WDEB meetings are held the first Wednesday of odd months

November 2, 2011
January 4, 2012
March 7, 2012
May 2, 2012

Summary of DEB meeting November 2, 2011

2012 DEB Appointments

Bernie Mattsson - Bureau/Executive Director

Lyndsay Knoell, DDS - Chair

John Grignon, DDS -  Vice-chair

Linda Bohacek, RDH -  Secretary (Her extended term is up in May)

Mark Braden, DDS replaced Blaine Christman

There are still no public members on this current board.

Department of Regulations and Licensing is now called the Department of Safety and Professional Services.

Meeting date changes January 4th and March 7 are corrections to the calendar that the DEB originally sent out.

Nan Kosydar Dreves, RDH, MA gave presentation on ADEX. ADEX develops clinical board exams they do not administer them

Licensure by endorsement was clarified as long as you have passed a board exam and follow the procedures for licensure by endorsement it no longer matters when you took the exam.  This pertains to out of state individuals who would like to apply for licensure in this manner.

Dental hygiene students would be considered volunteers under our current statutes and for them to apply varnishes without the direct supervision of a DDS a medical prescription would need to be obtained. This means a prescription written (standing order) by a medical public health physician would be appropriate for them to apply fluoride varnish as the current law is written and interpreted.

Sleep Apnea treatment is a team approach. Therefore, prescription by a physician and subsequent follow up by an MD is necessary. The full information necessary for the board to make a definitive decision was not obtained - A work group was formed to provide a general statement for the DEB meeting in January.

Laser use by RDH - Mark Braden was added to the Laser work group team to provide additional insight into the use of Lasers by RDH's his feelings are that RDH's should be allowed to use and that it is not necessary to have direct supervision during its use.  The Laser work group will have further discussions and report back to the DEB in January.

Teeth whitening - An individual filed a Federal Trade Commission class action suit in North Carolina about the administration and use of whitening by a non licensed individual (i.e., an employee of a spa, mall, etc.) stating their constitutional rights have been violated and that they should be allowed to distribute whitening even though they are not a licensed dental professional.

Oral discussions took place on this federal suit October 28th. The DEB will follow this action closely and develop working to add to the dentistry scope of practice so if complaints would come into our state we have a statement to follow regarding this matter.

DH Scope of Practice the DEB dissolved the subcommittee agreeing to still consider the two items that were all ready considered in the past they are:

1. Amend 447.01(3)(d) Eliminating the word "preliminary" before examination and inserting the words      "and presentation to a patient".

2. Amend 447.06 (2) (a)  Striking "only" after procedures and inserting "a volunteer" prior to "an employee" and striking "only as follows" after "independent contractor"

Respectfully submitted by,

Sharri Crowe

WDHA President

The January 5, 2011 Wisconsin Dentistry Examining Board Meeting was called to order and the first order of business was for the board to meet David Ross, the new Secretary of the Department of Regulation and Licensing. Prior to this position, Mr. Ross was the Mayor of Superior.  The next order of business was elections of new officers for the Dentistry Examining Board.  The results:
Chair: Blaine Christman
Vice Chair: Lindsay Knoell
Secretary: Linda Bohacek

The board discussed the use of Botox and Dermal fillers by dentists.  Discussed was the expectation that the dentist will get the proper training and assume the responsibility for the outcome of such procedures but the board has requested more information regarding this topic before making a final statement.

The board approved a scope statement which supports the use of Lasers by dental hygienists for the treatment of periodontal disease.  Next, the board will need to determine what the educational and certification requirements will be.

The definition of dental hygiene will go back to the subcommittee for more work.  The legal counsel created a draft putting the recommendations from the subcommittee into statutory language.  The subcommittee which will now be lead by Dr. Knoell will review the document and recommend changes. 

Victoria Friemark-Nelson RDH from the Green Bay area received endorsement from the WDEB to apply to become a CRDTS examiner.

The state of Wisconsin accepts NERB results for licensure application and this month, NERB will formally acknowledge Wisconsin for this.

With the goal of one national exam for licensure, Dr. Bruce Barrette made a presentation on behalf of the ADEX exam and encouraged the state of Wisconsin to endorse it.

Discussions will take place at future WDEB meetings on the treatment of sleep apnea by dental professionals.

Wisconsin Dental Examining Board

11/3/10 Meeting SUMMARY

 

WDHA RDH’s as guests in attendance:

Melissa Deyo, President; Sharri Crowe, President Elect; Jenn Kreider, Vice President; Megen Lube, Northwest Trustee; Matt Crespin, CHAW; Cathy Martin CRDTS Examiner

Secretary Celia Jackson speaks:

  Dr. Knoell (Recently appointed DEB member) is having his appointment reviewed by Secretary Jackson’s office.            
  Dr. Guy Shampaine, Oral Surgeon, Vice Chairman, NERB; History ADEX develops exam NERB administers.  They would like WI to join NERB: Discussion took place to be members and attend the regional board meetings for NERB. DEB voted to apply for membership to NERB/ADEX

Cathy Martin, RDH, Update from Hygiene ERC (Exam Review Committee) Meeting for CRDTS

1.      MN Advanced Dental Therapist 2011 graduates will take same restorative functions exam as dental students.

2.      RE: HYG CRDTS: All candidates, examiners and patients are given feedback forms to fill out and then CRDTS reviews this feedback.

a.       Candidates 90% Online orientation was very favorable

b.      99% liked the written manual

c.       89% of candidates felt exam was fair

Over 80% of patients felt the exam was good

3.      ERC follows Robert’s Rules

4.      Minnesota dental therapists will take the same exam that the dental students will take.

5.      To pass CRDTS must achieve a 75% 

6.      Summary: CRDTS

Only state that does not allow LA is Georgia so Oraqix will be removed from the exam.

72% of candidates that resubmit still pass sharing patients will still be allowed.

Digital radiographs they will poll all hygiene schools to see how many schools

Standardize the instruments to be used by 2012.

Also, no longer will candidates be allowed to use plastic probe.

Testing sites are varied in what they are required to do therefore, CRDTS is going to standardize what they are required to do.

RE: Non live patient exam a lot of dental professionals have brought this up but none came from hygiene.

First time failure rate for CRDTS is 12% when they were joined with ADEX  it was 16%.

 

Review and Consideration of Scope Statement 2009 Vote to Accept All Regional Examinations and Applicants who did not take a Regional Examination. Licensure by Endorsement is very vague in its stipulations.  Need to set a process for accepting licensed individuals from other states. May need to separate process for dentists and hygienists. Accepted scope statement as amended.

Review of rule-making to expand the faculty license procedure – faculty license follows you unless you move to a different state.  Faculty license will cease to exist if you leave an accredited school in this state.  Accepted as amended.

 

 

Update from Subcommittee on Scope of Practice (Definition of dental hygiene).

Recommendation from subcommittee – e-mailed to members last night.

Hygienists working in alternative settings would have to

1.      Registering with DRL for expanded settings practice (respect for team and referral).

2.      Additional education requirements every year to work in these settings.

3.      Agreement and close working relationship would have to take place with. DHS, local public health department, or collaborative agreement with a DDS.

 

Committee members: Linda Bohacek– need to take baby steps to move this forward. Tim Size stated that the summary is a step in the right direction and it may not look like this 5-10 years. This is not the final there is a lot more to hash out.  The goal today was to get an impression from the board how they feel about the summary developed by the committee and then find out what you want to do with the summary.

Rublee - Collaborative agreement in other states it is not working b/c although a DDS agrees that a hygienist can practice on these patients the DDS is not necessarily going to treat these patients the hygienist sees.

Barbeau - A patient needs dental hygiene and dental care a hygienist cannot provide both that is why it is important the DDS gives an exam periodically.

 The initial purpose of this committee was to develop statutory changes for the scope of dentistry and dental hygiene. Actual language needs to be developed in statutory draft so regulatory language can be written. 

Laser Use by Dental Hygienists –referred until January

 

Informational Items

Dental Hygiene Students and Inferior Alveolar Injection–Participants do injections on each other during the class. RDH’s then have to do another IA injection within 6 weeks at a private dental office.  DH Students and IA injection must be done on one of their clinical patients. Board stated in the absence of a qualifying patient a student with the patient’s informed consent can give an injection on that individual as long as that person gives consent.

Respectfully submitted by:

Melissa Deyo WI-DHA President

Sharri Crowe WI-DHA President Elect

 

Wisconsin Dentistry Examining Board Meeting Wednesday, May 5, 2010

Dental Hygiene was represented at this WDEB meeting by WDHA members Jennifer Kreider, Debbie Schumacher, WDHA Lobbyist Peter Theo, and CVTC Dental Hygiene Student Megen Lube.

 The meeting opened with the presentation of four cases for disciplinary consideration.  All four were against dentists.  One was for inappropriate use of N2O2, two for insurance fraud and one for illegally growing marijuana and charges of questionable patient care.

 A name has been submitted for consideration for the remaining public member seat needing to be filled for the WDEB.  No word on the status of approval at this time.

 The September 1, 2010 meeting of the WDEB will be held at Marquette University with a start time of 9:30.

 The WDEB subcommittee established at the March meeting to make recommendations regarding the definition of dental hygiene was unable to meet; therefore their report is postponed until the July WDEB meeting. The topic at hand is removing the restrictions to where a dental hygienist can practice.  Specifically with regards to supervision. Some feel no special requirements are needed and others feel that special requirements are necessary if a dental hygienist is to practice without supervision.  The committee was charged with bringing recommendations back to the larger group for discussion.

  As a side note, the WDA submitted their recommendations for the WDEB to consider.  The WDHA and WDA leadership will meet to discuss these prior to the next WDEB meeting.  

 Committee member Nancy Rublee shared her poster presentation regarding Medicaid certification for dental hygienists in Wisconsin which she presented at the recent National Oral Health Conference.

 As of January 2009, Wisconsin recognizes and accepts all regional tests for dental and dental hygiene licensure. However, if someone contacts Wisconsin to apply for licensure and has taken a test other than CRDTS prior to January 2009, they will have to be considered on a case by case basis until further notice. 

 Committee member Tim Size reported on the outcome of the Dental Education Feasibility Study recently completed in Wisconsin. 

 The FAQ discussed at this meeting was: Does participation in practical exercises during CE require licensure?  This was in regards to hands on classes in which attendees may be licensed in another state or be a student.  The answer was that if at least one of the presenters was licensed in the state of Wisconsin, then the referenced attendees could participate in the hands on activities.

The next WDEB meeting will be held on Wednesday, July 7, 2010 at 8:30.

Respectfully submitted,

Debbie Schumacher, WDHA President

WI Dental Examining Board (DEB) Meeting    March 3, 2010

Things we learned today

Dental professionals administering vaccines

This discussion was brought up b/c of the recent H1N1 outbreak. You might find this law useful if working in public health or if you were asked to help in a health setting.

There are 5-8 states that all ready allow dental professionals including RDH’s to administer vaccines. A DEB committee member was appointed as Liaison to work with WDA in allowing DDS’s & RDH’s to administer vaccines during times of emergencies.

Interestingly, the way our current law is written: An MD can provide direct supervision for RDH’s to administer vaccines but an MD cannot oversee us administering local anesthesia and the DDS cannot provide direct supervision for us to administer vaccines they can only provide supervision for local anesthesia.

The Liaison will work with the WDA in developing guidelines for DDS’s & RDH’s to administer vaccines in times of emergencies.

Continuing education

Individuals who have a medical condition or long term illness which would have prevented them from obtaining the necessary CE requirements for license renewal may or may not be provided a waiver. This waiver may be granted if there is proof or justification of a medical condition, long term illness, or special circumstances.

Additional discussion took place with aligning DDS CE &RDH CE so that they are similar.

Practice questions & comments

Can a RDH perform his/her scope of practice on a new patient if the DDS is in the office and has not done a new patient exam on that patient?                                                                                                The answer is yes! According to our state statute 447.06 (2B) A DDS can give their oral prescription for RDH’s to perform his or her scope without an exam first as long as the DDS is in the office. The DDS must then perform a new exam on that patient prior to them leaving the office.

N2O administration Are you putting your license in jeopardy?

Interpreting the law in layman’s terms this is what it means: A qualified (qualified meaning certification in CPR) RDH or DA’s cannot administer or adjust nitrous oxide but may assist the DDS in monitoring a patient undergoing N20. This means a RDH or DA’s cannot turn it on, adjust it, or shut it off. What they can do is if an incidence arises they are to get the DDS to adjust or turn the unit off. Like we said is your license in Jeopardy? Do you want this law changed if so then you should not be turning it on, adjusting it, or shutting it off!

Practice settings

There was much discussion about eliminating the “laundry list” of practice settings where RDH’s must practice with the supervision of a DDS. An agreement could not be reached even with the amount of information that was presented. A subcommittee was formed to set parameters/guidelines for a more productive meeting to take place in May.

If you have any additional questions or need further clarification contact the Bureau Director: Gail Sumi Gail.Sumi@Wisconsin.gov or 608-266-8098.