Remediable And Delegable Tasks Flashcards

1
Q

How many tasks are considered to be remediable and delegable by the assistant and hygienist by the LAW? (Under 466.024)

A

12

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2
Q

Taking impressions for study casts but not for the purpose of fabricating any intraoral restorations or orthodontic appliance

A

DA- indirect with formal training
RDH- General with formal training
1 of the 12

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3
Q

Placing periodontal dressings

A

RDH-General
DA-Indirect
1 of the 12

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4
Q

Removing periodontal or surgical dressings

A

RDH-General
DA-Indirect
1 of the 12

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5
Q

Removing sutures

A

RDH-General
DA-Indirect
1 of the 12

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6
Q

Placing or removing rubber dams

A

Both RDH and DA indirect
(one of the 12)

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7
Q

Placing or removing matrices

A

Both RDH and DA indirect
(One of the 12)

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8
Q

Placing or removing temporary restorations with non-mechanical hand instruments only

A

RDH-General
DA- Direct
(One of the 12- it excluded the hand instruments only)

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9
Q

Applying cavity liners, varnishes, or bases

A

Both RDH and DA indirect
1 of the 12

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10
Q

Polishing amalgam restorations

A

One of the 12 remediable and delegable tasks

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11
Q

Polishing clinical crowns of the teeth for the purpose of removing stains but not changing the existing contour of the tooth

A

RDH- General
DA-Direct
1 of the 12

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12
Q

Obtaining bacteriological cytological specimens not involving cutting of the tissue

A

RDH- General
1 of the 12

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13
Q

Administering local anesthesia

A

For exam purposes- it is irremediable, but it is “remediable and delegable” under direct supervision
1 of the 12

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14
Q

What are the 6 tasks that a dental hygiene in a health access setting may perform without the physical presence, prior examination, or authorization of a dentist?

A

Perform dental charting
Measure and record a patients BP, pulse, resp, and oral temp
Record a patient’s case hx
Apply topical fluorides, including fluoride varnishes, which are approved by the American Dental Association or the Food and Drug Administration
Apply dental sealants
Remove calc deposits, accretions, and stains from exposed surfaces of the teeth and from tooth surfaces within the gingival sulcus

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15
Q

What is needed by a dentist or physician before a dental hygienist performs a prophy?

A

Medical clearance

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16
Q

How long after a dental hygienist performs a cleaning must the patient be seen by a dentist?

A

13 months

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17
Q

Who is primarily responsible for all procedures delegated?

A

Dentist

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18
Q

Fabricating temp crowns or bridges intra-orally which shall not include any adjustment of occlusion to the appliance or existing dentition

A

Both RDH and DA direct

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19
Q

Selecting and pre-sizing orthodontic bands, including the selection of the proper size band for a tooth to be banded which does not include or involve any adapting, contouring, trimming or cementing otherwise modifying the band material such that it would constitute fitting the band

A

Both RDH and DA direct

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20
Q

Selecting and pre sizing archwires prescribed by the patients dentist so long as the dentist makes all final adjustments to be, arch form determination, and symmetry prior to final placement

A

Both RDH and DA direct

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21
Q

Selecting prescribed extra-oral appliances by pre-selection or pre-measurement which does not include final fit adjustment

A

Both RDH and DA direct

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22
Q

Preparing a tooth surface by applying conditioning agents for a orthodontic appliances by conditioning or placing of sealant materials which does not include placing brackets

A

Both RDH and DA is direct

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23
Q

Packing and removing retraction cord, so long as it does not contain vasoactive chemicals and is used solely for restorative dental procedures

A

Both RDH and DA direct

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24
Q

Removing and re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance

A

Both RDH and DA direct

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25
Q

Inserting or removing dressing from alveolar sockets in post-operative osteitis when the patient is uncomfortable due to the loss of a dressing from an alveolar socket in diagnosed cases of post-operative osteitis

A

Both RDH and DA direct

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26
Q

Assist the dentist in the initiation of nitrous-oxide to a special needs patient or ASA IV dental patients provided the patient has not been previously sedated and the hygienist is in full compliance with the requirements

A

RDH-Direct
DA-Cannot assist in the initiation

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27
Q

Changing of bleach pellets in the internal bleaching process of non-vital endodontically treated teeth after the placement of a rubber dam. The hygienist may not make initial access preparations

A

On the job training direct supervision for both hygienist and assistants

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28
Q

Administer local anesthesia

A

RDH-Direct

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29
Q

Removal of excess remaining bonding adhesive or cement following ortho appliance removal with slow-speed rotary instruments, hand instrument, or ultrasonic scalers

A

RDH only- indirect

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30
Q

Placing or removing rubber dams

A

Both RDH and DA indirect
(One of the 12)

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31
Q

Placing or removing matrices

A

Both RDH and DA indirect

32
Q

Applying cavity liners, varnishes or bases

A

Both RDH and DA indirect

33
Q

Securing or unsecuring an archwire by attaching or removing the fastening device

A

Both DA and RDH indirect

34
Q

Marginating restorations with finishing burs, green stones, and/or burley wheels with slow-speed rotary instruments which are not for the purpose of changing existing contours or occlusion

A

RDH-Indirect
DA-Cannot do

35
Q

Cementing temp crowns and bridges with temp cement

A

DA- Direct with formal training
RDH- Indirect with formal training

36
Q

Assist the dentist in the initiation of nitrous to ASA I-III dental patients

A

RDH-Indirect
DA cannot do

37
Q

Using adjunctive oral cancer screening medical devices approved by the FDA

A

RDH- Indirect
DA cannot do

38
Q

Prophylaxis

A

RDH- General
Health access- without

39
Q

Placing and exposing dental and carpal radiographically film and sensors

A

RDH- General
DA- Indirect

40
Q

Root planing

A

RDH- General
X

41
Q

Polishing dental restorations which is not for the purpose of changing the existing contour of the teeth and only with the following instruments used with appropriate polishing materials - burnishers, slow speed hand pieces, bristle brushes, rubber cups

A

RDH-General
DA- Direct

42
Q

Applying topical fluorides that are approved by the ada or the fda, including fluoride varnishes and silver diamine fluoride

A

RDH-Without supervision
DA-Indirect but cannot apply silver diamine

43
Q

Removing excess cement from dental restorations and appliances with non mechanical hand instruments or ultrasonic scalers only

A

RDH-General
DA cannot use ultrasonic scalers

44
Q

Placing periodontal or surgical dressings

A

RDH- General
DA cannot place surgical dressings

45
Q

Removing periodontal or surgical dressings

A

RDH- General
DA- Indirect

46
Q

Removing sutures

A

RDH- General
DA- Indirect

47
Q

Using appropriate implements to assess and chart suspected findings of the oral cavity

A

RDH-General
DA- Cannot do

48
Q

Applying sealants

A

RDH-General
Health Access RDH- Without supervision
DA- Indirect

49
Q

Placing or removing pre treatment separators

A

RDH- General
DA- indirect

50
Q

Insert and/or perform minor adjustments to sports mouth guards and custom fluoride trays

A

RDH- General
DA cannot do

51
Q

Placing subgingival resorbable chx, doxycycline hyclate, and minocycline hydrochloride

A

RDH- General
DA cannot do

52
Q

Apply bleaching solution, activate light source, monitor and remove in office bleaching materials

A

RDH- General
DA cannot do

53
Q

Taking impressions for study casts which are not being made for the purpose of fabricating any intraoral appliances, restorations or orthodontic appliances

A

RDH- General
DA- Indirect

54
Q

Taking of impressions for and delivery of at home bleaching trays

A

RDH- General
DA- Direct

55
Q

Taking impressions for passive appliances, occlusal guards, space maintainers and protecting mouth guards

A

RDH- General
DA- Direct

56
Q

Fabricating temp crowns and bridges in a lab

A

Both RDH and DA are general

57
Q

Applying topical anesthetics and anti inflammatory agents which are not applied by aerosol or jet spray

A

RDH- General
DA- Direct

58
Q

Taking or recording patients blood pressure, pulse rate, restoration rate, case hx, and oral temp

A

RDH- General
Health Access- Without supervision
DA- Indirect

59
Q

Retracting lips, cheeks, and tongue

A

RDH-General
DA-Indirect

60
Q

Irrigating and evacuating debris not to include endodontic irrigation

A

RDH- Indirect
DA- General

61
Q

Placing and removing cotton rolls

A

RDH- General
DA- Indirect

62
Q

Placing or removing temporary restorations with non mechanical hand instruments only

A

RDH- General
DA- Direct

63
Q

Obtaining plaque specimens, which do not involve cutting of the tissue and which do not include taking endodontic cultures, to be examined under a microscope for educational purposes

A

RDH- General
DA- Cannot do

64
Q

Provide educations programs, faculty or staff training programs, and authorized fluoride rinse programs

A

RDH- Without supervision
DA cannot do the authorized fluoride rinse programs

65
Q

Apply fluoride varnish, and silver diamine fluoride

A

RDH- Without supervision
DA cannot apply silver diamine
DA without silver diamine is indirect

66
Q

Instruct patients oral hygiene care and supervising patient oral hygiene care and other services which do not involve dx or tx of dental conditions

A

RDH-Without supervision
DA- General

67
Q

Dental charting

A

Without supervision in health access settings, mobile dental units, community health centers etc

68
Q

Screening of a patient, including state or federally mandated screenings, to determine an individuals needs to be seen by a dentist for a dx

A

RDH- without supervision

69
Q

Assessment of a patient, a limited clinical inspection that is performed to identify possible songs of oral or systemic disease, malformation, or injury, and the potential need for referral for dx and tx to a licensed practitioner

A

RDH- Without supervision

70
Q

Taking impressions to be used for creating opposing models or the fabrications of bleaching stents and surgical stents to be used for the purpose of proving palatal coverage

A

RDH- General
DA- Indirect

71
Q

Fabrication of topical fluoride trays for home application

A

RDH-General
DA- Indirect

72
Q

Gingival curettage

A

RDH- Direct

73
Q

Removing excess cement from orthodontic appliances with non-mechanical hand instruments only

A

DA can only do hand instruments. Indirect
They do not remove the bond or adhesive after ortho removal

74
Q

Monitor the administration of the nitrous making adjustments only during this administration and turning it off at the completion of the dental procedure

A

CRP + 2 day course
DA-Direct

75
Q

Removing excess cement from dental restorations and appliances with non mechanical hand instruments

A

DA- Direct

76
Q

Placing periodontal dressings

A

DA- Indirect
RDH- General

77
Q

Using appropriate implements for preliminary charting of existing restorations and missing teeth and a visual assessment of existing oral conditions

A

DA- direct