Ontario Dental Hygienist Regulations Quiz
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Questions and Answers

What is the mandate of the College of Dental Hygienists of Ontario (CDHO)?

  • To provide dental hygiene education in Ontario
  • To promote dental hygiene products in Ontario
  • To regulate the practice of dental hygiene in the interest of the overall health and safety of the public of Ontario (correct)
  • To advocate for the rights of dental hygienists in Ontario
  • What is the role of the CDHO Council and Registrar?

  • To oversee and govern the CDHO, and to lead the organization as the chief executive (correct)
  • To conduct research on dental hygiene practices
  • To provide dental hygiene services in Ontario
  • To manage the finances of the CDHO
  • What is the CDHO Mentorship Program?

  • A program for public outreach and awareness
  • A program for continuing education for practicing dental hygienists
  • A program for training dental hygiene educators
  • A program that was previously required for entry to practice (correct)
  • What is the background of Dr. Glenn Pettifer, the new Registrar and CEO of CDHO?

    <p>Significant leadership experience at the Senior Management level of Ontario Health Profession Regulatory Colleges</p> Signup and view all the answers

    What did Dr. Pettifer do prior to entering the regulatory world?

    <p>An educator and researcher in the field of veterinary anesthesia and pain management</p> Signup and view all the answers

    What is the purpose of the CDHO Quality Assurance program?

    <p>To ensure the ongoing competence of dental hygienists</p> Signup and view all the answers

    What is the main focus of the CDHO's regulatory mandate?

    <p>Overall health and safety of the public of Ontario</p> Signup and view all the answers

    What should goals for those in clinical practice be directly related to?

    <p>Dental hygiene science</p> Signup and view all the answers

    What is one of the areas that goals for those in clinical practice should be related to?

    <p>Infection control</p> Signup and view all the answers

    What is one of the learning activities that can be utilized to achieve learning goals?

    <p>Webinars</p> Signup and view all the answers

    What is the name of the 4th Edition book by Martin, Baker, Noor Darby, Walsh (2015)?

    <p>Dental Hygiene : Theory and Practice</p> Signup and view all the answers

    What does Section 82 of the RHPA Procedural Code address?

    <p>Co-operation with Committee and assessors</p> Signup and view all the answers

    Where can discipline case decisions related to not meeting Quality Assurance requirements be reviewed?

    <p>CDHO Website</p> Signup and view all the answers

    What is the name of the book by Wilkins (2017)?

    <p>Clinical Practice of the Dental Hygienist</p> Signup and view all the answers

    What is the name of the Registrants’ Handbook mentioned in the text?

    <p>The College of Dental Hygienists of Ontario Registrants’ Handbook</p> Signup and view all the answers

    What does the SMILE PORTAL assist in developing?

    <p>Learning goals</p> Signup and view all the answers

    Who oversees the day-to-day operations of the College of Dental Hygienists of Ontario?

    <p>A professional individual</p> Signup and view all the answers

    How many registered dental hygienists are there in Ontario?

    <p>14,784</p> Signup and view all the answers

    How often do the CDHO Council members meet to discuss regulatory policies?

    <p>Four times per year</p> Signup and view all the answers

    How many self-initiation streams for registration are there for dental hygienists?

    <p>Three</p> Signup and view all the answers

    How are the Council members elected and appointed?

    <p>Elected by peers based on districts, public members appointed by the Provincial government</p> Signup and view all the answers

    Are mentors in the CDHO Mentorship Program allowed to be compensated for their role?

    <p>No, mentors cannot be compensated</p> Signup and view all the answers

    What is involved in the CDHO Mentorship Program?

    <p>Co-discovery process, clinical and administrative management discussions, client records review</p> Signup and view all the answers

    What is included in the professional portfolio for dental hygienists in Ontario?

    <p>Personal information, education and employment profiles, current practice protocol reporting, professional reading, and continuous quality improvement plan and activities</p> Signup and view all the answers

    What is mandatory for dental hygienists in Ontario as part of quality assurance programs?

    <p>Professional portfolio, peer assessment, self-assessment tools, and a selection process for review</p> Signup and view all the answers

    What are some specific contraindications outlined in the regulation for scaling teeth and root planing without clearance from a physician or dentist?

    <p>Cardiac conditions requiring antibiotic prophylaxis, active chemotherapy or radiation therapy, significant immunosuppression, blood disorders, active tuberculosis, and more</p> Signup and view all the answers

    What must be obtained and discussed with the client or substitute decision maker before providing dental hygiene care?

    <p>A thorough health and dental history</p> Signup and view all the answers

    What should a member do if in doubt about the accuracy of the patient's medical or oral history?

    <p>Must not perform a procedure</p> Signup and view all the answers

    What is required as part of best practices for all clinical settings?

    <p>Current infection procedures, emergency protocols, written policies for client information, current CPR certification, appropriate radiography protocol, and sufficient equipment and supplies</p> Signup and view all the answers

    What does the quality assurance program for dental hygienists in Ontario include?

    <p>Submission of previous 3 years' self-assessment of their practice yearly and a 'Peer Circle Project'</p> Signup and view all the answers

    How many statutory committees support the regulatory process at the CDHO?

    <p>Seven</p> Signup and view all the answers

    Who appoints the public members of the CDHO Council?

    <p>The Provincial government</p> Signup and view all the answers

    What is the current role of Glen Pettifer at the CDHO?

    <p>Registrar/CEO</p> Signup and view all the answers

    How many self-initiation streams for registration have been recently introduced for dental hygienists?

    <p>Three</p> Signup and view all the answers

    What is the purpose of the CDHO Mentorship Program?

    <p>To facilitate professional development</p> Signup and view all the answers

    Who oversees the day-to-day operations of the College of Dental Hygienists of Ontario?

    <p>The Registrar/CEO</p> Signup and view all the answers

    How many times per year does the CDHO Council meet to discuss regulatory policies?

    <p>Four</p> Signup and view all the answers

    What is included in the professional portfolio for dental hygienists in Ontario?

    <p>Personal information, education and employment profiles, current practice protocol reporting, professional reading, and continuous quality improvement plan and activities</p> Signup and view all the answers

    What is a specific contraindication outlined in the regulation for scaling teeth and root planing without clearance from a physician or dentist?

    <p>Active tuberculosis</p> Signup and view all the answers

    What is involved in the CDHO Quality Assurance program?

    <p>Professional portfolio, peer assessment, self-assessment tools, and a selection process for review</p> Signup and view all the answers

    What is the role of the mentor in the CDHO Mentorship Program?

    <p>To declare the mentee's skills, knowledge, and professional behavior</p> Signup and view all the answers

    What must be obtained and discussed with the client or substitute decision maker before providing dental hygiene care?

    <p>A thorough health and dental history</p> Signup and view all the answers

    What are some specific health conditions to consider before performing a dental hygiene procedure?

    <p>Cardiac conditions requiring prophylactic antibiotics</p> Signup and view all the answers

    What should a member do if in doubt about the accuracy of the patient's medical or oral history?

    <p>Not perform the procedure</p> Signup and view all the answers

    What is the main focus of the College of Dental Hygienists of Ontario (CDHO)'s regulatory mandate?

    <p>Ensuring the overall health and safety of the public of Ontario</p> Signup and view all the answers

    What are the entry-to-practice requirements for dental hygienists regulated by CDHO?

    <p>Successful completion of a dental hygiene program and passing the National Dental Hygiene Certification Board (NDHCB) examination</p> Signup and view all the answers

    What is the role of the CDHO Council and Registrar?

    <p>Regulating the practice of dental hygiene and overseeing the CDHO Mentorship Program</p> Signup and view all the answers

    What is the purpose of the CDHO Quality Assurance program?

    <p>To ensure that dental hygienists maintain high standards of practice and competence</p> Signup and view all the answers

    What is the background of Dr. Glenn Pettifer, the new Registrar and CEO of CDHO?

    <p>Significant leadership experience at the Senior Management level of Ontario Health Profession Regulatory Colleges</p> Signup and view all the answers

    What are the 7 mandatory statutory CDHO Council Committees responsible for?

    <p>Addressing specific regulatory and governance functions</p> Signup and view all the answers

    What are the contraindications to initiating dental hygiene care according to CDHO?

    <p>Clearance from a physician or dentist is required for scaling teeth and root planing in certain medical conditions</p> Signup and view all the answers

    What are the areas that goals for those in clinical practice should be related to?

    <p>All of the above</p> Signup and view all the answers

    What is one of the ethical and legal obligations of dental hygienists that goals should be related to?

    <p>Social justice as it relates to dental hygiene, access to care</p> Signup and view all the answers

    What is mandatory for dental hygienists in Ontario as part of quality assurance programs?

    <p>Participating in a program designed to evaluate the knowledge, skill, and judgment</p> Signup and view all the answers

    What is one of the learning activities that can be utilized to achieve learning goals?

    <p>All of the above</p> Signup and view all the answers

    What is the Section 82 of the RHPA Procedural Code about?

    <p>Co-operation with Committee and assessors</p> Signup and view all the answers

    Where can discipline case decisions related to not meeting Quality Assurance requirements be reviewed?

    <p>CDHO Website</p> Signup and view all the answers

    What is the name of the book by Wilkins (2017)?

    <p>Clinical Practice of the Dental Hygienist</p> Signup and view all the answers

    What is the main focus of the CDHO's regulatory mandate?

    <p>Quality Assurance</p> Signup and view all the answers

    How are the Council members elected and appointed?

    <p>By the CDHO members</p> Signup and view all the answers

    What is the statutory definition of 'spouse' under the RHPA as mentioned in the text?

    <p>A person to whom the member is married</p> Signup and view all the answers

    What is the requirement for treating a sexual partner who does not meet the definition of a spouse under the RHPA?

    <p>Must not be treated as it will be considered sexual abuse</p> Signup and view all the answers

    What is the requirement for treating a spouse as mentioned in the text?

    <p>Follow all professional formalities and maintain professional distance</p> Signup and view all the answers

    What is the duration of the conjugal relationship required for a person to be considered a 'spouse' under the RHPA?

    <p>Three years</p> Signup and view all the answers

    What is the requirement for treating a sexual partner who does not meet the definition of a spouse under the RHPA?

    <p>Must not be treated as it will be considered sexual abuse</p> Signup and view all the answers

    What is the requirement for treating a spouse as mentioned in the text?

    <p>Follow all professional formalities and maintain professional distance</p> Signup and view all the answers

    What did Bill 87 introduce to address sexual abuse in dentistry?

    <p>Fast-tracking of discipline cases</p> Signup and view all the answers

    What is the focus of protective measures for dental hygienists in client interactions?

    <p>Stopping flirtatious behavior and avoiding suggestive comments</p> Signup and view all the answers

    When was spousal treatment permitted in Ontario for dental hygienists?

    <p>2014</p> Signup and view all the answers

    What is the significance of the CDHO's Spousal Exception Regulation?

    <p>It was narrowly defined and passed by the Ontario government on October 8, 2020</p> Signup and view all the answers

    What is the focus of 'touching principles' for dental hygienists?

    <p>Obtaining consent for care and respecting cultural diversity</p> Signup and view all the answers

    What led to a lawsuit of over $1 million in dentistry?

    <p>Failure to report unsafe patient</p> Signup and view all the answers

    What is one of the Mandatory Regulatory Activities established by the Regulated Health Professions Act and Dental Hygiene Act?

    <p>Quality assurance program</p> Signup and view all the answers

    What is a duty of dental hygienists in relation to self-regulation?

    <p>Cooperating with the regulatory college</p> Signup and view all the answers

    What can lead to professional misconduct for dental hygienists?

    <p>Refusing to participate in the Quality Assurance Program</p> Signup and view all the answers

    What is a requirement for using the title 'dental hygienist' legally?

    <p>Only registered dental hygienists can legally use the title</p> Signup and view all the answers

    What are dental hygienists obligated to participate in?

    <p>Quality Assurance Program</p> Signup and view all the answers

    What is included in the Mandatory reporting requirements for dental hygienists?

    <p>Reporting sexual abuse</p> Signup and view all the answers

    What was the unintended effect of the 'order' requirement for dental hygienists in Ontario?

    <p>It tied the provision of dental hygiene services with those of the dentist, making it difficult for the public to access oral hygiene care in non-traditional settings.</p> Signup and view all the answers

    What was the significance of the RHPA, 1991 and the DHA, 1991 for the establishment of the College of Dental Hygienists of Ontario (CDHO)?

    <p>They provided the legal framework for the establishment of CDHO and the regulation of dental hygiene practice in Ontario.</p> Signup and view all the answers

    What was the role of the 'order' requirement in the dental hygiene practice in Ontario?

    <p>It required dental hygienists to obtain an 'order' from a dentist for the client to have scaling and root planning, effectively tying the provision of dental hygiene services with those of the dentist.</p> Signup and view all the answers

    What did the 'order' requirement for dental hygienists in Ontario aim to address?

    <p>Client choice of practitioner for scaling and root planning procedures.</p> Signup and view all the answers

    What was the unintended impact of the 'order' requirement on the public's access to oral hygiene care?

    <p>It made it very difficult for the public to access oral hygiene care in non-traditional settings.</p> Signup and view all the answers

    What was the primary focus of the lobbying efforts by organized dentistry during the government committee hearings?

    <p>To include the restriction that dental hygienists had to obtain an 'order' from a dentist for the client to have scaling and root planning.</p> Signup and view all the answers

    What did the amendment to the legislation in 2007 allow dental hygienists to do?

    <p>Perform scaling and root planing without a dentist's order</p> Signup and view all the answers

    What is required if there are contraindications or doubts about the client's health history?

    <p>Clearance from a physician or dentist</p> Signup and view all the answers

    What is not included in a standing order or self-initiation for dental hygienists?

    <p>Orthodontic procedures</p> Signup and view all the answers

    What did the initial drafts of the RHPA in 1991 determine about dental hygienists?

    <p>They had the knowledge, skill, and judgment to self-initiate certain procedures</p> Signup and view all the answers

    What is the main focus of the Regulated Health Professions Act, 1991?

    <p>To provide the framework for the entire health profession sector</p> Signup and view all the answers

    What does the Health Professions Procedural Code outline?

    <p>Common duties and procedures for all 26 health colleges</p> Signup and view all the answers

    Study Notes

    Regulations and Quality Assurance for Dental Hygienists

    • Declaration of Statement of Confidence is submitted by the mentor to declare the mentee's skills, knowledge, and professional behavior.
    • A thorough health and dental history must be obtained and discussed with the client or substitute decision maker before providing dental hygiene care.
    • The regulation outlines prescribed contraindications to scaling teeth and root planing, including curetting surrounding tissue, without clearance from a physician or dentist.
    • Specific contraindications include cardiac conditions requiring antibiotic prophylaxis, active chemotherapy or radiation therapy, significant immunosuppression, blood disorders, active tuberculosis, and more.
    • A member must not perform a procedure if in doubt about the accuracy of the patient's medical or oral history.
    • Health conditions to consider include cardiac conditions requiring prophylactic antibiotics, unstable medical or oral health conditions, active chemotherapy or radiation therapy, immune suppression, blood disorders, and more.
    • Best practices for all clinical settings include having current infection procedures, emergency protocols, written policies for client information, current CPR certification, appropriate radiography protocol, and sufficient equipment and supplies.
    • Quality assurance programs are mandatory for dental hygienists in Ontario and involve a professional portfolio, peer assessment, self-assessment tools, and a selection process for review.
    • The professional portfolio includes personal information, education and employment profiles, current practice protocol reporting, professional reading, and continuous quality improvement plan and activities.
    • Dental hygienists are required to submit their previous 3 years' self-assessment of their practice yearly and identify areas for improvement in their personal learning plan.
    • The quality assurance program includes a "Peer Circle Project" involving group discussions using hypothetical cases and a self-assessment tool called "SMILE PORTAL."
    • A random selection process captures all registrants for review, and they are required to submit their previous 3 years' self-assessment of their practice yearly.

    Regulations and Quality Assurance for Dental Hygienists

    • Declaration of Statement of Confidence is submitted by the mentor to declare the mentee's skills, knowledge, and professional behavior.
    • A thorough health and dental history must be obtained and discussed with the client or substitute decision maker before providing dental hygiene care.
    • The regulation outlines prescribed contraindications to scaling teeth and root planing, including curetting surrounding tissue, without clearance from a physician or dentist.
    • Specific contraindications include cardiac conditions requiring antibiotic prophylaxis, active chemotherapy or radiation therapy, significant immunosuppression, blood disorders, active tuberculosis, and more.
    • A member must not perform a procedure if in doubt about the accuracy of the patient's medical or oral history.
    • Health conditions to consider include cardiac conditions requiring prophylactic antibiotics, unstable medical or oral health conditions, active chemotherapy or radiation therapy, immune suppression, blood disorders, and more.
    • Best practices for all clinical settings include having current infection procedures, emergency protocols, written policies for client information, current CPR certification, appropriate radiography protocol, and sufficient equipment and supplies.
    • Quality assurance programs are mandatory for dental hygienists in Ontario and involve a professional portfolio, peer assessment, self-assessment tools, and a selection process for review.
    • The professional portfolio includes personal information, education and employment profiles, current practice protocol reporting, professional reading, and continuous quality improvement plan and activities.
    • Dental hygienists are required to submit their previous 3 years' self-assessment of their practice yearly and identify areas for improvement in their personal learning plan.
    • The quality assurance program includes a "Peer Circle Project" involving group discussions using hypothetical cases and a self-assessment tool called "SMILE PORTAL."
    • A random selection process captures all registrants for review, and they are required to submit their previous 3 years' self-assessment of their practice yearly.

    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.

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    Test your knowledge of regulations and quality assurance requirements for dental hygienists in Ontario with this quiz. Explore topics such as health history assessment, contraindications for dental procedures, infection control, emergency protocols, quality assurance programs, and professional portfolios.

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