Scope of Practice for Dental Hygienists in Washington, Exams of Nursing

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WASHINGTON STATE DH DRUG & LAW EXAM 2024/

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Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Remove deposits and stains from teeth. - correct answer✔✔ In the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Apply topical preventive or prophylactic agents - correct answer✔✔ In the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Polish and smooth restorations - correct answer✔✔ In the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?

Perform root planing and soft-tissue curettage - correct answer✔✔ In the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Perform other dental services delegated by a dentist - correct answer✔✔ In the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Apply topical anesthetic under general supervision - correct answer✔✔ In the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Surgical removal of tissue of the oral cavity - correct answer✔✔ Outside the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Prescription of drugs requiring the written order - correct answer✔✔ Outside the scope of practice

Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Hygienists may place antimicrobials pursuant to the order of a licensed dentist and under the dentist's required supervision. - correct answer✔✔ Outside the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Diagnosis for treatment or treatment planning - correct answer✔✔ Outside the scope of practice Is the following within the scope of DH function or outside the scope of DH function in the state of Washington? Taking an impression for the purpose of making intra-oral restoration, appliance, or prosthesis. - correct answer✔✔ Outside the scope of practice What happens if a Hygienist violates any provision of the chapter? - correct answer✔✔ Hygienist shall be guilty of a misdemeanor Whose duty is it to prosecute all cases? - correct answer✔✔ prosecuting attorney

Who may assist in such prosecutions? - correct answer✔✔ attorney general who shall appear at all hearings when requested to do so by the secretary of health? - correct answer✔✔ attorney general In order to be eligible for the dental hygiene exam: what must a hygienist complete? - correct answer✔✔ successfully complete a dental hygiene education program In order to be eligible for the dental hygiene exam: what seven clock hour training must a hygienist complete? - correct answer✔✔ AIDS education In order to be eligible for the dental hygiene exam: what must the hygienist demonstrate knowledge of? - correct answer✔✔ Washington law pertaining to DH In order to be eligible for the dental hygiene exam:

what must the hygienist complete and submit to the Washington State Health Board? - correct answer✔✔ application and pay fee In order to be eligible for the dental hygiene exam: What must the application include? - correct answer✔✔ -fee -photo ID -notarized passing score of board -proof of transcripts What three things must an applicant seeking licensure in Washington by examination must successfully complete? - correct answer✔✔ dental hygiene national board examination Washington drug and law examination WREB dental hygiene practical examinations What four WREB dental hygiene practical examinations must be completed for licensure in Washington? - correct answer✔✔ -Patient evaluation clinical competency -Prophylaxis clinical competency -Anesthesia clinical competency -Restorative clinical competency T/F:

The applicant will comply with all written instructions provided by the department of health - correct answer✔✔ True In lieu of the WREB practical tests, the secretary may accept substantially equivalent tests. the practical tests include: - correct answer✔✔ -Patient evaluation clinical competency -Prophylaxis clinical competency -Anesthesia clinical competency -Restorative clinical competency What is the purpose of continuing education for dental hygienists? - correct answer✔✔ the public health, safety and welfare of patients will be served by requiring dental hygienists to continue their education after receiving such licenses. What are the requirements of continuing education for dental hygienists?

• correct answer✔✔ -15 clock hours of continuing education -current CPR card must be maintained What are the two criteria for acceptable continuing education for dental hygienists? - correct answer✔✔ -Must be dental related education for professional development -15 clock hours shall be obtained What 5 ways can a dental hygienist earn CE clock hours? - correct answer✔✔ - CE courses

• correspondence courses
• college credit courses
• dental hygiene examination standardization/calibration workshops
• dental hygiene examination item writer workshops Standards of dental hygiene conduct of practice: Dental hygiene provision of care OR Professional responsibilities? update data on the general and oral health status of the client - correct answer✔✔ dental hygiene provision of care Standards of dental hygiene conduct of practice: Dental hygiene provision of care OR Professional responsibilities? communicate collected data to the appropriate health care professional - correct answer✔✔ dental hygiene provision of care Standards of dental hygiene conduct of practice: Dental hygiene provision of care OR Professional responsibilities? consider DH assessment, treatment goals, sequencing & accepted scientific knowledge in developing a dental hygiene plan - correct answer✔✔ dental hygiene provision of care

Standards of dental hygiene conduct of practice: Dental hygiene provision of care OR Professional responsibilities? Include preventative/therapeutic care to promote oral health. - correct answer✔✔ dental hygiene provision of care Standards of dental hygiene conduct of practice: Dental hygiene provision of care OR Professional responsibilities? communicate TX plan to patient - correct answer✔✔ dental hygiene provision of care Standards of dental hygiene conduct of practice: Dental hygiene provision of care OR Professional responsibilities? Continually reevaluate client progress - correct answer✔✔ dental hygiene provision of care Standards of dental hygiene conduct of practice: Dental hygiene provision of care OR Professional responsibilities? the client, guardian, or health care professionals are to be informed of the progress and results of dental hygiene care and clients' self-care - correct answer✔✔ dental hygiene provision of care

Standards of dental hygiene conduct of practice: Dental hygiene provision of care OR Professional responsibilities? the dental hygienist shall have knowledge of the statutes and regulations governing dental hygiene practice and shall function within the legal scope of dental hygiene practice - correct answer✔✔ professional responsibilities In pursuant to WAC 246-815-190: Health care institutions; The chief administrator must report to the department when a dental hygienists services are? - correct answer✔✔ terminated or restricted based on a determination that the dental hygienist has either committed an act of unprofessional conduct or the hygienist may be unable to practice with reasonable skill or safety to the client by reason of a mental or physical condition. In pursuant to WAC 246-815-220: Professional liability carriers; Any organization providing professional liability insurance to hygienists shall report what to the department? - correct answer✔✔ any malpractice settlement, award, or payment in excess of $20, In pursuant to WAC 246-815-220: Professional liability carriers; a settlement can result from what? - correct answer✔✔ a claim or action for damages alleged to have been caused by a hygienists incompetency or negligence

In pursuant to WAC 246-815-220: Professional liability carriers; what must also be reported during a twelve month period? - correct answer✔✔ the award, settlement, or payment of three or more claims In pursuant to WAC 246-815-250: Cooperation with investigation; The licensee must comply with requests from the secretary department of health within how many days? - correct answer✔✔ 14 days In pursuant to WAC 246-815-250: Cooperation with investigation; If a licensee fails to comply, what happens? - correct answer✔✔ They are subpoenaed In pursuant to WAC 246-815-250: Cooperation with investigation; If licensees comply with request after the issuance of the statement of charges, what happens? - correct answer✔✔ the secretary will decide to prosecute or settle What does offsite supervision mean? - correct answer✔✔ that a licensed hygienist has entered into a written practice plan with a dentist licensed in Washington What must a dentist agree to for a hygienist to have offsite supervision?

• correct answer✔✔ agree to be available for contact T/F:

Offsite supervision requires the physical presence of the supervising dentist at the treatment site - correct answer✔✔ False, the dentist does not have to be physically present at the treatment site. When are licenses renewed? - correct answer✔✔ every year on your birthday When might renewal fees be less than those established in the section of current level of fees? - correct answer✔✔ if there is a surplus of funds, the secretary may lower renewal fees Who will be notified if there is an adjustment in renewal fees? - correct answer✔✔ practitioners Where are licenses of dentists and hygienists to be displayed? - correct answer✔✔ in a place visible to individuals receiving services in the premises, and readily available for inspection by any designee of the DQAC How long do patient X-rays, treatment plans, patient charts, patient histories, correspondence, financial data and billing must be kept for in a dental office? - correct answer✔✔ 5 years Copies of records may be forwarded to a second party upon what? - correct answer✔✔ patient's or authorized agent's written request

What must a dentist maintain of all patients? - correct answer✔✔ comprehensive written and dated record of all services rendered to patients A complete report of patient mortality or incident physical or mental injury requiring hospitalization of patient during, or as a direct result of dental procedures or anesthesia must be reported to the DQAC within how many days of occurrence? - correct answer✔✔ 30 days Who can write valid prescriptions to labs with whom they place orders for making artificial restorations? - correct answer✔✔ Dentists How many prescriptions are needed for a restoration? - correct answer✔✔ each restoration requires a separate prescription Who gets the original copy of the prescription? - correct answer✔✔ Dental lab Who gets the duplicate copy of the prescription? - correct answer✔✔ Dentist How long must a dentist keep the duplicate copy of the prescription? - correct answer✔✔ 3 years What two things must a prescription contain for a dental lab? - correct answer✔✔ -duplicate copy

-the date, name, and address of the lab What four things must the dentist place on the prescription for the dental lab? - correct answer✔✔ - name and address of the patient

• description of work to be done
• dentists signature
• dentists license certificate number What 5 things must be recorded for all prescription drugs? - correct answer✔✔ - any medication prescribed/dispensed
• date prescribed or the date dispensed
• name of patient
• name of the medication
• dosage and amount of the medication When Schedule II, III, IV or V drugs are stocked, what is the protocol? - correct answer✔✔ - keep an inventory control record
• records shall be available for inspection If a dentist chooses to withdraw care to a patient of record, the dentist must do what two things? - correct answer✔✔ -Advise patient that termination of treatment is contemplated and that another dentist should be sought to complete current procedure and for future care

-Advise the patient that the dentist shall remain reasonably available under the circumstances for up to fifteen days from the date of such notice to render emergency care related to that current procedure How many days must a dentist be reasonably available to a patient they have dismissed from their practice to perform emergency care related to a current procedure? - correct answer✔✔ 15 days T/F: Dentists shall not represent the care or fees being rendered to their patients in a misleading manner, nor alter patient records, such as but not limited to, misrepresenting dates of service or treatment codes. - correct answer✔✔ True At what percent can an operating dentist must display their name to be associated with such dental office? - correct answer✔✔ the dentist must be present over 50% of the time ************************* - correct answer✔✔

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What does RCW stand for? - correct answer✔✔ Revised Code of Washington What does WAC stand for? - correct answer✔✔ Washington Administrative Code

An RCW is written by who? - correct answer✔✔ Washington state legislature Once legislation is signed by the governor, what happens? - correct answer✔✔ it becomes a law what is written to provide interpretive support for the individuals or entities to whom the rule applies? - correct answer✔✔ a rule or Washington Administrative Code Department of Health rules are written and adopted by who? - correct answer✔✔ a board or commission, or the secretary of the Department of Health. T/F: Rules or WACs do not carry the full force of the law. - correct answer✔✔ False, Rules or WACs do carry full force of the law How do I file a complaint for against a dentist or other provider? - correct answer✔✔ send the department of health a completed complaint form and provide as much information as possible to assist in the successful resolution of your complaint what four things must be included in the complaint? - correct answer✔✔

• date of client-patient relationship

• dates of incidents
• details of complaint (dates, places, time)
• your contact info How many CE credits must a dentist have in WA? - correct answer✔✔ 21 hours Can a dentist teach a seminar or clinical course to count as a CE? - correct answer✔✔ Yes, for the first time and cannot exceed 10 hours Can a dentist take no clinical courses relating to dental practice management? - correct answer✔✔ Yes, but may not exceed 7 hours T/F: A dentist may take an estate planning, financial planning, investments,and personal health courses - correct answer✔✔ False, these are not acceptable What are the 3 purposes of WAC 501-570? - correct answer✔✔ -To establish guidelines for duties to persons not licensed to practice dentistry
• certain duties can only be performed under the supervision of a licensed dentist
• the dentist is ultimately responsible for the services performed

Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Perform soft tissue curettage - correct answer✔✔ Close supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Give injections of local anesthetic - correct answer✔✔ Close supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Place restorations into the cavity prepared by the dentist, and thereafter could carve, contour, and adjust contacts and occlusion of the restoration

• correct answer✔✔ Close supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Administer nitrous oxide analgesia - correct answer✔✔ Close supervision

Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Place antimicrobials - correct answer✔✔ Close supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Oral inspection and measuring of periodontal pockets, with no diagnosis

• correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Patient education in oral hygiene - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Take intraday-oral and extra-oral radiographs - correct answer✔✔ General supervision Can the Dental Hygienist perform this under:

General supervision, close supervision, or not at all? Apply topical preventive or prophylactic agents - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Polish and smooth restorations - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Oral prophylaxis and removal of deposits and stains from the surfaces of teeth - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Record health histories - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all?

Take and record blood pressure and vital signs - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Perform sub-gingival and supra-gingival scaling - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Perform root planing - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Apply sealants - correct answer✔✔ General supervision Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? surgical removal of tissue aside from soft-tissue curettage - correct answer✔✔ Not at all

Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Prescription of drugs or medications - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Diagnosis for treatment or treatment planning - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Impression for fabricating restorations - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Impressions solely for diagnostic and opposing models or taking wax bites - correct answer✔✔ Close supervision Can the Dental Hygienist perform this under:

General supervision, close supervision, or not at all? Intra-orally adjust occlusal of inlays, crowns, and bridges - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Intra-orally finish margins of inlays, crowns, and bridges - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? cement or recement, permanently, any cast restorations or stainless steal crowns - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Incise gingiva or other soft tissue - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all?

Elevate soft tissue flap - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Luxate teeth - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Curette to server epithelial attachment - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Suture - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Establish occlusal vertical dimension for dentures - correct answer✔✔ Not at all

Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Try-in of dentures set in wax - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Insertion and post-insertion adjustments of dentures - correct answer✔✔ Not at all Can the Dental Hygienist perform this under: General supervision, close supervision, or not at all? Endodontic treatment - correct answer✔✔ Not at all Who are considered potential carriers of communicable diseases in a dental setting? - correct answer✔✔ all dental staff members and patients Why are infection control procedures required? - correct answer✔✔ to prevent disease transmission

An illness caused by an infectious agent which can be transmitted from one person, animal, or object to another person by direct or indirect means including transmission via an intermediate host or vector, food, water, or air is called what? - correct answer✔✔ communicable diseases The use of physical or chemical means to remove, inactivate, or destroy blood borne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use, or disposal is called what? - correct answer✔✔ Decontamination The dental staff who directly provide dental care to patients is called what? - correct answer✔✔ Direct care staff The use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores is called what? - correct answer✔✔ Sterilize T/F: Sterile disposable needles shall be used. The same needle may be recapped and subsequently reused for the same patient during the same visit. - correct answer✔✔ True T/F: