Dental hygiene Laws 193.pdf

Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 1. 466.001- Legislative Purpose and Intent (Purpose of the law): Ensure that every dentist or dental hygienist practicing in this state meets minimum requirements for safe practice without undue clinical interference...

Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 1. 466.001- Legislative Purpose and Intent (Purpose of the law): Ensure that every dentist or dental hygienist practicing in this state meets minimum requirements for safe practice without undue clinical interference by persons not licensed. 2. Dentistry:: _______ is the healing art which is concerned with the exam, diagnosis, treatment planning and care of conditions within the human oral cavity and adjacent tissues and structures. 3. Dental Hygiene:: ______ is the rendering of educational, preventive and therapeutic dental services and any related extra oral procedure required in the performance of services. 4. Board of Dentistry members include:: 11 members total: 7 dentists actively practicing 2 hygienists actively practicing 2 lay persons non dental related 5. How many years experience must dentists/hygienists have on BOD?: At least 5 years clinical preceding the appointment on BOD. - Must remain in clinical practice while on BOD. 6. How many term years do dental hygiene board members serve?: 4 7. What is the maximum number of years a board member may serve?: 10 8. Who appoints the BOD members?: Governor of Florida 9. One board member of the board must be at least ____ years old.: 60 10. 466.024 Delegation of Duties; Expanded functions: -Dentists may not delegate irremediable tasks except as provided by law -Remediable tasks may be delegated if they pose no risk -May only delegate remediable tasks defined by law or rule -Dentists delegate NON-dentists 11. Authorization for irremediable tasks under general supervision is:: 13 months 12. Direct supervision defined:: Requires that a licensed dentist examine patient, diagnose a condition to be treated, authorize procedure to be performed, be on premises while the procedure is performed, & approve work performed prior to patient's departure from premises. 13. Indirect supervision defined:: Requires that a licensed dentist examine patient, diagnose a condition to be treated, authorize the procedure to be performed, and be on premises while the procedure is performed. 1 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 14. General supervision defined:: Requires that a licensed dentist examine patient, diagnose a condition to be treated, & authorize procedure to be performed, but must see pt. within a maximum of 13 months). 15. Intraoral treatment tasks which are irreversible and create unalterable changes within the oral cavity or structures?: Irremediable (anesthetic) 16. Intraoral treatment tasks which are reversible and do not create unalterable changes within the oral cavity or structures and do not cause an increased risk to the patient?: Remediable tasks (rubber dam, matrix band, polish amalgam) 17. Applying topical with jet spray is what type of task?: Irremediable 18. A Dental Hygienist who applies bleaching solution, activates light source, monitors and removes in-office bleaching materials is performing a ______ task.: Remediable 19. The practicing dentist is out of the country and a patient comes into the office with an emergency. Which remediable task is the hygienist/assistant able to perform?: Recementing temporary crown with temporary cement. 20. The use of laser or a laser type device is considered to be what type of task?: Irremediable 21. Who may perform emergency remediable tasks under conditions specified in the laws?: both DH and DA 22. Continuing Education: -A hygienist can be excused from CE requirements due to hardship. -You have the option to be placed on inactive status if you pay the inactive status fee. 23. Any authorization for remediable tasks to be performed under general supervision is valid for a maximum of ______(time frame); after which, no further treatment under general supervision can be performed without another clinical exam by a Florida licensed dentist.: "13 months" after which, no further treatment under general supervision can be performed without another clinical exam by a Florida licensed dentist. 24. How many CE hours are required for dental hygienists?: 24 credits biennially 25. How many CE hours are required for dentists?: 30 credits biennially 26. How many minutes are equivalent to one hour of CE?: 50 Minutes *One half hour or one hour of CE credit shall be awarded for each 25 or 50 minutes of actual classroom or clinical instruction, respectively. No CE credit shall be awarded for participation of less than 25 minutes. 27. Extra CE credits: - Up to 11 CE Hrs for being expert witness completing 5 disciplinary cases 2 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 - Up to 4 CE Hrs for being expert witness completing 2 disciplinary cases - Up to 3 CE Hrs for each semester teaching - Up to 4 CE Hrs for attending BOD meeting where disciplinary cases are considered - Up to 2 CE Hrs for participating as an anesthesia inspection consultant 28. Pro Bono CE Credit: 1 CE for every 1 hour of Pro Bono Work. - Max 6 hours per biennium 29. In a percentage, what is the highest amount that can be completed from probono work?: 25% 30. What is not an appropriate topic for CE: Chemotherapeutic Agents 31. Which is an appropriate educational activity or topic for CE?: Board approved individual study 32. Which of the following is an example of a CE a dental hygienist would take?: Patient Stress Management 33. When are licensees excused from CE?: In the 1st biennium of licensure 34. How long should you keep receipts, vouchers or certificates as necessary document completion of CE courses?: 4 years 35. Who of the following are required to take CE credits?: Practicing hygienist and dentist 36. A DDS or DH takes a 10 hr. course on HIV/AIDS. The remaining 9 hrs. could count toward their 24/ 30 hrs. required for license renewal.: True 37. If 40 hrs of CE are taken in 1 biennium, the remaining hours taken can count towards the renewal requirement for the next biennium?: False 38. Prescriptions: -Dentists can prescribe drugs and administer anesthesia and sedation subject to limitations (scope of training) -The board will define rules on training certification, limits of use, and mechanism to assure compliance - Dentist MUST have CPR training every 2 years and resuscitation equipment in good working order. 39. Can a dental hygienist prescribe fluoride or chlorhexidine to a pt of record?: -Hygienists can only recommend fl and chlorhexidine, not prescribe it. -Some pts will not buy chlorhexidine or fl at a dental office (typically due to cost). The dentist may write a prescription for the pharmacy to dispense it for the pt. 3 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 40. What needs to be included on an Rx?: -Patient name and address DDS name, address, and license# -Name, business address, license# of DH -Statement of specific services authorized -Statement of frequency -ORIGINAL Rx is given to Patient. Copy goes in their chart 41. Which of the following is legal of a DDS writing Rx?: Writing within the scope of dentistry 42. How long is a Dental Hygiene Rx good for?: 2 years (24 months) 43. What must be included on a Rx for a prescription strength fluoride gel?: DDS license number 44. Analgesia:: Absence of pain without loss of consciousness 45. Anesthesia:: The loss of feeling or sensation, especially loss of the sensation of pain. 46. Local Anesthesia:: The loss of sensation of pain in a specific area of the body, generally produced by a topically applied agent or injected agent without causing the loss of consciousness 47. General Anesthesia:: A controlled state of unconsciousness, produced by a pharmacological agent, accompanied by partial or complete loss of protective reflexes, including the ability to independently maintain an airway and respond purposefully to physical stimulation or verbal command. This modality includes administration of meds via parenteral routes (oral, rectal or transmucosal) 48. Deep Sedation:: A controlled state of depressed consciousness accompanied by partial loss of protective reflexes, including either or both the inability to continually maintain airway or respond to stimulation. 49. T/F: In order to administer Anesthesia in any form, the DDS or DH must possess an active CPR certification: True 50. Anesthesia permit: - $35 one time application fee - Certified copy of transcripts from school - Diploma - Copy of CPR card 51. T/F: If the DDS uses anesthesia in the office, the staff must be trained in anticonvulsants?: True 52. What is a dental hygienist allowed to do in regards to Nitrous Oxide:: DH are NOT allowed to turn it on, but can monitor/adjust and turn off 4 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 53. Nitrous Oxide: DA works under ________ supervision. DH works under _________ supervision.: Direct; Indirect 54. Conscious and General Sedation requirements:: -60 didactic hours -2 people must be present in order for DDS to perform conscious sedation -3 people must be present in order for DDS to perform general sedation 55. Nitrous Oxide: -Only agents allowed for inhalation in the dental office are nitrous and oxygen -Nitrous may be used with a single dose enternal sedative 56. Who grants sedation permits?: BOD 57. Any DDS practicing in FL must notify the BOD in writing by registered mail, postmarked within ______ hrs of any mortality or other incident occurring in the outpatient facilities.: 48 58. A complete written report shall be filed with the BOD within ______ days of the mortality or other incident.: 30 days 59. A DH under the ________ supervision of a DDS may administered local anesthesia, including block anesthesia, infiltration anesthesia. If the patient is 15 years of age?: None! The patient must be 18 years old in order for the DH to administer local anesthesia. 60. Nitrous Oxide produces an:: Altered state of consciousness 61. With conscious sedation: a) the patient must be slightly awake b) the patient must be under 100lbs c) must not effect physical ability: c) must not effect physical ability 62. What is the minimum oxygen level required when administering nitrous oxide?: 30% 63. Any CRDH administering local anesthesia must notify the BOD in writing by registered mail within ____ of any adverse occurrence that was related to or the result of the administering of local anesthesia. A complete written report shall be filed with the BOD within _____ of the mortality or other adverse occurrence.: 24 hours; 30 days 64. What equipment should be present in ER/recovery rooms when using sedation?: O2 tank EKG machine Defibrillator 5 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 Thermometer BP cuff 65. T/F: A bronchodilator is needed in the recovery room when performing sedation in the dental office?: True 66. T/F: Oral antibiotics are needed in the recovery room when performing sedation in the dental office?: False 67. A patient who has received xrays, exam from DDS and Tx plan is considered _______: Pt of record 68. Pt records: -Dentist of record shall be primarily responsible regardless of who provides tx -Tx rendered by someone else in office must be noted by name or initials 69. T/F: Records may be transferred with the written consent of the patient.: True 70. T/F: Original dentist must retain written statement signed by the owner dentist, the person that received the records, and two witnesses that list the date of transfer and persons to whom records were transferred to: True 71. T/F: Dentist of record may be relieved of responsibility to maintain records if he/she leaves practice where tx was rendered and transfers custody of records to owner of practice (must retain written statement): True 72. What is the minimum a patient record must contain?: -Appropriate medical history -Written dental records should include patient history, exam results, test results, which justify course of treatment (tx plan) 73. Transfer Records: -Within 90 days of a dentists death, the dentists estate or agent must transfer all patient records to another Florida licensed dentist and must be accessible by each patient for at least 4 years -If a dentist relocates he must place patient records in the care of a Florid licensed dentist for at least 4 years from the date of the patient was last examined. -In all cases, records need to be in same county as the practice was located 74. Dental Laboratories (pt record): Dental laboratories must keep pt records for 4 years following the date the prescription was issued. 75. How long must patient records remain in the office?: 4 years from the date of the pts last appt. 76. If there are multiple dentists seeing a pt ad there is no dentist of record on file who is the dentist of record?: The dentist who owns the practice. 6 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 77. If a new pt comes in to see a hygienist but is not a pt of record, and the dentist has to leave due to an emergency, how do you proceed?: Reschedule the patient with the dentist first before any tx is provided by the hygienist. 78. Who owns the pts record or chart?: The dentist 79. In the event that a dentist dies, where do all the "pt of record" files go?: To another Florida licensed dentist 80. Advertising: -Means any statements ORAL or WRITTEN disseminated to the public for the purpose of selling professional services or inducing the public to enter into any obligation relating to such professional services -Must identify FL licensed dentist who assumes total responsibility for advertisement (license number, commonly used name, current address and phone number) 81. How long is the advertisement good for if there is no expiration date on it?: It is good for 90 days. 82. Purpose of advertising: To allow public access to information which provides a sufficient basis to make an informed selection 83. T/F: In person and telephone solicitation is prohibited.: True 84. Dentists can apply to advertise through a referral service, but will be responsible for such advertisement content:: It must state in reasonable size print and say that referral is for dentists who pay or have been selected for membership 85. No dentist shall disseminate advertising that is:: -False, deceptive, or misleading -Contains laudatory statements -Is intended to create false expectations -Relates to the quality of dental services as compared to others -Contains representations that would deceive an ordinarily prudent person -Is intended to appeal to layperson's fears 86. Advertising of HIV/AIDS Status: -Public fear regarding the possibility of HIV transmission from health care workers to patients, although scientifically unfounded, has resulted in concerns regarding the safety of dental care. 87. No dental health care licensee may represent that he or she is HIV neg or free from AIDS. Any such advertisement or notice must clearly state:: THIS NEGATIVE. HIV TEST CANNOT GUARANTEE THAT I AM CURRENTLY FREE OF HIV 7 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 88. When advertising HIV status you MUST: Inform the pt that current status guarantees nothing 89. Sterilization: Process by which ALL forms of life within an environment are totally destroyed 90. How often are sterilizers monitored?: Every 40 hours (2400 minutes) or at least once every 30 days, whichever comes first. 91. Disinfection: The destruction of inhibition of most pathogenic bacteria while they are in their active growth phase and the inactivation of some viruses 92. How long should heat sensitive instruments soak (how long are instruments left in cold sterile)?: At least 10 hours 93. Before sterilization: Instruments must be cleaned to remove debris. Ex: scrubbing with soap or a detergent and water, ultrasonic cleaner 94. At least one of the following procedures must be used in order to provide proper sterilization:: -Steam under pressure (autoclave) -Dry-heat -Chemical Vapor -Ethylene oxide -Disinfectant/sterilant EPA or FDA approved **Note: Ethylene glycol is NOT a form of sterilization 95. Sterilization by disinfectant-: If none of the other sterilization techniques can be used -Registered by the EPA -CDC only recommends usage **Note: Isopropyl alcohol is NOT a form of disinfectant 96. How should impressions be treated that are sent to the lab?: Labeled: treat as infectious material and sealed in an impervious container. 97. Extracted teeth: -May be rendered non-biohazardous by disinfection -Need to be scrubbed and sterilized if using for scientific, educational or testing purposes 8 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 -Should be cleaned of adherent patient material by scrubbing or an ultrasonic cleaner 98. When handling soiled which is NOT appropriate? a. carry instruments in a closed container b. use regular examination gloves c. wear mask and eye wear d. use ultrasonic cleaner (if available): use regular examination gloves 99. Who would be the enforcement of making guidelines and rules for contaminants pertaining to blood, saliva, and other bodily fluids? a. dept of health (DOH) b. Environmental Protection Agency (EPA) c. centers for disease control (CDC) d. board of dentistry (BOD): CDC 100. Grounds for disciplinary action: -Failure to report other healthcare specialists known to have violated the law -Failing to report in writing within 30 days any actions against ones license elsewhere -MINOR VIOLATION- failure to notify within 10 days of change of address 101. Can a dentist/hygienist accept fees during a suspension period?: -NO, when a license is suspended you may not accept fees from anyone. -This includes your employer, 3rd party or insurance. -Fines may range from $500- $10,000 102. Change of address: -Must be submitted to BOD w/in 10 days -Penalty: $250 fine 103. Dental lab should notify the BOD with any change in address within _____ days: 30 104. DA Radiographer Requirements: -DA must complete 3 months OTJ training -Have 12 months to complete an accredited course to be certified by the ADA -$35 fee 9 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 105. Using the name RDH or "Dental Hygienist" if not licensed is a: Misdemeanor, not a felony 106. How recent must an applicant for licensure have taken the Dental Hygiene National Board?: At any date. -Previously you had to have taken the board within 10 years of your application, however it was changed to allow applicants who have taken the exam at any point. 107. If the primary dentist is out of town who can diagnose and tx plan a pt: another dentist 108. Can a dental hygienist repair an x-ray machine?: No An x-ray machine has to be repaired by a licensed technician who has radiology credentials 109. Permitting of nonprofit corporations: Permits may be issued to non-profit corporations for the following purposes: -training dental assistants in public schools -promoting research and training among licensed dentists -providing dental care for indigents -issued for period of 1 year- renewable 110. Permitting of NPC: may apply for approval for hiring an unlicensed dentist for care of indigent pts must show justification for need to hire dentists not licensed in this state certified copy of the NP's charter and proof of non-profit status must be filed with the Board 111. Proprietorship by non-dentists: licensed dentists may enter into agreement with non-dentists for "Practice Management Services" only Includes consultation regarding office space, staffing, productivity, inventory information systems, marketing, site selection and financial services Proprietorship by non-dentists must not direct control or interfere with the dentists clinical judgement 10 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 112. Office Safety Requirement: As part of the minimum standard of care, every dental office location shall be required to have an automatic external defibrillator by Feb 28, 2006 A dentist practicing after Feb 28, 2006, without an automatic external defibrillator on site shall be considered to be practicing below the minimum standard of care 113. License to be displayed: The dentist is responsible to ensure the license is being displayed, not the hygienist. 114. Should a DH keep their license displayed at the main office they work in, the part time office, or both?: Every office! 115. Penalties: -Use another's license-misdemeanor in 1st degree -Expired/suspended license- felony in the 3rd degree -Unlicensed dentistry/practice outside scope of practice- felony 3rd degree -Lab not keeping original Rx- misdemeanor in 2nd dgree -Operate as a lab- misdemeanor in the 2nd degree 116. Fines: -DDS practicing 2-6 months w/o license- $1000 fine and 4 hrs risk management -Hygienist practicing 2-6 months w/o license- $250 fine -DDS fee per CE hour not completed- $100, $150 for not doing CPR -Hygienist- $25/hr CE not completed, and $50 for not doing CPR 117. Fines Continued: -Pre-sign lab forms- $500 fine -Failure to give pt documents- $1000 fine -Fraud- $10,000 per offense -Malpractice or practicing beyond the scope of dentistry- $500- $10,000 fine and probation for the 1st offense 118. If a dentist is terminated how long does he/she have to notify their patients?: 30 days 119. If a dentist is suspended, how long does he/she have to notify their patients?: 30 days 11 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 120. A person holding a dental hygiene license in the State of Florida has been ruled by a court of law that they are delinquent on their child support. The BOD has the right to?: Hold or deny their license 121. When can a licensee choose to become inactive?: Anytime 122. Inactive status fee: Inactive licenses must be renewed biennially and the licensee is responsible for paying applicable fees. 123. Can a DA or DH perform in-office bleaching?: In-office bleaching is not a delegable duty for DA; however the rule was recently amended to allow DH to apply bleaching solution, activate light source, and monitor the remove in-office bleaching materials under the direct supervision of a FL licensed dentist. 124. How often can a person renew their inactive status?: Biennually (once every 2 years) 125. Licensees infected w/ Hep B: The BOD is charged with the responsibility of protecting the public from dentists or DH who present a danger to the public The board finds that licensees who are infected with Hep B present a grave danger to the public by virtue of the communicability of this infectious disease in a clinical setting 126. Licensees infected w/ Hep B: Licensees bear the ultimate responsibility for the safety of their patients when the licensee or personnel employed by the licensee represent a health risk through direct or indirect contact with patients This rule assures the ability of infected licensees to practice so long as adequate safeguards are maintained. 127. Licensees infected w/ Hep B: Any FL licensed dentist or DH practicing in this state who is infected with the Hep B virus is required to notify the board of such in writing no later than 14 days after learning of his/her infection with the Hep B virus The board shall by rule establish procedures for reporting carrier status and shall establish practice requirements which will protect the public from transmission of the Hep B virus in a dental practice setting or during dental procedure 128. Licensees infected w/ Hep B: Any report of Hep B carrier status filed by a licensee or applicant in compliance with the requirements established by the board shall be confidential and exempt from provisions, except for the purpose of the investigation or prosecution of alleged violations of this chapter by the department. 129. Requirement of Hep B carriers: Licensees infected must successfully complete an educational program (6 clock hours) approved by the board which will aid in a better understanding of the disease w/in 6 months after receiving acknowledgment. 12 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 130. Monitoring of licensees infected with Hep B: Infected licensees will be monitored on a random basis at least once a year by board approved consultants for the purpose of verifying compliance with sterilization, disinfection and barrier techniques The random monitoring will be performed in addition to any checks conducted by any county health department. The monitor's report shall be forwarded to the Board's Executive Director w/in 14 days of the monitor's visit. 131. Infected licensees (Hep B) shall notify: The pt, bards executive director and local county health dept. at any time a barrier technique has been or may have been broken. *Pt must be notified immediately 132. Notifications of Hep B: Telephonic notification must be accomplished with in 24 hours and must be followed up by written notification no later than 72 hours after the barrier technique has been broken. 133. Notification by the infected licensees shall include, at a minimum: -What barrier technique was broken -Steps undertaken to notify affected pt -Steps undertaken to overcome the break in technique 134. A break in barrier technique includes but is not limed to:: any puncture, tear or cut in the gloves at any time during which contact w/ the pt is made or at any time a break, abrasion or cut of the skin occurs which could expose the pt to risk of infection 135. Monitors will perform their duties by making random, on-site visit at least once a year for a _____ year period and at least _____ thereafter: three (3); tri-annually 136. Inspection and evaluation of compliance shall include the following procedures, the results of which must be reported to the Board's Executive Director w/in 14 days of the monitor's visit: 1. Personal interviews w/ each member of the office staff regarding procedures which are followed in the clinical setting 2. Review the dentist's appt book to documents the number of days the dentist has practiced since notifications of being infected or last eval, and # of pts seen since that date 3. The # of boxes of examination and surgical protective gloves on hand and the # purchased since notification of infection or the last eval 13 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 4. The # and type of masks on hand and the # and type purchased since notification of infection or the last eval 5. A determination of whether all personnel since notification of infection or any new personnel since the last eval have been checked for surface antigens and surface antibodies and whether all personnel have been specifically educated regarding appropriate sterilization, disinfection and barrier technique necessary to prevent communication of the Hep B virus 6. Identification and description of training provided and procedures and protocols utilized 7. A determination of whether all office personnel are familiar w/ procedures and reporting requirements which are necessary if a break in barrier techniques occurs 8. A determination of whether heat sterilization is routinely used and whether the heat sterilization is monitored monthly 9. A determination of the type of cold disinfectant used, its spectrum, brand name and chemical composition 10. A list of instruments and materials which are routinely cold sterilized and a determination of the efficacy of the procedures 11. Identification and documentation of any incidents of a break in barrier technique or potential breaks which were averted 12. Documentation of the monitor's conclusions regarding compliance which addresses the results of each of the procedures outlined above 137. Should a monitor determine that unreported breaks in barrier techniques have occurred, or should the monitor determine that appropriate sterilization, disinfection and barrier techniques have not been followed adequately to protect the public, the monitor shall so notify the Board's Executive Director by telephone w/in ______ of the on-site inspection and provide written confirmation with in ______.: 24 hours; 72 hours 138. Supervision levels: The board may limit the number of DH or DA to be supervised by a dentist if they perform expanded duties requiring direct or indirect supervision The purpose is to protect the health and safety of patients and ensure procedures which require more than general supervision be adequately supervised 139. RDH Indirect: Authorize present: Placing/removing dental dam* Placing/removing matrix band* Apply cavity liners/varnish/base* 14 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 Impressions- study casts/bleach trays/opposing casts, sports guards Marginate restorations Removal of in-office bleaching Local delivery placement: Adjunct perio therapy placement (Atrisox, Arestin, Perio chip, etc.) Cementing temp crowns w/ temp cement Root planing* Marginate amalagams Monitor Nitrous oxide/ turn off (Oxygen)* Secure/unsecure archwires Remove excess cement- Ortho* 140. CDA Indirect: Authorize present: Placing/removing dental dam Placing/removing matrix band Apply cavity liners/varnish/base Impressions- study casts/bleach trays/opposing casts, sports guards Applying topical fl Sealants Suture removal Take radiographs (w/ formal training) Place/remove perio/surgical dressing Place/remove pre-treatment separators 15 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 Secure/unsecure archwires Retracting lips, cheeks, and tongue Placing/removing cotton rolls 141. RDH Direct: Authorize present check: Fabricate temp crowns/bridges intraorally Selecting ortho bands and wires/ extra-oral appliance Packing/removing retraction cord (w/ out vasoconstrictor) Dry socket dressing (placement/removal) Remove and re-cement loose bands In-office bleaching placement Changing bleach pellets Condition tooth for ortho Monitor nitrous oxide (Analgesia)* Gingival curettage* Administer local anesthesia when appropriately certified by Board 142. CDA Direct: Authorize present check: Fabricate temp crowns/bridges intraorally Selecting ortho bands and wires/ extra-oral appliance Packing/removing retraction cord (w/ out vasoconstrictor) Dry socket dressing (placement/removal) Impression for/deliver bleach tray/sports guard 16 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 Polishing restorations and clinical crowns Remove excess cement-restorations Condition tooth for ortho Monitor nitrous/ turn off at completeion Cement temp crowns w/ temp cement Place/remove temp restorations Charting restorations, missing teeth, and existing oral conditions Applying topical anesthetics 143. RDH General: Authorize: Polish clinical crowns and restorations Applying topical fl/ anesthetic* Fabricate temp crowns/bridges- Lab Suture removal Place/remove temp restorations Amalgam polishing Excess cement removal- Restorations Place/remove perio dressing* Pt education* (no supervision) Sealants* Obtain plaque specimens Take radiographs Calculus/stain removal 17 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 Chart findings Place/remove pre-treatment separators 144. CDA General: Authorize: Oral hygiene care (OJT) Education programs (OJT) Fabricate temp corn/bridge in lab (OJY) 145. In an emergency when the dentist is not able to examine the pt and the dentist CAN see the pt w/in 3 days a DH or CA (CPR certified) can perform:: -Removing/re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance -Securing/un-securing arch wire by attaching/removing fastening device -Inserting/removing dressing from alveolar socket -Placing/removing periodontal dressings -Cementing temp crowns and bridges using temp cement -Placing temp medicinal restorative material 146. A dentist diagnoses the condition to be treated, authorizes the procedure to be performed, remains on the premises while the procedures are performed and approves the work performed before dismissal is what kind of supervision?: Direct supervision 147. A dentist examines pt, diagnoses, authorizes the procedure and remains on premises while the procedures are performed. What kind of supervision is this?: Indirect supervision 148. A dentist authorizes the procedures which are being carried out but need not be present when the authorized procedures are being performed is what supervision?: General supervision 149. Who defines the levels of supervision?: BOD 150. If the dentist is out of the country and calls his office to instruct his staff to do a procedure on a pt, what supervision is this?: General supervision 151. What is the supervision level for making bleaching trays for dental hygienists?: Indirect supervision 18 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 152. A dental hygienist may polish clinical crowns with _______ supervision.: General 153. A DA may polish clinical crowns with ________ supervision: Direct 154. A DH may apply topical anesthetic with ______ supervision: General 155. A DA may apply topical anesthetic with _____ supervision: Direct 156. If a hygienist is in a non-health access setting and a pt is in need of sealants, the hygienist must perform sealants under which supervision?: General 157. A DH may place subgingival chlorhexidine with ____ supervision.: Indirect 158. A DH may marginate restorations with _______ supervision.: Indirect 159. Emergency remediable tasks may be performed when the pt will be seen by the dentist w/in _____ day(s): 3 160. A pt returns to the community after living in another area. The pt wants to return for a prophy. How long does the pt have until he/she is due for a new examination by the doctor?: 13 months 161. When does the dentist see the patient?: After x-rays 162. How long does cold sterile take to be sterilized?: 10 hours 163. If a pt is referred to a specialist for tx who is responsible for the pt?: Dentist of record shall be primarily responsible regardless of who provides tx 164. If the dentist is out of town and the pt has a problem but is NOT in pain, what to do?: Wait until the dentist is back in town to tx pt. 165. If the dentist is out of town and the pt has a problem and IS in pain, what to do?: We are allowed to see and tx the pt as long as the dentist can review and see the pt within 72 hours 166. Keep records of your CE courses for _____ years.: 4 167. If we witness a dentist or hygienist do something wrong who do we have to contact?: BOD 168. Who decides if something is direct or indirect?: BOD 169. What is a significant difference between disinfection and sterilization?: Possible chance of bacteria remaining w/ disinfection 170. How long are dentists required to keep pt dental records?: 4 years 171. If a dentist license is suspended how many days do they have to notify pts?: 30 days 172. How many CE's can we receive for probono work per biennium?: Up to 7 CE's or 25% 173. What supervision level does a hygienist need to remove ortho bond using a slow speed hand piece?: Indirect 174. Can a hygienist preform gingiva curettage?: No, unless under direct supervision 19 / 20 Dental Hygiene Florida Laws and Rules Study online at https://quizlet.com/_9rt069 175. What is the intent of the BOD?: Insure that every dentist or dental hygienist is practicing in this state meets the minimum requirements for safe practice w/out undue clinical interference by persons not licensed. 176. Hygienist practicing at a nursing home is under ______ supervision.: General 177. When should you test the autoclave?: Every 40 hours; or 30 days 178. Ethylene oxide: A form of sterilization, while Ethylene glycol is NOT 179. Deep sedation: depressed consciousness, inability to maintain open airway 180. Conscious sedation: depressed level of consciousness, pt remains ability to maintain open airway 181. Is isopropyl alcohol a disinfectant?: NO 182. Dental Hygienist reactivation requires what?: Taking prevention of medical error course 183. If the dentist is out of the county and a pts temp crown comes off what happens?: DA/DH can re-cement the temp crown w/ temp cement 184. A pt who has had x-rays and exam is called?: Pt of record, document pt, or active pt 185. What must a pt's chart have?: Tx plan 186. What happens if a dental hygienist does not pay child support?: BOD can deny license 187. DH can perform sealants under what supervision?: General 188. What is needed to transfer pt records?: Pt signature 189. Pt wants nitrous oxide but the dentist is not in the office, what do you do?: Re-schedule pt when the dentist will be there 190. Does a DH need supervision to give educational program info?: No 191. How often is CPR training needed?: Every 2 years 192. When are DHs excused from CE's?: in 1st biennium after initial licensing 193. DH must have what type of supervision for topical jet spray?: Direct supervision 20 / 20