81 Questions
What was the significance of the RHPA, 1991 and the DHA, 1991 for the College of Dental Hygienists of Ontario (CDHO)?
It established the CDHO with the proclamation of the acts.
What was the impact of the 'order' requirement for dental hygienists as a result of government Committee hearings?
It tied the provision of dental hygiene services with those of the dentist, limiting public access to oral hygiene care.
What was the purpose of the Spousal Exception Regulation in the context of dental hygiene practice in Ontario?
To address specific situations where a dental hygienist provides services to their spouse.
What was the impact of the 'order' requirement on dental hygiene services in Ontario?
It negated client choice of practitioner.
According to the regulation, when can a dental hygienist treat their spouse?
When the spouse meets the statutory definition of 'spouse' and the sexual relationship is kept out of the office setting
What is considered sexual abuse according to the RHPA?
Treating a sexual partner who does not meet the definition of a spouse under the RHPA
What is the minimum period for a conjugal relationship outside of marriage for a person to be considered a spouse?
Not less than three years
What professional formalities must a dental hygienist follow while treating their spouse?
Maintain the professional distance as they would for any other client
What was the status of self-initiation for dental hygienists authorized by the CDHO in Ontario?
Self-initiation was implemented on September 1, 2007, but it was rescinded on September 22, 2023.
What did the amendment to the legislation allow dental hygienists to do?
Perform the controlled act of scaling and root planing on their own initiative.
What did the initial drafts of the RHPA in 1991 determine about dental hygienists?
They had the knowledge, skill, and judgment to 'self-initiate' certain procedures, including scaling and root planing.
What is required if there are any contraindications or doubts about the client's health history?
Clearance from a physician or dentist
What specific conditions must be considered before performing dental hygiene procedures?
Cardiac conditions requiring antibiotics and active chemotherapy or radiation therapy
What does the practice of dental hygiene include?
Assessment and treatment by preventive and therapeutic means
What is not included in a standing order or self-initiation for dental hygienists?
Orthodontic and restorative procedures
What does the Regulated Health Professions Act, 1991 provide the framework for?
The entire health profession sector
What is the primary purpose of the Health Professions Procedural Code (Code)?
Setting rules for regulatory colleges
What does the Health Professions Procedural Code outline?
Common duties and procedures for all 26 health colleges and identifies responsibilities for college council and statutory committees
Which areas are covered by the by-laws of regulatory colleges?
Elections, fees, and the role of the Registrar/CEO
What do the Regulated Health Professions Act and Dental Hygiene Act establish?
Mandatory regulatory activities
What is a duty of self-regulation for dental hygienists?
Not performing controlled acts without legal authority
Who can legally use the title 'dental hygienist'?
Only registered dental hygienists
What can failure to cooperate with the College of Dental Hygienist of Ontario lead to?
Professional misconduct
What are the mandatory reporting requirements for dental hygienists?
Reporting sexual abuse, professional misconduct, and neglect or abuse of children or elderly residents
What is an obligation of dental hygienists?
Participating in the Quality Assurance Program
What does self-regulation for dental hygienists require them to avoid?
Abuse
What activities are included in the Mandatory Regulatory Activities established by the Regulated Health Professions Act and Dental Hygiene Act?
Registration, complaints process, investigations, and quality assurance program
What does self-regulation for dental hygienists entail regarding controlled acts?
Not performing controlled acts without legal authority
What is the primary focus of the by-laws of regulatory colleges?
Administrative matters like elections and fees
What does 'reasonable grounds' for reporting refer to in the context of the text?
Objective information, not personal belief
What did Bill 87 amend in the RHPA?
Address sexual abuse and introduce fast-tracking of discipline cases
What are the essential principles for touching in client interactions for dental hygienists?
Obtaining consent for care and respecting cultural diversity
What was the impact of Bill 70 in 2014?
Permitted spousal treatment in Ontario
What did the CDHO submit regarding spousal treatment?
Spousal Exception Regulation
What is emphasized as essential in client interactions in the text?
Professional distance and maintaining clear boundaries
What are the protective measures mentioned in the text?
Stopping flirtatious behavior and avoiding suggestive comments
What is important in dealing with client abuse according to the text?
Documenting client abuse and dealing with confidentiality concerns
What is a significant theme of Bill 87?
Increased transparency and ministerial power
What is the impact of Bill 87 on discipline cases?
Introduced fast-tracking of discipline cases
What is the focus of the Protective measures mentioned in the text?
Stopping flirtatious behavior and avoiding suggestive comments
What was the impact of Bill 70 in 2014 on spousal treatment?
Permitted spousal treatment in Ontario
What is the minimum period for a conjugal relationship outside of marriage for a person to be considered a spouse under the RHPA?
3 years
What must a dental hygienist follow while treating their spouse, according to the text?
Maintain professional formalities and distance
What will treating a sexual partner who does not meet the definition of a spouse under the RHPA be considered as?
Sexual abuse
What is the primary focus of the Spousal Exception Regulation in the context of dental hygiene practice in Ontario?
To ensure professional conduct while treating spouses
What was the primary purpose of the 'order' requirement for dental hygienists as a result of government Committee hearings?
To restrict the provision of dental hygiene services to traditional settings
What was the significance of the Spousal Exception Regulation in the context of dental hygiene practice in Ontario?
It imposed limitations on the treatment of spouses by dental hygienists
What did the initial drafts of the RHPA in 1991 determine about dental hygienists?
They were required to obtain an 'order' from a dentist for client treatment
What was the impact of Bill 171 and Bill 70 on the practice of dental hygienists in Ontario?
They imposed additional restrictions on the practice of dental hygienists
What did Bill 87 amend in the Regulated Health Professions Act (RHPA)?
All of the above
What is the primary focus of the Protective measures mentioned in the text?
Maintaining professional distance and clear boundaries
What was the impact of Bill 70 in 2014 on spousal treatment in Ontario?
It permitted spousal treatment
What did the CDHO submit regarding spousal treatment?
A Spousal Exception Regulation
What does 'reasonable grounds' for reporting refer to in the context of the text?
Objective information, not personal belief
What is emphasized as essential in client interactions in the text?
Professional distance and clear boundaries
What was the status of self-initiation for dental hygienists authorized by the CDHO in Ontario?
It was not permitted
What is considered sexual abuse according to the RHPA?
Any sexual behavior or remarks towards a client
What is the minimum period for a conjugal relationship outside of marriage for a person to be considered a spouse?
2 years
What are the mandatory reporting requirements for dental hygienists?
Reporting any suspected abuse
What did the amendment to the legislation allow dental hygienists to do?
Treat their spouses
What is important in dealing with client abuse according to the text?
Documenting client abuse
What is the primary focus of the Health Professions Procedural Code (Code)?
Setting rules for regulatory colleges
What are the Mandatory Regulatory Activities established by the Regulated Health Professions Act and Dental Hygiene Act?
Registration, complaints process, investigations, and quality assurance program
What is included in the by-laws of regulatory colleges?
Elections, fees, and the role of the Registrar/CEO
What is a duty of self-regulation for dental hygienists?
Not performing controlled acts without legal authority
What can failure to cooperate with the College of Dental Hygienist of Ontario lead to?
Professional misconduct
What are the mandatory reporting requirements for dental hygienists?
Reporting sexual abuse, professional misconduct, and neglect or abuse of children or elderly residents
What does self-regulation for dental hygienists entail regarding controlled acts?
Not performing controlled acts without legal authority
What is the duty of dental hygienists regarding the title 'dental hygienist'?
Only registered dental hygienists can legally use the title 'dental hygienist'
What is the focus of the Quality Assurance Program for dental hygienists?
Participating in the Quality Assurance Program
What is included in the Mandatory Regulatory Activities established by the Regulated Health Professions Act and Dental Hygiene Act?
Registration, complaints process, investigations, and quality assurance program
What is a duty of self-regulation for dental hygienists?
Not performing controlled acts without legal authority
What can failure to cooperate with the College of Dental Hygienist of Ontario lead to?
Professional misconduct
What did the proclamation in September 2007 allow dental hygienists authorized by the CDHO to do?
Perform preventive oral health care procedures without a dentist's order
What was the primary aim of the amendment to the legislation regarding dental hygienists' self-initiation status?
Ensure greater access to dental hygiene services for the public
What did the initial drafts of the RHPA in 1991 determine about dental hygienists' ability to 'self-initiate' certain procedures?
They had the knowledge, skill, and judgment to self-initiate certain procedures
What is required if any contraindications are present or if there is any doubt about the client's health history?
Clearance from a physician or dentist
What is included in the practice of dental hygiene, as mentioned in the text?
Assessment and treatment by preventive and therapeutic means
What do the Regulated Health Professions Act, 1991, and the Health Professions Procedural Code provide the framework for?
The entire health profession sector
What are the specific contraindications that must be considered before performing dental hygiene procedures?
Cardiac conditions requiring antibiotics and active chemotherapy or radiation therapy
What is not included in a standing order or self-initiation for dental hygienists?
Orthodontic and restorative procedures
Study Notes
Professional Boundaries, Sexual Abuse, and Spousal Treatment Regulation in Dentistry
- Failure to report unsafe patient led to a lawsuit of over $1 million
- "Reasonable grounds" for reporting refers to objective information, not personal belief
- Professional distance and maintaining clear boundaries are essential in client interactions
- Protective measures include stopping flirtatious behavior and avoiding suggestive comments
- Touching principles for dental hygienists include obtaining consent for care and respecting cultural diversity
- Documenting client abuse and dealing with confidentiality concerns are important
- Dealing with different client abuse scenarios, including termination of care for moderate, consistent abuse
- Bill 87 amended the RHPA to address sexual abuse and introduced fast-tracking of discipline cases
- Increased transparency and ministerial power were major themes of Bill 87
- Spousal treatment was permitted in Ontario by Bill 70 in 2014
- The CDHO submitted a Spousal Exception Regulation, permitting dental hygienists to treat their spouses
- The regulation was narrowly defined and passed by the Ontario government on October 8, 2020
Regulatory Committees and Code
- The Health Professions Procedural Code (Code) sets rules for regulatory colleges
- The Code addresses areas like registering members, handling complaints, and conducting discipline hearings
- Regulatory colleges are bound by by-laws which are administrative in nature
- By-laws cover areas like elections, fees, and the role of the Registrar/CEO
- The Regulated Health Professions Act and Dental Hygiene Act establish Mandatory Regulatory Activities
- These activities include registration, complaints process, investigations, and quality assurance program
- Self-regulation for dental hygienists includes not performing controlled acts without legal authority
- Only registered dental hygienists can legally use the title "dental hygienist"
- Dental hygienists have a duty to cooperate with the College of Dental Hygienist of Ontario
- Failure to cooperate can lead to professional misconduct
- Dental hygienists have obligations such as participating in the Quality Assurance Program and avoiding abuse
- Mandatory reporting requirements include reporting sexual abuse, professional misconduct, and neglect or abuse of children or elderly residents
Changes in Dental Hygiene Practice in Ontario
- The proclamation in September 2007 allowed dental hygienists authorized by the CDHO to self-initiate preventive oral health care procedures.
- Self-initiation was implemented on September 1, 2007, but it was rescinded on September 22, 2023.
- Dental hygienists approved for self-initiation status with the CDHO did not need to receive an order from a dentist to perform certain procedures since 2007.
- The amendment to the legislation meant that all dental hygienists could perform the controlled act of scaling and root planing on their own initiative.
- Clearance from a physician or dentist is required if any contraindications are present or if there is any doubt about the client's health history.
- The amendment aimed to ensure greater access to dental hygiene services for the public, including for the homebound, elderly, remote, and institutionalized individuals.
- Initial drafts of the RHPA in 1991 had determined that dental hygienists had the knowledge, skill, and judgment to "self-initiate" certain procedures, including scaling and root planing.
- There are specific contraindications that must be considered before performing dental hygiene procedures, such as cardiac conditions requiring antibiotics and active chemotherapy or radiation therapy.
- Orthodontic and restorative procedures require a client-specific order and are not included in a standing order or self-initiation.
- The practice of dental hygiene includes assessment and treatment by preventive and therapeutic means, as well as the provision of restorative and orthodontic procedures and services.
- The Regulated Health Professions Act, 1991, provides the framework for the entire health profession sector.
- The Health Professions Procedural Code outlines the common duties and procedures for all 26 health colleges and identifies responsibilities for college council and statutory committees.
Test your knowledge on professional boundaries, sexual abuse, and the spousal treatment regulation in dentistry with this informative quiz. Explore important topics such as reporting unsafe patient conditions, maintaining boundaries, dealing with client abuse, and the impact of legislative changes on dental practice.
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