ELBA'S Law & Ethics Exam PDF

ELBA’S LAW & ETHICS EXAM 1. A 17-year-old patient is pregnant and is treated with her father’s insurance coverage, the father ask you to give him his daughter’s medical history, what should you do? Only if daughter allows it 2. The death of a patient during the performance of any dental or dental hy...

ELBA’S LAW & ETHICS EXAM 1. A 17-year-old patient is pregnant and is treated with her father’s insurance coverage, the father ask you to give him his daughter’s medical history, what should you do? Only if daughter allows it 2. The death of a patient during the performance of any dental or dental hygiene procedure or the discovery of the death of a patient whose is related to a dental procedure performed by the dentist or dental hygienist must be reported to the board within: 7 days. 3. RDA direct supervisor: allowed to chemically prepare teeth for bonding 4. You must notify the dental board within__days of an address changes: 30 5. Under direct supervisor DA can do remove sutures after inspection of the site by dentist 6. A 5 year old boy who presented to your office for a comprehensive exam. Two years later, John’s mother requests that her son’s records be transferred to a dentist in another state. You comply with her request. You must maintain the boy’s record until he is 19. 7. The associate answers a call at 7:35 pm, is the owner and tell him an emergency is on its way, but the associate tells him that is only in the office and are no assistants, and the treatment that he going to perform need do with assistant, Does the associated need to see the emergency? Yes, but is the he Owner obligation to see the patient and the associated help as assistant 8. You started and endo treatment and the patient call you next day night with pain You prescribe him something and give an appointment 9. You change the computer where you had ePHI, according to HIPPA what should you do with the hard drive? Burn it 10. You went to a school as part of a health program and the teacher ask you for business cards for those who are interested in attending? You cannot give him/her anything 11. A patient uploads a photo of her finished treatment to her social networks. What should the doctor answer? Thank you for sharing this photo of your treatment. 12. The owner is making a bill as if he were the associate so he has more return and the associate discovers it, if they do not report it, who can be affected? To everyone who be involved 13. A new patient comes in for a tooth evaluation, you tell him he needs an endo crown, but he says he can’t afford it, what can you do to help him? Give him a personal discount and try to convince him to do the treatment. 14. A minor goes to consult with her mother and requires and endodontic treatment, the mother asks the child what he wants them to do to him and he answers that they remove it, what should you do? Tell them the risks and benefits. 15. The assistant wants to take the files to her house to confirm the appointments after work hours, according to HIPPA can she do that? You cannot get the records out of the office. 16. Someone who is in the office entered the computer to look for wedding rings, where the files of 400 patients and you don’t know if the opened the documents or not, what should you do? The dentist must determine whether the records were opened and report to the appropriate authorities and patients. 17. According to the guidelines, what should you do? Wash your hands with soap and water before and after each patient 18. In the office there is only one dentist, when writing the note at the end of the day the dentist must sign the notes, what is required? Put the name next to the treatment performed 19. Patient has an impacted third molar but has hepatitis C The treatment is below your scope of practice 20. A patient wants to know if someone in the office (for whom he is going to be treated has HIV). Tell the patient according to the guidelines they have everything necessary to avoid contagion. 21. The obligations of the assistants where they should be written In the common area 22. The associated left the clinic and the owner doesn’t want to see any patient that the treatment was performed to that associated. What the owner does? Something like that Give to the patient the numbers of new associated. The other answer was terminated the patients, Tell the patient the case and they need to finish the treatment in another clinic. 23. You prescribed controlled medication to a patient for 5 days and the tells you that he needs more, and you prescribe him, but you check cures at 48 and there is a list of patients who had history of drug abuse You are breaking the law because you must check before prescribing the first time. 24. When should the informed consent be given? When we explain risk and benefit. 25. 25 years old come with the grandmother (guardian), hi is a smoker, and his doesn’t live with his parents and his mother pay the treatment. The mom asks about the patients’ dental health. You can not give any personal information. The patient needs to give a consent 26. Your patient having halitosis for bad oral hygiene, you did cleaning, but he did not follow up the instructions and still having the problem and he added a bad comment in the media account. What will you do? The dentist should not put the comment about the personal information of the patient 27. A dentist tell the owner that he is going to leave the office, and notifies him 2 weeks in advance, what are the rights and obligations of the dentist who is going to leave. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. You have no rights, and you have the obligation to notify patients that someone is going to continue with their treatment. Dentists charge some dollar amount from the patient as he has insurance, his friend comes, and he wants the same treatment, but they don’t have insurance and is asking to pay the same. Dentists have different fees for different insurance The dentist suggest patient to change amalgams for composite Cannot do it RDH want to do scaling and planning, but the dentist is out of the clinic. RDH call the dentist across the street for help and apply LA with web cam, with that procedure the across dentistry can observe. Under what circumstances can RDH do scaling root planning? Direct supervision You did an emergency treatment to a patient which is no longer in your record, now the patient wants to change providers, it is a ethical to accept this patient Yes, it is ethical to accept the patient. You have a patient of another dentist who is your friend, she tells you that his dentist treatment planned is for 6 restorations and you can see only 2. What will do: Patient has to schedule for 2 restorations only. The dentist is least, and the RDH has patient for deep cleaning and bleaching tray impression, the patient feels sensitive and want local anesthesia. Your hygienist says can do local anesthesia bye herself. You should tell your hygienist: Do bleaching impression and wait for the dentist to do local anesthesia and deep cleaning with direct supervisor. A patient comes to the clinic, he has dropped a provisional and the dentist is not in the office. Ask the dentist to come and cement it Patient 88 years old coming to the clinic, he has bruising, and you ask about it and he say his daughter did it, but he ask you don’t report him You have to report it If dentist advertise coupons for free exam and x-rays Patient can get free copies and x-rays. Your officer manager computer with the patient information is visible in the waiting room. That must you do? You must ask your manager to move the computer to another location out of the public view A patient who comes from another dentist wants you to do a cleaning and says that she no longer wants to take x-rays or do an oral exam, what should you tell the patient. We have to do the oral exam and the x-rays or ask the other dentist to provide them If you forget write something in the patient record, what must you do? Do not alter previous entry, make a ner one and sing/date all the entries. Patient is the middle of treatment is not happy with treatment saying the dentist does not reach his expectation of her, the patient dentist relationship is no longer good, what must the dentist do? 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. You need to make a consent informing the discontinuation of the patient and the reasons related about the relationship doctor patient. You must help the patient found a new doctor, and see the patient in case a emergency. You went to a school for a health program, and you see a girl with bruises. Report it A patient comes to the office to cement a crown, before starting he argues with the dentist that he can no longer afford the treatment. What should the dentist do? (any answer was not cement it) Tell him the risk of not having the treatment and convince the patient to do it. Another answer was dismissal the patient, or tell the patient has a credit car to pay the treatment. The doctor uploaded a photo of a finished treatment to his social media to attract more patients. What should you put? Descriptions of the treatments done You assistant is doing the medicine inventory and she dropped 2 pills, what should you do? Make a file where put the number of discarded pills and wait for someone specialized in disposing of them to come. You do RCT on maxillary first molar and perforate the pulp chamber, what is the legal option that should you do? Tell the patient that you did a perforation A dentist wants to apply Botox for cosmetic purpose, which he must have first? A dentist can apply Botox What should have an advertisement Approximate fees A patient who is between insurance plan, comes into your office, he asks you to change the date or back to change the previous insurance he had. You cannot change the date; you must charge the day you did the treatment (start). Can a patient’s stepfather be a legal guardian? Only if he adopted the child A minor patient of divorced parents, the mother has most of the custody and the father brings the child to treat him with a written document, can you treat the patient or hat else do you need to have. You do not need anything, with the writing is enough A child comes to the consultation alone for a emergency, he brings with a paper where the mother authorize that the treatment be done, what should you do? Schedule the patient to next day because need to come with the mom (I PIC THIS BECAUSE YOU NEER A PATIENT CONSENT AFTER EXPALIN THE RISK AND BENEFIT OF THE TRAETMENT) You ask to your dental assistant to use a mouth mirror to inspect the oral cavity and chart existing restorations, missing teeth, and obvious lesions. This is unreasonable and beyond the scope of sherry’s practice Your manager was talking with the patient on the waiting area about her treatment and the way hoe the patient going to pay, they are talking softly, but the other patient can hear them You manager was: the manager don’t have to reveal any patient’s personal information 54. Patient wants a copy of records, but still has a running balance. You must give patient copy of records, despite the balance. 55. No record patient came to the clinic in the emergency Treat him in the emergency 56. If a patient is in financial bind and the dentist waives the copayment without disclosure to insurance, dentist is incurring Overbilling ……….GOOD LUCK! NOTES: - You must keep patient records for at least 10 years after the completion or termination of treatment if the practice remains open. For minor patients, you must maintain the records for 7 years or until the patient is 19. - The doctor owns the records, and the patient has the right to access complete information regarding their condition and care. - Dentist are obligated to safeguard the confidentiality of patient records. Fully informed consent is essential to the ethical practice od dentistry and reflect the patient’s right to self-decision. - all licensees must notify the dental board within 10 days of a personal name change. - Da can star the administration of nitrous oxide when the dentist is chairside. Direct supervision (when the dentist is in the office) is not enough - SELF-GOVERNANCE: is the hallmark of a profession. - STANDARD OF CARE: the level of care that a reasonably prudent dentist would exercise under the same or similar circumstances. - ADVERTISING: is defined as any written or printed communication for the purpose of soliciting, describing, or promoting a dentist’s licensed activities. - COMPETENT: Dentist who are able to diagnose and treat the patient’s oral health and to refer when it is the patient’s best interest. - You have a responsibility to inform the patient of your finding and recommend treatment based on those finding. - You can prescribe a schedule II analgesic after completing a surgical extraction but not to exceed 72 hours supply in accordance with normal use. - After observing abuse, a dentist has 36 hours to file a written report to local law enforcement. - The patient and her/his attorn have the right to inspect the records within 5 business days of receiving the request. - When a stepparents pay for treatment, the stepparent can access financial records pertaining to the child’s treatment at your office. Even if the stepparent is paying for treatment, he or she cannot provide consent or obtain a copy of the minor’s dental records unless the stepparent is the legal guardian. - Dental board of California is a part of the department of consumer affairs. - California dental licenses are renewed every 2 years and you need 50 hours od continuing education - If your license were to expire, an expired dental license can be renewed within five years of expiration by paying all accumulated fees and submitting proof that the required CE credits were earned since the license expired. - According to HIPAA, all of your patients must be given notice of your privacy practices and the patient must have an opportunity to review the document before signing - VERACITY: honesty or truth-telling - BENEFICIENCY: The obligation to benefit others or to seek their good. - INTEGRITY: to behave with honor and decency - AUTONOMY: the right to determine what should be done with one’s own body - COMPASSION: the ability to identify with the patient’s overall well-being - NO-MALEFICIENCE: non-harming - A dentist has the obligation to make reasonable arrangements for the emergency care of her patients of records. A dentist has the obligation, when consulted in an emergency by a patient not of record, to make reasonable arrangements for the emergency care of that patient. - When informing patients of the status of their oral health, the dentist shall exercise care that the comments made are justifiable. - The dental Hygiene Board is composed of: 1 practicing dentist, 4 members of the public, 4 registered dental hygienist - GENERAL SUPERVISION: the instruction are given by a licensed dentist who is not physically present in the facility where the treatment was performed. - DIRECT SUPERVISION: requires that the dentist be physically present in THE FACILITY at the time of treatment. - Each licensee must retain CE certificates for at least 3 renewal periods. - Liability insurance companies are required to report to the Dental Board settlement or arbitration awards greater than $10,000 for any claim that injury or death was caused by the license’s negligence, error or omission in practice. - ALL THE TIME YOU HAVE TO MAKE A INFORM CONSENT BEFORE ANY PROCEDURE AND YOU MUST RESPET PATIENT INFORMATION. DUTY DIRECT 1. Bite registrtartion 2. Remove ligatures tes and archwire 3. Take facebow transfers and bite registrations 4. Apply fluoride, topical 5. Take intraoral impressions for all nonprosthodontic appliances 6. Ligght cure: cure restorative or orthodontic materials in operative site with light curing devices 7. Place wedge, amd remove matrices for restorative procedures 8. Assist in the administration od Nitrous oxide qhen used for analgesia or sedation. 9. Examine orthodontic appliances 10. Orthodontic appliances, removable: After adjustment by the dentist examine and seat appliances and deliver care instructions to the patient 11. Orthodontic measurements: performs measurements for the prurpose of orthodontic treatment 12. Place and remove orthodontic separators 13. Place and remove rubber dam and other isolation devices 14. Monitor patients undergoing sedation 15. Suture: remove after inspection of the site by the dentist 16. Apply nonaerosol and noncaustic topical agents 17. Remove dressings, periodontal and post extractions after inspections of the surgical site by the supervising licensed dentist 18. Place patient monitoring sensors DIRECT 19. Place bases, liners and bonding agent 20. Bleaching agent: apply and remove nonlaser light-cure 21 . Cemically prepare teeth for boanding for restorative procedures 22. Place bases, liners and bondig agents 23.Use caries detection devices and materials, automated 24. Cement: remove from tooth surfaces with a hand instrument 25. Obtain intraoral images for Computed-aided design (CAD), milled restorations 26: Crows, temporary: Fabricate, adjust, cement and remove indirect provisional restorations, including ss crowns when uses as a provisional restoration 27. Adjust extra-orally denture 28. Dressings, periodontal place 29. Dressings, post-extraction: place after inspection of the surgical site by the supervising licensed dentist 30. Endodontically treated canals: dry using absorbent paper point 31. Mounth-mirror inspection 32. Polish coronal surfaces of teeth 33. Pulp vitality: test and record finding 34. Sealants, pit and fissures (2010) DA x x x x x x RDA RDAEF x x x x x x x/c x/c x x x x OA x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x/c x x/c x x x/c x x/c DIRECT DIRECT DIRECT DUTY 35. Place ligatures ties and archiwires 36. Cement excess: Remove from supragingival surfaces of teeth undergoing orthodontic treatment with an ultrasonic scaler 37. Place ligatures ties and archwire 38. Cord retraction 39. Endodontic filling point (fit trial) 40. Endodontic master points and accesory points (size, fit and cement licensed on or after 2010) 41. Endodontic post and core castings: formulate indirect patterns for 42. Impressions, permanent indirect restorations 43. Impresions, removable prothesis ( licensed on or after 2010) 44. RESTORATIONS, DIRECT: Place, contour, finish, and adjust (2010) 45. Polish and contour restaurations, existing amalgam (2010) 46. Adjust and cement restorations, permanent indirect (2010) 47.Remove cement excess from supragingival surfaces of teeth undergoing orthodontic treatment with a hand instrument 48. Bonding and orthodontic brackets 49. Orthodontic bands: size, fit, and cement 50. Orthodontic bracket: prepare teeth for bonding, preposition and cure after teir position has been approved by the doctor 51. Remove only orthodontic brackets abs attachments with removal of the bonging material by the supervising licensed doctor DUTY GENERAL 1. Extraoral duties or procedures 2. Photography: intraoral and extraoral 3. Radiography 4. Intraoral retraction and suction DA RDA RDAEF OA x x x x x x x x x x x x x x x x x x x x x x x DA RDA RDAEF OA x/c x/c x/c x/c x x x x x x x x x c c c