<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".29" citation="COMAR 10.44.04.29" title_num="10" subtitle_num="44" chapter_num="04" heading="Administering Medication.">
  <paragraph num="A.">
    <text>A dental hygienist who is recognized by the Board to administer medication may, under the general supervision of a dentist, administer medication including:</text>
    <paragraph num="(1)">
      <text>Topical and systemic types of prescription or over-the-counter fluoride preparations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Topical antimicrobial rinses;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ibuprofen not exceeding 600 mg every 6 hours for up to 3 days after nonsurgical periodontal therapy;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Premedication antibiotics by mouth as required for dental treatment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Subgingival antibiotics and antimicrobials; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Nonopioid pain medication.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A dental hygienist may not administer a medication:</text>
    <paragraph num="(1)">
      <text>That is classified as a controlled dangerous substance under Criminal Law Article, Title 5, Subtitle 4, Annotated Code of Maryland, or a controlled substance as defined by 21 U.S.C. §812;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The prescription of which requires a federal Drug Enforcement Agency Registration; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Except for local anesthesia that is administered by intramuscular, subcutaneous, intravenous, or intradermal injection and administered in accordance with Health Occupations Article, §4-206.1 or 4-206.3, Annotated Code of Maryland, and this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A dental hygienist may administer a medication under §A of this regulation under a standing order in the patient’s record that is authorized by the supervising dentist, if the dental hygienist includes the following information in the patient’s record:</text>
    <paragraph num="(1)">
      <text>The name of the medication;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The dosage of the medication;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The date and time the medication was administered; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The route by which the medication was administered.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The standing order entered into the patient’s record by the supervising dentist shall include at least the:</text>
    <paragraph num="(1)">
      <text>Name of the medication;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Dosage of the medication;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Particular circumstances under which the medication should:</text>
      <paragraph num="(a)">
        <text>Be administered; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Not be administered.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>