Local Anesthesia for the Dental Hygienist
Download the registration form here.
Manor College Dental Hygiene Program is proud to offer a training course to prepare licensed dental hygienists for certification in administering local anesthesia. This course has been approved and satisfies the didactic and lab experiences required by both the PA and NJ (approval code 21-176) State Boards of Dentistry regarding administration of local anesthesia for dental hygienists.
Participant is required to complete the registration form and mail it with the necessary payment and supporting documentation to the address shown at the top of the registration form. A completed registration form (with full payment and documents) is required to reserve a seat in the training course. Registration is accepted on a first come basis. Registration is not complete without supporting documentation and full payment.
To provide the necessary knowledge and skills to successfully complete the training course and to apply for a state license to administer local anesthesia in approved clinical settings.
Bassett, K., DiMarco and Naughton, D. (2010). Local Anesthesia for Dental Professionals. Upper Saddle River, NJ: Pearson. ISBN 978-0131589308 . First edition may be less expensive to purchase used. Second edition (2015) is fine as well. (Please note the change in cartridge volume from 1.8 to 1.7 ml as a significant update with new edition)
Participant is expected to purchase the textbook and bring it the first day of class. This is a very content-intensive course; therefore, it is strongly recommended the student begin to read the first several chapters of the textbook prior to the first day of the class.
Lecture outlines, copy of PowerPoint slides and other handouts will be provided.
Attendance mandatory for the entire length of the course.
No credit will be awarded for partial completion of the course.
Upon successful completion of the clinical competencies and written final examination, the participant will be issued a Certificate of Completion and is eligible to apply for a state license to administer local anesthesia. Certification is not guaranteed.
Note: The training course is NOT eligible for continuing education credits in PA; however, the course is eligible for continuing education credits in NJ.
Tuition $1300 for the 4 session course. Lunch is on the student’s own time
Class Size Class size is limited to allow for direct faculty supervision.
The following documents are due at the time of registration and must remain in effect for the duration of the course:
- Copy of current dental hygiene license to practice in Pennsylvania or NJ
- Copy of current liability insurance policy (policy available through ADHA)
- Copy of current CPR for Healthcare Providers
- Copy of a current valid driver’s license (with photo)
The following documents are due prior to the first day of class:
- Complete and accurate medical history form signed by the student
(supervising dentist will review; physician signature is not required)
- Signed informed consent form and photo consent form
Participants who fail to submit the required documentation as stipulated will be disqualified from participating in the course and will not be issued a refund.
The Dental Hygiene Program will provide the necessary disposable items for the clinical component of the course.
Participants are required to provide a suitable lab coat, scrub set, socks (crew-length), all-leather clinical shoes, safety glasses, dental supplies and items listed below. The Dental Hygiene Program adheres to OSHA/CDC/ADA guidelines for safety and infection control. There is no eating or drinking in the clinic and safety glasses must be worn by the patient and operator during patient care.
These items are due the first day of class:
- Bassett textbook
- Scrubs and lab coat, ankle-length socks, and all-leather clinic shoes
- Safety glasses and faceshield
- Hemostat (sterile and marked)*
- Two aspirating syringes (sterile and marked)*
*Manor College will not be responsible for lost or missing items; be sure to mark all items by using a color-coded band or etching the participant’s name on the instrument.
- Blood pressure kit with stethoscope
- Watch with a second hand
- Three ring binder, note paper and pen
Refund and Cancellation Policy
There is no refund for withdrawing within 14 (fourteen) days of the first class or for withdrawing after the course begins. Participants may receive a partial refund for withdrawing in writing 2 weeks before the first day of the course. However, participants who withdraw will incur a withdrawal penalty fee resulting in a maximum refund of $600).
Caution: Questions about a possible medical issue MUST be discussed with the Course Coordinator prior to registering for the course. No refund will be issued for failure to obtain Course Coordinator permission for a substitute patient if there is a potentialmedical issue that precludes the participant from receiving local anesthesia. Refer to the informed consent policy described herein.
Manor College reserves the right to cancel the course. If the course in cancelled by Manor College, participants will be issued a 100% refund.
Joanne Scorpio, DMD
Local Anesthesia and Clinic Coordinator,
Manor College Dental Hygiene Program
Jane Hannon, RDH,MEd
Manor College Dental Hygiene Program
Tom Viola, BS, R.Ph, CCP
Manor College Dental Hygiene Program
And other instructors and teaching assistants as needed.
*Note: not all instructors teach at each course.
For more information, please contact:
DENTAL HYGIENE PROGRAM
700 FOX CHASE ROAD
JENKINTOWN, PA 19046
PHONE: 215-885-2360 x 3282
EMAIL : firstname.lastname@example.org
Informed Consent Policy
I, the undersigned, hereby acknowledge that I have voluntarily agreed to participate in the Dental Hygiene Local Anesthesia Certification Training course at Manor College. Upon registration for the local anesthesia course, I understand I will be administering and receiving local anesthesia injections as a condition of course completion. The injections will take place in the Dental Hygiene clinic at Manor College with direct faculty supervision and according to applicable laws, regulations and safety standards.
I have completely and accurately revealed and described my previous and current medical conditions on my health history form. I have included on the medical history any prescription or over-the-counter medications I am taking as these may interact with local anesthetics.
I understand that if I am pregnant, breast feeding, or have other health concerns (ie: uncontrolled high blood pressure, allergies to local anesthetic, or oral lesions) that will not exclude me from participating in the training, but could preclude me from receiving injections of anesthetics, I will contact the Course Coordinator prior to registering for the course. No refund will be issued for failure to obtain Course Coordinator permission for a substitute patient if there is a potential medical issue that precludes the participant from receiving local anesthesia.
If so authorized by the Course Coordinator, I will provide an appropriate substitute over the age of 18 to serve as a patient to receive injections on my behalf. The substitute will be required to provide a medical history, informed consent and agree to attend fully each lab sessions. No refund will be issued for failure to provide an appropriate substitute.
I understand there is a possibility that I may experience discomfort receiving the required injections. I also understand that there are certain risks entailed in any injection of local anesthetic including, but not limited to local complications such as: trismus (limited jaw opening), hematoma, transient paresthesia and facial nerve paralysis, temporary rapid heart beat, swelling, bruising or soreness at the injection site. Severe allergic and possible life threatening reactions necessitating emergency care are uncommon but could occur. I am willing to undertake the risk of giving and receiving these injections.
I hereby knowingly, freely, and voluntarily release and hold harmless the Commonwealth of Pennsylvania, Higher Education Council, Manor College and their agents, employees, servants, students and assignees from any and all liability, claims, demands or causes of action whatsoever, including liability for negligence, arising out of any damage or injury which I might suffer in the course of, or related to, participation in the Dental Hygiene Local Anesthesia Certification Training course at Manor College.
Participant acknowledges reading and reviewing this consent and having given a complete and truthful medical history, including all medications, drug use, pregnancy, etc.
Participant certifies s/he speaks, reads and writes English.
Each participant must sign an informed consent form
which can be obtained from the Course Coordinator.
(Refererence: informed consent form)