Medico-Legal aspects of dental sedation Flashcards
What is expressed consent?
Patient verbally agrees or gives written consent to treatment
At what age are you classed as an adult?
16
What is implied consent?
Patient accepts treatment through compliant action, e.g. opening their mouth
Give 5 examples of when consent is required
- Radiographs
- Photographs
- GA
- All sedation
- Clinical examination
A biological father can not give consent if he is not ___ ?
Married to the childs mother unless acquired through a court order or parental responsibility agreement
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
True
What does GDPR stand for?
General data protection regulations
What monitoring information must be recorded when administering intravenous sedation?
- Cannula site
- Drug used
- Batch number & expiry
- Drug titrations & time administered
What is GDPR 2018?
Maintaining the confidentiality of patient information, and that it is stored and forwarded securely
What does IASCD stand for?
Intercollegiate advisory committee for sedation in dentistry
What document did the IASCD publish in April 2015?
Standards for conscious sedation in the provision of dental care
What do the standards for conscious sedation in the provision of dental care cover?
Techniques available for use and appropriate environments to administer sedation safely
Who published safe sedation practice for healthcare procedures 2013?
Academy of Medical Royal Colleges
Who published sedation in children and young people 2010?
National institute for Health and Care Excellence (NICE)
How many hours of sedation related CPD must you completed during each CPD cycle?
12 Hours
What is clinical governance?
A systematic approach to maintain and improve health services, by maintaining contemporaneous records and auditing
Patients must be informed of all risks of treatment, if the risk is over what % ?
0.5%
What does SDCEP stand for?
Scottish Dental Clinical Effectiveness Programme
You are classed as a child if you are under ___ ?
12
Patients under 12 can receive what form of sedation?
Inhalation sedation only
In 2008, what did the NPSA rapid response report recommend, regarding midazolam?
That the higher strength ampoules (5-10mg) are replaced by 1mg/ml e.g. 5mg/ml
On 1st January 2008, what happened to the status of midazolam?
It changed from a schedule 4 controlled drug, to a schedule 3 controlled drug
How long should you keep invoices for midazolam?
2 years
How many drug schedules are within the misuse of drugs act 1971?
5
What is principle 1 of the GDC standards?
Put patients interests first
What is principle 2 of the GDC standards?
Communicate effectively
What is principle 3 of the GDC standards?
Obtain valid consent
What is principle 4 of the GDC standards?
Protect patient information
What is principle 5 of the GDC standards?
Have a clear and effective complaints procedure
What is principle 6 of the GDC standards?
Work with colleagues in a way that serves in the patients best interests
What is principle 7 of the GDC standards?
Maintain, develop, and work within your professional skills and knowledge
What is principle 9 of the GDC standards?
Maintain the patients confidence in the profession
What is principle 8 of the GDC standards?
Raise concerns if patients are at risk
