Download RDA Law and Ethics Exam 2025-2026 , Registered Dental Assistant, California Dental Law Exa and more Exams Dentistry in PDF only on Docsity!
RDA Law and Ethics Exam 2025- 2026 ,
Registered Dental Assistant, California Dental
Law Exam, RDA Ethics Questions and Well
Verified Answers, RDA Certification 2025, Law
and Ethics Graded A+
conditional duties of an RDA a- remove excess cement with an ultrasonic scaler from supragivgival surfaces of teeth undergoing ortho treatment b- allowable duties of an ortho assistant permitholder c- allowable duties of a dental sedation assistant permitholder d- application of pit and fissure sealants when can an RDA perform conditional duties? only when they have completed a board-approved educational program or when they can provide evidence on completing a board-approved course in the specific subject what evidence does an RDA need to provide to accompany their first license renewal (regarding conditional duties)? evidence of completion of a board-approved pit and fissure sealants course; if not, license will be suspended what duties may a DA/RDA/RDAEF perform while working for/at a primary care clinic or specialty clinic?
any extraoral duty, coronal polish, topical fluoride application, pit and fissure sealants (if course completed) when under Direct Supervision of RDH/RDHAP dental auxillary a person who may perform dental supportive procedures under specified supervision of a licensed DDS dental assistant unlicensed person who may perform basic supportive procedures under the supervision of a DDS registered dental assistant a licensed person who may perform all authorized procedures in addition to all basic supportive procedures a DA may perform direct supervision supervision of dental procedures based of DDS instruction and the DDS being physically present in treatment facility during the specified procedure general supervision supervision of dental procedures based on DDS instruction but where DDS must not be physically present during time of specified procedure
semi-critical - touches oral mucosa or non-intact skin but not penetrating soft tissue or bone non-critical - items used in PT care but not oral mucosa membranes, much lower risk of transmission levels of disinfection low - kills some bacteria, microorganisms, viruses but not Tb or spores intermediate - kills Tb, but not necessarily spores high - kills Tb and some spores, but not guaranteed to kill all spores germicide chemical agent used to disinfect items/surfaces based on level of contamination sterilization validated process of rendering ALL viable forms of microorganisms inactive (kills all spores) PPE specialized clothing or equipment used to protect against a hazard (general work attire NOT included) OPIM other potentially infectious materials (bodily fluids form humans, testing animals, and fluid/tissue/organ potentially infected with a BBP)
DHCP
dental healthcare professional - all paid or non-paid personnel in dental healthcare setting who my be occupationally exposed to infectious materials regulations regarding Infection Control Procedures a- standard precautions practiced with all PTs b- written protocol shall be developed and made available to all employees regarding instrument processing, operatory cleanliness, and management of injuries c- a copy shall be posted in a visible spot in office d- PPE worn during all procedures involving hazardous chemicals or handling contaminated items Hand washing a- with soap and water and start and end of day and when visibly soiled between PTs b- when not visibly soiled, an alcohol-based hand rub may be used c-hands must be thoroughly dried before putting on gloves d- DHCP with open/weeping wounds on hands will refrain from PT care, even with gloves, until it is resolved e-gloves are single use, not to be washed before or after use, discarded only Needles/Sharps Safety a- recapped only using scoop-technique or needle recapping device b- do not bend disposable needles/scalpels\blades for disposal c- Sharps container will be kept as close as possible to point of use
How soon must a DDS inform the Board of practice address changes? within 1 month - if not, license is suspended until changes have been made and fee paid For how long may an expired license be renewed? within 5 years of expiration date - must submit renewal form, pay all accrued renewal fees and delinquency fees When will delinquency fees for late license renewal apply? 30 days after license expiration date What does "course of study" include (regarding CE courses)? area of study pertaining to medical or dental health, preventive dental services, diagnosis, treatment planning, clinical procedures, basic health science, dental practice management, or Dental Practice Act, PT management What are the mandatory courses for RDA license renewal? (Board approved)
- Infection Control (at minimum, info on Section 1005 and regs. in dental environment) (2 units)
- CA Dental Practice Act (2 units)
- Basic Life Support (American Heart Assoc, American Red Cross, or course taught by provider approved by ADA) (4 units max)
What does a course in Dental Practice Act cover?
- acts in violation of DPA
- utilization and scope of practice for auxiliaries and DDS
- laws about prescribing of meds
- citations, fines, revocation and suspension of a license
- license renewal
- obligations of mandatory reporting and clinical signs of abuse What will a BLS course include?
- adult and pediatric CPR, including 2-person scenarios
- foreign-body airway obstruction
- relief of choking for adult/child/infant
- use of automated defibrillator with CPR
- a live, in-person skills practice session, test and written exam CE courses of actual delivery of dental services may include what?
- preventive services, diagnostic protocols, Tx planning
- charting of oral conditions
- record-keeping and informed consent protocols
- nutrition and nutrition counseling of PT
- esthetic, restorative and corrective dentistry
- role of dentistry in community
- edu objectives and outcomes
- teaching methods utilized
- attendee records and rosters
- record of registration #s and units issued for each course Board may audit at any time, and if this is not available the registered provider status may be revoked/suspended How long must one retain provider records? minimum of 3 renewal periods What should you get at the end of a CE course written certification of course completion, which includes:
- licensee's name and license #, provider name, 11-dgit course reg. #, date attended, # of units earned, place for signature of verification of attendance How often are CE credits collected? Every 2 years (2 year renewal period) How many CE credits do dental professionals need? DDS = 50 units RDHAP = 35 units
RDH/RDA/Sedation Asst/RDHEF/RDAEF/Ortho Asst = 25 units DDS w/ sedation permit requirements:
- general anesthesia: 1 advanced cardiac life support course approved by AHA
- conscious sedation: min. of 15 units related to administration of conscious sedation, medical emergencies
- oral conscious sedation: min. of 7 units related to admin. and medical emergencies Reasons for License Revocation or Suspension
- unprofessional conduct
- incompetence
- gross negligence
- repeated acts of negligence in the profession
- license issued by mistake
- convicted of crime substantially related to qulifications, functions or duties of RDA (only with certified record of conviction) Who revokes/suspends license Dental Board What is the statute of limitations for the Board to begin proceedings for license suspension/revocation? w/in 3 years of the Board discovering act or omission, or w/in 7 years of the act or omission actually occurring - whichever occurs first
- having any convictions relating to controlled substances Record-keeping must sign with name as listed on license, or with initials and an identifying number, and date next to the record of the service performed How soon must an office comply with a request for dental records from the Board?
- w/in 15 days, or must pay a penalty of $250 per day for each late day, max. of $5K
- a health care institution (hospital, etc.) has 30 days PT's express written authorization must be included What is the penalty for not complying with a subpena to provide PT records to the Board?
- $1000 per day, unless it is deemed that the request is unlawful
- not to exceed $5000, and the fees will be tacked onto the renewal fees at next renewal period
- limit for a healthcare facility is $10K, plus a report to State Dept of Health Services for disciplinary action Can a DDS perform services on anyone? only on Patients of Record
- this does not include any initial diagnostic procedures
What duties can a DDS ask an auxillary to perform before they see the PT?
- take x-rays
- any extra-oral duties
- mouth-mirror inspection of oral cavity Patient of Record any person has been examined, has a medical and dental health history on file, and has had oral conditions diagnosed and a written treatment plan developed by the DDS (does NOT include exams at health fairs, schools, or other community events, not the application of fluoride at such events) Mandated Reporting mus report when has knowledge of or observes child abuse, sexual abuse, elder abuse, How much time do you have to report an incident of abuse? 36 hours from time of observation, or risk $1000 fine or up to 6 months jail time What about regarding photos/film of sexual nature? If the child depicted in under 16 years of age and depicted in any kind of sexual manner, this must be reported Do you need to report evidence of abuse to your employer?
What practices does the principle of autonomy lay the groundwork for?
- informed consent
- confidentiality upholding veracity (truth) Is patient autonomy absolute? No - a PT's right to self-determnation does not mean that the DDS must perform whatever the PT says; DDS must still uphold all laws and ethics, and has the right to refuse service if PT is asking for something he does not feel he can morally/ethically do, or should refer to a specialist Informed Consent full explanation of treatment, rba's, alternatives,
- this also includes when documenting abise: if DDS wants photos, impressions or x-rays to help document, he must explain to the PT what they will be used for Obligation to Inform DDS has an obligation to tell PT their exact oral health status, so that the best and most informed course of action can be decided upon RDAs and PT Autonomy
- respect PT's right to decide own Tx
- respect legal, personal rights, human dignity, privacy of all PTs
- maintain professional boundaries
- maintain confidentiality
- DOCUMENT ALL CONVERSATIONS to have record that PT was informed and made whatever decision after knowing all options/recommendations Non-maleficence "do no harm"
- DDS has duty to keep from hurting a PT
- DDS primary obligation is to keep skills and knowledge current, know one's limitations, know when to delegation to an auxilary What practices does the principle of non-maleficence lay the groundwork for?
- CE courses
- referring cases to a specialist
- unethical to practice when under the influence of a controlled substance, alcohol, or in an impaired mental or physical state Non-maleficence and BBPs
- if a DDS gets a BBP he has an ethical duty to inform any PT or staff memberwho may have been exposed, and refer them to a qualified healthcare provider who may provide post exposure services
- DDS should encourage the source individual to cooperate in an eval, or to expose their status, but may NOT tell anyone himself RDAs and Non-maleficence
Health Education to the Community
- DCHP may participate, as long as they uphold the dignity of the profession (Advertising for your own practice at these functions is NOT looked upon favorably)
- when making public statements, DDS must have a reasonable basis for believing what they say is true and promotes the profession Justice "fairness"
- duty to treat people fairly
- primarily deals with delivering dental care without prejudice How does the principle of justice affect dental practice?
- may not refuse PTs based on race/color/gender/etc
- may not treat PTs with illness, BBPs any differently OR refuse to treat them (standard precautions for all); may only refer them when a specialist's skills are necessary or if they think the PTs health will be compromised by tx Justice and "2nd Opinions" PTs are dependent on their DDS for true, complete info about their oral health status, so DHCP have obligation to be truthful, well-informed and reliable
- when giving a 2nd opinion, be VERY careful not to openly disagree with the other DDS, just present your own opinion and course of tx you would take
- do not want to imply that the PT was mistreated by anther DDS
Ethics vs. Law nothing can be ethical but illegal, however some things are legal but unethical
- DHCP are held to the standard of legality and ethical tx RDAs and Justice
- behave in a manner free from bias or judgement
- behave ethically, and without conflict of interest
- report unethical acts of others Veracity "truthfulness"
- duty to communicate truthfully, to be honest and trustworthy What practices does the principle of veracity lay the groundwork for?
- truthful representation of care being performed
- truthful representation of fees - for PT and insurance companies
- the basis for open doctor-patient relationships Waiver of Co-payment, overbilling, fee differential
- illegal to charge an ins. co. for services rendered and then waive the co-payment portion for the PT
