Remediable And Delegable Tasks Flashcards by Patricia Ayala

How many tasks are considered to be remediable and delegable by the assistant and hygienist by the LAW? (Under 466.024)

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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

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Placing periodontal dressings

RDH-General
DA-Indirect
1 of the 12

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Removing periodontal or surgical dressings

RDH-General
DA-Indirect
1 of the 12

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Removing sutures

RDH-General
DA-Indirect
1 of the 12

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Placing or removing rubber dams

Both RDH and DA indirect
(one of the 12)

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Placing or removing matrices

Both RDH and DA indirect
(One of the 12)

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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)

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Applying cavity liners, varnishes, or bases

Both RDH and DA indirect
1 of the 12

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Polishing amalgam restorations

One of the 12 remediable and delegable tasks

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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

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Obtaining bacteriological cytological specimens not involving cutting of the tissue

RDH- General
1 of the 12

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Administering local anesthesia

For exam purposes- it is irremediable, but it is “remediable and delegable” under direct supervision
1 of the 12

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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

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What is needed by a dentist or physician before a dental hygienist performs a prophy?

Medical clearance

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How long after a dental hygienist performs a cleaning must the patient be seen by a dentist?

13 months

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Who is primarily responsible for all procedures delegated?

Dentist

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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

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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

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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

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Selecting prescribed extra-oral appliances by pre-selection or pre-measurement which does not include final fit adjustment

Both RDH and DA direct

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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

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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

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Removing and re-cementing properly contoured and fitting loose bands that are not permanently attached to any appliance

Both RDH and DA direct

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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)

Placing or removing matrices

Both RDH and DA indirect

Applying cavity liners, varnishes or bases

Both RDH and DA indirect

Securing or unsecuring an archwire by attaching or removing the fastening device

Both DA and RDH indirect

Marginating restorations with finishing burs, green stones, and/or burley wheels with slow-speed rotary instruments which are not for the purpose of changing existing contours or occlusion

RDH-Indirect DA-Cannot do

Cementing temp crowns and bridges with temp cement

DA- Direct with formal training RDH- Indirect with formal training

Assist the dentist in the initiation of nitrous to ASA I-III dental patients

RDH-Indirect DA cannot do

Using adjunctive oral cancer screening medical devices approved by the FDA

RDH- Indirect DA cannot do

Prophylaxis

RDH- General Health access- without

Placing and exposing dental and carpal radiographically film and sensors

RDH- General DA- Indirect

Root planing

RDH- General X

Polishing dental restorations which is not for the purpose of changing the existing contour of the teeth and only with the following instruments used with appropriate polishing materials - burnishers, slow speed hand pieces, bristle brushes, rubber cups

RDH-General DA- Direct

Applying topical fluorides that are approved by the ada or the fda, including fluoride varnishes and silver diamine fluoride

RDH-Without supervision DA-Indirect but cannot apply silver diamine

Removing excess cement from dental restorations and appliances with non mechanical hand instruments or ultrasonic scalers only

RDH-General DA cannot use ultrasonic scalers

Placing periodontal or surgical dressings

RDH- General DA cannot place surgical dressings

Removing periodontal or surgical dressings

RDH- General DA- Indirect

Removing sutures

RDH- General DA- Indirect

Using appropriate implements to assess and chart suspected findings of the oral cavity

RDH-General DA- Cannot do

Applying sealants

RDH-General Health Access RDH- Without supervision DA- Indirect

Placing or removing pre treatment separators

RDH- General DA- indirect

Insert and/or perform minor adjustments to sports mouth guards and custom fluoride trays

RDH- General DA cannot do

Placing subgingival resorbable chx, doxycycline hyclate, and minocycline hydrochloride

RDH- General DA cannot do

Apply bleaching solution, activate light source, monitor and remove in office bleaching materials

RDH- General DA cannot do

Taking impressions for study casts which are not being made for the purpose of fabricating any intraoral appliances, restorations or orthodontic appliances

RDH- General DA- Indirect

Taking of impressions for and delivery of at home bleaching trays

RDH- General DA- Direct

Taking impressions for passive appliances, occlusal guards, space maintainers and protecting mouth guards

RDH- General DA- Direct

Fabricating temp crowns and bridges in a lab

Both RDH and DA are general

Applying topical anesthetics and anti inflammatory agents which are not applied by aerosol or jet spray

RDH- General DA- Direct

Taking or recording patients blood pressure, pulse rate, restoration rate, case hx, and oral temp

RDH- General Health Access- Without supervision DA- Indirect

Retracting lips, cheeks, and tongue

RDH-General DA-Indirect

Irrigating and evacuating debris not to include endodontic irrigation

RDH- Indirect DA- General

Placing and removing cotton rolls

RDH- General DA- Indirect

Placing or removing temporary restorations with non mechanical hand instruments only

RDH- General DA- Direct

Obtaining plaque specimens, which do not involve cutting of the tissue and which do not include taking endodontic cultures, to be examined under a microscope for educational purposes

RDH- General DA- Cannot do

Provide educations programs, faculty or staff training programs, and authorized fluoride rinse programs

RDH- Without supervision DA cannot do the authorized fluoride rinse programs

Apply fluoride varnish, and silver diamine fluoride

RDH- Without supervision DA cannot apply silver diamine DA without silver diamine is indirect

Instruct patients oral hygiene care and supervising patient oral hygiene care and other services which do not involve dx or tx of dental conditions

RDH-Without supervision DA- General

Dental charting

Without supervision in health access settings, mobile dental units, community health centers etc

Screening of a patient, including state or federally mandated screenings, to determine an individuals needs to be seen by a dentist for a dx

RDH- without supervision

Assessment of a patient, a limited clinical inspection that is performed to identify possible songs of oral or systemic disease, malformation, or injury, and the potential need for referral for dx and tx to a licensed practitioner

RDH- Without supervision

Taking impressions to be used for creating opposing models or the fabrications of bleaching stents and surgical stents to be used for the purpose of proving palatal coverage

RDH- General DA- Indirect

Fabrication of topical fluoride trays for home application

RDH-General DA- Indirect

Gingival curettage

RDH- Direct

Removing excess cement from orthodontic appliances with non-mechanical hand instruments only

DA can only do hand instruments. Indirect They do not remove the bond or adhesive after ortho removal

Monitor the administration of the nitrous making adjustments only during this administration and turning it off at the completion of the dental procedure

CRP + 2 day course DA-Direct

Removing excess cement from dental restorations and appliances with non mechanical hand instruments

DA- Direct

Placing periodontal dressings

DA- Indirect RDH- General

Using appropriate implements for preliminary charting of existing restorations and missing teeth and a visual assessment of existing oral conditions

DA- direct