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Dental Hygiene and Assistant Scope of Practice and Continuing Education Requirements, Exams of Nursing

A comprehensive guide on the roles, responsibilities, and scope of practice for dental hygienists (dh), dental assistants (da), and expanded function dental assistants (lda) in the united states. It outlines the courses they must complete, the procedures they can perform, and the continuing education requirements they need to meet. The document also discusses the accountability of dh/lda and dds if a dh/lda practices beyond their scope of practice. It also covers the guest license and continuing education waiver for retired dental professionals.

Typology: Exams

2023/2024

Available from 05/14/2024

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Download Dental Hygiene and Assistant Scope of Practice and Continuing Education Requirements and more Exams Nursing in PDF only on Docsity! MN Dental Jurisprudence Exam-with 100% verified solutions *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. *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. 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. personal The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures. 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 who can place sealants after completing a course by a school accredited by the commission on dental accreditation? DH, DT, DA *WHO can give local anesthesia after completing a course on local anesthesia from a school accredited by the Commission on Dental Accreditation DH and DT (not DA) *Dental hygienists and licensed dental assistants shall not take impressions and bite registrations for _____________ of fixed and removable prostheses. Final construction *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 Scope of Practice --- DH and DA with restorative functions can place, contour, and adjust amalgam, glass ionomers, and stainless steel crowns on class _______ (supragingival) Class I, II, V - a dental hygienist or dental assistant must successfully complete a board approved course on these specific restorative procedures. application of pit and fissure sealants DH - general LDA - indirect *Administer LA DH - general Complete preliminary charting of oral cavity and surrounding structures w/ exception of perio probing and assessment of the perio structure LDA - general of course DH can do this too, with probing take photographs intra or extra orally DH - general LDA - general take vital signs DH - general LDA - general place temporary fillings DH - general LDA - general *cut arch wires, remove loose bands or brackets DH - general LDA - general *take X-rays DH - general LDA - general *take impressions for casts and bite registrations DH - general LDA - general *place and remove ortho separators DH - general LDA - general *deliver vacuum-formed ortho retainers DH - general DA - general *etch enamel surfaces; apply and adjust sealants DH - general LDA - indirect *monitor a patient on nitrous oxide DH - general LDA - indirect *mechanical polishing clinical crowns (calculus must be removed by DDS or DH before polishing) DH - general LDA - indirect *remove excess cement from inlays, crowns, bridges, ortho appliances with HAND INSTRUMENTS DH - general LDA - indirect apply topical fluoride and bleaching agents prescribed by DDS DH - general LDA - indirect *can a LDA or DH place a cavity liner or endo filler no place topical gel before injection DH - general LDA - indirect *place and remove rubber dam DH - general LDA - indirect *etch enamel surfaces before bonding of ortho by DDS DH - direct LDA - direct *attach prefit and preadjusted ortho appliances DH - direct LDA - direct *remove fixed ortho brackets DH - direct LDA - direct remove excess bond material from appliances DH - general LDA - direct *administer N2O2 DH - general LDA - direct T/F - ONLY a dentist can cement ortho bands and adjust ortho wires true Concurrently perform supportive services if the dentist holds a valid general anesthesia or moderate sedation certificate, is personally treating a patient, and authorizes the allied dental personnel to aid in treatment including the administration of medications into an existing intravenous line, an enteral agent, or emergency medications in an emergent situation. DH - personal LDA - personal (apply meds) *Place nonsurgical retraction material for gingival displacement. DH - direct LDA - direct -Perform preliminary charting of the oral cavity, oral health 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) -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) -Administer local anesthesia. -Administer nitrous oxide inhalation analgesia *****Application of desensitizing medication or resin -Tissue conditioning and soft reline. DT - general ADT - general -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 -Cavity preparation; and restoration of primary and permanent teeth appliances, remove fixed ortho bands/brackets, initiate and place IV lines, place nonsurgical retraction material for gingival displacement. DH personal supervision Help DDS with sedation if completed extra education. Rules, regulations, and CE requirements ____ *can a dentist accept money for making a referral (renumeration = $) to another dentist? nope *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 *Can a LDA scale and clean mandibular anteriors on a pediatric patient? NO The LDA and DDS would both be held accountable *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 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 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 5 components of CPR training -AED -Barrier mask or bag for ventilation -Foreign body airway obstruction -Two person rescuer -Adult, child, and infant CPR Good Samaritan Law a person at the scene of an emergency who knows that another person is exposed to or has suffer harm shall give reasonable assistance to the exposed person Criminal law law that deals with crime and the legal punishment of criminal offenses (crime against society) Civil law deal with disputes between individuals, organizations, or between the two, in which compensation is awarded to the victim What actions would cause an immediate suspension of a Dental Professional License? 1. Dependence on alcohol, drugs, or other substances 2. Writing unauthorized prescriptions We have an expert-written solution to this problem! *How many CE credits does a LDA, DDS, DT and DH need to have in a 2 year period? 25 for LDA and DH 50 for DDS and DT's fundamental credits ***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) *All DHCP must renew their license every _____ on the date when they originally got their license 2 years 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 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 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 (maybe working a few times a month) -must complete and document at least 5 hours of approved courses on infection control, medical emergencies, etc. -provide documentation of current CPR certificate
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