Dental Professionals' Continuing Education Requirements in Minnesota, Exams of Nursing

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MN Dental Jurisprudence Exam New Update 1.*general supervision: The dentist has prior knowledge and has given consent for the procedures being performed during which the dentist is not required to be present in the dental office or on the premises. 2.*indirect: The dentist is in the office, authorizes the procedures, and remains in the office while the procedures are being performed by the allied dental personnel. 3.direct: The dentist is in the dental office, personally diagnoses the condition to be treated, personally authorizes the procedure, and before dismissal of the patient, evaluates the performance of the allied dental personnel. 4.personal: The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures. 5.DH, DT or DA must do these before administering nitrous: take a course with a minimum of *12 hours* total comprised of didactic instruction, personally administering and managing at least *3* individual supervised cases 6.who can place sealants after completing a course by a school accredited by the commission on dental accreditation?: DH, DT, DA 7.*WHO can give local anesthesia after completing a course on local anesthe- sia from a school accredited by the Commission on Dental Accreditation: DH and DT (not DA) 8. *Dental hygienists and licensed dental assistants shall not take impressions and bite registrations for of fixed and removable prostheses.- : Final construction 9.*Before removal of bond material, a dental hygienist or licensed dental assistant must successfully complete a course in the use of for the express purpose of the removal of bond material from teeth.: rotary instruments 10. *Scope of Practice*: --- 11. DH and DA with restorative functions can place, contour, and adjust amal- gam, glass ionomers, and stainless steel crowns on class (supragingival): Class I, II, V surrounding structures w/ exception of perio probing and assessment of the perio structure: LDA - general of course DH can do this too, with probing 28.take photographs intra or extra orally: DH - general LDA - general 29.take vital signs: DH - general LDA - general 30.place temporary fillings: DH - general LDA - general 31. *cut arch wires, remove loose bands or brackets: DH - general LDA - general 32. *take X-rays: DH - general LDA - general 33. *take impressions for casts and bite registrations: DH - general LDA - general 34. *place and remove ortho separators: DH - general LDA - general 35. *deliver vacuum-formed ortho retainers: DH - general DA - general 36. *etch enamel surfaces; apply and adjust sealants: DH - general LDA - indirect 37. *monitor a patient on nitrous oxide: DH - general LDA - indirect 38. *mechanical polishing clinical crowns (calculus must be removed by DDS or DH before polishing): DH - general LDA - indirect 39. *remove excess cement from inlays, crowns, bridges, ortho appliances with HAND INSTRUMENTS: DH - general LDA - indirect 40.apply topical fluoride and bleaching agents prescribed by DDS: DH - gen- eral LDA - indirect 41. *can a LDA or DH place a cavity liner or endo filler: no 42.place topical gel before injection: DH - general LDA - indirect 43.*place and remove rubber dam: DH - general LDA - indirect 44.*Preselect ortho bands: DH - general LDA - indirect 45.can a LDA give local anesthesia?: No 46. *remove and replace ligature ties and arch wires: DH - general LDA - indirect 47.*remove sutures: DH - general LDA - indirect 48.Perform restorative procedures limited to: placing, contouring, and adjust- ing amalgam restorations and glass ionomers; adapting and cementing stainless steel crowns; and placing, contouring, and adjusting class I, II, & V supragingival composite restorations on primary and permanent teeth.: DH - Indirect instruction and disease prevention, including nutritional counseling, dietary analysis. -Apply topical medications such as, but not limited to, topical fluoride and cavity varnishes in appropriate dosages. *****-Perform mechanical polishing: GENERAL (DT and ADT) 64. -Etch appropriate enamel surfaces, apply and adjust pit and fissure sealants. -Placement of temporary restorations. -Fabrication of soft occlusal guards and athletic mouthguards. -Pulp vitality testing.: GENERAL (DT and ADT) 65. -Administer local anesthesia. -Administer nitrous oxide inhalation analgesia *****Application of desensitizing medication or resin -Tissue conditioning and soft reline.: DT - general ADT - general 66. -Atraumatic restorative therapy. *Tooth reimplantation. -Dressing changes. -Dispense and administer analgesics, anti-inflammatories, and antibiotics as (permitted by the collaborative management agreement): general ADT and DT 67. -Cavity preparation; and restoration of primary and permanent teeth -Pulpotomies on primary teeth -pulp capping on primary and permanent teeth. -Stabilization of reimplanted teeth. -Remove sutures. -Brush biopsies.: DT - indirect ADT - general fabricate temp restora- tions, place/remove matrix bands, remove ortho cement with rotary instruments, attach ortho appliances, remove fixed ortho bands/brackets, initiate and place IV lines, place nonsurgical retraction material for gingival displacement. 72.DH personal supervision: Help DDS with sedation if completed extra educa- tion. 73. *Rules, regulations, and CE requirements*: 74. *can a dentist accept money for making a referral (renumeration = $) to another dentist?: nope 75. *the patient can be terminated for:: - pt failure to comply with treatment or professional advice (ex: advanced perio) - consistent tardiness or failed appts - failure to pay for services rendered - behavior mngmt issues 76. *Can a LDA scale and clean mandibular anteriors on a pediatric patient?- : NO The LDA and DDS would both be held accountable 77. *Who could be in trouble by the Board of Dentistry if a DH/LDA practices beyond their scope of practice, even when the DDS did NOT request them to and the DH/LDA acted on their own: both the DDS and DH/LDA 78. Ad: "Our practice specialized in cosmetic dentistry, *promising* *superior* *results* in the quest to achieve your perfect smile" What is wrong w/ the above ad?: DDS cannot say they are SUPERIOR and cannot PROMISE the results of a tx. They are creating a false/unjustified expectation. *Also, cosmetic dentistry is not recognized as a 'specialty' by the ADA* 79.In advertising a dental office, the DDS cannot use terms such as "top" or "best". They cannot make a claim that a survey, ballot, or poll constitutes a ranking for who they are or what they do; ex) "the top 15%" or "voted best.." T/F: true 80.5 components of CPR training: -AED -Barrier mask or bag for ventilation -Foreign body airway obstruction -Two person rescuer -Adult, child, and infant CPR 81.Good Samaritan Law: a person at the scene of an emergency who knows that another person is exposed to or presentations Volunteering/Community Service General Attendance- 3 credits for a state or national dental convention 93.BOD will randomly select individuals for an audit; you will be notified by letter and have days to submit COPIES of your CE record: 60 days (never send an original) 94. *Each dental professional is required to keep documentation of their CE for the current 2 year cycle AND the previous year cycle: past 2 year cycle 95. *all dental professionals must notify the board of dentistry within of a name or address change: 30 days 96. ****T/F : must display annual renewal certificate w/ license in plain sight for pts to see. When renewing license, copies can be *requested* if one is employed at multiple practices. (One must carry a wallet copy if they float to variety of offices): True (you cannot make copies yourself) 97. *All DHCP must renew their license every on the date when they originally got their license: 2 years 98.When is reading a professional article considered a fundamental credit and when is it an elective credit?: A professional article w/ a post test is considered *fundamental* Reading a professional article for the information is considered *elective* 99. the board can grant a GUEST LICENSE for a DA, DDS, DH if the following conditions are met: 1. must be currently licensed 2.is currently engaged in practice 3.is approved by the board 4.was established by a non profit organization that is tax exempt 5.provides dental care to patients who have difficulty accessing to care 6.must agree to treat "indigent" patients 7.has to pay a non refundable free no more than $75 8.guest license must be *renewed anually* and expires on Dec. 31 9.the care must be provided without compensation 10.board requires proof of application 11. must be subject to all state rules and regulations 100. continuing education waiver for a dental professional who is RETIRED from active practice and has limited the provision of dental care services: - -board may require written documentation that they are retired -- *proof* they are not working as a full time dental professional provides care that is educational, preventative, and therapeutic through observation, assessment, eval, counseling, and therapeutic services to establish and maintain oral health 2- evaluates pt heath status through review of med and dental histories, assesses and plans dh care needs, performs a prophy including complete removal of calc, accretions and stains by scaling, polishing, and performs root planing and debride- ment 3- administers local and nitrous 4- provides other related services as permitted by rules of the board 107. DH: A person of *GOOD MORAL CHARACTER*, who has graduated from a DH PROGRAM accredited by the *commission on Dental Accreditation* and estab- lished in an institution accredited by an agency recognized by the US department of education to offer college-level programs, may apply for licensure 108. DH program: min of 2 academic years of dental hygiene education 109. The services provided by a dental hygienist shall *not* include what?: final diagnosis 110. all dental hygiene services must be provided under supervision of a licensed dentist. T or F: True 111. a DH may be employed by a nonprofit organization to preform DH services *without* the pt first being examined by a licensed DDS if the Dental hygien- ist....: - has been engaged in active practice of clinical dh for no less than *2400 hours in past 18 mo* or a career total of *3,000 hours* -has entered into a *collaborative agreement* with a licensed DDS that designates authorization for the services provided by dental hygienist -has documented participation in courses in *infection control and med emergen- cies* within each continuing education cycle - maintains *CPR certificate* from AHA or American red cross 112. dental hygiene services authorized to be performed are:: 1- oral health promotion 2- removal of deposit and stain from surface of teeth 3- application of topical preventive or prophy agents, including fluoride varnish and pit and fissure sealants 4- polishing and smoothing restorations 5- removal of marginal overhangs 6- performance of preliminary charting 7- taking radiographs 8- performance of SRP (all under general supervision) 113. does the dentist need to examine the pt or be present during injection of local anesthesia or nitrous once delegated in collaborative agreement with licensed dds and dh?: no 114. DH collaborative agreement must include..: 1- consideration for med comp pt and med conditions for which dental eval and treatment plan must occur *prior* to provision of dh services 2- age and procedure specific standard collaborative practice -initials of pt must be shown alone if use of pt name is impracticable - identification marks may be omitted in entirety if none of the forms of id are practicable or clinically safe 122. do you ID mark older prosthesis without this info?: yes 123. a pplicant must submit new background check if more than has Relapsed since the applicants last submitted background check to the board: 1 year 124. no license issued to any applicant who refuses to consent to a criminal background check or fails to submit fingerprints within after submission of application for licensure: 90 days 125. how long does a person have to challenge accuracy of a report of back- ground check: 30 days after they get their report back 126. how long does the board give the applicant to challenge the accuracy or completeness of the report: 180 days 127. when temp license is suspended, the regulated person shall be provided with at least notice of any hearing held pursuant to this section: 10 days 128. if the board has not completed its investigation and final order within days the temp suspension shall be lifted unless the reg- ulated person requests a delay in disciplinary preceedings for any reason: 30 days 129. self-reporting: when should a regulated person who is diagnosed as infected with HIV, HBV, or HCVreport the info to the commissioner: no more than 30 days after learning of the diagnosis or 30 days after becoming licensed or registered by the state 130. *infection control reporting- a regulated person shall, within , report to the appropriate board personal knowledge of a seri- ous failure or a pattern of failure by another regulated person to comply with accepted and prevailing infection control procedures related to prevention of hiv hbv and hcv transmission: 10 days 131. how long after an infection control report does the designated office have to meet with the board: 30 days of receiving report 132. without hearing, the board may temporarily suspend the right to practice of a regulated person if they find they have refused to submit or comply with monitoring....: infection control 133. it is unlawful for any person to..: -enable a unlicensed person to practice dentistry -practice without a license services on patients -retract -assist with the placement or removal of rubber dam and accessories used for its placement and retention as directed by operating dds -remove debris with suction devices, air, mouthwash, water -aid dh and licensed da in their duties -apply fluoride varnish in community setting under licensed dds 139. *what is biennial term: properly renewed license or permit issued by board valid from first day of month following expiration for 24 months until renewed or terminated according to procedures in this part 140. *a DT can supervise no more thanlicensed or non-licensed DAs in any one practice setting: 4 141. *A DT must enter into a with a DDS: collaborative management agreement (all agreements but be reviewed, signed. updated and submitted to the board EVERY YEAR) 142. Amount of credit hours each biennial a dentist, specialty, guest full faculty or DT needs.: 50 143. minimum of credit hours for dentists and DT's of fundamental CE's: 30 144. maximum of credit hours of elective CEs for DT and DDS: 20 145. _ credit hours each biennial cycle for a hygienist and dental assistant; minimum of of fundamental and maximum of elective: 25, 15, 10 146. A minimum of _ courses must be completed in _ of the core subject areas per biennial cycle: 2, 2 147. Core subjects: Infection control, record keeping, ethics, management of med emergencies, pt communications, diagnosis and treatment planning. 148. Fundamental: Activities directly related to the provision of *clinical dental services* 149. elective: Activities directly related to, or *supportive* of the practice of dentistry, dental hygiene, or dental assisting 150. clinical subject: Subjects directly related to the provision of *dental care* and treatment to pts 151. core subject: ares of knowledge that relate to *public safety* and profession- alism 152. acceptable documentation for CE hours: Every form should include: name and location of organization/presenter, contact information and credentials or train- ing that qualifies presenter to teach course, course title, date, hours and subject matter. 153. *specialty dental practices:: - dental public health - endodontics - oral and maxillofacial radiology & pathology - oral surgery - ortho - pediatric dentistry - periodontics - prosthodontics 154. A dental tech and DDS may practice in the same facility but may each have their own practice.: True; * the DDS is not responsible for the dental tech unless the tech is 168. *general anesthesia (unconscious): for extreme cases of dental care *oral and maxillofacial surgeons 169. *Infection Control*: ------ 170. high level disinfection: Elimination of all microorganisms except bacterial spores 171. decontamination: Removal, inactivation, or destruction of HBV and HIV on a surface or item to the point where HBV and/or HIV are *no longer capable of causing infection* and the surface or item is rendered safe for barehanded touching, use or disposal. 172. Disinfection: destroys *most* pathogenic and other microorganisms by phys- ical or chemical means -does not ensure the degree of safety associated with sterilization processes (ex: sanitary wipes used to wipe down the cubicle) 173. sterilization: destroys *all* microorganisms, including substantial numbers of resistant bacterial spores, by heat (steam autoclave, dry heat, and unsaturated chemical vapor) or liquid chemical sterilants 174. *Use surface barriers on to protect, particularly for surfaces that are hard to clean: light switches, radiographic equipment, drawer handles, comput- ers (change barriers between patients) ----still need to use EPA approved wipes to clean after barriers are removed 175. The regulates *low- and intermediate-level* disinfec- tants that are used on surfaces: Environmental Protection Agency 176. The regulates liquid *chemical sterilants/high- level* disin- fectants: Food and Drug Administration 177. Any disinfectant used in a dental setting should be registered by the and be approved for use in health care settings: Environmental Protection Agency (EPA) 178. can you use disinfectant wipes from the grocery store?: no, the are not EPA registered 179. *what does PPE include?: gloves, masks, gowns, and eye protection 180. disposal of liquid and human waste (blood): all liquid and human waste, including floor wash water, must be disposed of through *trap drains into a public sanitary sewer system* 181. *what type of gloves should you use?: chemical and puncture resistant gloves -even for "household cleaning" of the dentist office 182. use barrier protective coverings as appropriate for noncritical equipment surfaces that are: 1) touched frequently with gloved hands during patient care 2) likely to become contaminated with blood or body substances 3)hard to clean (e.g., computer keyboards). 183. Digital radiography sensors are considered: *semicritical* (they go inside of patients' mouths but don't puncture mucous membranes) -use a barrier then cleaned with high level disinfectant wipes between patients 184. what types of FLOORS are NOT recommended: carpeting 185. *hand pieces and intraoral instruments that can be removed from the air and waterlines of dental units are co nsidered : *semi- critical* -should be heat sterilized between patients -do not just wipe them down!! examples: high-speed, low-speed, electric, endodontic, and surgical handpieces 186. Dental health care personnel should use water that meets care professional1 because, in some cases, postexposure treatment may be recommended and should be started as soon as possible. 6.fill out incident form and submit to board 196. *OSHA (Occupational Safety and Health Act) requires: employers make hep B vaccine available to all employees who have potential contact w/ blood or OPIM (other potentially infectious materials) 197. *What employees need Hep B vaccination?: any employee that has potential for contact with blood 198. Every dental office needs to have a written exposure plan; written policies and procedures for prompt reporting, evaluation, counsel, tx. and follow-up to occupational exposures. T/F: True 199. *Exposure training should include:: 1) Description of their exposure risks 2)Review of prevention strategies & infection control policies/procedures 3)Discussion regarding how to manage work related illnesses and injuries 4)Review of work restrictions for the exposure/infection 200. *When to wash hands:: -before treating a patient -before gloves are put on -right after gloves are taken off -after treating a patient 201. Fi ngernails should be kept SHORT; Artificial nails carry greater and are implicated in fungal and bacterial infections: gram negative organisms 202. when should your eyewear be cleaned?: between every patient and after your last patient at the end of the day 203. *A surgical mask that covers both the nose and mouth and protective eye wear w/ solid side shields (or a face shield) should be worn by DHCP T/F: true 204. when should you change your mask?: -when it becomes wet or visibly soiled -between patients -every 3 hours 205. *destruction of most bacteria, some viruses, and fungi( but not mycroba- terium tuberculosis or bacterial spores) -through the exposure to a chemical registered with EPA as hospital disinfectant but with ----no label claim for tuberculdcidal: low level disinfection 206. *destruction of mycobacterium tuberculosis, vegetative bacteria, most viruses and fungi (not bacterial spores) through exposure to a chemical registered with EPA hospital disinfectant WITH label claim for tubercluocidal activity: intermediate level disinfection 207. means the destruction of all forms of microbial life except high numbers of bacterial spores through exposure to a chemical registered with enviormen- tal protection agency "sterilant": high level disinfection 208. T/F: Change protective clothing when it becomes visibly soiled as soon as feasible if penetrated by blood or saliva: true 209. *When should you change gloves?: between patients, and when they be- come torn or punctured 210. critical items: penetrate soft tissue or bone; GREATEST risk of transmitting infection and needs to be sterilized by HEAT (hand instruments, ultrasonic) 211. Semi critical items: contact mucous membranes but don't penetrate **high level disinfectant required **sterilization by heat still -needs to be corrected and temporarily be out of service 217. T/F a tooth with an amalgam filling in it is considered hazardous waste only: false: hazardous and infectious 218. autoclaving =: sterilizing -destroy all microbes 219. what testing should be available to all DHCW for those concerned that they may be infected by HIV: serologic testing 220. how should the amalgam scrap be stored and handled: stored in a closed unbreakable container labled " hazardous "contains mercury" and should be recy- cled 221. website for more info on infection control: h tt p s : // w w w .cdc.gov / o r al - health/infectioncontrol/questions/ 222. *Record Keeping*: ---- 223. *Dental records must include: - pt's name, address, DOB - if minor, need parent's name - name and telephone number of contact person - name of insurance and ID number if applicable - patient's reason for visit - dental and medical history - clinical exam - diagnosis and treatment plan - informed consent - progress note 224. *informed consent consists of...: giving options benefits risk s cost patient's approval (signature) 225. *correction of records: notations must be legible, written in ink, no erasures or white outs -if incorrect info is on paper, must cross out with one line and initialed 226. *transfer of records: digital Xrays must be transfered by compact or optical disc, electric communication, or printed on high quality photographic paper -need diagnostic quality using proper exposure settings 227. * T/F: as a request of patient, records must be transferred, even if their bill hasn't been paid: True 228. *when electronic records are kept, a dentist must keep either a or use an : duplicate hard copy unalterable electronic record 229. *adults records must be kept for years beyond last time they were seen: 7 230. A minor (child) records must be kept for years beyond the age of 18: 7 231. *can the dentist charge a patient a fee for transferring records?: yes. 232. should original X-rays or forms be sent if requested??: No, NEVER. diag- nostic duplicate X-rays and records must be copied and sent 233. who decides the max. fee a DDS can charge?: Minnesota Department of Health 234. the provider can charge for copies of records: no more than 75 cents per page AND $10 charge for time spent 235. When a pt requests a copy of the pt's record for 249. for a dental therapist to become an advanced dental therpist, the dental therapist must complete how many hours of dental therapy clinical practice?- : 2000 hours 250. *a professional firm must submit a to the board of dentistry?- : annual report 251. * would be considered an elective professional development activity?: dental management practice course 252. * a course in treatment planning and diagnosis all applicants for licensure in mn must do which of the following if they fail the clinical examination or the licensure exam twice as specified by board rule: get more education and training 253. *which of the following would be considered a fundamental professional development activity: a course in treatment planning and diagnosis 254. means a corporation, partnership, sole proprietor, or business enity engaged in the manufacturer or repair of dental prosthetic appliances: - dental laboratory 255. *To administer general anesthesia, a dentist must complete what?: 1 year residency 256. *T/F OSHA aims to protect the providers/clinicians and CDC aims to protect all patients: true