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Scope of Dental Hygiene Practice in Washington State, Exams of Economics and Law

A comprehensive guide to the scope of dental hygiene practice in the state of washington. It covers a wide range of dental hygiene operations and services, their respective supervision requirements, and the standards of dental hygiene conduct of practice. It also includes information about ce courses, correspondence courses, college credit courses, and dental hygiene examination standardization/calibration workshops.

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2023/2024

Available from 05/14/2024

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Washington State DH Drug & Law Exam 229

Questions and Answers.

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 ***************** 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: Single use items contaminated by saliva or blood can be sterilized and reused for another patient. - Correct answer False, single use items must be discarded after use and should not be used on another patient. Disposable needles, anesthetic, saliva ejectors, polishing discs, bonding agent brushes, prophy cups, prophy brushes, fluoride trays and interproximal wedges are examples of what? - Correct answer single use, disposable items RCW 18.29.003 is related to? - Correct answer regulation of health care professions- criteria RCW 18.29.005 is related to? - Correct answer "surfaces of the teeth" defined RCW 18.29.011 is related to? - Correct answer Licensed required RCW 18.29.021 is related to? - Correct answer Requirements for licensing RCW 18.29.045 is related to? - Correct answer Licensure by endorsement RCW 18.29.050 is related to? - Correct answer Scope of licensee's functions— Employment—Supervision. RCW 18.29.053 is related to? - Correct answer Expanded function dental auxiliary services—Supervision. RCW 18.29.056 is related to? - Correct answer Employment by health care facilities authorized—Limitations—Requirements for services performed in senior centers. RCW 18.29.058 is related to? - Correct answer Delegated acts—Homebound patients. RCW 18.29.060 is related to? - Correct answer License issuance—Display.

RCW 18.29.071 is related to? - Correct answer Renewals. RCW 18.29.076 is related to? - Correct answer Application of uniform disciplinary act. RCW 18.29.100 is related to? - Correct answer Violations—Penalty—Prosecutions. RCW 18.29.110 is related to? - Correct answer Dental hygiene examining committee— Generally. RCW 18.29.120 is related to? - Correct answer Examinations—Secretary's authority— Consultation with examining authority. RCW 18.29.130 is related to? - Correct answer Secretary's authority—Generally— Continuing education. RCW 18.29.140 is related to? - Correct answer Approval of educational programs. RCW 18.29.150 is related to? - Correct answer Examinations. RCW 18.29.160 is related to? - Correct answer Immunity. RCW 18.29.170 is related to? - Correct answer Committee meetings—Quorum—Effect of vacancy. RCW 18.29.180 is related to? - Correct answer Exemptions from chapter. RCW 18.29.190 is related to? - Correct answer Initial limited license. RCW 18.29.210 is related to? - Correct answer Rules. RCW 18.29.220 is related to? - Correct answer Community-based sealant programs in schools—Data collection. RCW 18.29.230 is related to? - Correct answer Services at senior centers and community-based sealant programs—Dental hygienist duties. RCW 18.29.900 is related to? - Correct answer Construction—1923 c 16. What is the purpose of regulation of health care professions- criteria? - Correct answer The purpose of this chapter is to establish guidelines for the regulation of health professions not licensed or regulated prior to July 24, 1983, and those licensed or regulated health professions which seek to substantially increase their scope of practice The intent of regulating health care professions is to what? - Correct answer exclusive purpose of protecting the public interest

Bills introduced to protect the public are enforced by the state to regulate health professions in what 3 scenarios? - Correct answer -Unregulated practice can clearly harm or endanger the health, safety, or welfare of the public

  • The public needs can be expected to benefit from an assurance of initial and continuing professional ability
  • the public cannot be protected by other means in a more cost-beneficial manner What is any health professional group or organization, any individual, or any other interested party which proposes that any health professional group not presently regulated be regulated or which proposes to substantially increase the scope of practice of the profession? - Correct answer Applicant group What is a voluntary process by which a statutory regulatory entity grants recognition to an individual who (a) has met certain prerequisite qualifications specified by that regulatory entity, and (b) may assume or use "certified" in the title or designation to perform prescribed health professional tasks? - Correct answer Certificate and Certification What is a provision in a regulatory statute applicable to practitioners actively engaged in the regulated health profession prior to the effective date of the regulatory statute which exempts the practitioners from meeting the prerequisite qualifications set forth in the regulatory statute to perform prescribed occupational tasks? - Correct answer Grandfather clause What is the health and health-related licensed or regulated professions and occupations? - Correct answer Health Professions What is the periodic examination of practitioners by a state agency in order to ascertain whether the practitioners' occupation is being carried out in a fashion consistent with the public health, safety, and welfare? - Correct answer Inspection What is the standing legislative committees designated by the respective rules committees of the senate and house of representatives to consider proposed legislation to regulate health professions not previously regulated? - Correct answer Legislative committees of reference What is permission to engage in a health profession which would otherwise be unlawful in the state in the absence of the permission. A license is granted to those individuals who meet prerequisite qualifications to perform prescribed health professional tasks and for the use of a particular title? - Correct answer License/ Licensing/ Licensure What is an individual, nontransferable authorization to carry on a health activity based on qualifications which include: (a) Graduation from an accredited or approved program, and (b) acceptable performance on a qualifying examination or series of examinations?
  • Correct answer Professional License

What is an individual who (a) has achieved knowledge and skill by practice, and (b) is actively engaged in a specified health profession? - Correct answer Practitioner What is an individual who is not, and never was, a member of the health profession being regulated or the spouse of a member, or an individual who does not have and never has had a material financial interest in either the rendering of the health professional service being regulated or an activity directly related to the profession being regulated? - Correct answer Public Member What is the formal notification which, prior to rendering services, a practitioner shall submit to a state agency setting forth the name and address of the practitioner; the location, nature and operation of the health activity to be practiced; and, if required by the regulatory entity, a description of the service to be provided? - Correct answer Registration What is any board, commission, agency, division, or other unit or subunit of state government which regulates one or more professions, occupations, industries, businesses, or other endeavors in this state? - Correct answer Regulatory entity What is every state office, department, board, commission, regulatory entity, and agency of the state, and, where provided by law, programs and activities involving less than the full responsibility of a state agency? - Correct answer State Agency What does "surfaces of the teeth" mean? - Correct answer the portions of the crown and root surface to which there is no periodontal membrane attached T/F: No person may practice as a dental hygienist in Washington state without having a license as such and, after the first year, an unexpired license renewal certificate. - Correct answer True The department shall issue a license to any applicant who has abide by what three things? - Correct answer - successfully completed an educational program approved by the secretary that encompasses the scope of practice within WA

  • has successfully completed an examination administered or approved by the DH examining committee
  • has not engaged in unprofessional conduct or is not unable to practice with reasonable skill and safety as a result of a physical or mental impairment If a hygienist holds a valid license and is currently working in another state, can they work in washington without taking an exam? - Correct answer Yes, this is licensure by endorsement

When can a dental hygienist take impressions of teeth or the jaw? - Correct answer for a dental assistant or as a delegated duty for DH pursuant to rules adopted by the dental quality assurance commission What six settings may a hygienist work in? - Correct answer - hospitals

  • boards of education of public or private schools
  • county boards
  • boards of health
  • public or charitable institutions
  • dental offices A dental hygienist who holds a license and can practice under an expanded function dental auxiliary, may perform what 5 services under general supervision of a dentist? - Correct answer - performing coronal polishing
  • giving fluoride treatments
  • applying sealants
  • placing dental x-ray film and exposing and developing the films
  • giving the patient oral health instructions A dental hygienist who holds a license and can practice under an expanded function dental auxiliary, may perform what two services under close supervision of a dentist? - Correct answer - placing and carving direct restorations
  • taking final impressions How many years must a dental hygienist have worked within the last 5 years, to be employed by a health care facility and senior center, to perform dental hygiene services without dental supervision? - Correct answer must have 2 years practical clinical experience with a licensed dentist T/F: dental hygienists licensed with two years' practical clinical experience with a licensed dentist within the preceding five years may perform authorized dental hygiene operations and services without dental supervision under a lease agreement with a health care facility or senior center - Correct answer True What 5 things are dental hygienists limited to when working in a health care facility or senior center without dental supervision? - Correct answer - removal of deposits and stains from tooth surfaces
  • application of topical preventive or prophylactic agents
  • application of topical anesthetic agents
  • polishing and smoothing restorations
  • performing root planing and soft tissue curettage What 3 things must dental hygienists not perform when working in a health care facility or senior center without dental supervision? - Correct answer - injections of anesthetic agents
  • administer nitrous oxide
  • diagnose for dental treatment When working in a health care facility without dental supervision, a dental hygienist must enter into a written agreement with whom? - Correct answer a dentist licensed in washington. T/F A dentist that has written into an agreement to provide off-site supervision with a hygienist must accept referrals of patients receiving services under the program. - Correct answer False, the dentist is not obligated to accept referrals of patients. What data must a dental hygienist working in a health care facility collect? - Correct answer - age
  • treatments rendered
  • insurance coverage, if any
  • patient referral to dentist
  • health conditions relevant to the provision of dental care, from primary health care provider When must a dental hygienist working in a health care facility submit the collected data?
  • Correct answer at the end of each annual quarter working in "Health care facilities" are limited to what? - Correct answer - hospitals
  • nursing homes
  • home health agencies
  • group homes serving the elderly, individuals with disabilities, and juveniles
  • state-operated institutions under the jurisdiction of the department of social and health services or the department of corrections
  • federal, state, and local public health facilities
  • state or federally funded community and migrant health centers
  • tribal clinics working in a "senior center" means what? - Correct answer a multipurpose community facility operated and maintained by a nonprofit organization or local government for the organization and provision of a combination of some of the following: Health, social, nutritional, educational services, and recreational activities for persons sixty years of age or older. what requirements are needed to work on homebound patients? - Correct answer - DH license in washington
  • two years of practical clinical experience within the preceding five years to work on a homebound patient, does the dental hygienist need to be under close or general supervision of a dentist? - Correct answer general

what three things must a dental hygienist do prior to treating a homebound patient? - Correct answer - Obtain information from the patient's primary health care provider about any health conditions of the patient that would be relevant to the provision of preventive dental care

  • discuss appropriateness of care with the supervising dentist
  • obtain written consent from supervising dentist a patient incapable of travel due to age or disability, is defined as what? - Correct answer homebound patient a supervising dentist has examined and diagnosed the patient and provided subsequent instructions to be performed by the assistive personnel, but does not require that the dentist be physically present in the treatment facility, is defined as what? - Correct answer general supervision supervising dentist whose patient is being treated has personally diagnosed the condition to be treated and has personally authorized the procedures to be performed. The supervising dentist is continuously on-site and physically present in the treatment facility while the procedures are performed by the assistive personnel and capable of responding immediately in the event of an emergency. The term does not require a supervising dentist to be physically present in the operatory, is defined as? - Correct answer close supervision T/F: A dental hygienist does not need to display their license - Correct answer False, a dental hygienist must display their license in a conspicuous place in the operation room where the licensee will practice. If a dental hygienist violates any provision of their licensure, what shall they be guilty of?
  • Correct answer a misdemeanor who makes up the washington dental hygiene examining committee? - Correct answer three practicing dental hygienists and one public member appointed by the secretary how many years must a practicing dental hygienist of worked in order to be on the washington dental hygiene examining committee? - Correct answer no less than five years immediately before appointment What are the qualifications for the public member to be on the washington dental hygiene examining committee? - Correct answer - not be connected with any dental hygiene program
  • not be engaged in any practice or business related to dental hygiene who is in charge of regulating the washington dental hygiene examining committee, creating rules and guidelines for continuing education, creating rules and guidelines for

educational programs, and creating rules and guidelines for examinations? - Correct answer secretary T/F The secretary, members of the committee, and individuals acting on their behalf are immune from suit in any action, civil or criminal, based on any acts performed in the course of their duties. - Correct answer True how many times a year must the washington dental hygiene examination committee meet? - Correct answer at least once a year For a dental hygienist to receive an initial limited license, they must hold what six qualities? - Correct answer - hold a valid license in another state or canadian province

  • currently engaged in active practice in another state
  • submit required documentation
  • take the Washington state law and drug exam
  • pay fees
  • meet required AIDS education For a dental hygienist to receive an initial limited license, how many hours must they have worked in the preceding twenty four months?? - Correct answer 560 hours T/F A dental hygienist with an initial limited license can perform: Oral inspection and measuring of periodontal pockets - Correct answer true T/F A dental hygienist with an initial limited license can perform: patient education in oral hygiene - Correct answer true T/F A dental hygienist with an initial limited license can perform: taking intra-oral and extra-oral radiographs - Correct answer true T/F A dental hygienist with an initial limited license can perform: applying topical preventive or prophylactic agents - Correct answer true T/F A dental hygienist with an initial limited license can perform:

polishing and smoothing restorations - Correct answer true T/F A dental hygienist with an initial limited license can perform: oral prophylaxis and removal of deposits and stains from the surface of the teeth - Correct answer true T/F A dental hygienist with an initial limited license can perform: recording health histories - Correct answer true T/F A dental hygienist with an initial limited license can perform: taking and recording blood pressure and vital signs - Correct answer true T/F A dental hygienist with an initial limited license can perform: performing subgingival and supragingival scaling - Correct answer true T/F A dental hygienist with an initial limited license can perform: root planing - Correct answer true T/F A dental hygienist with an initial limited license can perform: give injections of local anesthetic - Correct answer false T/F A dental hygienist with an initial limited license can perform: place restorations into the cavity prepared by a licensed dentist and afterwards carve, contour and adjust contacts and occlusion of the restoration - Correct answer false T/F A dental hygienist with an initial limited license can perform: soft tissue curettage - Correct answer false T/F A dental hygienist with an initial limited license can perform:

administer nitrous oxide/oxygen analgesia - Correct answer false T/F A dental hygienist with an initial limited license who receives a temporary endorsement to administer local anesthesia, or who has a temporary endorsement for restorative procedures can perform: injections of local anesthetic - Correct answer true T/F A dental hygienist with an initial limited license who receives a temporary endorsement to administer local anesthesia, or who has a temporary endorsement for restorative procedures can perform: soft tissue curettage - Correct answer true T/F A dental hygienist with an initial limited license who receives a temporary endorsement to administer local anesthesia, or who has a temporary endorsement for restorative procedures can perform: administer nitrous oxide/oxygen analgesia - Correct answer true T/F A dental hygienist with an initial limited license who receives a temporary endorsement to administer local anesthesia, or who has a temporary endorsement for restorative procedures can perform: place restorations into the cavity prepared by a licensed dentist and afterwards carve, contour, and adjust contacts and occlusion of the restoration - Correct answer false who is responsible for developing rules and definitions that are implemented into the RCW? - Correct answer - secretary

  • dental hygiene examining committee T/F A dental hygienist working in a low-income, rural, and other at-risk populations in coordination with local public health jurisdictions may perform: assess for and apply sealants - Correct answer true T/F A dental hygienist working in a low-income, rural, and other at-risk populations in coordination with local public health jurisdictions may perform:

apply fluoride varnishes - Correct answer true T/F A dental hygienist working in a low-income, rural, and other at-risk populations in coordination with local public health jurisdictions may perform: remove deposits and stains from the surfaces of teeth - Correct answer true T/F a dental hygienist does not need to attend any schooling or program to apply sealants in a community based program - Correct answer false, a dental hygienist must attend the department's school sealant endorsement program if they were licensed as of April 19, 2001 Does a dental hygienist need to have basic life support (BLS) certification? - Correct answer Yes. The continuing education rule was amended to require dental hygienists to maintain a current basic life support (BLS) card for healthcare providers. What is the difference between a full dental hygiene license and a limited dental hygiene license? - Correct answer A full dental hygiene license allows a dental hygienist to do restorative work. Restorative work isn't allowed with the limited dental hygiene license per RCW 18.29.190 Does a patient of record have to have been seen by a dentist within the past year to fall within the general supervision for the purposes of providing services with the dentist out of the office? - Correct answer There is no time limit in the rules. He or she must only be a patient of record. In a dental office, a dental hygienist may not see or treat a new patient who has never been seen by the dentist. Do I have to post my license? - Correct answer Yes. The rules require all dental staff members to post their credentials, whether they have licenses, certifications or registration per WAC 246-817-301. How many CE's are dental hygienists required to have each year? - Correct answer Dental hygienists are required to complete 15 clock hours of continuing education (CE) annually. What two rules are currently being reviewed and updated? - Correct answer WAC 246- 814: Access to dental care for children AND WAC 246-815: Dental Hygienists