Medico-Legal aspects of dental sedation Flashcards

1
Q

What is expressed consent?

A

Patient verbally agrees or gives written consent to treatment

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2
Q

At what age are you classed as an adult?

A

16

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3
Q

What is implied consent?

A

Patient accepts treatment through compliant action, e.g. opening their mouth

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4
Q

Give 5 examples of when consent is required

A
  1. Radiographs
  2. Photographs
  3. GA
  4. All sedation
  5. Clinical examination
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5
Q

A biological father can not give consent if he is not ___ ?

A

Married to the childs mother unless acquired through a court order or parental responsibility agreement

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6
Q

TRUE or FALSE: If a child under 16 refuses treatment, the person with parental responsibility can override the patients decision if the refusal is not in the patient’s best interests

A

True

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7
Q

What does GDPR stand for?

A

General data protection regulations

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8
Q

What monitoring information must be recorded when administering intravenous sedation?

A
  1. Cannula site
  2. Drug used
  3. Batch number & expiry
  4. Drug titrations & time administered
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8
Q

What is GDPR 2018?

A

Maintaining the confidentiality of patient information, and that it is stored and forwarded securely

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9
Q

What does IASCD stand for?

A

Intercollegiate advisory committee for sedation in dentistry

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10
Q

What document did the IASCD publish in April 2015?

A

Standards for conscious sedation in the provision of dental care

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11
Q

What do the standards for conscious sedation in the provision of dental care cover?

A

Techniques available for use and appropriate environments to administer sedation safely

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12
Q

Who published safe sedation practice for healthcare procedures 2013?

A

Academy of Medical Royal Colleges

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13
Q

Who published sedation in children and young people 2010?

A

National institute for Health and Care Excellence (NICE)

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14
Q

How many hours of sedation related CPD must you completed during each CPD cycle?

A

12 Hours

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15
Q

What is clinical governance?

A

A systematic approach to maintain and improve health services, by maintaining contemporaneous records and auditing

16
Q

Patients must be informed of all risks of treatment, if the risk is over what % ?

A

0.5%

17
Q

What does SDCEP stand for?

A

Scottish Dental Clinical Effectiveness Programme

18
Q

You are classed as a child if you are under ___ ?

A

12

19
Q

Patients under 12 can receive what form of sedation?

A

Inhalation sedation only

20
Q

In 2008, what did the NPSA rapid response report recommend, regarding midazolam?

A

That the higher strength ampoules (5-10mg) are replaced by 1mg/ml e.g. 5mg/ml

21
Q

On 1st January 2008, what happened to the status of midazolam?

A

It changed from a schedule 4 controlled drug, to a schedule 3 controlled drug

22
Q

How long should you keep invoices for midazolam?

A

2 years

23
Q

How many drug schedules are within the misuse of drugs act 1971?

A

5

24
Q

What is principle 1 of the GDC standards?

A

Put patients interests first

25
Q

What is principle 2 of the GDC standards?

A

Communicate effectively

26
Q

What is principle 3 of the GDC standards?

A

Obtain valid consent

27
Q

What is principle 4 of the GDC standards?

A

Protect patient information

28
Q

What is principle 5 of the GDC standards?

A

Have a clear and effective complaints procedure

29
Q

What is principle 6 of the GDC standards?

A

Work with colleagues in a way that serves in the patients best interests

30
Q

What is principle 7 of the GDC standards?

A

Maintain, develop, and work within your professional skills and knowledge

31
Q

What is principle 9 of the GDC standards?

A

Maintain the patients confidence in the profession

32
Q

What is principle 8 of the GDC standards?

A

Raise concerns if patients are at risk