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Professional Practice > test #1 > Flashcards

test #1 Flashcards

1
Q

Who is the RDH accountable to?

A

The public

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2
Q

3 fundamental aspects of a professional practitioner

A

honesty, fairness, competence

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3
Q

which framework must be used when conducting DH therapy?

A

ADPIE

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4
Q

PHIPA stands for:

A

Personal health information protection act (2004)

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5
Q

Controlled act self-initiated RDH authorized to do?

A

scalling and root planning

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6
Q

can RDH of CPR without consent (when needed)

A

yes

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7
Q

who develops guidelines and regulations for DH practice in Ontario

A

CDHO

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8
Q

Can RDH delegate a controlled act in educational setting to student

A

yes

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9
Q

How many years must DH records be kept legally

A

10 years

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10
Q

who determines the clients capacity for decision making?

A

the clinician providing care

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11
Q

The purpose of a professional association is to:

A

support the professional development of its members and lobby the government for legislative changes

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12
Q

What are ethics?

A

discipline of dealing with what is good or bad and with moral duty and obligation

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13
Q

what is the code of ethics

A

moral guidelines, outline or moral principles of health care based on goals, values, and ideals

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14
Q

what are principles or values

A

they guid the conduct of health care providers by helping to identify, clarify and justify moral choices

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15
Q

General health care principles (6)

A

nonmaleficence, beneficence, autonomy, justice, veracity, confidentiality

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16
Q

Nonmaleficence

A

do no harm, keeping knowledge and skills current, know own limitation
preventing and removing harm

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17
Q

beneficence

A

obligation to act in best interest of the client

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18
Q

autonomy

A

right to self determination, self govern, make one own decisions
foundation of informed consent

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19
Q

justice

A

provide individuals with what they are owed, due or deserved (equality) regardless of age, gender, religion etc

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20
Q

veracity

A

being honest and telling the truth, basis of trust is essential

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21
Q

confidentiality

A

related to respect for persons, trust is important for the exchange of personal information

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22
Q

CDHA code of ethics (5 principles)

A

beneficence, autonomy, integrity, accountability, confidentiality

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23
Q

Ethical violations

A

when DH fails to meet of neglect their specific ethical responsibilities as expressed in the code

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24
Q

ethical dilemmas

A

when one or more ethical principles are in conflict

25
Q

ethical distress

A

when Dh experience constraints or limitations to which they are or feel powerless and which compromise their ability to practice according to the professional principles

26
Q

Steps in decision making (8)

A

1) describe issue and identify nature of problem
2) gather info
3) clarify problem
4) identify options
5) address pros and cons
6) decide on course of action
7) implement your decision
8) assess the consequences

27
Q

signed consent

A

piece of paper

28
Q

informed consent

A

requires the client to be given sufficient information about the procedures, its benefits, and risks to make good decision

29
Q

4 elements of valid consent

A

1) it relates to the treatment
2) it is informed
3) it is voluntary
4) there is no misrepresentation or fraud

30
Q

informed consent must address: (6)

A

nature of consent, expected benefits, possible risks, possible side effects, alternate sources of action, likely consequences of not having treatment

31
Q

is signed consent required?

A

no, but prudent in complex cases or w questionable outcomes
patients must sign refusal of treatment
protects against legal issues

32
Q

what is the health care consent act (HCCA)

A
  • system for obtaining treatment decisions on behalf of incapable patients
  • if patient is incapable, substitute decision maker has given consent
  • DH determines patients capability
  • consent to treatment can be withdrawn at any time
  • Dh must inform incapable patient of plan
33
Q

When was the HCCA implemented

A

1996

34
Q

Age of consent (by HCCA)

A

16

35
Q

importance of record keeping

A

Good records are best legal defences, no record - didn’t happen

36
Q

client record principles (8)

A
  • good writting, non erasable ink, date all entries, sign all entries, no subjective comments, use uniform terms, correct errors w stroke and initial, no blank spaces
37
Q

purpose of records (4)

A

accurate dental records, provide history of care and treatment, provide creditable defence, dental records are legal document

38
Q

CDHO record regulation: (8 components)

A

1) general client info
2) medical history
3) dental history
4) dental and peri charts
5) treatment records of every examination findings
6) treatment record of procedures preformed
7) non-written client records (x-rays, photographs)
8) other required records (finical record, sterilization)

39
Q

Retention of records

A

must be kept for 10 years following:
1) last vist, last conversation
2) after child turns 18 - 10 years following 18th b day

40
Q

Supreme Court of Canada rules:

A

whoever owns office owns client records, client is able to have a copy upon request

41
Q

destruction of client records

A

shredded or hard drive destroyed - mark date destroyed

42
Q

boundary crossing overview

A

1) relationship of trust
2) power imbalance
3) RDH responsibility to maintain boundaries

43
Q

categories of professional boundaries (3)

A

1) confiding something personal to a client that you would only tell friend
2) giving or receiving gifts
3) dual relationships

44
Q

risk of crossing boundaries (3)

A

1) professional risk
2) risk of client
3) observers of the relationship (interferes with prof judgment, clients ability to respect out judgment)

45
Q

risk factors in DH (3)

A

1) seeing client over a ling period of time (life story)
2) client audience
3) our responsibility to maintain the boundary

46
Q

CDHO zero tolerance

A

under no circumstance will sexual abuse be tolerated

47
Q

who mandated that the CDHO develop a sexual abuse prevention program?

A

RHPA 1991 sexual abuse
Bill 97 protecting patients act
Sexual abuse prevention program

48
Q

What constitutes as sexual abuse under the RHPA?

A

Very broad, includes sexual intercourse or other forms of sexual relations, touching, behaviour or remarks (laughing at sexually inappropriate joke at the office with clients)
-apply to all sexual relations before, after and during treatments

49
Q

what is the mandatory penalty for findings of sexual abuse?

A

1) revocation of RDH certificate for 5 years
2) reprimand
3) RDH pay fine up to 35,000 to minister of finance of ON
4) pay all or part of legal costs
5) RDH pay for therapy of client

50
Q

Who enforces sexual abuse penalty

A

CDHO

51
Q

What constitutes as spouse according to CDHO spousal exemption regulation?

A

according to RPHA and family law act: person married for minimum of 3 years, or common law for 3 years

52
Q

what to do if inter to date a client?

A

wait a year after last treatment, transfer care to peer, never treat again

53
Q

difference between professional boundaries and sexual abuse

A
  • boundaries is grey area, sexual abuse is 0 tolerance
54
Q

info on how we store documents and how to keep records:

A

PHIPA, PIPEDA and CDHO record regulations

55
Q

Legislative timeline for sexual abuse regulation:

A

feb 5, 2015 - CDHO proposed regulation
Oct 8, 2020 - legislating was passed

56
Q

DH obligations

A

1) client dignity
2) show rescpet
3) respect cultural diversity
4) obtain consent
5) clients can change their mind
6) never place instruments on client

57
Q

PHIPA (provincial regulation)

A

Ontario’s personal health information protection act (2004)
- rules for collection, use and disclosure of person health info (Ontario only)

58
Q

PIPEDA (federal regulaiton)

A

Personal information protection and electronic documents act
- rules for collection, use and disclosure of person health and other info (Canada)

59
Q

Where would a DH find info on record keeping?

A

PHIPA - health info Ontario
PIPEDA - privacy legislation (all types)
CDHO - specific info needed in charts

Professional Practice (4 decks)

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