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Dental Laws and Infection Control Final,
Jurisprudence Exam Study Guide, NC
Laws, NC, Study, Laws Quiz 1-9 Already
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Does the NC Board of Dentistry have the power to grant licensure by reciprocity? ✔✔No (False)
Total number of Board members? How many Dentists, RDH's, Citizen members? ✔✔8 total members, 6 dentists, 1 hygienist, 1 civilian
Restrictions placed on the dentist, dental hygienist, and consumer members: ✔✔Hygienist cannot vote for dental licensing matters, consumer cannot vote for dental or dental hygiene licensing matters
What is the selection criteria for the consumer member? How is this member chosen? ✔✔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 are the qualifications for the dental hygienist board member? ✔✔Must hold a current nc license and reside in or practice in NC
How many signatures are needed on the petition to nominate a RDH to the board ✔✔No less than 10 signatures
Who can vote in the general election to elect RDH members to the board ✔✔Every hygienist holding a current license in NC and residing in or practicing in NC
What is the term limit for a board member ✔✔One term of three years
What is the purpose and duty of the board of Dental Examiners? list three functions ✔✔Granting revocation suspension of license and renewal, conduct examination for licensure, provide for programs for impaired hygienist and dentist
What constitutes a quorum of the board ✔✔A majority of the members of said board
Name the judicial power granted to the board president and/or secretary-treasurer ✔✔The power to administer oaths and issue subpoenas
Does the board have authority to develop programs for impaired ✔✔Yes (true)
Performing complete oral prophylaxis, application of preventive agents to oral structures, exposure and processing of radiographs, administration of medicaments, preparation of diagnostic aids, written records of oral conditions as may be permitted by rules and regulations of the board ✔✔Dental hygiene
Any person who is a graduate of a board accredited school of dental hygiene, who has been licensed by the board and who practices dental hygiene as prescribed by the board ✔✔Dental hygienist
The North Carolina State Board of Dental Examiners created by Chapter 139 Public Laws of 1879 and Chapter 178 Public Laws of 1915 as continued in existence by GS 90 - 22 ✔✔Board
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 order ✔✔Direct supervision
North Carolina State RDH licensure renewal fee ✔✔$
Contribution to the NC caring dental professionals ✔✔$
Duplicate license fee ✔✔$
Late fee for licensure ✔✔$
RDH licensure renewal is due on ✔✔Jan 31
When does the license renewal become void if not paid ✔✔March 31st
What are the consequences for late renewal of RDH license ✔✔$50 late fee after January 31st, voided license after March 31st
Practicing hygiene without a license is considered to be what type of offense ✔✔Class 1 misdemeanor
Requirements for a military spouse to receive a dental hygiene license ✔✔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
Qualifications for an RDH to become a public health rdh ✔✔5 years experience in clinical hygiene CPR cert updated annually 6 hours of CE in med emerg yearly
How many Rdh's can a 1 DDS supervise ✔✔ 2
Practicing hygiene without a license is punishable by ✔✔Enjoin from practice revocation of license and initiation of appropriate legal proceedings
List the criteria to renew a dental hygiene license how many hours of CE are required ✔✔Each RDH must complete a minimum of 6 clock hours of CE each calendar year
Restrictions on correspondence and online CE courses are ✔✔Must be directly related to clinical patient care, hours spent reviewing publications or videos shall not count with the exception of self studies approved and sponsored by the Board
Do CPR hours count toward CE requirements ✔✔No CPR hours are in addition to mandatory CE hours
How and when are CE hours reported? ✔✔Hours completed toward CE requirements are indicated on the renewal application form at the time of renewal
How long must a RDH maintain CE records ✔✔At least 2 years
What is required if a RDH uses home study courses for CE credits ✔✔Title, number of instruction hours, date of course attended, name of instructor, name of organization or sponsor offering the course
Penalty for non compliant with the CE requirements ✔✔Board may refuse to issue renewal certificate
What are the requirements for transfer of patient records ✔✔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
Name of organic material found on instrument surfaces prior to decontamination ✔✔bioburden
Use of physical or chemical procedures to destroy all microbes including spores ✔✔sterilization
what are controls that remove a hazard from the workplace called? ✔✔workplace devices and procedures controls
Workplace procedures & devices help to reduce ✔✔hazardous exposure
What is it called when all pt's are treated as if they have an infectious disease? ✔✔Standard precaution
These are the smallest of all microbes ✔✔viruses
Regulated medical waste in the office is disposed of in ✔✔sharps or approved waste container
Once containers are full, regulated medical waste is taken to ✔✔disposal or treatment site
2 examples of regulated medical waste ✔✔extracted teeth, needles
list 3 examples of dental equipment that produce aerosols ✔✔cavitron, ultrasonic bath, dental hand piece
What can be done/used to minimize spray, spatter, and aerosols? ✔✔Rubber dam, HVE, saliva ejector, close lid over ultrasonic bath
Any surface in the operatory not covered by a barrier is considered contaminated (T/F) ✔✔true
What type of gloves are used for routine dental tx? ✔✔latex, non-latex, or vinyl exam gloves
What type of gloves are used for operatory clean-up? ✔✔Utility gloves
What does a face-shield replace? When wearing one you don't need to wear______ ✔✔Protective eyewear, side shields
Why are barriers used on surfaces? ✔✔Some surfaces are difficult to disinfect/clean (A/W syringe, hoses)
How often are surfaces covered with barriers disinfected? ✔✔Beginning of day, when contaminated during barrier removal, end of day
4 surfaces in operatory that should be covered by barriers ✔✔Chair, keyboard, light handle, tray
Items that touch oral mucosa but do not penetrate the body are classified as ✔✔semi-critical items
How are critical and semi-critical items handled? ✔✔fully sterilized
Mouth mirror is an example of that type of item ✔✔semi-critical
What should be done prior to DISINFECTING environmental surfaces ✔✔pre-clean, spray- wipe-spray or wipe-discard-wipe
What product level is approved for surface and equipment disinfection? ✔✔intermediate level
what organism must an intermediate level disinfectant kill ✔✔tuberculosis
how long must surfaces remain wet when disinfecting ✔✔10 min
Amount of time it takes for biofilm to form in a new dental unit ✔✔5 days
How long are waterlines flushed at start of each day and in between pt's? ✔✔2-3 mins at start of each day, 20-30 seconds in between patients
At CCCC when is water system shocked with Sterilex? ✔✔after long breaks, after unit fails water test
List 2 high level disinfectants ✔✔Ethylene oxide gas, gluteraldehyde liquid
How long does it take to sterilize instruments in gluteraldehyde? ✔✔10 hrs
When would you not use a steam autoclave? ✔✔when sterilizing liquid items
Why is alcohol not used as a surface disinfectant? ✔✔evaporates quickly, corrosive, not sporicidal
Which chemical disinfectants have to be mixed daily? ✔✔Iodophors, hypochlorites, synthetic phenols, chlorine compounds
Which disinfectants are used for immersion ✔✔gluteraldehyde and hydrogen peroxide
what method of cleaning instruments is most effective ✔✔ultrasonic bath
How long are cassettes placed in ultrasonic for ✔✔15 mins
How often is ultrasonic bath drained and disinfected ✔✔daily or when soiled
Why is it important to cover ultrasonic bath before operating? ✔✔prevent aerosols
Purpose of holding solution is to ✔✔prevent debris from drying to instruments, easy cleaning
This sterilization method dulls instruments ✔✔steam autoclave
Time-temp-pressure and cycle for steam autoclave ✔✔20-30 mins, 15 psi, 250F (121C)
Disadvantage of dry heat sterilization ✔✔Long cycle, discolors fabrics, not for heat sensitive items
What must be done if dry heat oven is open during cycle ✔✔Close, allow oven to reach proper sterile temp, re-start cycle
What segment of the population is at an increased risk for TB ✔✔economically depressed population
How is TB spread? ✔✔Airborne/Droplet transmission of active respiratory infection from person to person
If a person has been diagnosed with TB they will always test positive for TB with a skin test (T/F) ✔✔False
Fungal infection sometimes seen intraorally ✔✔oral candidiasis
How long after exposure to HIV would you expect to see acute HIV? ✔✔3-6 weeks after exposure mono-like symptoms
What group has the highest prevalence of HIV? ✔✔male to male sexual contact
3 high risk behaviors for HIV ✔✔IV drug users, unprotected sex, substance abuse
Is an employer responsible for offering Hep B immunizations? ✔✔yes
What things should not be done in treatment areas ✔✔eating, drinking, smoking, applying cosmetics
What should be done if sterilization cycle is interrupted before completion ✔✔stop sterilizer, allow to cool, re-sterilize instruments
What is regulated by fed govt ✔✔manufacturing and labeling of med devices, safety of drugs and devices, safety and efficacy of disinfectants, medical waste, worker safety, instrument sterilizing
If a pt requires pre-med but did not take it prior to apt, what cannot be done at the pt's apt? ✔✔probing, scaling, root planing
6 dentists who are licensed to practice dentistry in NC
1 dental hygienist who is licensed to practice dental hygiene in NC
