NDHA
 
NDHA NEWSLETTER - OCTOBER 2019
 
NDHA believes in helping dental hygienists achieve their full potential as they seek to improve the
public’s oral health. We support your goals by helping to ensure access to quality oral health care;
promoting dental hygiene education, licensure, practice and research; and representing your
legislative interests at the local, state and federal levels.
 
2019 Fall Session
 
October 11-12, 2019
Henry Schein Dental
11501 Centennial Rd,
La Vista, NE 68128
and
In Greater Nebraska via Zoom Conferencing Services
 
Register Now
A Message from Your President
Kat Galvan
2019-20 NDHA President
 
The year started off with a bang! Currently the “big thing” is the drafting of the Rules and Regulations for the practice of dentistry, dental hygiene, and dental assisting for the Statute that was passed in 2018 for expanded scope and functions for hygienists and assistants. The Board of Dentistry and DHHS developed a draft, and there have been two hearings as well as testimony submitted.The Association has some concerns about the way it has been written and some of the verbiage being used.
 
Our legislative committee has been actively involved in reviewing documents and attending the Board of Dentistry meetings. Until the Rules and Regulations are completed, only hygienists who have recently graduated can be licensed to preform expanded scope of practice. If you have not attended a Board of Dentistry meeting, I strongly encourage all hygienists to do so. The next meeting is on Oct 25th, 2019. It is a great learning experience, and we as licensed professionals should want to know what things are happening that affect our profession. We all need to know what we can and can not do within our scope of practice.

With the new expanded functions and expanded scope, you should be aware that they are different. Expanded scope pertains to procedures that ALL hygienists are taught to perform and are part of our protocol as a dental hygienist. We received this training as part of our education. Only hygienists graduating after 2018 have received this training, others will have to take approved courses to apply for the additional certification, which will then show up on your license. Expanded scope includes the following: nitrous administration, scoop and fill (ITR), prescription writing, and for the PHRDH-denture adjustment.

Expanded function pertains to a procedure that requires additional education and training in order to perform and is not mandatory for every hygienist. It typically requires a separate license or permit. Expanded function includes placement of simple and complex restorations, but no prepping. You can only receive this function after a licensed RDH with 1500 hours of experience passes a clinical board exam like CRDTS.

We have a new opportunity for leadership development in Nebraska. The American Dental Hygienists’ Association (ADHA) has held a leadership development program annually for years entitled Unleashing Your Potential (UYP), and we have decided to create our own program. With sponsorship and budgeting we are going to be hosting it next year in 2020. The flyer can be found within this newsletter. If you have ever thought about being a leader in your profession, please consider applying for the opportunity. This is going to be a highly selective process and very exclusive.

Nebraska has been leaving its mark on ADHA history. If you did not know, our very own Lisa Moravec, NDHA Past President, is going to be the next President of ADHA!!!! She is going to be installed at ADHA Annual Session in New Orleans 2020. We have had two male past presidents and about to be a third male president coming up in a few years. How amazing is it we are having a lot of firsts within our association.

Act Now, step outside your comfort zone and join us in the pursuit of leadership and protection of our profession.
 
Heather Hessheimer, 
NDHA President-Elect
 
In my last article I wrote for the NDHA newsletter, I mentioned that it would be nice for dental hygienists to get to know more of each other. I started with some “getting to know your leadership” fun-facts and introduced the idea of getting to know others who are passionate about the same things as you. Of course, dental hygienists often have a lot of personality traits in common so that is a bit easier with our profession…if you put yourself in situations to meet others!
 
In January’s newsletter I also wrote about an ADHA dental hygiene leadership workshop called Unleashing Your Potential where I had the opportunity to meet other dental hygienists across the nation. NDHA wanted to bring the opportunity to Nebraska and I’m happy to announce this dream has become a reality for 2020! Feel free to navigate back to January’s article for more information, but I’ll recap a bit of it here:

NDHA is always looking for great leaders to come up the ranks and we are ready to invest in you as an emerging leader for Nebraska. Four individuals will be selected to attend our inaugural class of “Unleashing Your Potential – Nebraska” for the weekend of May 30th-31st in 2020. Crest + Oral B has generously partnered with our association to host an event to remember! There will be activities designed to grow you as a leader, a team player, and as a professional. We will talk about ADHA as an organization and what the association can do for your professional growth, but we are going to have some fun doing it! See flyer and application for more details.

I would challenge each of you to realize that getting involved in our association truly can be for everyone! We realize that some people prefer roles that are behind the scenes or jobs with less responsibilities. Whatever your interest, we have a place for you! Spend a weekend in Downtown Lincoln meeting other potential leaders and growing yourself professionally. Applications will be accepted until January 1, 2020, so don’t wait until the busy holiday time to apply. Visit our NDHA website at nedha.org and follow the link to the application today!
 
We can’t wait to see what you can do with your future!
 
Jason Brisbin
2019-20 NDHA Vice-President and Membership Chair
 
 
I have to admit that I had trouble coming up with something worthwhile to write about for this newsletter. I have very few on-the-ground updates. 
 
We have officially moved to a single membership cycle. Instead of summer and winter, we are now on a winter cycle only. Those that had a summer renewal were given a six month invoice to get them onto the winter cycle.
 
To help with the cost of membership renewal being due around the holidays, ADHA is working to popularize its quarterly payment option, and they have also created a prorated membership price for new members Besides that, the membership world has little new to offer since my last article. In an effort to keep this newsletter interesting and stimulating, I have decided to fill the rest of my space with some reflections on mentorship and the power of language.

I have reached the point in my career that many hygienists do. As a young professional, I crave mentorship. Right now though, that mentorship is very difficult. I have moved beyond being a student, where guidance and mentoring are an expected part of the educational experience. On the other hand, I don’t have enough personal or professional capital to attract the time and attention of high level professionals. I am a firm believer that in life we have three choices: We can remain stagnant, elevate ourselves as the narcissist does, or elevate ourselves as leaders do. Those that want to remain stagnant simply just have to sit back and do nothing. The narcissist will attempt to elevate their self-esteem by surrounding themselves with people who will shower them with praise and make them feel large. Any meaningful growth is stifled because the narcissist will choose people who make them feel big which, many times, means those less skilled. No challenge means you always look good, at least compared to everyone else. A strong leader takes a different approach. They seek lifelong learning by surrounding themselves with people who humble them. If you are constantly surrounded by mentors who are smarter, more experienced, or who have unique perspectives, you are constantly expanding your horizons in ways that create meaningful personal growth.

The challenge with utilizing those mentors is that they are very busy! These exceptional people have exceptionally full plates. Early in my career I have not yet proven I am worthy of occupying any significant portion of their time. This creates a mentoring vacuum that I am always looking to fill. What can I do? Well, I have attempted to take two approaches. The first is always be open to learning something. The more you learn in life, the more work it takes to learn something new. If you are always open to learning, you can glean important insights from the limited time you get with exceptional people. I have been very fortunate to work with some of those special folk as a leader in our state and national association, and as an educator working with amazing faculty who are experts in a variety of fields. If I am always looking for new insights, I can maximize what I can learn.

The second approach I take is to seek wisdom in the power of the written word. There is some evidence to suggest that the profession of dentistry predates the first documented writings. This not only demonstrates the importance of the dental profession in human history, but also demonstrates how much of an intellectual advancement writing was. By preserving ideas through writing, we have been allowed to access thousands of years of accumulated wisdom. We can find mentors, dead or alive, that will give us all the time and attention we want, as long as we are willing to take the time to understand.

It was the seeking of mentors through the written word that brought me to two essays, one by Samuel Clemens (AKA Mark Twain) entitled “Fenimore Cooper’s Literary Offenses” and the other by George Orwell entitled “Politics and the English Language”. Mr. Clemens’ essay is a brutal, yet humorous, takedown of a popular fiction writer of the day. While he has many criticisms, the one that stood out the most to me is his distaste for writers who lack the observational skills to accurately write about a given subject. Reading this essay helped force me to confront my own writing and thinking to ensure that I am accurately and honestly assessing the world, and addressing my own biases and prejudices. Words are powerful and we must be careful to accurately say what we think and admit our own limitations. If we get too arrogant, someone will come along and tear our arguments apart. Humility and careful observation of the world is essential for personal growth.

The second essay by George Orwell is by far my favorite of the two. In it, he discusses the manipulation of the English language by politicians. Again, he has many criticisms, but the phrase that stuck out most to me is his reflection that “The great enemy of clear language is insincerity”. Anybody who follows politics will note their skilled use of non-answers. Sometimes it is because they are lying, sometimes because they are ignorant, and sometimes it is because they are unwilling to admit to themselves what they actually think. If we are unable to clearly and succinctly state our opinions, perhaps we are not being honest either with ourselves, or with our audience. Perhaps our inability to communicate effectively is due to our fear of saying what we really think? Language can be a powerful way to communicate ideas, but used poorly, can be a powerful tool to distract and obscure the world around us.

I hope that those like me who seek mentors will consider these things. We want people to join our leadership team to help not just our organization grow, but to help ourselves grow. While I can fill the gaps with the written word, I would much rather learn from a live person in front of me. If you too seek mentors, consider joining us, and read as much and as broadly as you can.
 
Legislative Committee Update
 
 
2019-20 Co-Chairs:
 
Deb Schardt
Kalynda Kuhl
 
.The Nebraska Dental Hygienist’s Association bill is still on file with the legislative proceedings and are fighting to keep scaling and root planing included in the scope of practice for the public health dental hygienist.

The Board of Dentistry, at the urging of the NDA and NDAA rescinded its original opinion that a dental hygienist could take the expanded function restorative training at any time, and then apply for the permit after 1500 hours of practice experience and successful passage of a CRDTS Board exam. The BOD adopted language to be put in the new regulations that a dental hygienist and dental assistant must be licensed before taking the restorative expanded function training, and must have 1500 hours of experience before taking the board exam and receiving their expanded functions permit. Another issue NDHA is addressing is the BOD recommendation to exclude any language that prohibits dental assistants from scaling and root planing in the rules and regulations, as well as the requirements for coronal polishing as those are only in rules and regulations and NOT in statute.

NDHA is uncertain if there will be a public hearing regarding these issues or not.
Hygienists are needed to pair up with their senators. To find your senator please go to: https://nebraskalegislature.gov/senators/senator_find.php If you would be willing to fill this roll please email: debschardt@icloud.com or kalynda_kuhl@hotmail.com.

Legislative Rules & Regulation Process:
In our quest to build the knowledge base of all hygienists in the state, today’s article has been created to explain the difference between a Statute and Rules and Regulations, for they are not one in the same. NDHA has been participating in the Rules and Regulations process for a recent law (statute) that became effective on January 1st, 2018 (LB 18) specific to dental hygienists and dental assistants in expanding their scope of practice. Here’s how the Rules and Regulation Process works:

Just as the Nebraska Legislature passes laws under the authority granted to it by the Nebraska Constitution, state agencies adopt or promulgate regulations under the authority granted to them by the statutes passed by the Legislature. Regulations are adopted in order to clarify and define processes and requirements outlined in state law. Properly adopted regulations have the force of law.

For example, state law provides that it is illegal to drive with a blood alcohol level over .08 percent. Rules & Regulations define how testing for blood alcohol content is conducted.
Commonly referred to as “rules,” “regulations” or "rules and regulations," the official name for the compiled rules and regulations of the state is the Nebraska Administrative Code.
A regulation is created, amended or repealed through the hearing and adoption process. This can take anywhere from weeks to months from start to finish. The purpose of the hearing and adoption process is to ensure that the public has an opportunity to participate in the rulemaking process and that the regulation is properly authorized by law. Unless there are special circumstances, each proposed regulation goes through a mandatory adoption process.

 
This adoption process is as follows:
 
Rule drafting period. The rule drafting period is the amount of time used by the agency to draft the proposed regulation and solicit input from interested parties as appropriate. Interested parties may include the public, industry associations, or persons or groups affected by the regulation. Because it is difficult to significantly change a regulation once it has been set for hearing, the drafting period is an important phase in the development of a regulation.

Thirty-day publication notice. Notice of the rulemaking hearing must be published at least 30 days prior to the hearing to inform the public of the proposed changes. Contents of the notice include date, time and place of the hearing, as well as a short explanation of the purpose of the proposed regulations. Notices are generally published in a newspaper of general circulation. Notices and text of the proposed changes are available on the rules tracking system and in the Secretary of State’s Office. There is a waiver provision for the 30-day notice requirement for hearings in emergency situations.

Public hearing. The public hearing is an opportunity for the public to comment on proposed regulations. Agencies may take online comments as well if they choose to enable the online comment function of the rules tracking system. The public hearing shall be held within 12 months after the effective date of the legislative bill.

Submission for review. After the hearing, the regulations and the accompanying material must be submitted to the attorney general and governor. The attorney general reviews the regulations for compliance with statutory and constitutional authority. The regulations then go to the governor for policy review and final approval.

Adoption of regulations. Upon completion of these steps, the regulations are then forwarded to the secretary of state and become law five days following receipt.

The NDHA Legislative Committee would like to thank all hygienists who provided testimony during the most recent Rules and Regulation hearing this summer. These rules and regulations will dictate the specifics of how our expanded scope duties will be enforced and the necessary information you need to know to stay compliant.
 
If you should have any questions, please reach out to the Legislative Co-Chairs – Kalynda Kuhl and Deb Schardt.
 
Changes at the Nebraska Board of Dentistry
 
 
Cindy Gaskill

Cindy has served on the BOD for 10 years and will be completing her term on the BOD in October.

Cindy has served in multiple areas on the BOD. She has been part of the Central Regional Dental Testing Service (CRDTS); Dental Hygiene Examiner for almost 20 years; Team Captain; Site Coordinator; Former member of the Exam Review Committee; Serving on the Dental Hygiene Calibration Committee; Serving on the CRDTS Governance Committee. She has been a pillar on the BOD in representing dental hygiene. Cindy continues to serve as full time faculty at Central Community College and is a busy wife and mom.
 
We thank you for your dedication and service not only on the BOD, but for all that you do for Dental Hygiene!
 
Lisa Kucera
 
Hello NDHA, It is an honor to be on the NE Dental Board for a second term. I have been a hygienist since 1983. I currently teach Dental Hygiene at Iowa Western Community College. We have our didactic course work at IWCC and our clinicals at Creighton School of Dentistry.
 
I have loved being a hygienist and
all of the different roles I have had since my graduation. There has been many, many changes in dental hygiene since I graduated and fore see many more in the future.
 
Welcome to the Newest Member of the Board of Dentristry!
 
Hannah Randell, RDH, PHRDH, is a Nebraska native and has been in the dental field for over 18 years. After earning her Associate of Applied Science degree from Central Community College in 2003, she has 16 years of dental hygiene experience in both private practice and public health settings serving both metropolitan and rural communities. Hannah will graduate with a Bachelor of Science in Dental Hygiene with an education emphasis next year and plans to pursue a Master of Allied Health in Teaching and Technology after that.
 
Hannah currently also serves as adjunct faculty for CCC teaching in student clinics, preclinic, and local anesthesia courses. She is passionate about education and increasing access to care, especially with regard to elder care. Hannah is thrilled and grateful to have the opportunity to serve with an outstanding team on the Board of Dentistry, pursuing health and safety in dental practice for not only her own patients, but for citizens across the state. Hannah and her husband and 5 children reside in Aurora, NE
Student Liaision
 
 
Sydney Wesely
Central Community College
 
 
 
Hi, my name is Sydney Wesely, and I am the student liaison from Central Community College in Hastings, NE. I became interested in pursuing dental hygiene because my dad owns a dental lab in Omaha, NE, so I have always been around the dental field. Once I got older I decided pursuing a career in the dental field was for me. I shadowed numerous different careers within the dental realm and ultimately decided that hygiene was my calling. I think becoming an ADHA member is important because you are given the chance to gain access to opportunities, people, and resources that you might not have had access to without it. Some benefits that we receive as students are access to resources for national boards, community involvement, career centers, scholarship opportunities, and so many others. As we know, dentistry is an ever-evolving field and is always changing, and with ADHA you are able to stay on top of the latest updates to better educate yourself, other dental professionals, and your patients. What I look forward to most about becoming an ADHA member is continuing to meet new people and form a broader network, so I can get as much out of this rewarding career as possible.
 
 
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