Remediable And Delegable Tasks Flashcards
How many tasks are considered to be remediable and delegable by the assistant and hygienist by the LAW? (Under 466.024)
12
Taking impressions for study casts but not for the purpose of fabricating any intraoral restorations or orthodontic appliance
DA- indirect with formal training
RDH- General with formal training
1 of the 12
Placing periodontal dressings
RDH-General
DA-Indirect
1 of the 12
Removing periodontal or surgical dressings
RDH-General
DA-Indirect
1 of the 12
Removing sutures
RDH-General
DA-Indirect
1 of the 12
Placing or removing rubber dams
Both RDH and DA indirect
(one of the 12)
Placing or removing matrices
Both RDH and DA indirect
(One of the 12)
Placing or removing temporary restorations with non-mechanical hand instruments only
RDH-General
DA- Direct
(One of the 12- it excluded the hand instruments only)
Applying cavity liners, varnishes, or bases
Both RDH and DA indirect
1 of the 12
Polishing amalgam restorations
One of the 12 remediable and delegable tasks
Polishing clinical crowns of the teeth for the purpose of removing stains but not changing the existing contour of the tooth
RDH- General
DA-Direct
1 of the 12
Obtaining bacteriological cytological specimens not involving cutting of the tissue
RDH- General
1 of the 12
Administering local anesthesia
For exam purposes- it is irremediable, but it is “remediable and delegable” under direct supervision
1 of the 12
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?
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
What is needed by a dentist or physician before a dental hygienist performs a prophy?
Medical clearance
How long after a dental hygienist performs a cleaning must the patient be seen by a dentist?
13 months
Who is primarily responsible for all procedures delegated?
Dentist
Fabricating temp crowns or bridges intra-orally which shall not include any adjustment of occlusion to the appliance or existing dentition
Both RDH and DA direct
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
Both RDH and DA direct
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
Both RDH and DA direct
Selecting prescribed extra-oral appliances by pre-selection or pre-measurement which does not include final fit adjustment
Both RDH and DA direct
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
Both RDH and DA is direct
Packing and removing retraction cord, so long as it does not contain vasoactive chemicals and is used solely for restorative dental procedures
Both RDH and DA direct
Removing and re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance
Both RDH and DA direct
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
Both RDH and DA direct
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
RDH-Direct
DA-Cannot assist in the initiation
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
On the job training direct supervision for both hygienist and assistants
Administer local anesthesia
RDH-Direct
Removal of excess remaining bonding adhesive or cement following ortho appliance removal with slow-speed rotary instruments, hand instrument, or ultrasonic scalers
RDH only- indirect
Placing or removing rubber dams
Both RDH and DA indirect
(One of the 12)