DENTAL HYGIENE FLORIDA LAWS AND RULES QUESTIONS WITH CORRECT ANSWERS

466.001- Legislative Purpose and Intent (Purpose of the law) - Ensure that every dentist or dental hygienist practicing in this state meets minimum requirements for safe practice without undue clinical interference by persons not licensed. Dentistry - _______ is the healing art which is concerned with the exam, diagnosis, treatment planning and care of conditions within the human oral cavity and adjacent tissues and structures. Dental Hygiene - ______ is the rendering of educational, preventive and therapeutic dental services and any related extra oral procedure required in the performance of services. Board of Dentistry members include: - 11 members total: 7 dentists actively practicing 2 hygienists actively practicing 2 lay persons non dental related How many years experience must dentists/hygienists have on BOD - At least 5 years clinical preceding the appointment on BOD. Must remain in clinical practice while on BOD How many term years do dental hygiene board members serve? - 4 What is the maximum number of years a board member may serve? - 10 Who appoints the BOD members? - Governor of Florida One board member of the board must be at least ____ years old. - 60 466.024 Delegation of Duties; Expanded functions - -Dentists may not delegate irremediable tasks except as provided by law -Remediable tasks may be delegated if they pose no risk -May only delegate remediable tasks defined by law or rule -Dentists delegate NON-dentists Authorization for irremediable tasks under general supervision is - 13 months Who designates remediable and delegable tasks? - BOD Intraoral treatment tasks which are irreversible and create unalterable changes within the oral cavity or structures? - Irremediable (anesthetic) Intraoral treatment tasks which are reversible and do not create unalterable changes within the oral cavity or structures and do not cause an increased risk to the patient? - Remediable tasks (rubber dam, matrix band, polish amalgam) Applying topical with jet spray is what type of task? - Irremediable A Dental Hygienist who applies bleaching solution, activates light source, monitors and removes in-office bleaching materials is performing a ______ task. - Remediable The practicing dentist is out of the country and a patient comes into the office with an emergency. Which remediable task is the hygienist/assistant able to perform? - Recementing temporary crown with temporary cement. The use of laser or a laser type device is considered to be what type of task? - Irremediable Who may perform emergency remediable tasks under conditions specified in the laws? - both DH and DA Continuing Education - -A hygienist can be excused from CE requirements due to hardship. -You have the option to be placed on inactive status if you pay the inactive status fee. How many CE hours are required for dental hygienists? - 24 credits biennially How many CE hours are required for dentists? - 30 credits biennially How many minutes are equivalent to one hour of CE? - 50 Minutes *One half hour or one hour of CE credit shall be awarded for each 25 or 50 minutes of actual classroom or clinical instruction, respectively. No CE credit shall be awarded for participation of less than 25 minutes. Extra CE credits - -Up to 11 CE Hrs for being expert witness -Up to 3 CE Hrs for each semester teaching -Up to 4 CE Hrs for attending BOD discipline meeting Pro Bono CE Credit - 1 CE for every 1 Hr of Pro Bono Work. Max 7Hrs Biennium In a percentage, what is the highest amount that can be completed from probono work? - 25% What is not an appropriate topic for CE - Chemotherapeutic Agents Which is an appropriate educational activity or topic for CE? - Board approved individual study Which of the following is an example of a CE a dental hygienist would take? - Patient Stress Management When are licensees excused from CE? - In the 1st biennium of licensure How long should you keep receipts, vouchers or certificates as necessary document completion of CE courses? - 4 years Who of the following are required to take CE credits? - Practicing hygienist and dentist A DDS or DH takes a 10 hr. course on HIV/AIDS. The remaining 9 hrs. could count toward their 24/ 30 hrs. required for license renewal ? - True If 40 hrs of CE are taken in 1 biennium, the remaining hours taken can count towards the renewal requirement for the next biennium? - False Prescriptions - -Dentists can prescribe drugs and administer anesthesia and sedation subject to limitations (scope of training) -The board will define rules on training certification, limits of use, and mechanism to assure compliance - Dentist MUST have CPR training every 2 years and resuscitation equipment in good working order. Can a dental hygienist prescribe fluoride or chlorhexidine to a pt of record? - -Hygienists can only recommend fl and chlorhexidine, not prescribe it. -Some pts will not buy chlorhexidine or fl at a dental office (typically due to cost). The dentist may write a prescription for the pharmacy to dispense it for the pt. What needs to be included on an Rx? - -Patient name and address DDS name, address, and license# -Name, business address, license# of DH -Statement of specific services authorized -Statement of frequency -ORIGINAL Rx is given to Patient. Copy goes in their chart Which of the following is legal of a DDS writing Rx? - Writing within the scope of dentistry How long is a Dental Hygiene Rx good for? - 2 years (24 months) What must be included on a Rx for a prescription strength fluoride gel? - DDS license number Analgesia - Absence of pain without loss of consciousness Anesthesia - the loss of feeling or sensation, especially loss of the sensation of pain. Local Anesthesia - the loss of sensation of pain in a specific area of the body, generally produced by a topically applied agent or injected agent without causing the loss of consciousness General Anesthesia - a controlled state of unconsciousness, produced by a pharmacological agent, accompanied by a partial or complete loss of protective reflexes, including the ability to independently maintain an airway and respond purposefully to physical stimulation or verbal command. This modality includes administration of meds via parenteral routes (oral, rectal or transmucosal) Deep Sedation - a controlled state of depressed consciousness accompanied by partial loss of protective reflexes, including either or both the inability to continually maintain airway or respond to stimulation. In order to administer Anesthesia in any form, the DDS or DH must possess an active CPR certification - True Anesthesia permit - $35 application fee Certified copy of transcripts from school Diploma Copy of CPR card If the DDS uses anesthesia in the office, the staff must be trained in anticonvulsants? - True What is a dental hygienist allowed to do in regards to NO - DH are NOT allowed to turn it on, but can monitor/adjust and turn off Nitrous Oxide: DA works under ________ supervision. DH works under _________ supervision. - Direct; Indirect Conscious and General Sedation requirements - -60 didactic hours -2 people must be present in order for DDS to perform conscious sedation -3 people must be present in order for DDS to perform general sedation Nitrous Oxide - -Only agents allowed for inhalation in the dental office are nitrous and oxygen -Nitrous may be used with a single dose enternal sedative Who grants sedation permits? - BOD Any DDS practicing in FL must notify the BOD in writing by registered mail, postmarked within ______ hrs of any mortality or other incident occurring in the outpatient facilities - 48 A complete written report shall be filed with the BOD within ______ days of the mortality or other incident. - 30 days A DH under the ________ supervision of a DDS may administered local anesthesia, including block anesthesia, infiltration anesthesia. If the patient is 15 years of age? - None! The patient must be 18 years old in order for the DH to administer local anesthesia. Nitrous Oxide produces an - altered state of consciousness With conscious sedation: a) the patient must be slightly awake b) the patient must be under 100lbs c) must not effect physical ability - c) must not effect physical ability What is the minimum oxygen level required when administering nitrous oxide? - 25% Any CRDH administering local anesthesia must notify the BOD in writing by registered mail within ____ of any adverse occurrence that was related to or the result of the administering of local anesthesia. A complete written report shall be filed with the BOD within _____ of the mortality or other adverse occurrence. - 24 hours; 30 days What equipment should be present in ER/recovery rooms when using sedation? - O2 tank EKG machine Defibrillator Thermometer BP cuff A bronchodilator is needed in the recovery room when performing sedation in the dental office? - True