# COMAR Title 10 — Maryland Department of Health

## Subtitle 44 — Board of Dental Examiners

### Chapter 04 — Practice of Dental Hygiene

#### Regulation .31 Board-Approved Course of Instruction for Prescribing and Administering Medication.

*COMAR 10.44.04.31*

The 4-hour Board-approved course of instruction shall include but not be limited to the following:

A. Responsible medication prescribing;

B. Accuracy in prescription writing;

C. Electronic prescribing;

D. Telephonic prescribing;

E. Professional accountability;

F. Risk management;

G. Safeguarding prescription pads;

H. Application for a National Provider Identifier number;

I. Principles of and prohibitions against drug dispensing by dental hygienists;

J. Chairside medication administration;

K. Proper storage and disposal of medications;

L. Labeling requirements;

M. Drug classifications and scheduling;

N. Controlled substances:

  (1) The role of the federal Drug Enforcement Agency; and

  (2) The Maryland Prescription Drug Monitoring Program;

O. Recognizing and addressing drug abuse;

P. Review of medical history;

Q. Questioning patients for safe prescribing;

R. Drug Interactions;

S. Premedication — antibiotic prophylaxis;

T. American Dental Hygienists’ Association guidelines for prescribing and administering medication;

U. Drug recommendations and dosing;

V. Adverse reactions and hypersensitivities;

W. Medical emergencies and emergency drugs;

X. Adjuvant therapy for nonsurgical periodontal treatment:

Y. Evidence-based decision making for drug therapy;

Z. Conditions and recommended therapies;

AA. Pharmacokinetics — the effect of drugs on the body;

BB. Pharmacodynamics — drug processing;

CC. Specific medications:

  (1) Local anesthetics:

  (2) Antimicrobials — subgingival and systemic;

  (3) Nonsteroidal anti-inflammatory drugs;

  (4) Fluoride preparations;

  (5) Over-the-counter medications;

  (6) Nutraceuticals and herbal supplements; and

  (7) Vitamin and mineral supplements;

DD. Record-keeping requirements for medications prescribed and administered; and

EE. Patient follow-up care.