California Dental Hygiene Regulations and Procedures, Exams of Media Laws and Ethics

Download California Dental Hygiene Regulations and Procedures and more Exams Media Laws and Ethics in PDF only on Docsity! Law and Ethics for CA Dental Hygiene Exam Questions and Answers. Direct Supervision - Correct answer Procedures based on instructions given by dentist who is required to be PHYSICALLY PRESENT General Supervision - Correct answer Supervision of dental procedures based on instructions given by licensed dentist who is NOT required to be present. Oral prophylaxis - Correct answer Create environment which patient can maintain healthy tissues Bacterial debris went Removal of supra/sub calculus and plaque What is highest priority of committee? - Correct answer Protection of the public Licensees must disclose which types of employment statuses? - Correct answer Full time Part time Inside/outside of California Administrative employment Retirement Other practice When is information on cultural background and language proficiency collected? - Correct answer annually Sorted by state or zip code Posted on site by July 1 annually Under what conditions can an RDH from another state teach in a different state? - Correct answer Have evidence of contract with CA DH college Graduated from DH College approved by committee Certified as diploma or completed advanced educational program P a g e 1 | 12 Completed CA law and ethics Paid application fee and renewal fee When can an RDH perform RDA duties? - Correct answer if licensed AFTER January 1, 2006 - MUST HAVE RDA license to perform RDA duties True or False: If an RDH is licensed BEFORE December 31, 2005, they can perform all RDA duties - Correct answer True RDH Duties - Correct answer Treatment plan Education Counseling Health Screenings Can an RDH diagnose and comprehensive provide treatment plan? - Correct answer NO Can an RDH place, condense, carve, or remove permanent restorations? - Correct answer NO Can an RDH do surgery or cut hard and soft tissues, including removal of teeth, cutting, and suturing of soft tissue? - Correct answer NO Can an RDH prescribe medication? - Correct answer NO Can an RDH administer local or general anesthesia, oral/parenteral conscious sedation? - Correct answer NO What RDH duties require DIRECT supervision - Correct answer STC? Local Anesthesia Nitrous Oxide Under what supervision can an RDH apply preventative and therapeutic prophylaxis/SRP - Correct answer General? Under what supervision can an RDH apply topical, therapeutic, and sub gingival agents for control of caries and period? - Correct answer General P a g e 2 | 12 Or both If a patient dies during/hospitalized for longer than 24 hours/discovery of death after procedure related to DH procedure, how long do you have until it must be reported? - Correct answer Within 7 days How should the committee be informed? - Correct answer in writing within 7 days with a copy sent to the dental board. Dentists will report deaths in writing to dental board with copy to committee. When can the committee undertake proceedings? - Correct answer upon receipt of a certified copy of the record of conviction Certified by the clerk of the court or by the judge in whose court the conviction occurred. The committee can suspend, revoke, place on probation, or decline license if any of the following occurs: - Correct answer Time for appeal has elapsed Judgment of conviction has affirmed on appeal Order granting probation is made suspending the imposition of sentence What are some conditions that the committee can grant a licensee? - Correct answer following but not limited to: Additional training or passing examination upon completion of training or both Submit complete diagnostic exam by physician regarding mental/physical health of licensee. Restricting extent of scope or type of practice Requiring restitution of fees or patients or payers of service Comminuted service in lieu of all or part of a suspension period in cases other than quality of care violation How must a patient record be signed by the DH? - Correct answer Name or identification number and initials Service performed Date P a g e 5 | 12 Repeated violation = unprofessional conduct Penalty for not releasing pt. records after written authorization for release within 15 days - Correct answer Civil or administrative penalty Fine up to $250/day after 15th day Max = $5000 Multiple acts by licensee in violation of court ordered subpoena mandating release of records - Correct answer $1000 fine not exceeding $5000 Imprisonment in county jail no greater than 6 months Or both Consequences of false representation, failing to furnish names of associates, using controlled substances during practice, and the like. - Correct answer Misdemeanor Imprisonment in county jail - 10 day to 1 year $100-$1500 Or both Penalties for making false diploma, false affidavit statement, practicing without license, or under false name - Correct answer 1st offense: Misdemeanor, fine $200-$3,000, imprisonment no longer than 6 months 2nd offense: Felony conviction, fine $1,000-$6,000 Penalty for practicing w/o valid license that cause bodily harm, serious physical/mental illness or death - Correct answer Guilty for crime punishable for 1 year imprisonment T or F: A licensee that is not the subject of a current investigation may self-refer to a diversion program on a confidential basis - Correct answer True What occurs if an investigation of a licensee is based on self-administration of controlled substance/drug/alcohol/Rex drug that does not harm public? - Correct answer Committee shall close investigation without further action if accepted into committee's diversion program and completes it. If incomplete, investigation will be reopened, disciplinary action imposed if warranted. P a g e 6 | 12 When is a licensee's participation from a diversion program purged and destroyed? - Correct answer after the diversion evaluation committee has determined licensee is rehabilitated and program is complete. PPE - Correct answer Hand hygiene Gloves Gown Mask Eye protection Critical Items - Correct answer Used to penetrate soft tissue or bone Autoclave, chemical vapor, or dry heat Label with date and sterilizer number Semi Critical Items - Correct answer Contact oral mucous membranes, non-intact skin, or other potentially infections material (OPIM) Autoclave, chemical vapor, or dry heat Label with date and sterilizer number Non-Critical Items - Correct answer Contact soil, debris, saliva, blood, OPIM, intact skin, but NOT oral mucous membranes Low-Level Disinfection - Correct answer kills SOME bacteria, viruses and fungi Intermediate-Level Disinfection - Correct answer Kill M. Tuberculosis, but NOT spores High-level Disinfection - Correct answer kills SOME, but not all spores. Kills M. Tuberculosis, bacteria, fungi, and viruses. Germicide - Correct answer Chemical agent used to disinfect ties and surfaces Sterilization - Correct answer Free of all forms of viable microorganisms Cleaning - Correct answer Removal of visible soil (organic and nonorganic) How long do you flush waterline? - Correct answer 2 min at start of day 20 sec between patients P a g e 7 | 12 Repeated violation: UNPROFESSIONAL CONDUCT Services Beyond Scope of Practice - Correct answer Do NOT do anything beyond you’re: -Education -Experience -Training Does NOT apply to: - Research in accredited dental/DH schools - Research approved by FDA Discouraging Excessive Treatment - Correct answer Unprofessional conduct to permit the delivery of excessive, incompetent or unnecessary care Consequences of Misdemeanor Violations - Correct answer 10 days - 1 year in jail $100 - $1,500 fine What are some common misdemeanor violations? - Correct answer Assume title without license Practice DH without displaying license Fail to furnish names and addresses of everyone practicing or assisting in practice (when requested by DHCC) - 10 days to do this Under the influence while practicing to extent that impairs ability Unlicensed Activity - Correct answer Punishable up to 1 year in county jail Program Criteria for Diversion Program - Correct answer can be voluntary or required by committee for someone on probation. Can be confidential: If it's for drugs/alcohol and does not involve direct harm to public - committee will close the investigation without further action if accepted into diversion program and completes it. But they can still investigate you Responsibility of Diversion Program Costs - Correct answer if you sign up for program, you must bear all costs unless waived by the committee If you fail to comply, you will be terminated Ethics - Correct answer Thoughts and ideas about morality P a g e 10 | 12 Concerned with human behavior and principles that regulate it In healthcare, ethical behavior is result of perceiving an action as either right or wrong Perception is based on norms, duties, consequences, and character traits Autonomy - Correct answer Self-determination Individuals should be able to decide for themselves what actions will undertake even if these seem foolish to others Informed Consent - Correct answer competent patients can accept or refuse treatment Pt. must have adequate information to make decision (Risks, Benefits, Alternatives, and Cost) Tolerance - Correct answer accepting of all individuals Culture and background Compassion - Correct answer Ability to feel for another person and identify with patient's overall well-being Relieving pain and suffering Acts of kindness and sympathetic ear Integrity - Correct answer Quality of being honest and having strong moral principles Veracity - Correct answer telling the truth Do not leave out information or fail to inform of other options Justice - Correct answer Aka fairness Patients should receive same quality of care regardless of socioeconomic status, ethnicity, education or ability to pay Competence - Correct answer Ability to perform duties successfully and efficiently Ability to treat patient’s oral health needs and refer when it’s in their best interest Maintaining competence requires continual self-assessment and commitment to lifelong learning P a g e 11 | 12 Just expectation of the patient Professionalism - Correct answer Community service and volunteering Promoting the profession in a positive way Self-governance Confidentiality - Correct answer Avoidance of revealing any personal information Beneficence - Correct answer doing what will benefit the patient (when non-maleficent is not sufficient) Offering active help (ex. pro bono work) Non-maleficence - Correct answer Do no harm Most basic element of morality Provide care that is compatible with safety, dignity, and rights of people. (Ex. standard precautions and through debridement) Universality - Correct answer if one individual judges an action to be right or wrong in a situation, other people in same situation would make same judgment Complementarity - Correct answer Recognizes existence of an obligation to justice and basic human rights Societal Trust - Correct answer we value client trust and understand that public trust in our profession is based on our actions and behavior P a g e 12 | 12