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Dental Hygiene Florida Laws and Rules
Questions and Answers Rated A+
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.
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.
Dental Hygiene ✔✔______ is the rendering of educational, preventive and therapeutic dental services and any related extra oral procedure required in the performance of services.
Board of Dentistry members include: ✔✔11 members total:
7 dentists actively practicing
2 hygienists actively practicing
2 lay persons non dental related
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
How many term years do dental hygiene board members serve? ✔✔ 4
What is the maximum number of years a board member may serve? ✔✔ 10
Who appoints the BOD members? ✔✔Governor of Florida
One board member of the board must be at least ____ years old. ✔✔ 60
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
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.
The use of laser or a laser type device is considered to be what type of task? ✔✔Irremediable
Who may perform emergency remediable tasks under conditions specified in the laws? ✔✔both DH and DA
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.
How many CE hours are required for dental hygienists? ✔✔24 credits biennially
How many CE hours are required for dentists? ✔✔30 credits biennially
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.
Extra CE credits ✔✔-Up to 11 CE Hrs for being expert witness
-Up to 3 CE Hrs for each semester teaching
-Up to 4 CE Hrs for attending BOD discipline meeting
Pro Bono CE Credit ✔✔1 CE for every 1 Hr of Pro Bono Work. Max 7Hrs Biennium
In a percentage, what is the highest amount that can be completed from probono work? ✔✔25%
What is not an appropriate topic for CE ✔✔Chemotherapeutic Agents
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.
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.
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
Which of the following is legal of a DDS writing Rx? ✔✔Writing within the scope of dentistry
How long is a Dental Hygiene Rx good for? ✔✔2 years (24 months)
What must be included on a Rx for a prescription strength fluoride gel? ✔✔DDS license number
Analgesia ✔✔Absence of pain without loss of consciousness
Anesthesia ✔✔the loss of feeling or sensation, especially loss of the sensation of pain.
If the DDS uses anesthesia in the office, the staff must be trained in anticonvulsants? ✔✔True
What is a dental hygienist allowed to do in regards to NO ✔✔DH are NOT allowed to turn it on, but can monitor/adjust and turn off
Nitrous Oxide:
DA works under ________ supervision.
DH works under _________ supervision. ✔✔Direct; Indirect
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
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
Who grants sedation permits? ✔✔BOD
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
A complete written report shall be filed with the BOD within ______ days of the mortality or other incident. ✔✔30 days
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.
Nitrous Oxide produces an ✔✔altered state of consciousness
With conscious sedation:
a) the patient must be slightly awake
b) the patient must be under 100lbs
Oral antibiotics are needed in the recovery room when performing sedation in the dental office? ✔✔False
A patient who has received xrays, exam from DDS and Tx plan is considered _______ ✔✔Pt of record
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
Records may be transferred with the written consent of the patient ✔✔True
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
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
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)
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
Dental Laboratories (pt record) ✔✔Dental laboratories must keep pt records for 4 years following the date the prescription was issued.
-Must identify FL licensed dentist who assumes total responsibility for advertisement (license number, commonly used name, current address and phone number)
How long is the advertisement good for if there is no expiration date on it? ✔✔It is good for 90 days.
Purpose of advertising ✔✔To allow public access to information which provides a sufficient basis to make an informed selection
In person and telephone solicitation is ✔✔Prohibited
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
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
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.
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
When advertising HIV status you MUST ✔✔Inform the pt that current status guarantees nothing
Sterilization ✔✔Process by which ALL forms of life within an environment are totally destroyed
-Chemical Vapor
-Ethylene oxide
-Disinfectant/sterilant EPA or FDA approved
**Note: Ethylene glycol is NOT a form of sterilization
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
How should impressions be treated that are sent to the lab? ✔✔Labeled: treat as infectious material and sealed in an impervious container.
Extracted teeth ✔✔-May be rendered non-biohazardous by disinfection
-Need to be scrubbed and sterilized if using for scientific, educational or testing purposes
-Should be cleaned of adherent patient material by scrubbing or an ultrasonic cleaner
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
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)
