Oral Prophylaxis
preventive and therapeutic procedures including bacterial debridement with complete removal of sub and supragingival calculus, soft deposits, plaque and stains.
OBJECTIVE: maintain healthy hard and soft tissue
Hygienists licensed before December 31, 2005 may perform all RDA functions.
True
All hygienists licensed on or after January 1, 2006 must apply for a RDA license separately in order to perform RDA functions.
True
The practice of dental hygiene includes:
-dental hygiene assessment
-development
-planning
-implementation
of a dental hygiene care plan
Also includes:
-health education
-counseling
-health screenings
True
Dental hygiene practice does NOT include:
-Diagnosis
-Comprehensive treatment planning
-Placing, condensing, carving or removal of permanent restorations
-Surgery or cutting of hard or soft tissue
-Prescribing medication
-Administering local/general/oral or parenteral conscious sedation EXCEPT fo
A RDH is authorized to perform the following procedures under DIRECT supervision
*Soft tissue curettage
*Administration of local anesthesia
*Administration of N2O2, whether alone or in combination with each other
Courses of instruction for direct supervision duties added to the scope of practice of dental hygiene on or after July 1, 2009, shall be submitted b the committee for approval by the dental board.
True
Duties that an RDH is authorized to perform under GENERAL supervision
-Preventive and therapeutic interventions including oral prophylaxis, scaling, and root planing
-taking impressions for bleach trays and application and activation of agents with nonlaser light curing devices
-taking impressions for bleach trays and place
Procedures a RDH may provide without supervision
-educational services, oral health training programs, oral health screenings
-refer any screened patients with possible oral abnormalities to a DDS for comprehensive tx, diagnosis, and tx plan
-application of fluorides and pit and fissure sealants
How many days after a licensee changes his or her address shall they notify the committee of the change?
within 30 days
A licensee who changes his or her legal name shall provide the committee with documentation of change within ________ days.
10
If not renewed, a license issued under the provisions, unless specifically excepted expires at ___________________ on the ___________ day of the month of the legal birth date of the licensee during the ______________ year of a two-year term.
12 midnight, last, second
A licensee may have his or her license revoked or suspended, or may be reprimanded or placed on probation by the committee for __________________________, incompetence, ___________________________, repeated acts of negligence in his or her profession, rec
unprofessional conduct, gross negligence
A licensee may have his or her license revoked or suspended, or may be reprimanded or placed on probation by the ___________________, for conviction of a crime substantially related to the licensee's qualifications, functions or duties.
committee
The record of conviction or a copy certified by the ___________ of the court or by the judge whose court the conviction occurred shall be conclusive evidence of ______________.
clerk, conviction
A plea or verdict of guilty or a conviction following a plea of ___________________ made to charge of a felony or any misdemeanor substantially related to the licensee's qualifications, functions, or duties deemed to be a conviction within the meaning of
nolo contendere
The committee may reprimand a licensee or order a license suspended or revoked, or placed on probation or may decline to issue a license, when any of the following occur:
1. The time for appeal has elapsed
2. The judgment of conviction has been affirmed on appeal
3. An order granting probation is made suspending the imposition of sentence, irrespective of a subsequent order under any provision of the Penal code allowing th
BPC 123.
It is a __________________ for any person to engage in any conduct which subverts or attempts to subvert any licensing examination, not limited to:
MISDEMEANOR
a). conduct violating the security of the exam materials
b). communicating with any other examinee during the exam
c). if any provision of this section is held invalid, it shall not affect other provisions or applications
**a person found guil
BPC 123, 123.5
Subversion of licensing examinations
BPC 123.5
Whenever a person has or is about to engage in any practices that will constitute a violation of Section 123, the superior court in the county wherein the act has taken place may issue an INJUNCTION, or other appropriate order, restraining such
True
a group of infection prevention practices that apply to all patients, regardless of suspected or confirmed infection status, in any setting in which healthcare is delivered
Standard precautions
hand hygiene, use of gloves, mask, eye protection, face shield, safe handling of sharps
Standard precautions
items considered high risk for infection if they are contaminated with any microorganism.
Critical Items
all instruments, devices, and other items used to penetrate soft tissue or bone
Critical items
instruments, devices and other items that contact oral mucous membranes, non-intact skin or other potentially infectious materials (OPIM)
Semi-critical items
instruments, devices, equipment and surfaces that come into contact with soil, debris, saliva, blood, OPIM and intact skin, but not oral mucous membranes
Non-critical items
the least effective disinfection process, kills some bacteria, some viruses and fungi, but does not kill bacterial spores or mycobacterium tuberculosis var bovis
Low-level disinfection
kills mycobacterium tuberculosis var bovis indicating that many human pathogens are also killed. Does not necessarily kill spores
Intermediate level disinfection
kills some, but not necessarily all bacterial spores. Kills mycobacterium tuberculosis var bovis, bacteria, fungi and viruses
High level disinfection
a chemical agent that can be used to disinfect items and surfaces based on the level of contamination
Germicide
a validated process used to render a product free of all forms of viable microorganisms
Sterilization
the removal of visible soil debris and OPIM from objects and surfaces and shall be accomplished manually or mechanically using water with detergents or enzymatic products
Cleaning
specialized clothing or equipment worn or used for protection against hazard
PPE's
OPIM
Other Potentially Infectious Materials
Human body fluids such as saliva in dental procedures and any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids
OPIM
any unfixed tissue or organ (other than intact skin) from a human (living or dead)
OPIM
Any of the following, if known or reasonably likely to contain or be infected with HIV, HBV, or HCV:
1. cell, tissue, or organ cultures from humans or experimental animals
2. blood, organs, or other tissues from experimental animals
3. culture medium or other solutions
DHCP
Dental Healthcare Personnel
paid and non-paid personnel in the dental healthcare setting who might be occupationally exposed to infectious material
DHCP
Cal/OSHA
California Division of Occupational Safety and Health
Standard precautions shall be practiced in the care of all patients
True
Chemical resistant utility gloves and appropriate, task specific PPE shall be worn when handling _________________ chemicals.
hazardous
chin length plastic face shield or protective eyewear whenever there is potential for aerosol spray, splashing or spattering of the following:
droplet nuclei
blood
chemical or germicidal agents
OPIM
when should masks be changed and disposed?
after each patient treatment
After each patient treatment, _________________ and ___________________ shall be cleaned, disinfected, or disposed
face shields, protective eyewear
All DHCP shall perform hand hygiene procedures ______________ donning gloves and __________ removing and discarding gloves
before, after
Medical exam gloves shall be worn whenever there is contact with ______________ membranes, _____________, OPIM, and during _____ clinical, _____ clinical, clinical, and laboratory procedures.
mucous, blood, pre, post
DHCP shall wear ____________________ gloves to prevent puncture wounds.
heavy duty utility
Gloves shall __________ be washed before or after use
not
Needles shall be recapped only by using the _________ technique or a ______________ device.
scoop, protective
Needles shall not be __________ or ____________ for the purpose of disposal.
bent, broken
All germicides must be used in accordance with intended use and label instructions
true
Cleaning must __________ any disinfection or sterilization process.
precede
Critical instruments, items and devices shall be _____________ or pre-cleaned, packaged or _______________ and ______________ after each use.
discarded, wrapped, sterilized
Methods of sterilization include:
steam under pressure (autoclaving)
chemical vapor
dry heat
If a critical item is heat-sensitive, it shall, at minimum, be processed with ______________ disinfection and packaged or wrapped upon completion of the disinfection process.
high-level
Instruments, items, and devices shall remain sealed and stored as to prevent contamination, and shall be labeled with the ___________ of sterilization and the specific ______________ used if more than one in the facility.
date, sterilizer
Semi-critical instruments, items, and devices shall be ____________, packaged or wrapped and _______________ after each use.
pre-cleaned, sterilized
Non-critical surface and patient care items shall be cleaned and disinfected with a _________________ registered hospital disinfectant (__________________) labeled effective against _________ and __________.
Cal/EPA, low-level disinfectant, HBV, HIV
When the item is visibly contaminated with blood or OPIM, a Cal/EPA registered hospital _________________ level disinfectant with a __________________ claim shall be used.
intermediate, tuberculocidal
All high-speed dental hand pieces, low-speed hand pieces, rotary components and dental unit attachments such as reusable air/water syringe tips and ultrasonic scaler tips, shall be packaged, labeled and heat-sterilized in a manner consistent with the same
semi-critical
Single use disposable items such as prophy angles, prophy cups and brushes, tips for high-speed evacuators, saliva ejectors, air/water syringe tips, and gloves shall be used for _______ patient and ________________.
one, discarded
Proper functioning of the sterilization cycle of all sterilization devices shall be verified at least ____________ through the use of a __________________ indicator (such as a spore test).
weekly, biological
Tests results for the sterilizer shall be documented and maintained for _______ months.
12
If non-critical items or surface likely to be contaminated are manufactured in a manner preventing cleaning and disinfection, they shall be protected with _______________ impervious barriers.
disposable
Sterile coolants/irrigants shall be used for surgical procedures involving ____________ tissue or __________.
soft, bone
Sterile coolants/irrigants must be delivered using a ____________ delivery system.
sterile
_________________ barriers shall be changed when visibly ____________ or damaged and ______________ patients.
Disposable, soiled, between
Clean and disinfect all clinical contact surfaces that are not protected by impervious barriers using a Cal/EPA registered, hospital grade ___________ to ______________ level germicide after each patient.
low, intermediate
Low level disinfectants used shall be labeled effective against _____ and ______.
HBV, HIV
Clean all housekeeping surfaces (e.g. floors, walls, sinks) with a _______________ and ____________ or a Cal/EPA registered _____________ grade disinfectant.
detergent, water, hospital
Dental unit water lines shall be anti-retractive.
True
At the beginning of each workday, dental unit lines and devices shall be purged with air or flushed with water for at least ___________ minutes prior to attaching handpieces, scalers, air water syringe tips, or other devices.
2
Dental unit lines and devices shall be flushed between each patient for a minimum of __________ seconds.
20
__________ shields and equipment _______ shall be used on dental laboratory lathes.
Splash, guards
Fresh pumice and a sterilized or new rag-wheel shall be used for each patient.
True
Devices used to polish, trim, or adjust contaminated intraoral devices shall be __________________ or ___________________, properly packaged or wrapped and labeled with the date and the specific sterilizer if more than one in the facility.
disinfected, sterilized
If packaging is compromised, the instruments shall be recleaned, packaged in new wrap, and sterilized again.
True
All intraoral items such as impressions, bite registration, prosthetic and orthodontic appliances shall be cleaned and disinfected with an ___________ disinfectant before manipulation in the laboratory and placement in the patients mouth.
intermediate
Items shall be thoroughly rinsed before placement in the patient's mouth.
True
The Dental Board of California and DHCC shall review the lab area regulation _______________ and establish a consensus.
annually
How many units are required for continuing education in infection control, California Dental practice Act and Basic life Support?
2 units of Infection Control
2 units of California Dental Practice Act
4 units of Basic Life Support
Mandatory continuing education unit's count toward the total units required renewing a license or permit, however failure to complete the mandatory courses will result in ________________ of a license or permit
non-renewal
All licensees shall accumulate the continuing education units indicated during the ____________ license or permit renewal period assigned by the Board on each license or permit.
biennial
How many continuing education units are required for RDH's to renew their license?
25 units
How many continuing education unit are required for Dentist's to renew their license?
50 units
How many continuing education units are required for RDHAP's to renew their license?
35 units
Each dentist licensee who holds a general anesthesia permit shall complete, as a condition of permit renewal, continuing education requirements at least once every 2 years, and either (1) advanced cardiac life support course approved by the AHA which incl
True
Each dentist licensee who holds a conscious sedation permit shall complete at least once every 2 years a minimum of ______ total units of coursework related to the administration of conscious sedation and to medical emergencies.
PROBABLY DONT NEED TO KNOW
15
Each dentist licensee who holds an oral conscious sedation permit for MINORS, as a condition permit renewal, shall complete at least once every 2 years a minimum of _____ total units of coursework related to the subject area in CE requirements.
7
Each dentist licensee who holds an oral conscious sedation permit for ADULTS, as a condition of permit renewal, shall complete at least once every two years a minimum of ____ units of coursework related to the subject area in CE requirements
7
Tape recorded courses, home study materials, video courses, and computer courses are considered correspondence courses and will be accepted for credit up, but not exceeding _________% of the licensee's total required units.
50
In the event that 50% of the CE's required were non-live units, all remaining units shall be obtained through __________ interactive course study with the option to obtain 100% of the total required units.
live
Licensees who participate in the following activities shall be issued CE credit for up to 20% of their total CE unit requirements for license renewal:
DONT THINK WE NEED TO KNOW THIS
1. Participation in any Dental Board of California or WREB exam
2. Participation in any site visit or evaluation relating to issuance and maintenance of a general anesthesia, conscious sedation, or oral conscious sedation permit
3. Participation in any ca
Pertaining to licentiates holding more than one license or permit, the license or permit that requires the largest number of CE's for renewal shall equal the licentiates full renewal requirement.
True
Current and active licensees enrolled in a full time educational program in the field of dentistry approved by the __________ or the ______ Commission on Dental Accreditation shall be granted CE credits for completed curriculum during that renewal period.
Board, ADA
In the event of audit, assisting permit holders shall be required to present school transcripts to the __________ or __________ as evidence of enrollment and course completion.
committee, Board
Alcohol or drug abuse or both is not in and of itself a sufficient basis for reporting ___________________ or _______________.
child abuse, neglect
Volunteers of public or private organizations whose duties require direct contact with and supervision of children are _________ mandated reporters but are encouraged to obtain training in the identification and reporting of child abuse and neglect and ar
not, report
Unless otherwise specifically provided, the absence of training shall not excuse a ____________ from their duties.
mandated reporter
A mandated reporter shall make the initial report to the agency __________________ or as soon as practically possible by phone and shall prepare and send a fax or electronically transmit a written follow up report therof within ______ hours of receiving t
immediately, 36
The mandated reporter may include with the report any ___________________ documentary evidence the mandated reporter possesses relating to the incident.
non-privileged
Reasonable suspicion means:
it is objectively reasonable for a person to entertain a suspicion, based upon facts that could cause a reasonable person in a like position, drawing, when appropriate, on his or her training and experience to suspect child abuse or neglect.
Reasonable suspicion does not require ______________ that child abuse or neglect has occurred nor does it require a specific _____________ indication of child abuse or neglect
certainty, medical
Any reasonable suspicion is ______________.
sufficient
The _______________ of a minor does not , in and of itself, constitute a basis for reasonable suspicion of sexual abuse.
pregnancy
The agency shall be notified and a report shall be prepared and sent, faxed, or electronically transmitted even if the child has ____________, regardless of whether or not the possible abuse was a factor contributing to the death, and even if suspected ch
expired
A mandated reporter who files a one time automated written report because he or she was unable to submit an initial report by telephone is ______ required to submit a ___________ followup report
not, written
If after reasonable efforts a mandated reporter is unable to submit an initial report by phone, he/she shall ____________________ or as soon as practically possible, by fax or electronic transmission, make a ______________ automated written report on the
immediately, one-time, follow-up
Any mandated reporter who fails to report an incident of known or reasonably suspected child abuse or neglect as required is guilty of a misdemeanor punishable by up to ______ months confinement in a county jail or by a fine of $________ or by both that i
6, 1000
If a mandated reporter intentionally conceals his/her failure to report an incident known by the mandated reporter to be abuse or severe neglect is a continuing offense until an agency specified discovers the offense.
true
Penitential communication
a communication intended to be in confidence, including but not limited to a sacramental confession made to a clergy member who has a duty to keep those communications secret.
sexual conduct means:
sexual intercourse
penetration by any object
masturbation
sadomasochistic
exhibition of private areas
When two or more persons, who are required to report, jointly have knowledge of a known or suspected instance of child abuse or neglect, and when there is agreement among them, the telephone report may be made by a member of the team selected by mutual ag
single
Law enforcement agencies shall also send a fax or electronically transmit a written report thereof within 36 hours of receiving information concerning the incident to any agency to which it makes the telephone report
True
Any person who has assumed full or intermittent responsibility for the care or custody of an elder or dependent adult, whether or not he or she receives compensation is a __________________ _________________.
mandated reporter
Elder abuse includes but is not limited to:
abandonment
abduction
isolation
financial abuse
neglect
physical abuse
Any mandated reporter who suspects elder abuse shall report the abuse by telephone or through a confidential internet reporting tool, immediately or as soon as practically possible. IF reported by phone, a ___________ report shall be sent, or an _________
written, internet, 2
If the elder abuse has occurred in a ___________ __________ ___________ facility, EXCEPT a state mental health hospital or a state development center, the report shall be made to the ___________ __________________________ or the local law enforcement agen
long term care, local ombudsperson
The local ombudsperson and local law enforcement agency shall as practically possible, except in an emergency:
1. Report to the State Department of Public Health
2. Report to the State Department of Social Services
3. Report to the State Department of Public Health and the California Department of Aging
4. Report to the Bureau of Medi-Cal Fraud and Elder Abuse
5.
If the suspected or alleged elder abuse has occurred in a state mental hospital or a state development center, the report shall be made to the designated investigators of the:
State Department of State Hospitals
State Department of Developmental Services
Local Law enforcement agency (except in an emergency, local law enforcement agency shall as soon as practically possible report any case of known or suspected criminal activity
If elder abuse has occurred any place other than described above, the report shall be made to the:
adult protective services agency or local law enforcement agency
A mandated reporter who is a clergy member who acquires knowledge or reasonable suspicion of elder or dependent adult abuse during penitential communication is _______ subject to report.
NOT
penitential communication means
a communication that is intended to be in confidence
A mandated reporter who is a physician or surgeon , a registered nurse, or a psychotherapist shall NOT be required to report an incident of elder abuse where all of the following conditions exist:
1. The mandated reporter was told by an elder that they experienced behavior constituting physical abuse, abandonment, abduction, isolation, financial abuse or neglect.
2. The mandated reporter is not aware of any independent evidence that corroborates th
In a long term care facility, a mandated reporter shall NOT be required to report a suspected incident of abuse if all of the following exist:
1. The mandated reporter is aware that there is a proper plan of care
2. the mandated reporter is aware that the plan of care was properly provided or executed
3. A physical, mental, or medical injury occurred as a result of care provided in 1 and 2 (abov
A telephone report or internet report of a known or suspected instance of elder abuse shall include if known:
*name of the person making report
*name and age of the elder adult
*present location of the elder adult
*names and addresses of adults responsible for the elders care
*the nature of the elders condition
*the date of the incident
*any other pertinent infor
Whenever a county adult protective services agency report to a law enforcement agency, the law enforcement agency shall immediately upon request provide a copy of its investigative report concerning the matter to that county adult protective services agen
true
The requirement to disclose investigative reports pursuant to this subdivision shall not include the disclosure of social services record or case files that are confidential, nor shall this subdivision be construed to allow disclosure of any reports or re
true
Failure to report, or impeding or inhibiting a report of any type of elder abuse is a ____________________, punishable by not more than ________ months in the county jail, by a fine of not more than $_____________, or by both fine and imprisonment.
misdemeanor, 6, 1000
Any mandated reporter who willfully fails to report elder abuse where the abuse results in death or great bodily injury, shall be punished by not more than ______ year in a county jail, by fine of not more than $______________, or by both fine and impriso
1, 5000
For unprofessional conduct, the committee may discipline a licensee by placing them on probation under various terms and conditions that may include, but not limited to:
1. Requiring the licensee to obtain additional training to pass an exam upon completion of training or both.
2. Requiring the licensee to submit to a complete diagnostic exam by one or more physicians.
3. Restricting or limiting the extent, scope, or type
It is unprofessional conduct for a person licensed to do any of the following:
1. Violate the law
2. Use controlled substances that impairs the licensee ability to conduct safe practice
3. Be convicted of more than one misdemeanor or any felony involving drugs or alcohol
The committee may order the license suspended or revoked, or may decline to issue a license, when the time for appeal has elapsed or the judgement of conviction has been affirmed on appeal, or when an order granting probation is made suspending imposition
true
A RDH, RDHAP, or RDHEF who performs services on a patient in a dental office shall identify him/herself in the patient record by signing his/her name or ID number and initials next to the service performed. If repeated violation of this occurs it is consi
unprofessional conduct
It is ___________________ ______________ for a person licensed to perform professional services beyond the scope of his/her license and field of competence, as established by his/her education, experience and training. This includes, but is not limited to
unprofessional conduct
To discourage necessary treatment, permit excessive incompetent, unnecessary, or grossly negligent treatment or repeated negligent acts as determined by the standard of practice in the community is considered:
unprofessional conduct
A person, company, or association is guilty of a misdemeanor and upon conviction shall be punished by imprisonment in a county jail not less than _________ days and nor more than ______ year, or by a fine of not less than $______ nor more than $__________
10, 1, 100, 1500
The afore mentioned will occur if convicted of any of the following under unprofessional conduct:
1. Assumes the title RDH, RDHAP, RDHEF to his or her name without having a license
2. Assumes any title or letters to his/her name with the intent to falsely represent his/her degree or license
3. Engages in the practice of dental hygiene without causing
An person who willfully, under circumstances that cause risk of bodily harm, serious physical or mental illness, or death, practices, attempts to practice, advertises, or holds himself out as practicing dental hygiene without having at the time of so doin
one year
The committee shall establish criteria for the acceptance, denial, or termination of licensees in a diversion program, unless ordered by the committee as a condition of a licensee's disciplinary probation
true
Only those licensees who have voluntarily requested diversion treatment and supervision by a diversion evaluation committee shall participate in a diversion program
true
A licensee who in not the subject of a current investigation may self refer to the diversion program on a _______________ basis.
confidential
A licensee under _____________ investigation by the committee may also request entry into a diversion program by contacting the committee, in which the committee may refer the licensee requesting participation in the program to a diversion evaluation comm
current
If the reasons for a current investigation of a licensee are based primarily on the self-administration of any controlled substance or dangerous drugs or alcohol, or the illegal possession, prescription, or nonviolent procurement of any controlled substan
Need to Know
If the licensee in the afore mentioned withdraws or is terminated from the program by the diversion evaluation committee, the investigation shall be _______________ and disciplinary action imposed, if warranted, as determined by the committee.
reopened
Neither acceptance nor participation in the diversion program shall preclude the committee from investigating or taking disciplinary action against licensee for any unprofessional conduct committed before, during, or after participation in the diversion p
true
All licensees shall SIGN an agreement of understanding that the withdrawal or termination from the diversion program at a time when a diversion evaluation committee determines the licensee presents a threat to the public's health and safety shall result i
true
Any licensee terminated from the diversion program for failure to comply with the program requirements is subject to disciplinary action by the committee for acts committed before, during, and after participation in the diversion program. A licensee who h
true
Each licensee who requests participation in a diversion program shall agree to COOPERATE with the treatment program designed by a diversion evaluation committee and to bear all COSTS related to the program, unless the cost is waived by the committee. Any
true
To do good, promoting good of another.
Beneficence
Taking all appropriate action to restore it to good health, assist clients to achieve and maintain optimal oral health and overall well being, promote fair and reasonable access to quality oral health services as an integral part of the healthcare system
Beneficence
Communicating relevant information openly and truthfully, dental hygienists assist clients to make informed choices and to participate actively in achieving and maintaining their optimal health.
Autonomy
Self determination in a person, right to participate in and decide on course of action without influence
Autonomy
Rights and privacy and ability to choose
Autonomy
Fairness and allocation of what people earn or deserve
Justice
DH must give all parameters of service as well as consequences of each service
Autonomy
Principle of equality for all
Justice
DH can NOT provide services requested if service conflicts with standards of pt. care
Autonomy
Truth telling, honesty. bases of trust between DH and pt.
Veracity
Duty to avoid harming the patient "do no harm
Non Maleficence
1st obligation to the patient. Protect from harm
Non Maleficence
Providing information to and ensuring the understanding of a patient regarding treatment risks, tx options, and the nature of the disease or problem
Informed Consent
DH needs to keep skills current, know ones limitations, when to refer to pt, keeping up to date with the standards of care.
Non Maleficence
Provide patient with all relevant information needed to make a decision based on given info
Informed consent
That which is entrusted to hold in secret info shared by a pt is kept in confidence by DH confidentiality is the duty to hold secret any information acquired in the professional relationship
Confidentiality
Process of understanding and assessing info to make a decision, make sure pt. comprehends tx
Informed Consent
DH's respect a client's privacy and hold in confidence info disclosed to them except in certain narrowly defined exceptions***
Confidentiality
Commitment to upholding code of ethics and standard of care
Integrity
Confidentiality
*NO spouses, family or friends
*YES to other health care providers with pt. consent
*YES to discuss in educational setting or second option is sought by privacy of pt. should be kept
Taking responsibility for one's actions and omissions in light of relevant principles, standards, laws, and regulations.
Accountability
The potential to self evaluate and be evaluated, it involves practicing competently and accepting responsibility for behaviors and decisions in the professional context
Accountability
Can a RDH who was licensed in Jan 2009 make a temporary crown with her license?
No, unless she has an RDA license
If a RDH got her license after Jan 1, 2006 she must have a RDA license to perform RDA duties, otherwise those licensed before December 31, 2005 may perform RDA duties.
True
Does an RDH need supervision to refer to a specialist during her assessment of the patient?
No
An adult alzheimer patient is getting dental tx, the DH calls the legal guardian to discuss and explain the tx would be considered
informed consent
An adult alzheimer's patient was getting a cleaning, but he/she doesn't want to open his/her mouth. Although the legal guardian was insisting the DH to finish the tx, the DH stopped the tx because the patient does not want to open their mouth
autonomy
A kid comes into the dental practice, the parent left the office, and the Dh did the prophy o the kid, when they realized the kid needs x-rays. The DH decides no to do x-rays because the parent was not present. Why did she decide this?
Because she did not have informed consent for the x-rays
Participation in community service, being member of CDHA
Professionalism (or if that is not a choice: Beneficence)
Being a volunteer at my sons school to promote health
Professionalism (or if that is not a choice: Beneficence)
Exaggerating the procedure to a patient that has no benefit
Veracity
Continuing education for chronic pain
Competence and/or non maleficence
Getting trained to do a Pano even though you have your x-ray certificate
Competency
A patient that had a sex gender transition and was very nervous about the dental tx, the DH very calmly explains the treatment and tries to calm the patient
Compassion
If I see a dental assistant wiping a hand piece instead of sterilizing it. What code is violated?
Non Maleficence
What kind of sterilization method should be used for re-usable hand piece?
Heat sterilization/autoclave
Could you give me an example of integrity?
Behave with honor and decency. Ex: IF a dentist is asked to postdate an insurance claim-that is against the law
Patient does not want to do the tx or the x-rays, and the DH explained the benefits of the tx
Autonomy/Informed Consent
If a DH repeatedly forgets to put her initial at the bottom of her notes
Unprofessional conduct
Code of ethics
build public trust and maintain high ethical standards for the benefit of all
The CDA code of ethics in general pertains to:
1. service to the public
2. conduct in a dental office and between dental practitioners and
3. how dental practices and services are promoted
When a dentist refrains from harming the patient by referring to those with specialized expertise when the dentist's own skills are insufficient
Beneficence
Requires caring and the ability to identify with the patient's overall well being.
Compassion
Acts of kindness and a sympathetic ear for the patient are all qualities of a caring, compassionate dentist
Compassion
The competent dentist is able to diagnose and treat the patient's oral health needs and to refer when it is in the patient's best interest.
Competence
continual self-assessment about the outcome of patient care and involves a commitment to lifelong learning.
Competence
commits the dentist to upholding the professions' Codes of Ethics to safeguarding, influencing and promoting the highest professional standards
Integrity
The dentist who practices with a sense of INTEGRITY affirms the core values and recognizes when words, actions or intentions are in conflict with one's values and conscience
true
To behave with honor and decency
integrity
often associated with fairness or giving to each his or her own due
Justice
Issues of fairness are pervasive in dental practice and range from elemental procedural issues such as who shall receive treatment first, to complex questions of who shall receive treatment at all.
Justice
Self governance is a hallmark of a profession and dentistry will thrive as long as its members are committed to actively support and promote the profession and its service to the public
Professionalism
The commitment to promoting oral health initiatives and protecting the public requires that the profession work together for the collective best interest of society
Professionalism
____________________ to diversity requires dentists to recognize that these differences exist and challenges dentists to understand how these differences may affect patient choices and treatment
Tolerance
The dentist relies on the honesty of the patient to gather the facts necessary to form a proper diagnosis, as the patient relies on the dentist to be truthful so that truly informed decision making can occur.
Veracity
Honesty in dealing with the public, colleagues and self are equally important.
Veracity
Respect for patient __________________ affirms the patient decision making dynamic in the doctor patient relationship and forms the foundation of informed consent, for protecting confidentiality, and for upholding veracity.
Autonomy
Critical Items
High risk for infection if contaminated with any microorganism
*intruments
*devices
*items used to penetrate soft tissue or bone
Standard Precautions
Prevention practices that apply to all patients, regardless of infection status
Standard Precautions include, but are not limited to:
hand hygiene
gloves
gown
mask
eye protection
handling sharps
Semi critical items
Items not used to penetrate soft tissue or bone, but come in contact with:
oral mucous membranes
non-intact skin
OPIM
Non critical Items
NO MUCOUS MEMBRANES
Items that come in contact with:
soil
debris
saliva
blood
OPIM
intact skin
Other Potentially Infectious Material (OPIM) include:
human bodily fluids (saliva and blood)
Unfixed tissue or organ
HIV, Hep B, Hep C
Cell, tissue, organ cultures
Blood organs
Culture mediums
Who mandates infection control?
Cal/OSHA
Critical instruments must be
discarded or pre-cleaned
packaged or sterilized after each use
autoclaving, chemical vapor, dry heat
*if heat sensitive
-HIGH level disinfection
-packaged upon completion of disinfection
Stored sealed to prevent contamination
Labeled date of sterilization
Semi Critical instruments must be:
pre-cleaned, packaged, sterilized each use
autoclaving, chemical vapor, dry heat
*If heat sensitive
-high level disinfection
-packaged upon completion of disinfection
stored sealed to prevent contamination
Labeled date of sterilization and specific steril
Non Critical Surfaces and Pt. Care Items must be:
cleaned/disinfected with Cal/EPA disinfectant (low level) effective against:
HBV
HIV
If item is contaminated moved to intermediate level of disinfection
High and low speed handpieces, Rotary component, and dental unit attachments must be
packaged and labeled
heat sterilized (semi-critical item)
Failure to report child abuse results in:
guilty of a MISDEMEANOR
6 months of confinement in county jail, $1000, or BOTH
Initial child abuse report must be made ________________ or as soon as practically possible by telephone. A WRITTEN follow up report must be within ______ hours via fax or electronically
immediately, 36
Initial report of elder abuse must be _____________ or as soon as possible by telephone or confidential internet reporting tool. A written/ internet must be followed up within _____ business working days.
immediately, 2
Failure to report elder abuse results in:
unprofessional conduct
guilty of a misdemeanor
6 months in jail , $1000 or BOTH
Failure to report elder abuse + death or great body injury will result in:
guilty of a MISDEMEANOR
1 year in jail, $5000 fine or BOTH
Can't tell patients their previous dental work was horrible, but have to let them know the proper status of their dental health
Justice
Can't tell patient they have to remove all amalgam because its toxic to your body to non allergic patients
Veracity
Community service: use skills to improve dental health in a community
Beneficence
Become familiar with signs of neglect, abuse, and report suspicious cases
Beneficence
Keeping knowledge of skills current
Non maleficence
Referring patient or consulting for welfare of patient
Non-maleficence