Legislations

Question 1

Which laws are concerned with confidentiality

Answer 1

Data Protection Act 1998

Freedom of Information Act 2000

Question 2

List rules of the Data Protection Act 1998

Answer 2

• Data should be processed lawfully, fairly and only for a specific purpose
• Note taking should be adequate and relevant, not excessive
• Medical histories are up to date and accurate
• Medical records are kept for no longer than 11 years or 25 if under 18
• Data should be secured and locked away

Question 3

List rules of Freedom of Information Act 2000

Answer 3

• Pts have the right to access notes and records and to correct any factual errors

Question 4

Who owns radiographs?

Answer 4

Radiographs are property of the dentist - patients can purchase them

Question 5

If a patient requests a copy of notes, how quick do they have to be provided?

Answer 5

Within 40 days

Question 6

List Health and Safety laws relevant to dentistry -

Answer 6

Ionising Radiation Regulation 
Ionising Radiation (Medical Exposure) Regulation 
Health Technical Memorandum 
HS at work act 
HS first aid and fire regulations 
Disposal of Hazardous Waste/COSHH 
RIDDOR

Question 7

Aims of - Ionising Radiation Regulation (IRR)

Answer 7

Establish a framework to ensure exposure to ionising radiation during work activities is kept ALARP, and does not exceed dose limits specified for individuals

Question 8

What does the Ionising Radiation Regulation form?

Answer 8

The main legal requirements for the use and control of ionising radiation in the UK

Question 9

When was the initial Ionising Radiation Regulation formed, and when was it updated?

Answer 9

1999 initially

Updated in 2017 and in place 2018 (IRR17)

Question 10

List key aspects of Ionising Radiation Regulation -

Answer 10

• Authorisation of radiographic equipment
• Appointment of radiation protective supervisors and advisers
• Control and restriction of exposure (dose limits)
• Controlled areas
• Classification of persons

Question 11

Which body has set up the IRR?

Answer 11

Health and Safety Executive

Question 12

Which body has set up IRMER?

Answer 12

CQC

Question 13

What is IRMER concerned with?

Answer 13

Safety and protection of patients from the risk of harm due to exposure to ionising radiation for medical purposes

Question 14

What are the aims of IRMER

Answer 14

Setting responsibilities for the duty holder for radiation protection and safety standards

Question 15

List key aspects of IRMER

Answer 15

• Training and education
• Minimising unintended, accidental, incorrect and excessive exposures
• Justification of each exposure
• Optimisation to keep it ALARP !!!!
• Identification of the pt prior to exposure

Question 16

What are the FGDP guidelines for quality assurance of radiographs

Answer 16

Grade 1 - >70%
Grade 2 - <20%
Grade 3 - <10%

Question 17

Which Health Technical Memorandum is concerned with dental practices?

Answer 17

HTM01-05 - guidance for decontamination procedures in primary dental care practices

Question 18

Which body has set out the HTM?

Answer 18

CQC

Question 19

What is HTM01-05 concerned with?

Answer 19

Decontamination at the local level (decontamination occurs at the dental practice, by an employee of the practice)

Question 20

What are essential quality requirements in the HTM?

Answer 20

Standards set that should be followed by every primary dental care practice

Question 21

What policies do dental practices require in regards to infection control?

Answer 21

• Infection control policy
• Decontamination and storage policy
• Cleaning, disinfection and sterilisation policy
• Waste disposal policy
• PPE and hand hygiene
• BBV and sharps injury policy

Question 22

What are the main aspects of HTM01-05

Answer 22

• Zoning of the practice and layout of decontamination zones
• Storage of instruments
• PPE and hand hygiene
• Sterilisation and disinfection
• Use of vacuum and non-V autoclave
• Floor and surface covering
• Water quality
• Clinical waste