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DS 207 Minnesota Dental Jurisprudence Review Set
Terms in this set (145)
Dentists can have how many Dental Therapists working under them?
Advanced Dental Therapist can have how many assistants working under them?
DDS can collaborate with how many LDAs?
No more than 2 LDA
DDS can collaborate with how many DHs?
No more than 4 DH
What is the deadline date used by dental corp to file their annual report?
On or before January 1st
What are the Four functions of MN board of Dentistry?
Complaints / Compliance
Who is on the board of Dentistry?
- 5 DDS
- 1 DH
- 1 DA
- 2 Members of the general public
Utilization medication or nonpharmicological methods to reduce patient anxiety
What are required CE course hours for DDS, RDH, LDA?
DDS- 50hrs (30 fundamental)
DH/DA - 25hrs (15 fundamental)
10 recognized specialties of dental practices
Dental Public Health
Oral and Maxillofacial Pathology
Oral and Maxillofacial Radiology
Oral and Maxillofacial Surgery
Orthodontics and Dentofacial Orthopedics
The board requires submission of what info in the annual reports for corporations?
Name and office of the corporation
Address of the corporation
Name/address of director/officer/shareholder/
Dental records must contain what information on each patient?
Reason for visit (chief complaint)
How long should DDS retain dental records?
7 years beyond time the patient was last seen by DDS.
** If under 18 - 7 years after the age 18 (18+7=25)
The process of eliminating or killing all forms of microbial life, and resistnat bacterial spores.
Instruments that come into contact only with intact skin such as chair-side buttons, BP cuffs, components of x-ray heads
It is capable of destroying all viruses. FDA defines as it as a sterilant used for a shorter contact time.
The process of removing debris/blood prior to disinfection
Destruction of pathogenic and other kinds of microorganisms by phyiscal or chemical means, except for spores.
Intermediate Level Disinfectant
Liquid chemical germicide registered by EPA as a hospital disinfectant with a claim of potency as tuberculocidal.
Liquid germicide registered with EPA as a hospital disinfectant. OSHA requires also have a label claim for potency against HIV & HBV if used for disinfecting clinical contact surfaces
Used to penetrate soft tissue or bone or contact with blood. Must be sterilized after each use, we use heat (autoclave)
Instruments do not penetrate soft tissue/bone but contact mucous or non-intact skin. These should be sterilized or high level disinfectant if heat intolerant.
HEP B dose schedule
CDC guidelines for infection control that are applied to all body fluids of all patients all of the time.
Equipment/devices used to prevent exposure to any possible disease or injury.
Work practice controls
Controls that reduce the likelihood of exposure by altering the manner in which a task is performed.
Post-exposure Incident info
-Date & Time
-Details of the exposure
-Details about if the source material was known
-Details of exposed person
-Details of post exposure management and follow up.
Preferred method of washing hands during routine or non-surgical procedures?
Water and non-antimicrobial soap
Preferred method for washing hands between patients
A non-antimicrobial soap, anti-microbial soap, or an alcohol-based hand rub.
Preferred method when hands are visibly soiled
non-microbial soap and water
When should PPE's be removed?
-Before leaving patient care areas
Central Processing area should be divided into what 4 catgories?
1. Receiving, cleaning and decontamination
2. Preparation and packaging
What are some ways to monitor sterilizing?
Mechanical, Chemical, Biological
How often should the spores test be conducted?
Once a week
2 ways that packaged, sterilized instruments can be dated
How should the instruments be placed in the sterilizer?
Packaged correctly and loosely into the sterilizer so as not to impede penetration of the steam.
Clinical contact surfaces
Directly contaminated from patient materials either by direct spray/splatter generated during dental procedures or by contact with DHCP's gloved hands.
Ex: light handles, switches, X-ray equipment, chairs, computers, drawer handles and countertops
How should barriers be removed?
With gloves on
What type of disinfectants should be used to clean between patients?
-Low level disinfectant
-Intermediate level disinfectant
What are housekeeping surfaces?
floors, walls, and sinks
The majority of soiled items in a dental office fall under what type of waste?
General medical waste & general waste
Waste that carries a substantial risk of infection during handling or disposal?
Regulated medical waste & infectious waste
Ex: Saturated cotton rolls/gauze, surgically removed soft and hard tissue, extracted teeth, contaminated sharps.
What type of container is used for sharps?
Puncture resistant container with bio-hazard label
When should dental water units be flushed
Beginning of the day for 2-3 mins & between patients for 20-30 secs
How is dental waterline biofilm removed
Chemical germicides (Turbo-Vac, Pur-Vac, Slug Buster)
What needs to be used when irrigating and or cooling during an oral surgery procedure?
Sterile solutions (saline or sterile water)
When using a saliva ejector, what is the patient recommended not to do?
Do Not close lips or seal the tip of the saliva ejector because of suck back.
What kind of containers are used for biopsy specimens?
Sturdy, leak-proof container with a secure lid. Must be Bio-hazard labeled
What should be done if biopsy container is contaminated?
Cleaned and disinfected or placed in an impervious bag.
When extracted teeth are to be sent to a dental lab for shade/size comparisons, what level of disinfectant should be used?
Extracted tooth should be cleaned and disinfected with Intermediate Level activity.
If the patient would like to take home their extracted teeth, what should you do first?
Nothing, provisions of the standard no longer apply.
If the extracted teeth has an amalgam, where should you dispose it?
Should NOT be placed in a medical waste container that uses incineration for final disposal.
Commercial metal recycling companies accept it.
State and Local regulations should be consulted regarding disposal of the amalgam.
"Material content notice" means?
means a notice that contains the complete material content information of a dental prosthetic appliance, including whether United States Food and Drug Administration (FDA) compliant materials were used. The notice must be provided in a manner that can be easily entered into a patient record.
Every complete upper and lower denture and removable dental prosthesis fabricated by a dentist, or fabricated pursuant to the dentist's or dental therapist's work order, shall be marked with the name and Social Security number of the patient for whom the prosthesis is intended.
True, the markings shall be done during fabrication and shall be permanent, legible and cosmetically acceptable. The exact location of the markings and the methods used to apply or implant them shall be determined by the dentist or dental laboratory fabricating the prosthesis.
In continuing education, what is the minimum number of hours that must be taken in the fundamental category for DH/LDA?
In continuing education, what is the maximum number of hours that can be taken in the elective category DH/LDA?
Courses that would not be eligible for credit in professional development?
What does a fundamental activity mean?
Directly related to clinical dental service
Credits for professional development can all be in which category?
What are the subject areas for the State jurisprudence Exam?
Personal conduct and Ethical behavior
Delegation of Duties
Who needs to do the self-assessment?
All dental professionals each biennial period
What are the core subjects under fundamental courses catagory?
Management of Medical Emergencies
Diagnosis and treatment planning
For a 2 year cycle, what is the minimum number of hours needed to keep licenses current for LDA, DH & DDS?
LDA - 25
DH - 25
DDS - 50
Who keeps the documentation of continuing education/professional development?
You do as the Dental Assistant, Dental Hygienist, and Dentist
How many times does the Board of Dentistry meets?
at least twice a year
Meetings are exclusive for the members of Board of Dentistry
False, Some meetings are open to the public.
How long can a member serve on the of Board of Dentistry?
No more than 2 consecutive 4 year terms = 8 years
Who appoints the positions of the Board?
The Governor of the State
What are the requirements of the candidates prior to election?
Candidates must be a resident of the state and have practiced for five years prior to election.
What are the required exams that applicants must have?
1. Minnesota Jurisprudence Exam
2. Dentist and Hygienist take both a Practical and Written exam (National Boards and CRDTS)
3. Dental Assistants must take the Minnesota Dental Assisting Licensure Exam (DASLE)
4. Dental Assistants need to take the Dental Assisting National Board Exams (DANB) - ICE, RHS, and General Chairside Exams
When are licenses renewed?
Must be renewed on a biennial (2 years) renewal cycle.
Based on Birth month and Birth year.
The license for each dentist, hygienist and LDA must be displayed in plain sight of all patients in each office that the person practices in.
True, duplicate certificates are available at an additional charge.
How long do dentists, hygienists, and assistants have to provide the board with written notice after changing their address or name?
Within 30 days of change
What are the grounds under immediate suspension?
habitually intoxicated or drug user
unauthorized prescription or dispensing of drugs
It is legal for a dentist to practice under a name that implies superiority over other dentists?
Every professional corporation must file an annual report with the board of dentistry on or before January 1st of each year
True, This includes name and address of each shareholder and statement whether or not a shareholders are licensed by the state
What are the elective activities that can be done for professional development?
General attendance at a state or national convention
The board may refuse to renew a license for failure to meet professional development requirements.
All licensees must keep documentation in an acceptable portfolio in the event you are notified of a board audit.
What should be included in the portfolio?
Minimum of 15 hours of Fundamental credits with 2 different core subjects
Maximum of 10 Elective credits
Online courses with a post-test
Lectures/symposiums or seminars
LDA can administer N2O/O2 only with a maximum dose prescribed by the DDS.
Any incident that arises as a result of administering anesthesia, nitrous oxide or any type of sedation does not need to be reported to the board of dentistry.
False, Any incident SHALL be reported to the BOD within 10 days.
Dental lab techs need to have an authorization from a DDS?
How long do you need to keep records for any lab work that was sent to a dental lab?
What does it mean if a dental assistant has a limited license?
It's a person holding a limited license permit as a dental assistant who has not completed schooling at an accredited college or had schooling in another state. They may take an extra course to be allowed to take radiographs only, but no other expanded functions.
What can a dental assistant do if they do not have a license?
Assist chairside with suctioning and instrument transferring, turn room around, seat patients and take care of sterilization
Patients have a right to access a copy of their records.
HIPAA privacy rights are enforced by the Office of Civil Rights
The term "covered entity" applies only to physicians.
False, covered entity is a healthcare provider, billing service, insurance company or anyone else involved in the transaction
Health care provider includes all entities involved in a transactions.
Medical Records are both private and confidential.
Health care providers are required to give patients a copy of the notice of privacy policies.
HIPAA provides both civil and criminal penalties for violations.
Covered entities must provide training for all employees to comply with HIPAA.
Covered entities must implement written policies to comply with HIPAA.
Covered entities must have appropriate safeguards to control access to records.
Transmission of information between two parties to carry out financial administrative activities related to health care is called a?
Keeping something secluded from the view of others.
Maybe a health care provider, billing service, insurance company, or anyone else involved in a transaction that is covered by HIPAA.
The release, transfer, provision of access, or divulging in any other manner of information the entity possesses, is called?
A provider of medical or health services and any other person or organization who furnishes, bills, or is paid for health care in the normal course of business.
health care provider
Information transmitted by electronic media, maintained in electronic form, or maintained or transmitted in any other form.
protected health information
Using discretion in keeping information secret.
Person designated and responsible for maintaining compliance with HIPAA as well as training of staff.
A dentist can deny the right to transfer a patients records to another dentist if their account is delinquent
A patients dental records must be eligible and recorded in pencil.
False, All notations must be in ink (blue or black)
Informed consent must be writing
False, not needed for preventative procedures (hygiene visit)
A fee can be charged for the transfer of dental records
Informed consent consists of?
The dentist discussing treatment options, prognosis, risks, benefits and consent given by the patient.
When electronic records are kept, DDS must either:
Keep duplicate hard copy record or use an unalterable electronic record
At request of patient, records must be transferred, even if their bill has not been paid.
Should original radiographs be sent?
NO, never. Diagnostic duplicate x-rays or copied records must be created and sent.
The dental office can charge a patient a fee for the cost of transferring records.
Who decides on the maximum fee a DDS can charge in Minnesota for copies of records?
MN Department of Health (MDH)
A dental professionals can accept $$ for making a referral to another dentist?
No remuneration for referral
The Dr./ Patient relationship can be terminated for what?
Patient failure to comply with treatment or professional advice
Consistent tardiness or failed appts.
Failure to pay for services rendered
Behavior mangement issues
An LDA cannot scale the mandibular anterior of a pediatric patient.
True, LDA would be violating the Dental Practice Act; both DDS and LDA would be held accountable
Who could be in trouble by the Board of Dentistry if a DH/LDA practices beyond their scope of practice, even when the DDS did NOT request them to and the DH/LDA acted on their own?
Both the DDS and DH/LDA
The DDS cannot say they are SUPERIOR and cannot PROMISE the results of a tx
Cosmetic dentistry is recognized by the ADA as a "specialty"
False, it is not recognized by the ADA as a specialty
Components of CPR training
-Barrier mask or bag for ventilation
-Foreign body airway obstruction
-Two person rescuer
-Adult, child, and infant CPR
What are the core subjects?
-Management of med. emergencies
-Diagnosis and tx. planning (optional for DH/LDA)
Self-assessment is a _________ credit
Fundamental; printed from the Board of Dentistry website; usually updated every 2yrs. completed and put in professional portfolio; 1 credit
Can all of your credits be earned in the fundamental category?
YES or at least a minimum of 15 credits for DH/LDA
Good Samaritan Law
A person at the scene of an emergency who knows that another person is exposed to or has suffered harm shall give reasonable assistance to the exposed person
Who needs to sign the HIPAA form>
law that deals with crime and the legal punishment of criminal offenses (crime against society)
Deal with disputes between individuals, organizations, or between two, in which compensation is awarded to the victim
requires individual to cease all practice until (suspension) is lifted
directly related to clinical practice of dentistry
**minimum of 15 credits for LDA and DH; 30 for DDS and dental therapists
CPR is a _____________ credit
Fundamental; must be updated every 2 years and should never lapse.
Self-assessment is a __________ credit
How many days do you have to submit copies of CE if you get audited by the Board of Dentistry?
Every dental professional is required to keep documentation of their CE credits for the current 2 years cycle and the previous ________?
When is reading a professional article considered a fundamental credit and when is it an elective credit?
A professional article with a post-test is considered fundamental.
Reading a professional article for the information is considered an elective.
Acceptable documentation for professional development or continuing education credits include?
Form should include:
-Name and contact info of organization/sponsor
- Presenters name and credentials/training that qualifies presenter to teach course
_Date, hours, and subject matter
When were guidelines for Infection Control in the Dental Health Care Setting last updated?
2003 by CDC in the MMWR (Morbidity & Mortality Weekly Report)
Health care Professionals are at risk of and most have vaccinations of?
Varicella (chicken pox)
OSHA (Occupational Safety and Health Act) requires
Employers make Hep B vaccines available to all employees who have potential contact with blood or other potentially infectious materials
Exposure training should include:
1) Description of their exposure risks
2) Review of prevention strategies & infection control policies/procedures
3) Discussion regarding how to manage work related illnesses and injuries
4) Review of work restrictions for the exposure/infection
-lightest form of sedation
ex: Nitrous, Oral medications, IV sedation - Anxiolysis- reduction in anxiety
-Relaxed but awake and can respond
-ex: Nitrous, Oral meds, IV sedation
-Can only be performed by an anesthesiologist or an oral surgeon
-Reserved for extreme cases of dental care
Oral and maxillofacial surgeons
If a patient experiences uncommon side effects from conscious sedation or nitrous oxide, how many days does the DHCP have to report it to the Board of Dentistry?
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