Florida Laws and Rules Board Exam Dental Hygiene Latest Update 2023, Exams of Nursing

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Florida Laws and Rules Board Exam Dental

Hygiene Latest Update 2023

Direct supervision defined: - ✓✓✓Requires that a licensed dentist examine the patient, diagnose a condition to be treated, authorize the procedure to be performed, be on the premises while the procedure is performed, and approve the work performed prior to the patient's departure from the premises. Examine, Diagnose, Authorize, Approve (On premises) Indirect supervision defined: - ✓✓✓Requires that a licensed dentist examine the patient, diagnose a condition to be treated, authorize the procedure to be performed, and be on the premises while the procedure is performed. Examine, Diagnose, Authorize (On premises) General supervision defined: - ✓✓✓Requires that a licensed dentist examine the patient, diagnose a condition to be treated, and authorize the procedure to be performed. Examine, Diagnose, Authorize (Not on premises) (Must see pt. within a maximum of 13 months). Any authorization for remediable tasks to be performed under general supervision is valid for a maximum of ______(time frame); after which, no further treatment under general supervision can be performed without another clinical exam by a Florida licensed dentist. - ✓✓✓"13 months" T/F? Any tasks delegable to dental assistants will be delegable to dental hygienists under the same supervision level, unless otherwise stated in the rules. - ✓✓✓True Remediable Tasks, also referred to as Expanded Functions defined: - ✓✓✓Are intra-oral tasks which do not create unalterable changes in the oral cavity or contiguous structures, are reversible and do not expose a patient to increased risks. DA & DH can both be delegated. T/F? The use of a laser or laser device of any type is NOT a remediable task/expanded function.

• ✓✓✓True

Removing and re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance. (This is this called what?) - ✓✓✓Emergency Remediable Task Securing or unsecuring an archwire by attaching or removing the fastening device. (This is called what?) - ✓✓✓Emergency Remediable Task Inserting or removing dressings from alveolar sockets in post-operative osteitis when the patient is uncomfortable due to the loss of a dressing from an alveolar socket in diagnosed cases of post-operative osteitis. (This is called what?) - ✓✓✓Emergency Remediable Task Placing or removing periodontal dressings when the patient is uncomfortable due to the loss of a periodontal pack during the prescribed period of treatment. (This is called what?) - ✓✓✓Emergency Remediable Task Cementing temporary crowns or bridges using temporary cement when the patient is uncomfortable due to the loss of a temporary crown or bridge. (This is this called what?) - ✓✓✓Emergency Remediable Task Placing temporary medicinal restorative material when the patient is uncomfortable due to the loss of a temporary medicinal restoration. (This is called what?) - ✓✓✓Emergency Remediable Task Formal training required for the performance of certain remediable tasks for both DA and DH. Expanded duty course or program which meets one of the following requirements: Faculty Requirements as well included. - ✓✓✓*Accredited by the ADA & approved by the Board. *Certification as a dental radiographer (DA). *Course or program curriculum reflects appropriate didactic and clinical training in each remediable task. *Dentists and dental hygienists shall have a minimum of one year experience in expanded duty functions and expanded duty dental assistants shall have a minimum of 5 years of hands-on experience. *The student/teacher ratio shall not exceed one instructor to ten students. *Documentation of the training and experience of faculty members which establishes their qualifications to teach specified subject areas.

*Any course offered shall also include instruction regarding sterilization and disinfection procedures and instruction in the dental practice act and administrative code as it relates to dental auxiliaries. *Each participant who successfully completes the course or program is issued a certificate which contains the following information: name of course or program sponsor; title of course; date course offered; number of hours of instruction; participant's name; signature authorized by the sponsor which attests to the certificate's validity; and a list of all remediable tasks in which the participant has received formal training. *Any clinical course in which patients are treated during instruction must be supervised by a licensed dentist. On-the-job training required for the performance of certain remediable tasks consists of training in those tasks by a licensed dentist who assumes full responsibility for assuring that the dental hygienist or dental assistant has completed hands-on training in order that he/she is competent to perform the tasks. Each participant who successfully completes the course or program which is required for the performance of certain remediable tasks is issued a certificate which contains the following information: - ✓✓✓Their name of course or program sponsor *Title of course. *Date course offered. *Number of hours of instruction. *Participant's name. *Signature authorized by the sponsor which attests to the certificate's validity. *A list of all remediable tasks in which the participant has received formal training. Fabricating temporary crowns or bridges intra-orally which shall not include any adjustment of occlusion to the appliance or existing dentition. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision). Selecting and pre-sizing orthodontic bands, including the selection of the proper size band for a tooth to be banded which does not include or involve any adapting, contouring, trimming or cementing or otherwise modifying the band material such that it would constitute fitting the band. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision).

Selecting and pre-sizing archwires prescribed by the patient's dentist so long as the dentist makes all final adjustments to bend, arch form determination, and symmetry prior to final placement. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision). Selecting prescribed extra-oral appliances by pre-selection or pre-measurement which does not include final fit adjustment. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision). Preparing a tooth surface by applying conditioning agents for orthodontic appliances by conditioning or placing of sealant materials which does not include placing brackets. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision). Packing and removing retraction cord, so long as it does not contain vasoactive chemicals and is used solely for restorative dental procedures. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision). Removing and re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision). Inserting or removing dressings from alveolar sockets in post-operative osteitis when the patient is uncomfortable due to the loss of a dressing from an alveolar socket in diagnosed cases of post-operative osteitis. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision). Apply bleaching solution, activate light source, monitor and remove in-office bleaching materials. *Supervision?(DH) - ✓✓✓Remediable Task (DH) (received formal training & under DIRECT supervision). Placing or removing rubber dams. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre- licensure education or formal training & under INDIRECT supervision).

Placing or removing matrices. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Applying cavity liners, varnishes or bases. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Making impressions for study casts which are not being made for the purpose of fabricating any intra-oral appliances, restorations or orthodontic appliances. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Making impressions to be used for creating opposing models or the fabrication of bleaching stents and surgical stents to be used for the purpose of providing palatal coverage as well as impressions used for fabrication of topical fluoride trays for home application. *Supervision?(DH)

• ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Placing subgingival resorbable chlorhexidine, doxycycline hyclate, or minocycline hydrochloride. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Taking of impressions for and delivery of at-home bleaching trays. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Securing or unsecuring an archwire by attaching or removing the fastening device. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Taking impressions for passive appliances, occlusal guards, space maintainers and protective mouth guards. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Marginating restorations with finishing burs, green stones, and/or burlew wheels with slow-speed rotary instruments which are not for the purpose of changing existing contours or occlusion.

*Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Cementing temporary crowns and bridges with temporary cement. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Monitor the administration of the nitrous-oxide oxygen making adjustments only during this administration and turning it off at the completion of the dental procedure. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Monitor and remove in-office bleaching materials, after placement of bleach by dentist. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under INDIRECT supervision). Polishing restorations which is not for the purpose of changing the existing contour of the tooth and only with the following instruments used with appropriate polishing materials - burnishers, slow-speed hand pieces, rubber cups, and bristle brushes. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision). Polishing clinical crowns of the teeth which is not for the purpose of changing the existing contour of the teeth and only with the following instruments used with appropriate polishing materials - slow-speed hand pieces, bristle brushes, rubber cups, porte polishers and air- abrasive polishers. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision). Applying of topical fluorides which are approved by the American Dental Association or the Food and Drug Administration, including the use of fluoride varnishes. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision).

Removing excess cement from dental restorations and appliances with non-mechanical hand instruments or ultrasonic scalers only. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre- licensure education or formal training & under GENERAL supervision). Placing/removing periodontal or surgical dressings. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision). Removing sutures. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision). Using appropriate implements to pre-assess and chart suspected findings of the oral cavity. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision). Applying sealants. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision). Placing or removing prescribed pre-treatment separators. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision). The Dr. has already prescribed. Insert and/or perform minor adjustments to sports mouth guards and custom fluoride trays. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or formal training & under GENERAL supervision). Fabricating temporary crowns and bridges in a laboratory. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or on-the-job training & under GENERAL supervision). Applying topical anesthetics and anti-inflammatory agents which are NOT applied by aerosol or jet spray. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or on-the- job training & under GENERAL supervision).

Taking or recording patients' blood pressure rate, pulse rate, respiration rate, case history and oral temperature. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or on-the-job training & under GENERAL supervision). Retracting lips, cheeks and tongue. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre- licensure education or on-the-job training & under GENERAL supervision). Irrigating and evacuating debris not to include endodontic irrigation. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or on-the-job training & under GENERAL supervision). Placing and removing cotton rolls. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre- licensure education or on-the-job training & under GENERAL supervision). Placing or removing temporary restorations with non-mechanical hand instruments only. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or on-the-job training & under GENERAL supervision). Obtaining bacteriological cytological (plaque) specimens, which do not involve cutting of the tissue and which do not include taking endodontic cultures, to be examined under a microscope for educational purposes. *Supervision?(DH) - ✓✓✓Remediable Tasks (DH) (pre-licensure education or on-the-job training & under GENERAL supervision). Changing of bleach pellets in the internal bleaching process of non-vital, endodontically treated teeth after the placement of a rubber dam. A dental hygienist may NOT make initial access preparations. Supervision?(DH) - ✓✓✓Remediable Task (DH) (on-the-job training & under DIRECT supervision). T/F? (Remediable Task) In changing of bleach pellets in the internal bleaching process of non- vital, endodontically treated teeth after the placement of a rubber dam, an on-the-job-trained dental hygienist may NOT make initial access preparations, under direct supervision. - ✓✓✓True Administration of Local Anesthesia can become a Remediable Task for a DH if the following qualifications are met: - ✓✓✓Appropriately certified by the Board.

*Has received a certificate from the Florida Department of Health authorizing the dental hygienist to administer local anesthesia. *Upon the issuance of the certificate, the hygienist will be referred to as a Certified Registered Dental Hygienist. T/F? A Certified Registered Dental Hygienist can administer local anesthesia as a Remediable & Delegable Task under DIRECT supervision. - ✓✓✓True Qualifications for a Certified Registered Dental Hygienist (CRDH) to administer local anesthesia under DIRECT supervision: - ✓✓✓1. The patient must be eighteen years of age or older;

2. The patient must not be sedated; and
3. The CRDH may administer intraoral block and soft tissue infiltration anesthesia. Gingival curettage. -Remediable tasks without additional training. *supervision? (DH) - ✓✓✓Remediable tasks without additional training (DH). DIRECT supervision. Root planing. Removal of excess remaining bonding adhesive or cement following orthodontic appliance removal with slow-speed rotary instrument, hand instrument or ultrasonic scalers. -Remediable tasks without additional training. *supervision? (DH) - ✓✓✓Remediable tasks without additional training (DH). INDIRECT supervision. Removing calculus deposits, accretions and stains from exposed surfaces of the teeth and from the tooth surfaces within the gingival sulcus (prophylaxis); Placing and exposing dental and carpal radiographic film and sensors. -Remediable tasks without additional training. *supervision? (DH) - ✓✓✓Remediable tasks without additional training (DH). GENERAL supervision.

Provide educational programs. Faculty or staff training programs. Authorized fluoride rinse programs. Apply fluoride varnishes. Instruct patients in oral hygiene care. (d) Supervising patient oral hygiene care and other services which do not involve diagnosis or treatment of dental conditions. -Remediable tasks without additional training. supervision? (DH) - ✓✓✓Remediable tasks without additional training (DH).Supervision? Display of Certificates Guidelines: - ✓✓✓The supervising licensee of dental assistant or dental hygienist who performs remediable tasks as a result of formal training shall display the certificate received at the conclusion of the training in a conspicuous public place where the tasks are performed. The supervising licensee shall also keep a copy of each such certificate on file in the dental office at which the dental assistant or dental hygienist performs remediable tasks. T/F? Dental hygienists and dental assistants trained prior to April 30, 1980, who were at that time authorized to perform tasks set forth by Board Rule MAY CONTINUE to perform those tasks WITHOUT the formal training. - ✓✓✓True What is included in the definition of DIRECT supervision? - ✓✓✓Be on premises. *Examine. *Diagnose. *Authorize. *Approve work prior to pt. departure. What is the minimum number of continuing education hours that a dental hygienist must complete biennially for re‐licensure? - ✓✓✓24 CE hours biennially for re-licensure. A dentist who administers any form of anesthesia must possess certification in what type of sedation? - ✓✓✓Conscious sedation.

Advertised fees for dental service must state a specified period which the fee is in effect or that the service will remain at or below the advertised fee for at least how many days? - ✓✓✓ 90 days. Appropriate subject matter for continuing education for dental hygienists would include what topic? - ✓✓✓Patient stress management CE. What is included in the definition of INDIRECT supervision? - ✓✓✓*Be on premises. *Examine. *Diagnose. Authorize. What is included in the definition of General Supervision? - ✓✓✓Not on premises. *Examine. *Diagnose. *Authorize. *Any authorization for remediable tasks to be performed under general supervision is valid for a maximum of 13 months; after which, no further treatment under general supervision can be performed without another clinical exam by a Florida licensed dentist. Kickbacks defined: - ✓✓✓A remuneration or payment, by or on behalf of a provider of health care services or items, to any person as an incentive or inducement to refer patients for past or future services or items, when the payment is not tax deductible as an ordinary and necessary expense. T/F? It is unlawful for any health care provider or any provider of health care services to offer, pay, solicit, or receive a kickback, directly or indirectly, overtly or covertly, in cash or in kind, for referring or soliciting patients. (Kickbacks) - ✓✓✓True T/F? Kickbacks: Violations of this section shall be considered patient brokering and shall be punishable because kickbacks are unlawful. - ✓✓✓True Records Owner defined: - ✓✓✓Any health care practitioner who generates a medical record after making a physical or mental examination of, or administering treatment or dispensing legend drugs to, any person; any health care practitioner to whom records are transferred by a

previous records owner; or any health care practitioner's employer, including, but not limited to, group practices and staff-model health maintenance organizations, provided the employment contract or agreement between the employer and the health care practitioner designates the employer as the records owner. Dental Hygienist (Records Owners) Explained: - ✓✓✓Dental hygienists are not authorized to acquire or own medical/dental records, but are authorized under the confidentiality and disclosure requirements. Written prescription for a medicinal drug (Requirements): - ✓✓✓*Name of the prescribing practitioner. *Name and strength of the drug prescribed. *Quantity of the drug prescribed. *Directions for use of the drug. *Must be dated. Must be signed by the prescribing practitioner on the day when issued. Electronically generated and transmitted prescription for a medicinal drug (Requirements): - ✓✓✓Name of the prescribing practitioner. *Name and strength of the drug prescribed. *Quantity of the drug prescribed in numerical format. *Directions for use of the drug. *Must be dated. Must be signed by the prescribing practitioner only on the day issued, which signature may be in an electronic format. Written prescription for a controlled substance (Requirements): - ✓✓✓Quantity of the drug prescribed in both textual and numerical formats. *Must be dated with the abbreviated month written out on the face of the prescription. *Must be either written on a standardized counterfeit-proof prescription pad produced by a vendor approved by the department or electronically prescribed. Prescribing Decision defined: - ✓✓✓Prescribing practitioner's decision to prescribe a certain pharmaceutical.

Point of Care defined: - ✓✓✓Time that a prescribing practitioner or his or her agent is in the act of prescribing a certain pharmaceutical. Renewal License Fee: Cost? - ✓✓✓The department shall renew a license upon receipt of the renewal application and the fee set by the board not to exceed $300. Biennial renewal of licenses. CE hours required for DH: - ✓✓✓Not less than 24 hours or more than 36 hours of continuing professional education in dental subjects. Rules for Displaying Licenses: - ✓✓✓Every practitioner of dentistry or dental hygiene within the meaning of this chapter shall post and keep conspicuously displayed her or his license in the office wherein she or he practices, in plain sight of the practitioner's patients. Any dentist or dental hygienist who practices at more than one location shall be required to display a copy of her or his license in EACH office where she or he practices. Dentist of Record (rules): - ✓✓✓*The dentist of record shall remain primarily responsible for all dental treatment on such patient regardless of whether the treatment is rendered by the dentist or by another dentist, dental hygienist, or dental assistant rendering such treatment in conjunction with, at the direction or request of, or under the supervision of such dentist of record. *The dentist of record shall be identified in the record of the patient. *If treatment is rendered by a dentist other than the dentist of record or by a dental hygienist or assistant, the name or initials of such person shall be placed in the record of the patient. *In any disciplinary proceeding, it shall be presumed as a matter of law that treatment was rendered by the dentist of record unless otherwise noted on the patient record pursuant to this section. *The dentist of record in a multidentist practice shall not change unless the subsequent treating dentist acknowledges in writing in the record that she or he is now the dentist of record for the patient. T/F? The dentist of record in a multi-dentist practice shall not change unless the subsequent treating dentist acknowledges in writing in the record that she or he is now the dentist of record for the patient. - ✓✓✓True

Patient Records Maintained: - ✓✓✓Every dentist shall maintain written dental records and medical history records which justify the course of treatment of the patient. The records shall include, but not be limited to, patient history, examination results, test results, and, if taken, X rays. All patient records kept and shall be maintained for a period of 4 years from the date of the patient's last appointment. A copy of the prescription shall be retained in a file in the prescribing dentist's office for a period of __ years following the date the prescription was issued, and the original prescription shall be retained in a file by the dental laboratory for a period of __ years. - ✓✓✓"4" years, "4" years T/F? Only the dental hygienists may be delegated the task of removing calculus deposits, accretions, and stains from exposed surfaces of the teeth and from the gingival sulcus and the task of performing root planing and curettage. In addition, dental hygienists may expose dental X-ray films, apply topical preventive or prophylactic agents, and perform all tasks delegable by the dentist. - ✓✓✓True Upon a patient of record of a dentist who has issued a prescription for the services of a dental hygienist, which prescription shall be valid for 2 years unless a shorter length of time is designated by the dentist, in the following circumstances: - ✓✓✓1. Licensed public and private health facilities.

2. Other public institutions of the state and federal government.
3. Public and private educational institutions.
4. The home of a nonambulatory patient.
5. Other places in accordance with the rules of the board. T/F? A dental hygienist performing dental charting without supervision shall NOT be deemed to have created either a patient of record or a medical record. - ✓✓✓True T/F? A dentist may delegate irremediable tasks to a dental hygienist or dental assistant, except as provided by law. - ✓✓✓False, may NOT delegate. Dental Laboratory defined: - ✓✓✓*Includes any person, firm, or corporation who performs for a fee of any kind, gratuitously, or otherwise, directly or through an agent or employee, by any means or method, or who in any way supplies or manufactures artificial substitutes for the natural teeth, or who furnishes, supplies, constructs, or reproduces or repairs any prosthetic

denture, bridge, or appliance to be worn in the human mouth or who in any way holds itself out as a dental laboratory. *Excludes any dental laboratory technician who constructs or repairs dental prosthetic appliances in the office of a licensed dentist for such dentist only and under her or his supervision and work order. Sterilization defined: - ✓✓✓The process by which all forms of life within an environment are totally destroyed. Disinfection defined: - ✓✓✓The destruction or inhibition of most pathogenic bacteria while they are in their active growth phase and the inactivation of some viruses. Disinfection allows the potential for viable pathogens to remain (e.g., Tubercle bacilli and some viruses, including A, B and C hepatitis virus, and nonA-nonB (NANB) viruses which may survive depending upon the chemicals used). The term licensee "infected with the Hepatitis B virus" defined: - ✓✓✓Licensee is sero-positive for the Hepatitis B surface antigen and the Hepatitis B e-antigen. Required Sterilization Procedures: At least one of the following methods: - ✓✓✓(a) Steam under pressure (e.g., autoclave). (b) Dry-heat. (c) Chemical vapor. (d) Ethylene oxide. Sterilization T/F? Sterilants/Disinfectants must be U.S. Environmental Protection Agency (EPA) approved disinfectant/sterilants or U.S. Food and Drug Administration (FDA) approved and must be used in accordance with the manufacturer's recommendations and the recommendations of the Centers for Disease Control (CDC). - ✓✓✓True High speed dental handpieces, slow speed dental sleeves and contra-angles and prophy angles must be sterilized ____ ____ ____ using a heat or heat with pressure or heat with chemical method. The method used must be capable of sterilization. - ✓✓✓"After each use"

Heat-sensitive instruments may require up to ___ hours of exposure in a liquid chemical agent registered by the U.S. Environmental Protection Agency (EPA) as a disinfectant/sterilant. (Cold Steri) - ✓✓✓"10" hours T/F? Before sterilization, instruments must be cleaned to remove debris. Cleaning must be accomplished by a thorough scrubbing with soap or a detergent and water or by using a mechanical device, such as an ultrasonic cleaner following the manufacturer's recommendations. - ✓✓✓True Oral prosthetic appliances received from a dental laboratory must be washed with soap or a detergent and water, rinsed well, appropriately ______ and rinsed well again before the prosthetic appliance is placed in the patient's mouth. - ✓✓✓"Disinfected" At the completion of dental treatment, all surfaces that may have become contaminated with blood, saliva or other bodily fluids must be disinfected using a procedure recommended by the _________. - ✓✓✓Center for Disease Control (CDC) Adequacy of steam under pressure (e.g. autoclave) or chemical vapor sterilization must have their efficacy verified by appropriate biological monitoring at least once every __ hours ( minutes) of use or at least once every ___ days, whichever comes first. - ✓✓✓"40" hours, "30" days Dry heat and ethylene oxide sterilizers must have their efficacy verified with appropriate biological monitoring every ___ hours of operation at sterilization parameters or every ___ days, whichever comes first. - ✓✓✓"120" hours, "30" days Any Florida licensed dentist or dental hygienist practicing in this State who is infected with the Hepatitis B virus is required to notify the Board of such in writing no later than ___ days after learning of his or her infection with the Hepatitis B virus. - ✓✓✓"14" days Notice to the Board (Hep B) should include: - ✓✓✓The notice shall include a copy of the lab report showing the result of that dentist's or dental hygienist's Hepatitis B Surface Antigen (HBSAG) test results.

All licensees infected with the Hepatitis B virus must successfully complete, no later than __ months after receiving acknowledgment of their status from the Board, an educational program approved by the Board which will aid in a better understanding of the disease. - ✓✓✓"6" months Hep. B. Board Approval Program consists of 6 clocked hours of the following education: - ✓✓✓ 6 clocked hours of the following; History and nomenclature of Hepatitis B virus; Clinical relationship of Hepatitis B virus to other forms of viral hepatitis; Hepatitis B virus mode of transmission and replication; Blood curves in the clinical course of the Hepatitis B virus; Clinical and laboratory characteristics of Hepatitis B virus infections; The Hepatitis B virus infected licensee and his or her lifestyle; The Hepatitis B virus infected licensee as a practicing health care professional; Barrier techniques; The consequences of a break in barrier techniques; Proper mechanisms for reporting breaks in barrier techniques; Sterilization and disinfection procedures in the operatory; Sterilization and disinfection procedures in the laboratory; Insurance and legal problems of Hepatitis B virus infected licensees; and Hepatitis B virus vaccine. Written exam given at end to gain certification for board approval. Monitoring of Hep B. licensees criteria: - ✓✓✓*Infected licensees will be monitored on a random basis at least once a year by Board approved consultants for the purpose of verifying compliance with sterilization, disinfection and barrier techniques. *The random monitoring will be performed in addition to any checks conducted by any county health department. The monitor's report shall be forwarded to the Board's Executive Director within 14 days of the monitor's visit. *Infected licensees shall notify the patient, the Board's Executive Director and the local county health department at any time a barrier technique has been or may have been broken. The patient must be notified immediately. Telephonic notification must be accomplished within 24

hours and must be followed up by written notification no later than 72 hours after the barrier technique has been broken. The random monitoring of the Hep. B. licensee will be performed in addition to any checks conducted by any county health department. The monitor's report shall be forwarded to the Board's Executive Director within __ days of the monitor's visit. - ✓✓✓"14" days Hep. B infected licensees shall notify the patient, the Board's Executive Director, and the local county health department at any time a barrier technique has been or may have been broken. The patient must be notified immediately. Telephonic notification must be accomplished within __ hours and must be followed up by ________ notification no later than __ hours after the barrier technique has been broken. - ✓✓✓"24" hours, "written" notice, "72" hours Notification by the Hep. B. infected licensees shall include, at a minimum, the following information: - ✓✓✓1. What barrier technique was broken;

2. Steps undertaken to notify affected patient; and
3. Steps undertaken to overcome the break in technique. T/F? Extracted teeth may be rendered non-biohazardous by disinfection so that they may be returned to the patient or the patient's legal guardian. - ✓✓✓True Extracted teeth used for scientific, educational or testing purposes should first be cleaned of adherent patient material by scrubbing with detergent and water or by using an ultrasonic cleaner. Teeth should then be stored, immersed in a fresh solution of ____________ (diluted 1:10 with tap water) or______________. (2 answers) - ✓✓✓Sodium hypochlorite (household bleach diluted 1:10 with tap water) or any liquid chemical germicide. Extracted teeth and tissue fragments not required for microscopic examination shall be discarded as ________ waste or as a _______. - ✓✓✓"Biohazardous" waste, "Sharp" Impressions, appliances and contaminated dental models sent to dental laboratories must be sealed in an impervious container and labeled "_______________" prior to shipment from a dental office. - ✓✓✓"Treat as infectious material" REVIEW:

456.036 Licenses; active and inactive status; delinquency. 456.057 Ownership and control of patient records; report or copies of records to be furnished. 466.018 Dentist of record; patient records. - ✓✓✓More in depth information provided in the Florida Laws & Rules Handbook. REVIEW: 456.036 Licenses; active and inactive status; delinquency. 456.057 Ownership and control of patient records; report or copies of records to be furnished. 466.018 Dentist of record; patient records. Dental Charting by Dental Hygienists Content (Requirements): - ✓✓✓The patient shall acknowledge the following information before receiving the dental charting procedure. The patient's name and the names of the patient's parent or legal guardian if the patient is a minor. The patient's address or the address of the patient's parent or legal guardian if the patient is a minor. The date of the dental charting. The name, license number, and place of employment of the dental hygienist performing the dental charting. The location where the dental charting is being performed. A statement that the purpose of dental charting is to collect data for use by a dentist at a prompt subsequent examination. A statement that the dental charting performed is not a substitute for a comprehensive dental examination. A statement emphasizing that diagnosis of caries, soft tissue disease, oral cancer, temporo- mandibular joint disease (TMJ), and dentofacial malocclusions can only be completed by a dentist in the context of delivering a comprehensive dental examination.

A statement emphasizing the inherent limitations of dental charting and encouraging the patient to receive a complete examination by a dentist in rendering a professional diagnosis of the patient's overall health needs. Before performing periodontal probing as part of a dental charting, dental hygienists shall include a written statement on the dental charting form that the patient has received medical clearance from a physician or dentist. Dental hygienists may perform their duties in the following locations: - ✓✓✓(a) In the office of a licensed dentist. (b) In public health programs and institutions of the Department of Children and Family Services, Department of Health, and Department of Juvenile Justice under the general supervision of a licensed dentist. (c) In a health access setting. (d) Upon a patient of record of a dentist who has issued a prescription for the services of a dental hygienist, which prescription shall be valid for 2 years unless a shorter length of time is designated by the dentist, in: Licensed public and private health facilities; Other public institutions of the state and federal government; Public and private educational institutions; The home of a nonambulatory patient; and Other places in accordance with the rules of the board. (The dentist issuing such prescription as shall remain responsible for the care of such patient. As used in this subsection, "patient of record" means a patient upon whom a dentist has taken a complete medical history, completed a clinical examination, recorded any pathological conditions, and prepared a treatment plan). Emergency Remediable Tasks defined: - ✓✓✓In an emergency in which a dentist of record is unable to be physically present to pre-examine the patient, and the patient will be seen by a dentist within 3 days, the following remediable tasks may be performed by both dental assistants and dental hygienists who hold current CPR certification from the American Red Cross, the American Heart Association or an equivalent CPR training agency and who are trained, without pre-examination by a dentist. Irremediable Tasks defined: - ✓✓✓"Irremediable tasks" are those intraoral treatment tasks which, when performed, are irreversible and create unalterable changes within the oral cavity

or the contiguous structures or which cause an increased risk to the patient. The administration of anesthetics other than topical anesthesia is considered to be an "irremediable task". Emergency Remediable Tasks List: - ✓✓✓(1) Removing and re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance; (2) Securing or unsecuring an archwire by attaching or removing the fastening device; (3) Inserting or removing dressings from alveolar sockets in post-operative osteitis when the patient is uncomfortable due to the loss of a dressing from an alveolar socket in diagnosed cases of post-operative osteitis; (4) Placing or removing periodontal dressings when the patient is uncomfortable due to the loss of a periodontal pack during the prescribed period of treatment; (5) Cementing temporary crowns or bridges using temporary cement when the patient is uncomfortable due to the loss of a temporary crown or bridge; and (6) Placing temporary medicinal restorative material when the patient is uncomfortable due to the loss of a temporary medicinal restoration. Health Access Setting defined: - ✓✓✓Program or an institution of the Department of Children and Families, the Department of Health, the Department of Juvenile Justice, a nonprofit community health center, a Head Start center, a federally qualified health center or look-alike as defined by federal law, a school-based prevention program, a clinic operated by an accredited college of dentistry, or an accredited dental hygiene program in this state if such community service program or institution immediately reports to the Board of Dentistry all violations of s. 466.027, s. 466.028, or other practice act or standard of care violations related to the actions or inactions of a dentist, dental hygienist, or dental assistant engaged in the delivery of dental care in such setting. School-Based Prevention Program defined: - ✓✓✓Preventive oral health services offered at a school or by a nonprofit organization that is exempt from federal income taxation of the Internal Revenue Code. Every dentist shall maintain written dental records and medical history records which justify the course of treatment of the patient. The records shall include, but not be limited to_______, ________, ________ and, if taken, ________. All patient records kept and shall be maintained for a period of __ years from the date of the patient's last appointment. - ✓✓✓"Patient history, examination results, test results, and, if taken, X rays"

"4" years Notify the board within how many days of your change of address? - ✓✓✓10 days How many hours of CEs must a dentist complete every 2 years? - ✓✓✓30 hours T/F? Both dentist and dental hygienist must complete 2 hours of CEs of "Prevention of Medical Errors" every 3rd biennial license renewal. - ✓✓✓True Dentists and dental hygienists must complete a course in ________ prior to their first license renewal. - ✓✓✓HIV/AIDS T/F? Both dentist and dental hygienist must complete 2 hours of CEs of "Domestic Violence" every 3rd biennial license renewal. - ✓✓✓True Each licensee must maintain proof of CEs completed and CPR certification for ___ years after for auditing purposes. - ✓✓✓"4" years To reactivate a licensee, the licensee must submit the following to obtain active license status: - ✓✓✓-Renewal fee -Inactive/active fee -Deliquincey fee -Processing fee -Application -Proof of CEs met (12 hours for DH, 15 for dentist) All licensees must create a free account and submit proof of CEs completed through what website? - ✓✓✓ceBroker.com or ceATrenewal.com The fee for a duplicate license is ___. - ✓✓✓$25 per copy T/F? A medical clearance must be obtained from a physician or dentist before periodontal probing can take place. - ✓✓✓True

T/F? Practicing dentistry without a license in that state is a 3rd degree felony. - ✓✓✓True T/F? Using the letters R.D.H. after your name before licensure is a misdemeanor offense. - ✓✓✓True Dental Assistants are only allowed to expose/develop radiographs after being _______ by the board and must display proof in the office of their employment. - ✓✓✓Certified What 3 people must be present in office while administering general anesthesia or deep sedation to a patient in case of a medical emergency? - ✓✓✓-Operating dentist -Assistant -Some one to monitor the patient T/F? More than one patient can be sedated within the office at a time by the same dentist. - ✓✓✓False The first patient must be fully alert and have stable vital signs before sedation of the next patient. Anesthesia holders (dentists) must complete __ hours of CEs relating to anesthesia each biennium, including __ hours of handling medical emergencies every third biennium. - ✓✓✓"4" hours, "2" hours The following remediable tasks may be performed by a dental assistant who has received on- the-job training and who performs the tasks under GENERAL supervision: (only 3 tasks) - ✓✓✓(a) Instructing patients in oral hygiene care and supervising oral hygiene care. (b) Provide educational programs, faculty or staff programs, and other educational services which do not involve diagnosis or treatment of dental conditions. (c) Fabricating temporary crowns or bridges in a laboratory. Electronic dental records must be backed up how often? - ✓✓✓Weekly basis A dentist shall comply to a patient's written request for copies of their records and reports within how many days? - ✓✓✓30 days Who makes up the Board of Dentistry? and How many members of each? - ✓✓✓Total members = 11 members

7 Dentists 2 Dental Hygienist 2 Laypersons (Consumers) Who are the members of the Probable Cause Panel (PCP)? - ✓✓✓-3 members of the Board of Dentistry. -2 members must be DDS/DMD with active license. How many hours may be earned for providing dental hygiene services to the indigent, dentally underserved population or areas of critical need in Florida? - ✓✓✓Maximum of 7 hrs How many hours of CE can be earned for attending a meeting wherein disciplinary cases are considered? - ✓✓✓4 hours/biennial What are the following mandatory CE requirements that are NOT included in the 24 hours, but must be maintained? - ✓✓✓1. Domestive Violence (2hrs. every 3rd biennial reneweal( q 6yrs)

2. Certification in CPR ( q 2 yrs) What are the BOD approved subjects as stated in 64B5-12.016 - ✓✓✓( Basic Medical & Scientific) Biology Diet & Nutrition related to the oral cavity Pharmacology (Clinical and Technical) Asepsis & Sterilization Dental Materials Radiology (Patient Health &Safety) Public Health problems Communication diseases Emergency Care (Licensees' Legal Responsibilities) Laws/ rules governing practice

The violation of renewing a license without completing required CEs is? - ✓✓✓Fine fee is $25/credit hr that is not completed. (Completion of CE must be within 12 months) What is the length of term the Probable Cause Panel are in service for? - ✓✓✓1 year What is the fine amount is dollars that must be received by the BOD if a practitioner is practicing without a license for a period of 2-6 months? - ✓✓✓$250 Tort law covers what? - ✓✓✓Negligence T/F? Malpractice is professional negligence. - ✓✓✓True What issues need to be discussed when gaining patient consent? - ✓✓✓-Nature and need for treatment. -Benefits and risks of treatment. -Potential prognosis. -Alternatives to treatment. To dismiss a patient from the practice, the following must be provided: - ✓✓✓-Written document. -Refer to another Dr./practice. -Date of termination. -Copy of letter in patient's chart. All requests for patient records must be in ________. - ✓✓✓Writing Nonmaleficence defined: - ✓✓✓To do no harm Beneficence defined: - ✓✓✓Promote well-being, do good Patient chart documentation requirements: - ✓✓✓-Date -Treatment plan/rendered -Observations -Discussion with patient -Next visit