DHE 116 Chapter 10 Legal and Ethical Responsibilities

  1. Licensure Requirements for AZ DA:
    Laws exist that govern the use of ionizing radiation in dentistry.
    The dental auxiliary must be informed of and comply with these regulations.
    The possibility of negligent care exists when dental radiographs are not properly exposed or used.
    • DA must be Radiography Certified (DANB)
    • May include:
    • Obtaining additional certification in dental radiography
    • Exposing dental radiographs only under the direct supervision of the dentist
    • Following restrictions concerning the types of dental radiographs that may be legally exposed
  2. Licensure Requirements for AZ DH:
    Laws exist that govern the use of ionizing radiation in dentistry.
    The dental auxiliary must be informed of and comply with these regulations.
    The possibility of negligent care exists when dental radiographs are not properly exposed or used.
    • DH cert./licensure come with RDH (NBDHE)
    • May include:
    • Obtaining additional certification in dental radiography
    • Exposing dental radiographs only under the direct supervision of the dentist
    • Following restrictions concerning the types of dental radiographs that may be legally exposed
  3. _________ means that the dentist is present in the office when the radiographs are taken.
    Direct supervision
  4. _________ actions against health care providers have increased in numbers and amount of awards in recent years. Improper practice that results when one is negligent.
    malpractice
  5. ________ includes policies and procedures that reduce the chance that a patient will file legal action against a dentist and the oral health care team. eg. informed consent
    Risk Management
  6. ________  Persons seeking health care services have the legal right to make choices about the care they receive, including the opportunity to consent to or to refuse treatment.
    Self-determination
  7. To be a ble to provide _________ prior to undergoing radiographic examinations,a dentist must explain the nature purpose of the examination to a patient. 
    Patient has the right to be informed of:
    Risks, benefits and harm if x-rays not taken
    Person taking x-rays
    Number and type of x-rays
    Give alternatives, if available
    Informed consent
  8. ______ is The process of informing the patient about the particulars of exposing dental radiographs
    Disclosure
  9. know:

    Information presented to the patient should include:
    The purpose and potential benefits of the radiographs
    The person responsible for exposing the radiographs
    The number and type of radiographs
    The possible harm that may result if the radiographs are not exposed
    The risks associated with x-ray exposure
    The alternative diagnostic aids that may serve the same purpose as the radiographs
    know:

    • Information presented to the patient should include:
    • The purpose and potential benefits of the radiographs
    • The person responsible for exposing the radiographs
    • The number and type of radiographs
    • The possible harm that may result if the radiographs are not exposed
    • The risks associated with x-ray exposure
    • The alternative diagnostic aids that may serve the same purpose as the radiographs
  10. ______ means to be legally obligated to make good any loss or damage that may occur
    liable
  11. Dental auxiliary are _____ for their own actions.
    legally liable
  12. Dentist are accountable to supervise the performance of dental auxiliaries and are ____for the their auxiliaries actions
    liable
  13. _______  is when the diagnosis made or the dental treatment delivered falls below the standard of care
    Negligence
  14. _______ The quality of care that is provided by dental practitioners in a similar locality under the same or similar conditions
    Standard of care
  15. _______ The time period during which a patient may bring a malpractice action against the dentist or auxiliary
    Statute of limitations
  16. Documentation Required and include in the patient records:
    • Signed inform consent
    • Number and type of radiographs(including retakes)
    • Rationale for these radiographs
    • Diagnosis obtained from the radiographs.
    • Confidentiality
    • Dental notes should never be erased or blocked out.
    • Cloud sharing = digital sharing must be HIPAA compliant & encrypted
    • HIPAA = Health Insurance Portability and Accountability Act
  17. All dental patient records including x-rays are ________
    confidential
  18. _____ laws govern patient records and can impose sanctions, fines or even jail time if confidentially is breached.
    HIPAA
  19. Legally, dental radiographs are the property of the ____
    dentist

    • Patients do have the right of reasonable access to their records.
    • Dental records and dental radiographs should be retained indefinitely
  20. Patient needs to sign a ____ for copies of x-rays to go to new dentist or for their own records.
    record release
  21. Arizona laws:

    State laws regulate dental radiograph exposure.

    Dentist and Hygienist are not required to have an additional certification to take dental x-rays.

    Dental Assistants need to take and pass the RHS exam as per the DANB standard
    depending on state laws change
    • Arizona laws:
    • State laws regulate dental radiograph exposure.

    Dentist and Hygienist are not required to have an additional certification to take dental x-rays.

    • Dental Assistants need to take and pass the RHS exam as per the DANB standard
    • depending on state laws change
  22. Patients Who Refuse Dental Radiographs
    • The situation must be carefully considered by the dentist.
    • The dentist must decide whether an accurate diagnosis can be made and whether treatment can be provided.
  23. Who owns my dental radiographs?
    • All dental records including x-rays belong to the dentist. A patient can request copies of x-rays or request that they be digitally sent electronically to referring dentist.
    • Dentist will not need a signed release of records to send to specialist the we refer them to.
    • If pt. want copy for own records or is switching dentist a signed records release is needed. Some dentist will charge a duplication fee.
Author
dentalhygiene
ID
333844
Card Set
DHE 116 Chapter 10 Legal and Ethical Responsibilities
Description
DHE 116 Chapter 10 Legal and Ethical Responsibilities
Updated