Dental Laws and Infection Control Final, Jurisprudence Exam Study Guide, NC Laws, NC, STUDY, Laws Quiz 1-9

No (False)

Does the NC Board of Dentistry have the power to grant licensure by reciprocity?

8 total members, 6 dentists, 1 hygienist, 1 civilian

Total number of Board members? How many Dentists, RDH's, Citizen members?

Hygienist cannot vote for dental licensing matters, consumer cannot vote for dental or dental hygiene licensing matters

Restrictions placed on the dentist, dental hygienist, and consumer members:

member is selected and appointed by the governor and must be an NC state resident and not hold a license in dentistry or hygiene

What is the selection criteria for the consumer member? How is this member chosen?

Must hold a current nc license and reside in or practice in NC

What are the qualifications for the dental hygienist board member?

No less than 10 signatures

How many signatures are needed on the petition to nominate a RDH to the board

Every hygienist holding a current license in NC and residing in or practicing in NC

Who can vote in the general election to elect RDH members to the board

One term of three years

What is the term limit for a board member

Granting revocation suspension of license and renewal, conduct examination for licensure, provide for programs for impaired hygienist and dentist

What is the purpose and duty of the board of Dental Examiners? list three functions

A majority of the members of said board

What constitutes a quorum of the board

The power to administer oaths and issue subpoenas

Name the judicial power granted to the board president and/or secretary-treasurer

$100 per day

Compensation / per diem for a board member is fixed by the board and not to exceed

License shall at all times be displayed in a conspicuous place in the office of the holder, duplicate license is issued to holder upon receipt of application for duplicate and fee

Describe the criteria for the display of your license. What do you do if you work in more than one office?

Any person who is licensed to practice hygiene anywhere in the US or in any country territory or other recognized jurisdiction, applicant may not have previously failed in examination conducted by the NC State Board of Dental Examiners

Two criteria for a provisional hygiene license

The date of the announcement of the results of the next succeeding board examination of candidates for licensure to practice dental hygiene

A provisional hygiene license shall be valid until

Dentist with out-of-state current or expired license, expired license in NC State, or are authorized to treat veterans or US Service members, and has actively practice dentistry within the last 5 yrs

Who is eligible for a volunteer license

Class 2 misdemeanor

What type of offense is a violation of board rules regulations or bylaws

Yes (true)

Does the board have authority to develop programs for impaired

Dental hygiene

Performing complete oral prophylaxis, application of preventive agents to oral structures, exposure and processing of radiographs, administration of medicaments, preparation of diagnostic aids, written records of oral conditions as may be permitted by rules and regulations of the board

Dental hygienist

Any person who is a graduate of a board accredited school of dental hygiene, who has been licensed by the board and who practices dental hygiene as prescribed by the board

Board

The North Carolina State Board of Dental Examiners created by Chapter 139 Public Laws of 1879 and Chapter 178 Public Laws of 1915 as continued in existence by GS 90 - 22

Direct supervision

Acts are deemed to be under the supervision of a licensed dentist when performed in a locale where a licensed dentist is physically present during the performance of such acts and such acts are being performed pursuant to the dentist order

$81

North Carolina State RDH licensure renewal fee

$25

Contribution to the NC caring dental professionals

$25

Duplicate license fee

$50

Late fee for licensure

Jan 31

RDH licensure renewal is due on

March 31st

When does the license renewal become void if not paid

$50 late fee after January 31st, voided license after March 31st

What are the consequences for late renewal of RDH license

Class 1 misdemeanor

Practicing hygiene without a license is considered to be what type of offense

Individual licensed to practice hygiene in any state or territory and produces satisfactory evidence, is in good standing with the licensing jurisdiction, has passed the National Board dental hygiene examination

Three criteria for eligibility of licensure by credentials

Convicted of or entered a plea of guilty to any felony charge or misdemeanor involving moral turpitude, has engaged in any acts of fraud deceit or misrepresentation in obtaining a license or renewal

2 reasons why the board might refuse to issue, renew, or revoke/ suspend a license

Yes (true)

Once notified by the Board of misconduct do applicants have a right to a hearing

Yes (true)

Can the board conduct the investigation issue subpoenas and take depositions

Direct supervision under one or more dentists

What supervision is required for a private practice RDH

3 years of experience in clinical dental hygiene or min of 2,000 hrs of prophy or perio debridement under supervision of licensed dentist, CPR cert, 6 hrs of CE in med emerg, other required hrs of yearly CE, designation by employing dentist as being capable of performing procedures without direct supervision

Criteria for an RDH to practice in a nursing home

Complete and sign a notarized application from the Board, submit $265 application fee, provide written evidence of military spouse status and hold a current DH license from another jurisdiction whose standards are equivalent to NC

Requirements for a military spouse to receive a dental hygiene license

5 years experience in clinical hygiene CPR cert updated annually 6 hours of CE in med emerg yearly

Qualifications for an RDH to become a public health rdh

2

How many Rdh's can a 1 DDS supervise

Enjoin from practice revocation of license and initiation of appropriate legal proceedings

Practicing hygiene without a license is punishable by

Each RDH must complete a minimum of 6 clock hours of CE each calendar year

List the criteria to renew a dental hygiene license how many hours of CE are required

Must be directly related to clinical patient care, hours spent reviewing publications or videos shall not count with the exception of self studies approved and sponsored by the Board

Restrictions on correspondence and online CE courses are

No CPR hours are in addition to mandatory CE hours

Do CPR hours count toward CE requirements

Hours completed toward CE requirements are indicated on the renewal application form at the time of renewal

How and when are CE hours reported?

At least 2 years

How long must a RDH maintain CE records

Title, number of instruction hours, date of course attended, name of instructor, name of organization or sponsor offering the course

What is required if a RDH uses home study courses for CE credits

Board may refuse to issue renewal certificate

Penalty for non compliant with the CE requirements

7 hours of instruction in production & use, and 7 hours of clinical radiology

How many hours of training does a DA need to expose radiographs

Assist dentist chairside, OHI, topical fluoride or topical anesthetic, expose radiographs

Three duties of a DA 1

Insert matrix band and wedges, place cavity bases and liners, place or remove rubber dams

Three duties of a DA 2

Minimum of 7 clock hours

How many hours of nitrous training is a DA 2 required to obtain

Presenting false or misleading testimony statements or records to the board, any act which would constitute sexual assault or battery, violating a lawful order of the Board, acquiring any controlled substance by misrepresentation, having connection with illegal practice of dental hygiene

5 acts that are considered unprofessional conduct of an RDH

10 years

Patient records must be maintained for how long

Upon patient request provide original or copies of radiographs and summary of tx record to patient or licensed dentist of patient's choice, fee may be charged for duplication, record shall be provided within 30 days of request and not be contingent upon outstanding balances/fees owed

What are the requirements for transfer of patient records

bioburden

Name of organic material found on instrument surfaces prior to decontamination

sterilization

Use of physical or chemical procedures to destroy all microbes including spores

workplace devices and procedures controls

what are controls that remove a hazard from the workplace called?

hazardous exposure

Workplace procedures & devices help to reduce

Standard precaution

What is it called when all pt's are treated as if they have an infectious disease?

viruses

These are the smallest of all microbes

sharps or approved waste container

Regulated medical waste in the office is disposed of in

disposal or treatment site

Once containers are full, regulated medical waste is taken to

extracted teeth, needles

2 examples of regulated medical waste

cavitron, ultrasonic bath, dental hand piece

list 3 examples of dental equipment that produce aerosols

Rubber dam, HVE, saliva ejector, close lid over ultrasonic bath

What can be done/used to minimize spray, spatter, and aerosols?

true

Any surface in the operatory not covered by a barrier is considered contaminated (T/F)

latex, non-latex, or vinyl exam gloves

What type of gloves are used for routine dental tx?

Utility gloves

What type of gloves are used for operatory clean-up?

op clean up, handling contaminated instruments

When would you wear "heavy" gloves?

wash/sanitize hands

What should be done immediately after gloves are removed?

true

If a clinician does not immediately wash/sanitize hands after glove removal a latex allergy could occur due to particles in the air. (T/F)

stop tx, remove gloves, check skin for stick, wash hands, re-glove

What should you do if a glove becomes punctured during tx?

mask, face-shield, eyewear, gloves, protective clothing (lab gown)

What PPE is necessary when spray, spatter, and aerosols are anticipated?

transient

What microbes can be completely removed/greatly reduced with hand

wash 15 sec, rinse 10 sec

How long should you wash hands for?

After each patient or when wet/soiled during tx

How often should masks be changed?

Protective eyewear, side shields

What does a face-shield replace? When wearing one you don't need to wear______

Some surfaces are difficult to disinfect/clean (A/W syringe, hoses)

Why are barriers used on surfaces?

Beginning of day, when contaminated during barrier removal, end of day

How often are surfaces covered with barriers disinfected?

Chair, keyboard, light handle, tray

4 surfaces in operatory that should be covered by barriers

semi-critical items

Items that touch oral mucosa but do not penetrate the body are classified as

fully sterilized

How are critical and semi-critical items handled?

semi-critical

Mouth mirror is an example of that type of item

pre-clean, spray-wipe-spray or wipe-discard-wipe

What should be done prior to DISINFECTING environmental surfaces

intermediate level

What product level is approved for surface and equipment disinfection?

tuberculosis

what organism must an intermediate level disinfectant kill

10 min

how long must surfaces remain wet when disinfecting

5 days

Amount of time it takes for biofilm to form in a new dental unit

2-3 mins at start of each day, 20-30 seconds in between patients

How long are waterlines flushed at start of each day and in between pt's?

after long breaks, after unit fails water test

At CCCC when is water system shocked with Sterilex?

Use 1 ICX tablet in bottle water, flush 2-3 mins at start of day, flush 20-30 secs between pt's

At CCCC how are waterlines maintained daily?

At end of semester or before a long break

At CCCC when are waterlines purged?

end of each day with enzymax cleaner

When are HVE and vacuum lines cleaned?

sharps container

Where are ext teeth disposed of?

facultative microbes

Microbes that grow in presence or absence of oxygen

smaller than bacteria, obligate intracellular parasite, nucleic acid core (DNA or RNA), capsid and envelope

Structure of a virus

replication stage

In what stage of the virus life does the host cell synthesize new viral DNA/RNA?

prions and endospores

These microbes are most resistant to chemicals

Ethylene oxide gas, gluteraldehyde liquid

List 2 high level disinfectants

10 hrs

How long does it take to sterilize instruments in gluteraldehyde?