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Dental Laws and Infection Control Final,
Jurisprudence Exam Study Guide, NC Laws, NC,
STUDY, Laws Quiz 1- 9 | 409 Questions with
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No (False) ✔✔Does the NC Board of Dentistry have the power to grant licensure by reciprocity? 8 total members, 6 dentists, 1 hygienist, 1 civilian ✔✔Total number of Board members? How many Dentists, RDH's, Citizen members? Hygienist cannot vote for dental licensing matters, consumer cannot vote for dental or dental hygiene licensing matters ✔✔Restrictions placed on the dentist, dental hygienist, and consumer members: member is selected and appointed by the governor and must be an NC state resident and not hold a license in dentistry or hygiene ✔✔What is the selection criteria for the consumer member? How is this member chosen? Must hold a current nc license and reside in or practice in NC ✔✔What are the qualifications for the dental hygienist board member? No less than 10 signatures ✔✔How many signatures are needed on the petition to nominate a RDH to the board
Every hygienist holding a current license in NC and residing in or practicing in NC ✔✔Who can vote in the general election to elect RDH members to the board One term of three years ✔✔What is the term limit for a board member Granting revocation suspension of license and renewal, conduct examination for licensure, provide for programs for impaired hygienist and dentist ✔✔What is the purpose and duty of the board of Dental Examiners? list three functions A majority of the members of said board ✔✔What constitutes a quorum of the board The power to administer oaths and issue subpoenas ✔✔Name the judicial power granted to the board president and/or secretary-treasurer $100 per day ✔✔Compensation / per diem for a board member is fixed by the board and not to exceed License shall at all times be displayed in a conspicuous place in the office of the holder, duplicate license is issued to holder upon receipt of application for duplicate and fee ✔✔Describe the criteria for the display of your license. What do you do if you work in more than one office? Any person who is licensed to practice hygiene anywhere in the US or in any country territory or other recognized jurisdiction, applicant may not have previously failed in examination conducted by the NC State Board of Dental Examiners ✔✔Two criteria for a provisional hygiene license
$81 ✔✔North Carolina State RDH licensure renewal fee $25 ✔✔Contribution to the NC caring dental professionals $25 ✔✔Duplicate license fee $50 ✔✔Late fee for licensure Jan 31 ✔✔RDH licensure renewal is due on March 31st ✔✔When does the license renewal become void if not paid $50 late fee after January 31st, voided license after March 31st ✔✔What are the consequences for late renewal of RDH license Class 1 misdemeanor ✔✔Practicing hygiene without a license is considered to be what type of offense Individual licensed to practice hygiene in any state or territory and produces satisfactory evidence, is in good standing with the licensing jurisdiction, has passed the National Board dental hygiene examination ✔✔Three criteria for eligibility of licensure by credentials
Convicted of or entered a plea of guilty to any felony charge or misdemeanor involving moral turpitude, has engaged in any acts of fraud deceit or misrepresentation in obtaining a license or renewal ✔✔ 2 reasons why the board might refuse to issue, renew, or revoke/ suspend a license Yes (true) ✔✔Once notified by the Board of misconduct do applicants have a right to a hearing Yes (true) ✔✔Can the board conduct the investigation issue subpoenas and take depositions Direct supervision under one or more dentists ✔✔What supervision is required for a private practice RDH 3 years of experience in clinical dental hygiene or min of 2,000 hrs of prophy or perio debridement under supervision of licensed dentist, CPR cert, 6 hrs of CE in med emerg, other required hrs of yearly CE, designation by employing dentist as being capable of performing procedures without direct supervision ✔✔Criteria for an RDH to practice in a nursing home Complete and sign a notarized application from the Board, submit $265 application fee, provide written evidence of military spouse status and hold a current DH license from another jurisdiction whose standards are equivalent to NC ✔✔Requirements for a military spouse to receive a dental hygiene license 5 years experience in clinical hygiene CPR cert updated annually 6 hours of CE in med emerg yearly ✔✔Qualifications for an RDH to become a public health rdh 2 ✔✔How many Rdh's can a 1 DDS supervise
7 hours of instruction in production & use, and 7 hours of clinical radiology ✔✔How many hours of training does a DA need to expose radiographs Assist dentist chairside, OHI, topical fluoride or topical anesthetic, expose radiographs ✔✔Three duties of a DA 1 Insert matrix band and wedges, place cavity bases and liners, place or remove rubber dams ✔✔Three duties of a DA 2 Minimum of 7 clock hours ✔✔How many hours of nitrous training is a DA 2 required to obtain Presenting false or misleading testimony statements or records to the board, any act which would constitute sexual assault or battery, violating a lawful order of the Board, acquiring any controlled substance by misrepresentation, having connection with illegal practice of dental hygiene ✔✔5 acts that are considered unprofessional conduct of an RDH 10 years ✔✔Patient records must be maintained for how long Upon patient request provide original or copies of radiographs and summary of tx record to patient or licensed dentist of patient's choice, fee may be charged for duplication, record shall be provided within 30 days of request and not be contingent upon outstanding balances/fees owed ✔✔What are the requirements for transfer of patient records bioburden ✔✔Name of organic material found on instrument surfaces prior to decontamination
sterilization ✔✔Use of physical or chemical procedures to destroy all microbes including spores workplace devices and procedures controls ✔✔what are controls that remove a hazard from the workplace called? hazardous exposure ✔✔Workplace procedures & devices help to reduce Standard precaution ✔✔What is it called when all pt's are treated as if they have an infectious disease? viruses ✔✔These are the smallest of all microbes sharps or approved waste container ✔✔Regulated medical waste in the office is disposed of in disposal or treatment site ✔✔Once containers are full, regulated medical waste is taken to extracted teeth, needles ✔✔2 examples of regulated medical waste cavitron, ultrasonic bath, dental hand piece ✔✔list 3 examples of dental equipment that produce aerosols Rubber dam, HVE, saliva ejector, close lid over ultrasonic bath ✔✔What can be done/used to minimize spray, spatter, and aerosols?
After each patient or when wet/soiled during tx ✔✔How often should masks be changed? Protective eyewear, side shields ✔✔What does a face-shield replace? When wearing one you don't need to wear______ Some surfaces are difficult to disinfect/clean (A/W syringe, hoses) ✔✔Why are barriers used on surfaces? Beginning of day, when contaminated during barrier removal, end of day ✔✔How often are surfaces covered with barriers disinfected? Chair, keyboard, light handle, tray ✔✔4 surfaces in operatory that should be covered by barriers semi-critical items ✔✔Items that touch oral mucosa but do not penetrate the body are classified as fully sterilized ✔✔How are critical and semi-critical items handled? semi-critical ✔✔Mouth mirror is an example of that type of item pre-clean, spray-wipe-spray or wipe-discard-wipe ✔✔What should be done prior to DISINFECTING environmental surfaces intermediate level ✔✔What product level is approved for surface and equipment disinfection?
tuberculosis ✔✔what organism must an intermediate level disinfectant kill 10 min ✔✔how long must surfaces remain wet when disinfecting 5 days ✔✔Amount of time it takes for biofilm to form in a new dental unit 2 - 3 mins at start of each day, 20-30 seconds in between patients ✔✔How long are waterlines flushed at start of each day and in between pt's? after long breaks, after unit fails water test ✔✔At CCCC when is water system shocked with Sterilex? Use 1 ICX tablet in bottle water, flush 2-3 mins at start of day, flush 20-30 secs between pt's ✔✔At CCCC how are waterlines maintained daily? At end of semester or before a long break ✔✔At CCCC when are waterlines purged? end of each day with enzymax cleaner ✔✔When are HVE and vacuum lines cleaned? sharps container ✔✔Where are ext teeth disposed of? facultative microbes ✔✔Microbes that grow in presence or absence of oxygen
daily or when soiled ✔✔How often is ultrasonic bath drained and disinfected prevent aerosols ✔✔Why is it important to cover ultrasonic bath before operating? prevent debris from drying to instruments, easy cleaning ✔✔Purpose of holding solution is to steam autoclave ✔✔This sterilization method dulls instruments 20 - 30 mins, 15 psi, 250F (121C) ✔✔Time-temp-pressure and cycle for steam autoclave Long cycle, discolors fabrics, not for heat sensitive items ✔✔Disadvantage of dry heat sterilization Close, allow oven to reach proper sterile temp, re-start cycle ✔✔What must be done if dry heat oven is open during cycle 1x/week, when training new employees, after repair, when running implantable devices, using new packaging or new sterilizer ✔✔How often are sterilizers biologically monitored? gluteralderhyde ✔✔Sterilization method that cannot be biologically monitored Hep A, Hep E ✔✔Which type of Hep does not have a carrier
Hep A, Hep E ✔✔Which type of Hep is not bloodborne immunoglobulin or Hep B vaccine ✔✔What is given to a non-immunized healthcare worker who has been exposed? notify supervisor, get consent from clinician to perform HIV serolytic test ✔✔If clinician is exposed but pt source is unknown what should be done? coughing, night sweats, fever ✔✔3 symptoms of TB economically depressed population ✔✔What segment of the population is at an increased risk for TB Airborne/Droplet transmission of active respiratory infection from person to person ✔✔How is TB spread? False ✔✔If a person has been diagnosed with TB they will always test positive for TB with a skin test (T/F) oral candidiasis ✔✔Fungal infection sometimes seen intraorally 3 - 6 weeks after exposure mono-like symptoms ✔✔How long after exposure to HIV would you expect to see acute HIV? male to male sexual contact ✔✔What group has the highest prevalence of HIV?
revocation of the license to practice dentistry in the State of North Carolina. The consumer member cannot participate or vote in any matters of the Board which involve the issuance, renewal or revocation of the license to practice dental hygiene in the State of North Carolina. Members of the Board licensed to practice dentistry in North Carolina shall have been elected in an election held as hereinafter provided in which every person licensed to practice dentistry in North Carolina and residing or practicing in North Carolina shall be entitled to vote. Who is eligible to vote in the election of dentists and dental hygienists to serve on the Board? ✔✔Every dentist with a current North Carolina license residing or practicing in North Carolina shall be eligible to vote in elections of dentists to the Board. Every dental hygienist with a current North Carolina license residing or practicing in North Carolina shall be eligible to vote in elections of dental hygienists to the Board. The holding of such a license to practice dentistry or dental hygiene in North Carolina shall constitute registration to vote in such elections. The list of licensed dentists and dental hygienists shall constitute the registration list for elections to the appropriate seats on the Board. What is the term of office for Board members? ✔✔Each member of said Board shall be elected for a term of three years and until his successor shall be elected and shall qualify. Each year there shall be elected two dentists for such terms of three years each. Every three years there shall be elected one dental hygienist for a term of three years. Dental hygienists shall be elected to the Board in an election held in accordance with the procedures hereinafter provided in which those persons licensed to practice dental hygiene in North Carolina and residing or practicing in North Carolina shall be entitled to vote. Every three years a person who is a citizen and resident of North Carolina and licensed to practice neither dentistry nor dental hygiene shall be appointed to the Board for a term of three years by the Governor of North Carolina. KNOW Article 16- The Dental Hygiene Practice Act. ✔✔Printed What are the rules that apply to dental hygienists? ✔✔Printed
What are the rules that apply to dental assistants? ✔✔Printed What are the regulations concerning conscious sedation? ✔✔Printed "Monitoring" means observation of the patient during the flow of sedation agents and includes reducing the flow of sedation or shutting off equipment controlling such flow. Monitoring does not include increasing the flow of sedation agents. We can increase oxygen and lower nitrous as well as shut the machine off which will lower the oxygen. North Carolina Laws Governing Nitrous Oxide / Rules of the NC State Board of Dental Examiners
- a DA I or DA II may aid and assist a licensed dentist in the administration of nitrous oxide-oxygen inhalant conscious sedation after a completion of a Board-approved course.....
- "monitoring" means observation of the patient during the flow of sedation agents and includes reducing the flow of sedation or shutting off equipment controlling such flow.
- monitoring does not include increasing the flow of sedation agents
- dentist initiates use of nitrous
- auxiliary can turn oxygen up
- auxiliary can turn nitrous down / off List and know the dates involved in the licensure renewal process. ✔✔A renewal application shall be completed and received in the Board's office before midnight on January 31 of each year. Any renewal applications received after that date will require a late fee.
What constitutes professional misconduct by a dental hygienist? ✔✔Printed Define supervision for dental hygienists and dental assistants. ✔✔"Supervision" means that acts are deemed to be under the supervision of a licensed dentist when performed in a locale where a licensed dentist is physically present during the performance of such acts, and such acts are being performed pursuant to the dentist's order, control and approval. A dental hygienist may practice only under the supervision of one or more licensed dentists. Direct Supervision Levels-dentist needs to be present Indirect Supervision Levels-dentist must authorize procedure and be in the dental office while the procedure is performed General Supervision Levels-dentist needs to authorize prior to services, but need not be present: limited for community with certain qualifications such as 6 hours in cont ed for med emergencies, CPR, 3 years experienced under a direct dentist What are the CE requirements for dental hygiene license renewal? ✔✔Printed All dental hygienists licensed shall be required to attend Board-approved courses of study in subjects relating to dental hygiene. The Board shall have authority to consider and approve courses, or providers of courses, to the end that those attending will gain information on existing and new methods and procedures used by dental hygienists, information leading to increased safety and competence in their dealings with patients and supervising dentists, and information on other matters, as they develop, that are of continuing importance to the practice of dental hygiene as a part of the practice of dentistry. The Board shall determine the number of hours of study within a particular period and the nature of course work required. Failure to comply with continuing education requirements adopted under the authority of this section shall be grounds for the Board to decline to issue a renewal certificate.
21 NCAC 16I.
CONTINUING EDUCATION
REQUIRED
(a) As a condition of license renewal, each dental hygienist shall complete six clock hours of continuing education each calendar year. Any or all the hours may be acquired through self study courses. To count toward the mandatory continuing education requirement, self study courses shall be related to clinical patient care and offered by a board approved sponsor. The hygienist shall pass a test following the course and obtain a certificate of completion. (b) Current certification in CPR is required in addition to the mandatory continuing education hours. Continuing education became mandatory January 1, 1995. Every year, dentists must complete 15 hours and hygienists must complete 6 hours. The one-year period spans one calendar year (January to December being a calendar year). New licensees are not required to get CE the first year they are licensed, but need to The NC board of Dental Examiners consist of: ✔✔6 dentist who are licensed to practice dentistry in NC, 1 Hygienist licensed in NC, 1 consumer member. A Dental hygiene license application needs to be submitted to the board's office before ✔✔January 1st In NC the following functions may not be delegated to a dental assistant II ✔✔Intramural use of high speed handpiece
