Washington Drug and Law Exam for Dental Hygienists, Exams of Public Health

Download Washington Drug and Law Exam for Dental Hygienists and more Exams Public Health in PDF only on Docsity!

Washington Drug and Law Exam questions with

correct answers

(RCW 18-29-050) Scope of DH function Correct Answer-Remove deposits and stains from teeth Apply topical preventive or prophylactic agents Polish and smooth restorations Perform root planing and soft-tissue curettage Perform other dental services delegated by a dentist Apply topical anesthetic under general supervision (RCW 18-29-050) Outside Scope of DH function Correct Answer-Surgical removal of tissue of the oral cavity; Prescription of drugs requiring the written order Hygienists may place antimicrobials pursuant to the order of a licensed dentist and under the dentist's required supervision Diagnosis for treatment or treatment planning Taking an impression for the purpose of making intra-oral restoration, appliance, or prosthesis. (RCW 18-29-100) Violations, Penalty & Prosecutions Correct Answer-1) Hygienists who violate any provision of this chapter shall be guilty of a misdemeanor

2. It's the duty of the prosecuting attorney to prosecute all cases
3. The attorney general may assist in such prosecutions and shall appear at all hearings when requested to do so by the secretary of health. RCW 18-29-083 Correct Answer-CAN'T FIND INFO ON THIS LAW :(

(WAC 246-815-020)

Dental hygiene examination eligibility Correct Answer-- successfully completed a dental hygiene education program

• complete seven clock hours of AIDS education
• demonstrate knowledge of Washington law pertaining to DH
• complete required application and pay fee
• application must include fee, photo ID, notarized passing score of the board, proof of transcripts An applicant seeking licensure in Washington by examination must successfully complete all of the following: Correct Answer-(a) dental hygiene national board examination. (b) Washington drug and law examination. (c) WREB dental hygiene practical examinations (i) Patient evaluation clinical competency; (ii) Prophylaxis clinical competency; (iii) Anesthesia clinical competency; (iv) Restorative clinical competency. (3) The applicant will comply with all written instructions provided by the department of health. In lieu of the WREB practical tests, the secretary may accept substantially equivalent tests. The practical tests include: Correct Answer-(i) Patient evaluation clinical competency; (ii) Prophylaxis clinical competency; (iii) Anesthesia clinical competency; and (iv) Restorative clinical competency.

(WAC 246-815-140)

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. (WAC 246-815-140) Requirements of Continuing education for dental hygienists Correct Answer-- 15 clock hours of continuing education

• Current CPR card must be maintained (WAC 246-815-140) Acceptable Continuing education for dental hygienists Correct Answer-- must be dental related education for professional development
• 15 clock hours shall be obtained through: CE courses correspondence courses college credit courses dental hygiene examination standardization/calibration workshops dental hygiene examination item writer workshops. (WAC 246-815-160) Standards of dental hygiene conduct or practice Dental hygiene provision of care. Correct Answer-- update data on the general and oral health status of the client
• Communicate collected data to the appropriate health care professional.

• Consider DH assessment, treatment goals, sequencing & accepted scientific knowledge in developing a dental hygiene plan
• Include preventative/therapeutic care to promote oral health.
• Communicate TX plan to patient
• Continually reevaluate client progress
• The client, guardian or health care professionals are to be informed of the progress and results of dental hygiene care and clients' self-care. (WAC 246-815-160) Standards of dental hygiene conduct or practice Professional Responsibilities Correct Answer-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. (WAC 246-815-190) Health care institutions. Correct Answer-- The chief administrator must report to the department when a dental hygienist's services are terminated or are restricted based on a determination that the dental hygienist has either committed an act of unprofessional conduct or that the dental hygienist may be unable to practice with reasonable skill or safety to the client by reason of a mental or physical condition. (WAC 246-815-220) Professional liability carriers. Correct Answer-- Any organization providing professional liability insurance to hygienists shall report to the department any malpractice settlement, award, or payment in excess of $20,
• This can result from a claim or action for damages alleged to have been caused by a hygienist's incompetency or negligence
• The award, settlement, or payment of three or more claims during a twelve-month period must also be reported

(WAC 246-815-250)

Cooperation with investigation. Correct Answer-- licensee must comply with requests from the secretary department of health with in 14 days

• If licensees fail to comply they will be subpoenaed
• If licensees comply with request after the issuance of the statement of charges, the secretary will decide to prosecute or settled (WAC 246-815-260) Offsite supervision Correct Answer-- Offsite supervision means that a licensed hygienist has entered into a written practice plan with a dentist licensed in Washington.
• The dentist must agree to be available for contact
• Offsite supervision does not require the physical presence of the supervising dentist at the treatment site. (WAC 246-815-990) Dental hygiene fees and renewal cycle. Correct Answer-- Licenses must be renewed every year your birthday
• The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds.
• Notice of adjustments in fees will be provided to practitioners. (WAC 246-817-301) Display of licenses. Correct Answer-- The license of any dentist, hygienist shall be displayed in a place visible to individuals receiving services in the premises, and readily available for inspection by any designee of the DQAC.

(WAC 246-817-310)

Maintenance and retention of records. Correct Answer-- X rays, treatment plans, patient charts, patient histories, correspondence, financial data and billing must be kept for 5 years

• Copies of records may be forwarded to a second party upon the patient's or authorized agent's written request
• Dentist must maintain a comprehensive written and dated record of all services rendered to patients (WAC 246-817-320) Report of patient injury or mortality. Correct Answer-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 thirty days of the occurrence (WAC 246-817-330) Prescriptions. Correct Answer-- Dentists must write valid prescriptions to labs with whom they place orders for the making artificial restorations
• Each restoration requires a separate prescription
• The dental lab get the original copy and the dentist must keep the duplicate copy for 3 years Requirements for Prescriptions to Dental Labratories Correct Answer-a duplicate copy contain the date, name and address the lab name and address of the patient description of the work to be done signature of the dentist dentist's license certificate number.

(WAC 246-817-340)

Recording requirements for all prescription drugs Correct Answer-- Any medication prescribed/dispensed shall be indicated on the patient history

• Record shall include: date prescribed or the date dispensed, name of the patient name of the medication dosage and amount of the medication (WAC 246-817-350) Recording requirement for scheduled drugs. Correct Answer-- When Schedule II, III, IV or V drugs are stocked, an inventory control record must be kept
• Such records shall be available for inspection (WAC 246-817-380) Patient abandonment. Correct Answer-If the dentist chooses to withdraw care to a patient of record, the dentist shall: (1) Advise the patient that termination of treatment is contemplated and that another dentist should be sought to complete the current procedure and for future care; and (2) 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. (WAC 246-817-390) Representation of care, fees, and records. Correct Answer-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. (WAC 246-817-400) Disclosure of provider services. Correct Answer-- If an operating dentist is present over 50% in an office they must display their name to be associated with such dental office

• Dentists who are present less than fifty percent of the time shall identify themselves to patients prior to services being rendered (WAC 246-817-440) Dentist continuing education requirements. Correct Answer-- dentists must complete 21 hours of CE
• Teaching a seminar or clinical course for the first time is acceptable but may not exceed 10 hours per year.
• Nonclinical courses relating to dental practice management etc. may not exceed 7 hours per year.
• Estate planning, financial planning, investments, and personal health courses are not acceptable (WAC 246-817-501) Purpose WAC Correct Answer-- The purpose of WAC 501 through 570 is to establish guidelines for duties to persons not licensed to practice dentistry
• Certain duties can be performed only under the supervision of a licensed dentist
• The dentist is ultimately responsible for the services performed (WAC 246-817-550)

Acts that may be performed by licensed dental hygienists under general supervision. Correct Answer-(1) Oral inspection and measuring of periodontal pockets, with no diagnosis. (2) Patient education in oral hygiene. (3) Take intra-oral and extra-oral radiographs. (4) Apply topical preventive or prophylactic agents. (5) Polish and smooth restorations. (6) Oral prophylaxis and removal of deposits and stains from the surfaces of the teeth. (7) Record health histories. (8) Take and record blood pressure and vital signs. (9) Perform sub-gingival and supra-gingival scaling. (10) Perform root planing. (11) Apply sealants. (WAC 246-817-560) Acts that may be performed by licensed dental hygienists under close supervision. Correct Answer-(1) Perform soft-tissue curettage. (2) Give injections of a local anesthetic. (3) Place restorations into the cavity prepared by the dentist, and thereafter could carve, contour, and adjust contacts and occlusion of the restoration. (4) Administer nitrous oxide analgesia. (5) Place antimicrobials. (WAC 246-817-570) Acts that may not be performed by dental hygienists. Correct Answer-(1) Surgical removal of tissue aside from soft-tissue curettage

(2) Prescription of drugs or medications (3) Diagnosis for treatment or treatment planning. (4) Impression for fabricating restorations. Impressions solely for diagnostic and opposing models or taking wax bites are allowed (5) Intra-orally adjust occlusal of inlays, crowns, and bridges. (6) Intra-orally finish margins of inlays, crowns, and bridges. (7) Cement or recement, permanently, any cast restorations or stainless steel crowns. (8) Incise gingiva or other soft tissue. (9) Elevate soft tissue flap. (10) Luxate teeth. (11) Curette to sever epithelial attachment. (12) Suture. (13) Establish occlusal vertical dimension for dentures. (14) Try-in of dentures set in wax. (15) Insertion and post-insertion adjustments of dentures. (16) Endodontic treatment (WAC 246-817-601) Purpose of Infection Control Correct Answer-- All dental staff members and patients are considered potential carriers of communicable diseases.

• Infection control procedures are required to prevent disease transmission Communicable diseases Correct Answer-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.

Decontamination Correct Answer-- 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. Direct care staff Correct Answer-the dental staff who directly provide dental care to patients. Sterilize Correct Answer-the use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores (WAC 246-817-630) Management of single use items. Correct Answer-(1) Sterile disposable needles shall be used. The same needle may be recapped and subsequently reused for the same patient during the same visit. (2) Single use items contaminated by saliva or blood shall be discarded. Example: disposable needles, anesthetic, saliva ejectors, polishing discs, bonding agent brushes, prophy cups, prophy brushes, fluoride trays and interproximal wedges