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DENTAL LAWS AND INFECTION
CONTROL FINAL, JURISPRUDENCE
EXAM STUDY GUIDE, NC LAWS, NC,
STUDY, LAWS QUIZ 1- 9 EXAM |
QUESTIONS & ANSWERS (VERIFIED) |
LATEST UPDATE | GRADED A+
Does the NC Board of Dentistry have the power to grant licensure by reciprocity? Correct Answer: No (False) Total number of Board members? How many Dentists, RDH's, Citizen members? Correct Answer: 8 total members, 6 dentists, 1 hygienist, 1 civilian Restrictions placed on the dentist, dental hygienist, and consumer members: Correct Answer: Hygienist cannot vote for dental licensing matters, consumer cannot vote for dental or dental hygiene licensing matters What is the selection criteria for the consumer member? How is this member chosen? Correct Answer: 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 are the qualifications for the dental hygienist board member? Correct Answer: Must hold a current nc license and reside in or practice in NC How many signatures are needed on the petition to nominate a RDH to the board Correct Answer: No less than 10 signatures Who can vote in the general election to elect RDH members to the board Correct Answer: Every hygienist holding a current license in NC and residing in or practicing in NC What is the term limit for a board member Correct Answer: One term of three years What is the purpose and duty of the board of Dental Examiners? list three functions Correct Answer: Granting revocation suspension of license and renewal, conduct examination for licensure, provide for programs for impaired hygienist and dentist What constitutes a quorum of the board Correct Answer: A majority of the members of said board Name the judicial power granted to the board president and/or secretary-treasurer Correct Answer: The power to administer oaths and issue subpoenas
What type of offense is a violation of board rules regulations or bylaws Correct Answer: Class 2 misdemeanor Does the board have authority to develop programs for impaired Correct Answer: Yes (true) 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 Correct Answer: Dental hygiene 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 Correct Answer: Dental hygienist 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
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 Correct Answer: Direct supervision North Carolina State RDH licensure renewal fee Correct Answer: $ Contribution to the NC caring dental professionals Correct Answer: $ Duplicate license fee Correct Answer: $ Late fee for licensure Correct Answer: $ RDH licensure renewal is due on Correct Answer: Jan 31 When does the license renewal become void if not paid Correct Answer: March 31st
Correct Answer: Direct supervision under one or more dentists Criteria for an RDH to practice in a nursing home Correct Answer: 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 Requirements for a military spouse to receive a dental hygiene license Correct Answer: 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 Qualifications for an RDH to become a public health rdh Correct Answer: 5 years experience in clinical hygiene CPR cert updated annually 6 hours of CE in med emerg yearly How many Rdh's can a 1 DDS supervise Correct Answer: 2 Practicing hygiene without a license is punishable by Correct Answer: Enjoin from practice revocation of license and initiation of appropriate legal proceedings
List the criteria to renew a dental hygiene license how many hours of CE are required Correct Answer: Each RDH must complete a minimum of 6 clock hours of CE each calendar year Restrictions on correspondence and online CE courses are Correct Answer: 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 Do CPR hours count toward CE requirements Correct Answer: No CPR hours are in addition to mandatory CE hours How and when are CE hours reported? Correct Answer: Hours completed toward CE requirements are indicated on the renewal application form at the time of renewal How long must a RDH maintain CE records Correct Answer: At least 2 years What is required if a RDH uses home study courses for CE credits Correct Answer: Title, number of instruction hours, date of course attended, name of instructor, name of organization or sponsor offering the course
order of the Board, acquiring any controlled substance by misrepresentation, having connection with illegal practice of dental hygiene Patient records must be maintained for how long Correct Answer: 10 years What are the requirements for transfer of patient records Correct Answer: 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 Name of organic material found on instrument surfaces prior to decontamination Correct Answer: bioburden Use of physical or chemical procedures to destroy all microbes including spores Correct Answer: sterilization what are controls that remove a hazard from the workplace called? Correct Answer: workplace devices and procedures controls Workplace procedures & devices help to reduce Correct Answer: hazardous exposure
What is it called when all pt's are treated as if they have an infectious disease? Correct Answer: Standard precaution These are the smallest of all microbes Correct Answer: viruses Regulated medical waste in the office is disposed of in Correct Answer: sharps or approved waste container Once containers are full, regulated medical waste is taken to Correct Answer: disposal or treatment site 2 examples of regulated medical waste Correct Answer: extracted teeth, needles list 3 examples of dental equipment that produce aerosols Correct Answer: cavitron, ultrasonic bath, dental hand piece What can be done/used to minimize spray, spatter, and aerosols? Correct Answer: Rubber dam, HVE, saliva ejector, close lid over ultrasonic bath Any surface in the operatory not covered by a barrier is considered contaminated (T/F)
What microbes can be completely removed/greatly reduced with hand Correct Answer: transient How long should you wash hands for? Correct Answer: wash 15 sec, rinse 10 sec How often should masks be changed? Correct Answer: After each patient or when wet/soiled during tx What does a face-shield replace? When wearing one you don't need to wear______ Correct Answer: Protective eyewear, side shields Why are barriers used on surfaces? Correct Answer: Some surfaces are difficult to disinfect/clean (A/W syringe, hoses) How often are surfaces covered with barriers disinfected? Correct Answer: Beginning of day, when contaminated during barrier removal, end of day 4 surfaces in operatory that should be covered by barriers Correct Answer: Chair, keyboard, light handle, tray
Items that touch oral mucosa but do not penetrate the body are classified as Correct Answer: semi-critical items How are critical and semi-critical items handled? Correct Answer: fully sterilized Mouth mirror is an example of that type of item Correct Answer: semi-critical What should be done prior to DISINFECTING environmental surfaces Correct Answer: pre-clean, spray-wipe-spray or wipe-discard-wipe What product level is approved for surface and equipment disinfection? Correct Answer: intermediate level what organism must an intermediate level disinfectant kill Correct Answer: tuberculosis how long must surfaces remain wet when disinfecting Correct Answer: 10 min Amount of time it takes for biofilm to form in a new dental unit Correct Answer: 5 days
Structure of a virus Correct Answer: smaller than bacteria, obligate intracellular parasite, nucleic acid core (DNA or RNA), capsid and envelope In what stage of the virus life does the host cell synthesize new viral DNA/RNA? Correct Answer: replication stage These microbes are most resistant to chemicals Correct Answer: prions and endospores List 2 high level disinfectants Correct Answer: Ethylene oxide gas, gluteraldehyde liquid How long does it take to sterilize instruments in gluteraldehyde? Correct Answer: 10 hrs When would you not use a steam autoclave? Correct Answer: when sterilizing liquid items Why is alcohol not used as a surface disinfectant? Correct Answer: evaporates quickly, corrosive, not sporicidal Which chemical disinfectants have to be mixed daily?
Correct Answer: Iodophors, hypochlorites, synthetic phenols, chlorine compounds Which disinfectants are used for immersion Correct Answer: gluteraldehyde and hydrogen peroxide what method of cleaning instruments is most effective Correct Answer: ultrasonic bath How long are cassettes placed in ultrasonic for Correct Answer: 15 mins How often is ultrasonic bath drained and disinfected Correct Answer: daily or when soiled Why is it important to cover ultrasonic bath before operating? Correct Answer: prevent aerosols Purpose of holding solution is to Correct Answer: prevent debris from drying to instruments, easy cleaning This sterilization method dulls instruments Correct Answer: steam autoclave
Correct Answer: immunoglobulin or Hep B vaccine If clinician is exposed but pt source is unknown what should be done? Correct Answer: notify supervisor, get consent from clinician to perform HIV serolytic test 3 symptoms of TB Correct Answer: coughing, night sweats, fever What segment of the population is at an increased risk for TB Correct Answer: economically depressed population How is TB spread? Correct Answer: Airborne/Droplet transmission of active respiratory infection from person to person If a person has been diagnosed with TB they will always test positive for TB with a skin test (T/F) Correct Answer: False Fungal infection sometimes seen intraorally Correct Answer: oral candidiasis
How long after exposure to HIV would you expect to see acute HIV? Correct Answer: 3 - 6 weeks after exposure mono-like symptoms What group has the highest prevalence of HIV? Correct Answer: male to male sexual contact 3 high risk behaviors for HIV Correct Answer: IV drug users, unprotected sex, substance abuse Is an employer responsible for offering Hep B immunizations? Correct Answer: yes What things should not be done in treatment areas Correct Answer: eating, drinking, smoking, applying cosmetics What should be done if sterilization cycle is interrupted before completion Correct Answer: stop sterilizer, allow to cool, re-sterilize instruments What is regulated by fed govt Correct Answer: manufacturing and labeling of med devices, safety of drugs and devices, safety and efficacy of disinfectants, medical waste, worker safety, instrument sterilizing
