) "Invasion of privacy" -
to encroach upon or violate a person's personal, intimate, and/or private
space.
(2) "Misrepresentation" - to
represent falsely, wrongly, or misleadingly.
(3) "Overreach" - to get the better of,
especially by deceit or trickery; to outwit; to reach too far; to cheat
others.
(4) "Reasonably dignified"
- possessing distinction, poise, honor, esteem.
(5) "Reasonably restrained" - moderation in
action or expression.
(6) "Undue
influence" - using power in an excessive or unreasonable way to produce
effects, either, directly, indirectly, or through an intermediary.
(7) "Unreasonable interference" - to
unreasonably come between so as to impede, hinder or obstruct
(B) Anesthesia/sedation terms
(1) "Administration" - providing, applying,
or injecting a drug or other therapeutic agent for a patient of record,
including providing a patient with a single dose
of a controlled substance or other dangerous drug that is to be used
incidental to, or contemporaneously with, a planned procedure, with the intent
of being an integral and indicated action to properly initiate and complete the
dental procedure within the standard of care in dentistry.
(2) "Analgesia" - the diminution or
elimination of pain.
(3)
"Anesthesia" - the administration of drugs or other
means to manage anxiety, pain, and awareness. Anesthesia includes analgesia,
local anesthesia, minimal sedation, moderate sedation, deep sedation, and
general anesthesia.
(4)
"General anesthesia provider" - the licensed and
legally authorized individual responsible for administering medications that
provide analgesia local anesthesia, minimal, moderate or deep sedation, or
general anesthesia, and who possesses at least one of the following
credentials:`
(a)
A dentist possessing an active general anesthesia
permit or provisional general anesthesia privileges issued by the
board;
(b)
An Ohio-licensed physician who has successfully
completed graduate medical education as defined in division (B) of section
4731.04 of the Revised Code in
the medical specialty of anesthesiology; or
(c)
A licensed Ohio
nurse who is a certified registered nurse anesthetist and who provides deep
sedation or general anesthesia in a dental office under the direct personal,
on-site supervision of a provider as defined in paragraph (B)(4)(a) or
(B)(4)(b) of this rule.
(5)
"Moderate
sedation provider" - the licensed and legally authorized individual responsible
for administering medications that provide analgesia, local anesthesia or
minimal or moderate sedation, and who possesses at least one of the following
credentials:
(a)
A dentist possessing an active moderate sedation permit or
provisional moderate sedation privileges issued by the board;
(b)
A licensed Ohio
nurse who is a certified registered nurse anesthetist and who provides
analgesia, local anesthesia, or minimal or moderate sedation as defined in
paragraphs (B)(18) and/or (B)(19) of this rule in a dental office under the
direct personal, on-site supervision and within the scope of the permit of a
dentist holding a moderate sedation permit throughout the entire anesthesia
time;
(c)
A general anesthesia provider as defined in paragraphs
(B)(4)(a) and (B)(4)(b) of this rule.
(6)
"Anesthesia
continuum"
(a)
The anesthesia continuum represents a spectrum encompassing
analgesia, local anesthesia, sedation, and general anesthesia along which no
single part can be simply distinguished from neighboring parts. It is not the
route of administration that determines or defines the level of anesthesia
administered. The location on the continuum defines the level of anesthesia
administered.
(b)
The level of anesthesia on the continuum is determined
by the definitions listed in paragraph (B) of this rule. Elements used to
determine the level of anesthesia include the level of consciousness and the
likelihood of the need for provider intervention(s), based upon the following
patient parameters:
(i)
Responsiveness of the patient;
(ii)
Airway
intervention and patency;
(iii)
Respiratory
function (breathing); and
(iv)
Cardiovascular
stability.
(3)(7) "Anxiolysis" - the
diminution or elimination of anxiety.
(4) "Enteral/oral conscious
sedation" - The use of a single drug administered orally or sublingually at one
time on a given treatment day, or combination of drugs administered
concomitantly orally or sublingually at one time on a given treatment day, in
order to provide sedation or anxiolysis for dentistry. If the dosage is
determined to be inadequate and an increased dosage is required to sufficiently
provide sedation or anxiolysis, the practitioner must reschedule the patient
for a subsequent appointment on a different day. All enteral/oral sedatives
shall be administered at the same time and only once during any given treatment
day unless the administering dentist is permitted to provide intravenous
conscious sedation or general anesthesia.
(5) "Combination inhalation-enteral
conscious sedation (combined conscious sedation)" - conscious sedation using
enteral agents, as indicated in paragraph (B)(4) of rule
4715-3-01 of the Administrative
Code, and nitrous oxide/oxygen inhalation sedation. Nitrous oxide/oxygen used
in combination with sedative agents may produce conscious or deep sedation or
general anesthesia.
(6)(8) "Conscious
sedation" -
means moderate sedation.
a minimally depressed level of consciousness that retains
the patient's ability to independently and continuously maintain an airway and
respond appropriately to physical stimulation or verbal command, and that is
produced by a pharmacologic or non-pharmacologic method, or a combination
thereof.
In accord with this particular
definition, the drugs and/or techniques used should carry a margin of safety
wide enough to render unintended loss of consciousness unlikely. Further,
patients whose only response is reflex withdrawal from repeated painful stimuli
would not be considered to be in a state of conscious sedation.
(7)(9) "Continual" -
repeated regularly and frequently in a steady succession.
(8)(10)
"Continuous" - prolonged without any interruption at any time.
(9)(11)
"Deep sedation" -
an induced state of depressed
consciousness, accompanied by partial loss of protective reflexes, including
the inability to continually maintain an airway independently and/or to respond
purposefully to physical stimulation or verbal command, and is produced by a
pharmacologic or non-pharmacologic method, or combination thereof.
a drug-induced depression of consciousness during which
patients cannot easily be aroused but respond purposefully following repeated
or painful stimulation. The ability to independently maintain ventilatory
function may be impaired. Patients may require assistance in maintaining a
patent airway, and spontaneous ventilation may be inadequate. Cardiovascular
function is usually maintained.
(12)
"Dental office"
- for purposes of paragraph (B) of this rule, the location where a dentist
administers analgesia, local anesthesia, minimal sedation, moderate sedation,
deep sedation, or general anesthesia. A hospital as defined in section
3727.01 of the Revised Code is
not a dental office.
(10)(13) "Enteral" - any
technique of administration in which the agent is absorbed through the
gastrointestinal (GI) tract or oral mucosa [i.e., oral, rectal,
sublingual].
(11)(14) "General
anesthesia" -
an induced state of unconsciousness
accompanied by partial or complete loss of protective reflexes, including the
inability to continually maintain an airway independently and respond
purposefully to physical stimulation or verbal command, and is produced by a
pharmacologic or non-pharmacologic method, or combination thereof.
a drug-induced loss of consciousness during which patients
are not arousable even by painful stimulation. The ability to independently
maintain ventilatory function is often impaired. Patients often require
assistance in maintaining a patent airway, and positive pressure ventilation
may be required because of depressed spontaneous ventilation or drug-induced
depression of neuromuscular function. Cardiovascular function my be
impaired.
(12)(15) "Immediately
available" - on site in the facility and available for immediate use.
(13)(16)
"Inhalation" - a technique of administration in which a gaseous or volatile
agent is introduced into the pulmonary tree and whose primary effect is due to
absorption through the pulmonary bed.
(14)(17) "Local
anesthesia" - the elimination of sensation, especially pain, in one part of the
body by
topical application or regional injection
of a drug.
(15)(18) "Minimal
sedation" - a minimally depressed level of consciousness, produced by a
pharmacological method, that retains the patient's ability to independently and
continuously maintain an airway and respond normally to tactile stimulation and
verbal command. Although cognitive function and coordination may be modestly
impaired, ventilatory and cardiovascular functions are unaffected.
(16)(19)
"Moderate sedation" - a drug-induced depression of consciousness during which
patients respond purposefully to verbal commands, either alone or accompanied
by light tactile stimulation. No interventions are required to maintain a
patent airway, and spontaneous ventilation is adequate. Cardiovascular function
is usually maintained.
The drugs and/or techniques used
should carry a margin of safety wide enough to render unintended loss of
consciousness unlikely.
(20)
"Monitoring" - evaluation of patients to assess
physiological conditions and level of anesthesia.
(17)(21)
"Parenteral" - a technique of administration in which the drug bypasses the
gastrointestinal (GI) tract [i.e., intramuscular (IM), intravenous (IV),
intranasal (IN), submucosal (SM), subcutaneous (SC), intraocular
(IO)].
(22)
"Anesthesia time" - the time from the beginning of the
pre-anesthesia assessment until the patient is discharged from anesthesia
care.
(18)(23) "Time-oriented
anesthesia record" - documentation at appropriate intervals of drugs, doses and
physiologic data obtained during patient monitoring.
(19)(24) "Topical
anesthesia" - the elimination of sensation, especially pain, in one part of the
body by skin or mucous membrane surface application of a drug.
(20)(25)
"Transdermal/transmucosal" - a technique of administration in which the drug is
administered by patch or iontophoresis.
(C) Prescribing terms
(1) "Acute pain" - pain that normally fades
with healing, is related to tissue damage or trauma, significantly alters a
patient's typical function and is expected to be time limited.
(2) "Dentist" - a person holding a license
under Chapter 4715. of the Revised Code to practice dentistry.
(3) "Extended-release or long-acting opioid
analgesic" - a controlled substance opioid analgesic, as defined in section
3719.01 of the Revised Code,
that includes any of the following:
(a) The
drug has United States food and drug administration approved labeling
indicating that it is an extended-release or controlled release formulation;
or
(b) The drug is administered via
a transdermal route; or
(c) The
drug contains methadone.
(4) "Morphine equivalent dose"- the
conversion of various opioid analgesics to the same amount of morphine by the
use of accepted conversion tables provided by the state of Ohio board of
pharmacy at
https://www.ohiopmp.gov/MED_Calculator.aspx.
(5) "Minor"- an individual under the age of
eighteen years of age who is not emancipated.
(6) "Opioid analgesic" - has the same meaning
as in section 3719.01 of the Revised Code and
means a controlled substance that has analgesic pharmacologic activity at the
opioid receptors of the central nervous system, including but not limited to
the following drugs and their varying salt forms or chemical congeners:
buprenorphine, butorphanol, codeine (including acetaminophen and other
combination products), dihydrocodeine, fentanyl, hydrocodone (including
acetaminophen combination products), hydromorphone, meperidine, methadone,
morphine sulfate, oxycodone (including acetaminophen, aspirin, and other
combination products), oxymorphone, tapentadol, and tramadol.
(D) Dental personnel
(1) "Licensed dentist" - a graduate of an
accredited or a foreign dental school who has successfully passed all
examinations, completed all application requirements for licensure in Ohio as
set forth in section 4715.10 of the Revised Code and
the agency rules of this board, and holds a current license to practice
dentistry in Ohio which is not suspended or revoked by board action.
(2) "Unlicensed dentist" - a graduate of an
accredited dental school who has not successfully passed all examinations or
completed the application requirements for licensure in Ohio as set forth in
section 4715.10 of the Revised Code and
the agency rules of this board; or the holder of a license to practice
dentistry in Ohio which has been suspended or revoked by board
action.
(3) "Graduates of
unaccredited dental colleges located outside the United States" - a graduate of
a dental school that is located outside the United States and is not accredited
by the commission on dental accreditation.
(4) "Dental student" - a student in good
standing currently enrolled in an accredited dental school.
(5) "Licensed dental hygienist" - a graduate
of an accredited dental hygiene school or program who has successfully passed
all examinations, completed all application requirements for licensure in Ohio
as set forth in section
4715.21 of the Revised Code and
the agency rules of this board, and holds a current license to practice dental
hygiene in Ohio which is not suspended or revoked by board action.
(6) "Unlicensed dental hygienist" - a
graduate of an accredited dental hygiene school or program who has not
successfully passed all examinations or completed the application requirements
for licensure in Ohio as set forth in section
4715.21 of the Revised Code and
the agency rules of this board; or the holder of a license to practice dental
hygiene in Ohio which has been suspended or revoked by board action.
(7) "Certified assistant" - a dental
assistant who maintains current certification by completion of the continuing
education requirements upon successfully passing the "Certified Dental
Assistant" (CDA) certification examination of the dental assisting national
board (DANB) or the certification examination of the
Ohio commission on dental assistant certification
(OCDAC)
commission on Ohio dental assistant
certification (CODA), or the registered dental assistant examination (RDA) of
the American medical technologists (AMT).
(8) "Basic qualified personnel" - basic
qualified personnel are those persons who are adjudged by the licensed dentist
to be capable and competent of performing basic remediable intra-oral and
extra-oral dental tasks and/or procedures under his or her direct supervision
and full responsibility. These persons must be trained directly via an
employer-dentist, via a planned sequence of instruction in an educational
institution or via in-office training.
(9) "Advanced qualified personnel"
(hereinafter referred to as expanded function dental auxiliaries or EFDA's) -
those persons who have passed the Ohio state dental board designated
examination for expanded function dental auxiliaries who may perform advanced
remediable intra-oral dental tasks and/or procedures under the direct
supervision and full responsibility of a licensed dentist.
Upon submitting proof of successful completion of acceptable
training on a form prescribed by the board and signed by the chief
administrative officer of the program at the accredited institution, the
following applicants shall be admitted to the state board designated
examination for expanded function dental auxiliary:
(a) "Unlicensed dentist" - a graduate of an
accredited dental school unless his license is under suspension or revocation
by the board.
(b) "Dental student"
- a dental student in good standing and currently enrolled in an accredited
institution, upon recommendation of the dean.
(c) "Graduates of unaccredited dental
colleges located outside the United States" - a graduate of a dental school
located outside the United States that is not accredited by the commission on
dental accreditation and after admission to an accredited educational
institution or program.
(d)
"Certified assistant" - a certified assistant if he or she has satisfactorily
completed training in advanced remediable intra-oral dental tasks and/or
procedures through an accredited educational institution or program whose
educational standards are recognized and/or accredited by the commission on
dental accreditation or the higher learning commission (formerly known as the
higher learning commission of the north central association of colleges and
schools). The curriculum must include clinical experience.
(e) "Licensed dental hygienist" - a graduate
of an accredited dental hygiene program if
he or
she has satisfactorily completed training in advanced remediable intra-oral
dental tasks and/or procedures through an accredited educational institution or
program whose educational standards are recognized and/or accredited by the
American dental association commission on dental accreditation, unless
his or her license is under suspension or
revocation. The curriculum must include clinical experience.
(f) "Unlicensed dental hygienist" - a
graduate of an accredited dental hygiene program if
he
or she has satisfactorily completed training in advanced remediable
intra-oral dental tasks and/or procedures through an accredited educational
institution or program whose educational standards are recognized and/or
accredited by the commission on dental accreditation or the higher learning
commission (formerly known as the higher learning commission of the north
central association of colleges and schools). The curriculum must include
clinical experience.
(10)
"Dental auxiliaries" - dental auxiliaries are all persons, not licensed to
practice dentistry in Ohio, who assist in the dental practice.
(a) Subject to those more specific laws or
rules regulating the functions of basic qualified personnel, expanded function
dental auxiliaries and hygienists, a dental auxiliary may, under the personal
supervision and full responsibility of a licensed dentist, assist in the
concurrent performance of supportive procedures, and may assist with the
administration of drugs, medications, and inhalation anesthetic agents,
including nitrous oxide.
(b)
Further, parenteral injections for the administration of drugs, including local
anesthetic agents may not be delegated to dental auxiliaries unless they are
appropriately licensed in the state of Ohio.
(11) "Dental health care workers" - dental
health care workers are all personnel utilized by a licensed dentist who assist
in a dental practice and who may be exposed to body fluids such as blood or
saliva.
(E) Disciplinary
terms
(1) "Revocation" - permanent loss of
license to practice in Ohio with no ability to apply for licensure in this
state in the future.
(2)
"Suspension" - loss of license to practice for a specific period of time
(definite suspension) or until specific conditions are met (indefinite
suspension). In the case of indefinite suspension, the board may specify a
minimum period of time during which the licensee may not practice, in addition
to other conditions for reinstatement of license.
(3) "Restriction" - license to practice is
restricted in some way (eg., licensee is prohibited from practicing a certain
specialty or procedure or prescribing, etc.) or is subject to terms and
conditions specified by the board. The restriction can be permanent or
temporary.
(4) "Probation" - a
specific type of restriction wherein the license to practice remains dependent
upon compliance with terms and conditions specified by the board (eg., periodic
appearances, drug logs, reports by treating practitioners, etc.). The probation
period may be for a definite or indefinite period of time. In the case of
indefinite probation, the board may establish a minimum probationary period,
with provisions for termination of probation at the board's discretion
thereafter.
(5) "Censure/reprimand"
- the licensee is formally and publicly reprimanded in writing.
(F) Educational terms
(1) "Accreditation" - a procedure for
recognizing or certifying that an educational institution or program meets
prescribed standards that qualify its graduates for entitlement to take the
state board designated examination.
(2) "Accredited educational institution or
program" - an educational institution or program accredited by one or more of
the following:
(a) commission on dental
accreditation; responsible for the accreditation of dental and dental-related
education within the United States and Canada.
(b) Accreditation council for graduate
medical education (ACGME); responsible for the accreditation of post-doctoral
medical training programs within the United States.
(c) The joint commission (JC); responsible
for the evaluation and accreditation of health care organizations and programs
in the United States. An independent, not-for-profit accrediting organization
which sets professionally based standards and evaluates the compliance of
health care organizations.
(3) "Accredited dental school" - a dental
school accredited by the commission on dental accreditation.
(4) "Accredited dental hygiene program" - a
dental hygiene program accredited by the commission on dental
accreditation.
(5) "Accredited
dental assisting program" - a dental assisting program accredited by the
commission on dental accreditation.
(6) Education:
(a) "Continuing education" means educational
and scientific courses consisting of activities designed to review existing
concepts and techniques, to convey information beyond the basic dental
education and to update knowledge on advances in scientific, and clinical
practice related subject matter, including evidence based dentistry wherein the
objective is to improve the knowledge, skills and ability of the individual to
provide the highest quality of service to the public and the
profession.
(b) "Remedial
education" means a prescribed educational intervention that is designed to
restore an identified practice deficiency of a licensee to conformity with the
accepted standards of the profession. Remediation includes, but is not limited
to, successful demonstration by the licensee that the learned knowledge and
skills have been incorporated into the licensee's practice.
(G) General terms
(1) "Must/shall" - indicates an imperative
need and/or duty; an essential or indispensable item; mandatory.
(2) "Should" - indicates the recommended
manner to obtain the standard; highly desirable.
(3) "May" - indicates freedom, or liberty to
follow a reasonable alternative.
(4) "Immediately available" - on site in the
facility and available for immediate use/review/inspection.
(5) "All" - the whole extent or quantity of;
every one of; the entire number of.
(H) Impairment
(1) "Impairment" - means impairment of
ability to practice under accepted standards of the profession because of
physical or mental disability, or dependence on alcohol or other drugs, or
habitual or excessive use or abuse of alcohol, drugs or other substances.
Impairment includes inability to practice in accordance with such standards,
and inability to practice in accordance with such standards without appropriate
treatment, monitoring and supervision.
(2) "Inability to practice" - means
impairment of ability to practice under accepted standards of the profession
because of physical or mental disability, dependence on alcohol or other drugs,
or excessive use of alcohol or other drugs.
(3) "No longer drug or alcohol dependent" -
means a demonstration of abstinence from alcohol, and from drugs or substances
that may impair the ability to practice.
(4) "Relapse" - means any use of, or
obtaining for the purpose of using, alcohol or other drugs or substances that
may impair the ability to practice, including a return to the pattern of
impairment activities, by one previously diagnosed and treated for drug or
alcohol abuse or dependence. This does not apply to substances obtained
pursuant to the direction of a treating physician who has knowledge of the
patient's history and the disease of addiction, or pursuant to the direction of
a physician in a medical emergency.
(I) Infection control
(1) "Appropriate disinfectant" - a diluted
bleach solution, EPA-registered tuberculocides, sterilants, or products
registered against HIV/HBV, provided the surfaces have not become contaminated
with agents or volumes of or concentrations of agents for which higher level
disinfection is recommended.
(2)
"Chemical sterilization process" - use of a sterilant cleared by the food and
drug administration in a 510 (K) in accordance with the manufacturer's
instructions.
(3) "Immediate
remedial action" - after the first positive spore test occurs, a second
biological spore test must be performed according to manufacturer's guidelines.
In the event a second positive biological spore test occurs, the device must be
removed from service until repaired.
(4) "Overgloving" - placing one disposable
glove over another disposable glove when the first glove is
contaminated.
(J) Levels
of knowledge
(1) "Familiarity" - a simplified
knowledge for the purpose of orientation and recognition of general
principles.
(2) "In-depth" - a
thorough knowledge of concepts and theories for the purpose of critical
analysis and the synthesis of more complete understanding (highest level of
knowledge).
(K) Levels of
skill
(1) "Exposed" - the level of skill
attained by observation of or participation in a particular activity.
(2) "Competent" - displaying special skill or
knowledge derived from training and experience.
(3) "Proficient" - the level of skill
attained when a particular activity is accomplished with repeated quality and a
more efficient utilization of time (highest level of skill).
(L) Miscellaneous terms
(1) Construction
(a) Where a pronoun of one gender
appears in these rules, it shall be interpreted to mean or include the pronoun
of the other gender where appropriate.
(2)(1) "Casts" - any
platform from which a restoration is constructed.
(3)(2) "Director of
continuing education practicum" - the director of a continuing education
practicum must be a dentist licensed to practice in the state of
Ohio.
(4)(3) "Emergency" - a
sudden, generally unexpected occurrence or set of circumstances demanding
immediate action.
(5)(4) "Final impression
for digital capture" - the digital or analog image or compilation of images
approved and submitted by the supervising dentist for the construction of casts
which is captured by the digital scanning of any hard or soft tissue bearing
area, whether intra-orally or extra-orally for the purpose of fabricating a
prosthesis.
(6)(5) "Final placement or
removal of appliances" - the word "final" as used in paragraphs (B) and (C) of
rule
4715-11-06 of the Administrative
Code means the last step in the therapeutic process concerning the placement,
replacement or removal of a removable appliance, or a fixed appliance directly
attached to a tooth or teeth by cementation, direct bonding or other similar
process, and the same applies to appliances utilized for the correction of
malpositions of the teeth. The temporary placement of any appliance is not
considered the final placement in the therapeutic process
(7)(6)
"License" - a current valid license, registration, certificate or permit issued
pursuant to sections 4715.01 to
4715.99 of the Revised Code,
which has not been revoked or suspended.
(8)(7)
"Licensee" - the holder of a current valid license, registration, certificate
or permit issued pursuant to sections
4715.01 to
4715.99 of the Revised Code,
which has not been revoked or suspended.
(9)(8)
"Treatment day" - any portion of any day during which treatment is rendered to
a patient constitutes a treatment day.
(M) Personal information system
(1) "Access" as a noun means an opportunity
to copy, view, or otherwise perceive whereas "access" as a verb means to copy,
view, or otherwise perceive.
(2)
"Acquisition of a new computer system" means the purchase of a "computer
system," as defined in this rule, that is not a computer system currently in
place nor one for which the acquisition process has been initiated as of the
effective date of the board rule addressing requirements in section
1347.15 of the Revised
Code.
(3) "Computer system" means a
"system," as defined by section
1347.01 of the Revised Code that
stores, maintains, or retrieves personal information using electronic data
processing equipment.
(4)
"Confidential personal information" (CPI) has the meaning as defined by
division (A)(1) of section
1347.15 of the Revised Code and
identified by rules promulgated by the board in accordance with division (B)(3)
of section 1347.15 of the Revised Code that
reference the federal or state statutes or administrative rules that make
personal information maintained by the board confidential.
(5) "Employee of the board" means each
employee of the dental board, as well as each member of the dental board
appointed to the board pursuant to section
4715.02 of the Revised
Code.
(6) "Incidental contact"
means contact with the information that is secondary or tangential to the
primary purpose of the activity that resulted in the contact.
(7) "Individual" means natural person or the
natural person's authorized representative, legal counsel, legal custodian, or
legal guardian.
(8) "Information
owner" means the individual appointed in accordance with division (A) of
section 1347.05 of the Revised Code to
be directly responsible for a system.
(9) "Person" means natural person.
(10) "Personal information" has the same
meaning as defined in division (E) of section
1347.05 of the Revised
Code.
(11) "Personal information
system" means a "system" that "maintains" "personal information" as those terms
are defined in section
1347.01 of the Revised Code.
"System" includes manual and computer systems.
(12) "Research" means a methodical
investigation into a subject.
(13)
"Routine" means common place, regular, habitual, or ordinary.
(14) "Routine information that is maintained
for the purpose of internal office administration, the use of which would not
adversely affect a person" as that phrase is used in division (F) of section
1347.01 of the Revised Code
means personal information relating to the board's employees that is maintained
by the board for administrative and human resource purposes.
(15) "System" has the same meaning as defined
by division (F) of section
1347.01 of the Revised
Code.
(16) "Upgrade" means a
substantial redesign of an existing system for the purpose of providing a
substantial amount of new application functionality, or application
modifications that would involve substantial administrative or fiscal resources
to implement, but would not include maintenance, minor updates and patches, or
modifications that entail a limited addition of functionality due to changes in
business or legal requirements.
(N) Military personnel/veterans
(1) For the purposes of Chapters 4715-1 to
4715-40 of the Administrative Code, and except as otherwise provided, the
following definitions shall apply:
(a) "Active
duty service members" means any member of the armed forces of the United States
performing active duty under title 10 of the United States Code.
(b) "Armed forces: means the armed forces of
the United States, including the army, navy, air force, marine corps, coast
guard, or any reserve components of those forces; the national guard of any
state; the commissioned corps of the United States public health service; the
merchant marine service during wartime; such other service as may be designated
by congress; or the Ohio organized militia when engaged in full-time national
guard duty for a period of more than thirty days.
(c) "Applicant" means an individual who
applies to the board for a license, permit, certificate, or registration or
renewal, reinstatement or reactivation of a license, permit, certificate, or
registration to practice as:
(i) A licensed
dentist;
(ii) A licensed dentist
with an anesthesia or conscious sedation permit:
(iii) A licensed dental hygienist;
(iv) A dental x-ray machine operator;
or
(v) An expanded function dental
auxiliary.
(d) "Service
member" means any person who is serving in the armed forces.
(e) "Merchant marine" includes the United
States army transport service and the United States naval transport
service.
(f) "Veteran" means any
person who has completed service in the armed forces, including the national
guard of any state, or a reserve component of the armed forces, who has been
discharged under honorable conditions from the armed forces or who has been
transferred to the reserve with evidence of satisfactory service.
(O) Special needs
program
(1) "Special needs program" - a
program that is operated through a school district board of education or the
governing board of an educational service center; the board of health of a city
or general health district or the authority having the duties of a board of
health under section 3709.05 of the Revised Code; a
national, state, district, or local dental association; or any other public or
private entity recognized and approved by the state dental board.
(P) Supervision
(1) "Supervision" - acts are deemed to be
under the supervision of a licensed dentist when performed in a dental facility
wherein a licensed dentist is physically present at all times during the
performance of such acts and such acts are performed pursuant to his or her
order, control and full professional responsibility. Such acts shall be
performed only after examination and diagnosis by said dentist and in
accordance with said dentist's treatment plan for the procedure to be performed
by the licensed dental hygienist, certified assistant, expanded function dental
auxiliary, and/or dental x-ray machine operator. This definition is subject to
the exceptions noted in sections
4715.22,
4715.39,
4715.56, and
4715.64 of the Revised
Code.
(2) "Direct supervision" -
acts are deemed to be under the direct supervision of a licensed dentist when
performed in a dental facility wherein a licensed dentist is physically present
at all times during the performance of such acts and such acts are performed
pursuant to his order, control and full professional responsibility, and are
checked and approved by the licensed dentist before the patient upon whom such
act has been performed departs from the dental facility of said
dentist.
(3) "Personal supervision"
- acts are deemed to be under the personal supervision of the licensed dentist
when the dentist is personally operating on a patient and authorizes an
auxiliary to aid treatment by concurrently performing supportive
procedures.
(4) "Under the
direction of" - pursuant to division (A) of section
4715.16 of the Revised Code,
acts are deemed to be under the direction of a licensed dentist when performed
in a dental facility wherein a licensed dentist is physically present at all
times during the performance of such acts and performed pursuant to his or her
control and oversight. Acts are also deemed to be under the direction of a
licensed dentist when performed in connection with residency programs approved
by the commission on dental accreditation and operated in accordance with the
guidelines for the supervision of residents as set forth in the accreditation
standards.
(Q) Tasks
and/or procedures categories
(1) "Basic
remediable intra-oral and extra-oral dental tasks and/or procedures" - those
dental tasks and/or procedures which do not create irreparable changes within
the oral cavity and/or the contiguous structures and which are set forth in
rule
4715-11-02 of the Administrative
Code.
(2) "Advanced remediable
intra-oral dental tasks and /or procedures" - all tasks and/or procedures, with
consideration of the soft tissue, involved in the art or placement of
preventive or restorative materials limited to the following:
(a) Placement of sealants;
(b) Amalgam restorative materials;
and
(c) Non-metallic restorative
materials, including direct-bonded restorative materials.
(3) "Irremediable tasks and/or procedures" -
irremediable tasks and/or procedures are those which, when performed, may
create irreparable changes within the oral cavity or contiguous structures.
Further, parenteral injections for the administration of drugs, including local
anesthetic agents, are considered to be irremediable tasks under agency 4715 of
the Administrative Code.
(4)
"Surgery" means any procedure that involves cutting or otherwise infiltrating
hard or soft human tissue, including but not limited to gingivae, bone and
tooth structure, by mechanical means, including, laser surgery, therapeutic
ionizing radiation, and therapeutic ultrasound.