Dental Practice Laws and Regulations in Texas, Exams of Dental surgery

Download Dental Practice Laws and Regulations in Texas and more Exams Dental surgery in PDF only on Docsity! Dental Assisting-Jurisprudence Exam Questions with Verified Answers 2024 Update. Who makes our State Laws? - Correct answer Texas State Legislature creates Dental laws along with other regular laws and publish them as part of the Occupations Codes (Dental Practice Act) How do laws become rules? - Correct answer Legislature sends laws to the State Board of Dental Examiners (SBDE) who writes laws to rules and regulations. SBDE has the authority to: - Correct answer Reprimand Fine Suspend License/Registration (DDS/RDH/RDA) Structure of the SBDE: - Correct answer 15 unpaid, volunteer members: -8 DDS (Doctor of Dental Surgeries) -2 RDH (Dental Hygienist) -5 Public Members Paid Staff: -Executive Director -Legal Advisors -Committees, Clerks, Advisors to assist board Board Duties and Powers - Correct answer Adopt and enforce rules necessary to: -ensure following of rules made to protect public health and safety -rules to protect the public from the spread of infections in dentistry -examine applications for license in the practice of dentistry -organize board meetings Ineligibility for Licensure - Correct answer Conviction of Felony or Misdemeanor that: --directly relates to the duties/responsibilities of the dentist --directly relates to dental assisting Certification can be revoked if terms of parole are disobeyed Factors of a Conviction - Correct answer -Nature and Seriousness of crime -Relation of crime to the occupation in Dentistry -Extent to which a license might further an opportunity to engage in further crime -Relationship of the crime to the ability, capacity or fitness required to perform the duties and discharge the responsibility of the licensed occupation Who can Practice Dentistry? - Correct answer A person may not practice or offer to practice dentistry or dental surgery or represent that the person practices dentistry unless the person holds a license issued by the board A person DOES NOT practice dentistry if the person is a: - Correct answer -Faculty member of a reputable dental/dental hygiene school -Student of a reputable dental school who performs operations without pay -Performs laboratory work (only on inert matter) -Licensed state physician who does not represent Dentistry -Dental Hygienist who practices within strict conformity with the state law -Dental assistant who performs duties permited under the Dental Practice Act Visual Dental Inspection "Screenings" - Correct answer Inspections (exam) made by a health care worker can be performed by a Dental Assistant, Teacher, School Nurse. -Done as a group activity in a public setting with no charged fee Purpose of Visual Dental Inspections - Correct answer -Only gloves, tongue depressors and light may be used -Purpose it to recognize potential problems and refer to a dentist Duties the Dentist MAY NOT Delegate: - Correct answer -Smoothing of the teeth by polishing or root planning -Comprehensive examination -Cutting of hard or soft tissue -Issuing prescriptions and excuses -Taking Final impressions for final dental app. -making of an intraoral occlusal adjustments -Any endodonitic procedure -Final placement + intraoral adjustment of a fixed or removable appliance. -Administer any form of sedative or anesthetic Responsibilities of the Delegating Dentist - Correct answer The delegating dentist is responsible for a dental act performed by the person to whome the dentist delegates the act. How can duties be delegated to a Dental Assistant? - Correct answer a licensed dentist may delegate to a qualified and trained dental assistant acting under the Dentist's Direct supervision any dental act that a reasonable, prudent dentist would find is withing the scope of sound dental judgment. Under what conditions can a Dental Assistant perform delegated duties? - Correct answer In the opinion of the delegating dentist, the act: -Can be properly and safely performed by the assistant to whom the act is delegated -Performed in a customary manner and is not in violation of the Dental Practice Act -Does not represent to the public that the person is authorized to practice dentistry Special Delegated Dental Assistant Duties - Correct answer Application of a pit and fissure sealant only if the dentist is a: -medicaid provider -or practice in an area determined to be underserved by the Tx Department of Health Permited Dental Assistant Duties - Correct answer The Dentist must be physically present in the office when the dentist delegates the act -reversible or correctable acts or procedures -of irreversible procedures/acts include the intra-oral use of laser for any purpose, including all or part of a whitening process Pit and Fissure Sealant Certification Requirements - Correct answer -Have at least 2 yrs experience as a dental assitant -successfully complete a min of 16 hours of clinical and didactic edu. in pit + fissure sealants taken through a board approved, accredited dental hygiene program Sanctions on privileged information are null in a court or administrative proceeding of the proceeding is: - Correct answer -brought by a patient against the dentist -to collect on a claim for dental services rendered -the board in a disciplinary investigation or proceeding against a dentist -criminal investigation/proceeding against a dentist in which the board is participating/assisting by providing a record obtained from the dentist Purpose of Sanitation and Infection Control - Correct answer -to protect the pubic health and safety -to establish proper sterilization,disinfection, +other infection control procedures in the practice of dentistry Consequences of disobeying sanitation and infection control - Correct answer -failure of a dental health care worker to practice and maintain these constitutes a significant danger to the public health and safety -failure to maintain minimum standards will constitute negligence Requirements of Sanitation and Infection Control - Correct answer Person practicing dentistry in the State of Tx must maintain the entire dental office in a clean and sanitary condition -premises shall be maintained in full compliance with all health requirements of the city or county or both. -in conformity with the health laws of the State of Tx a dentist shall provide restroom facilities for staff and patients -use properly sterilized instruments and clean supplies Barrier Techniques - Correct answer Use of protective items against infection-transmission during any intraoral or invasive procedure -appropriate gloves,protective eye/ear/nasal/oral masks are used when "splash, spatter, or aerosol" or body fluids is possible or expected Disinfection - Correct answer Partial elimination of active growth stage bacteria and the inactivation of some viruses Sterilization - Correct answer Process by which all forms of life within a defined environment are completely destroyed Sterilization is required for... - Correct answer all surgical and other instruments that may be used intra-oral or extra-orally -other nonsurgical instruments, such as plastic instrument, that may come into contact with tissue must e disinfected with an ADA registered solution that is tuberculocidal What are the forms of Sterilization? - Correct answer -steam autoclave -chemical autoclave* -dry-heat autoclave -ethylene oxide *used with recommendations of OSHA standards -sterilization equipment shall be tested in accordance with the ADA recomendations Instrument Cleaning - Correct answer All instruments must be free of any visible debris and must be either scrubbed thoroughly with a detergent and water solution or debrided in an ultrasonic device containing cleaning solution Oral Prosthetic appliances and devices from a dental laboratory must be.............before being placed into the patient's mouth. - Correct answer -washed with a detergent and water solution -rinsed -disinfected -rinsed Appliances going to a lab must be considered___________ until ____________ - Correct answer Bio-hazardous until disinfected Biohazard Materials - Correct answer All items contaminated by body fluids during patient care must be treated as Bio-hazardous material -ex) extracted teeth must be rendered nonbio-hazardous before returned to the patient or other party Disposal Items are________ and include__________ - Correct answer -used for one patient only -gloves/needles/IV fluids/IV administration tubing/IV catheter Dental Health Care Workers with illnesses policy - Correct answer All dental health care workers -shall comply with the universal precautions (PPE) -who has exudative lesions or weeping dermatitis shall refrain from contact with equipment/devices/appliances that may be used for patient care. --who know they have HIV/HBV and are HbeAG + shall ----report their health status to an expert review panel ----notifiy a prospective patient of the dental health care work's zero-positive status and obtain the patient's consent before the patient undergoes an exposure-prone procedure performed by the notifying dental health care worker What is Nitrous Oxide/Oxygen Inhalation? - Correct answer -it is a conscious sedation Standard Care Requirements of Nitrous Oxide - Correct answer Must maintain the minimum standard of care -current CPR -maintain under continuous direct supervision auxiliary personnel -not allow procedure to be performed in their office by a CRN Anesthetic unless the dentist holds a permit issued by the SBDE for the procedure being performed Clinical Provisions for monitoring Nitrous Oxide - Correct answer -patient must be suitably evaluated prior to the start of any sedative procedures --Review medial and dental history --Advise patient/guardian of procedure --Evaluate equipment for proper operations/delivery --Baseline vital signs should be obtained Assistant and Hygienists monitor nitrous oxide if they have: - Correct answer -passed a exam issued from the SBDE -maintain a current CPR certification -under direct supervision of the dentist When administering Nitrous Oxide what must be noted? - Correct answer -name of the assistant/hygienist monitoring -concentration of nitrous administered -amount of time the patient is exposed Analgesia - Correct answer Reduction of pain but responds to verbal command Competent - Correct answer Displaying special skills or knowledge Deep Sedation - Correct answer Greater reduction of pain sensation, patient will not respond to verbal commands and can maintain open airway Direct Supervision - Correct answer Dentist is in the office and not "next door or I'll be right back" Facility - Correct answer Office of the permit holder to practice dentistry Facility Inspection - Correct answer on site inspection to make sure the facility is maintaining the standards of care General Anesthesia - Correct answer Complete loss of pain, patient can not respond to command or maintain airway Local Anesthesia - Correct answer the elimination of sensations, especially pain in one part of the body by the regional injections of a drug Anti-Anxiety sedative - Correct answer A sedative administered in a dosage intended to reduce anxiety Sedative or Minor Tranquilizer - Correct answer Provided for relaxation, the patient can still respond to verbal commands and in most cases can maintain an open airway Conscious Sedation - Correct answer a minimally depressed level of consciousness that retains the patients ability to independently and continuously maintain an airway and respond appropriately to physical stimulation and verbal command, and that is produced by pharmacologic/non-pharmacologic method or a combination May - Correct answer indicates freedom or liberty to follow a reasonable alternative Enteral Conscious Sedation - Correct answer light to mild conscious sedation administered Anxiolysis - Correct answer Pharmacological reduction of anxiety through the administration of a minor tranquilizer-patient maintains airway without assistance Enteral Sedation - Correct answer Achieved by a route of administration through the alimentary tract either orally or rectally Dental Records Include: - Correct answer -Name of the provider -Medical +Dental history -limited physical examination -radiographs -Dental+periodontal charting -Diagnoses made -Treatment Plans