Expanded Functions Ch 4&5 Flashcards
Autonomy
A person’s freedom to think, judge, and act independently without undue influence
Nonmaleficence
Do no harm. If an action can cause harm it cannot be considered moral
Beneficence
Actions are ethical as long as they will benefit a person or community
Justice
Treating people fairly and giving people what they deserve and are entitled to receive
Veracity
Telling the truth
What are the basic principles of ethics
Autonomy, nonmaleficence, beneficence, Justice, veracity, confidentiality,compassion, competence, integrity, professionalism
Ethical dilemma
When one or more ethical principles are in conflict
ADAA
American dental assistants association
ADA
American dental Association
CDA
California dental Association
Conflict of interest
Dentist cannot use info from being an expert witness for their personal gain
Informed consent
Nature of proposed treatment, including cost and expected healing/prognosis
Dental practice act (DPA)
A publication of laws by the government to protect the public from incompetent dental healthcare providers
Dental board of California (DBC)
Adopts rules and regulations that the fine, interpret and implement the contents of the DPA
Who appoints the Board of dentistry
The governor
Standard of care
Level of knowledge, skill, and care comparable with that of other dentist who are treating similar patients under similar conditions
OAP
Orthodontic assistant permit
DSAP
Dental sedation assistant permit
DDS
Doctor of dental surgery
Licensure
One method of supervising individuals who practice in a particular state
Reciprocity
Agreement between two or more states to allow practice without additional licensure requirements
Respondeat superior
Let the master answer. The employer is responsible for any harm caused by the employee
What does an unlicensed dental assistant have to do
Board approved two hour DPA course, eight hour course in infection control, course in CPR
Direct supervision
Dentist must be physically present in office
General supervision
Dentist delegates procedures but doesn’t have to be right there
HIPPA
Health insurance portability and accountability act privacy protection of health information
Malpractice
Professional negligence or failure to provide due care must have four D’s duty, derelict, direct cause, damages
Duty of care/Standard of care
Legal concept of general boundaries. Being licensed, using reasonable skill, using standard drugs
Abandonment
Discontinuation of care after treatment has begun but before it has completed
Omission
Failure to perform an act that a “reasonable and prudent professional “would perform
Commission
Performance of an act that a “reasonable and prudent professional” would not perform
Risk management
The procedures and practices that are used to avoid lawsuits. Excellent communication with patients, accurate and complete records, receiving informed consent, maintain highest standards of clinical excellence
Informed consent
Patient has right to know all important facts about treatment. Nature of treatment, benefit of treatment, risks, alternatives
Informed consent for minors
Separated parents have in Childs record letters from both providing consent
Documenting informed consent
Patient recordshould show patient received info about risks benefits and alternatives and consented or refused written documents recommended for extensive procedures
Content of informed consent
Nature of treatment, benefits, risks, other information necessary for particular case. Signed by patient and Dentist and witness patient given a copy
Contributory negligence
Records include broken appointments. Patients action negatively affect treatment outcome
It’s financial information kept in a patient chart
No
Charting entries in clinical records
Keep separate chart for each patient, business/financial info not with clinical record, make chart during examination,write neatly, never change
Two types of statutory law
Criminal and civil
Express contract
Written word or verbal agreement
Implied contract
Patient walks in and wants to be seen
Res Ipsa loquitur
The act speaks for itself
Res gestae
Things done. Statements made spontaneously by anyone at time of alleged neglect act are admissible as evidence in court
Sources of ethics
Basic instinct, parents, teachers, religion, observation of others behavior
What are the six basic principles of ethics
Autonomy, nonmaleficence, beneficence, Justice, veracity, confidentiality
How many CEU can be earned in one hour
One
How many CEU must be completed by RDA and how often to renew
25 hours and every two years
How many CEUs can be completed via homestudy, online, mailing course to renew RDA license
50%
How long must you keep your CEU records
Seven years
How many CEUs must RDA complete in DPA and IC
2 and 2