IA DH Juris flashcards
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- Iowa Code chapter 153
- The statutory chapter that governs dentistry in Iowa, defining the practice of dentistry, licensure, grounds for discipline, and the authority of the Iowa Dental Board.
- Iowa Administrative Code 650
- The administrative rules adopted by the Iowa Dental Board that implement chapter 153, covering licensure, supervision, continuing education, infection control, and discipline procedures.
- Board rulemaking authority
- The Board may adopt rules with the force of law under the Iowa Administrative Procedure Act, but a rule cannot expand the scope of practice granted by statute.
- Unlicensed practice
- Practicing or offering to practice dentistry without a valid Iowa license. It is a criminal offense and also supports injunctive relief and civil penalties.
- Direct supervision
- A supervision level in which the dentist has authorized the procedure and is physically present in the office while the hygienist performs it, as Board rules require.
- Indirect supervision
- A supervision level in which the dentist has authorized the procedure but is not required to be in the operatory, though the dentist must be available as rules specify.
- General supervision
- A supervision level in which the dentist authorizes the procedure and has examined the patient of record within the timeframe set by rule, without being present.
- Hygienist local anesthesia
- A dental hygienist may administer local anesthesia only after completing Board-approved education and obtaining any permit required, under the specified supervision level.
- Hygienist scope limits
- Hygienists may not diagnose disease, develop the treatment plan, prescribe medication, or perform surgical procedures; those acts remain with the licensed dentist.
- Improper delegation
- Assigning a clinical task to a hygienist or assistant outside that person's scope or required supervision level. The Board may discipline both parties.
- Biennial renewal
- Iowa dental and dental hygiene licenses are renewed on a two-year cycle. Renewal requires a fee, a truthful CE attestation, and filing before the expiration date.
- Continuing education audit
- The Board may audit a licensee's CE records and require certificates and documentation to be retained for the period specified by rule.
- CE deficiency consequence
- A licensee who fails to complete required continuing education may have renewal denied until the deficiency is corrected, and may face discipline for false attestation.
- Inactive license status
- A licensee may request inactive status and may not practice while inactive. Reactivation typically requires fees, CE for the inactive period, and Board approval.
- Jurisprudence examination
- An examination on Iowa dental law and Board rules that applicants may be required to pass as a condition of licensure or reinstatement.
- Grounds for discipline
- Statutory bases for Board action, including incompetence, negligence, unprofessional conduct, fraud in licensure, impairment, and violation of the act or rules.
- Contested case hearing
- A formal adjudicative proceeding under the Iowa Administrative Procedure Act in which the licensee receives notice, may be represented by counsel, and may present evidence.
- Consent order
- A binding settlement between the Board and a licensee that resolves a case without a full hearing and typically becomes part of the public record.
- Emergency suspension
- A summary suspension the Board may order when continued practice poses an immediate threat to public health or safety, followed by a hearing.
- Board subpoena power
- The Board may subpoena patient records, documents, and testimony during an investigation. Failure to comply may be enforced in district court and is itself a violation.
- Record alteration after complaint
- Changing or destroying records after a complaint is filed is a separate violation and may support an inference that the licensee had something to conceal.
- Preponderance standard
- The standard of proof generally applied in Board contested cases: more likely than not that the violation occurred, rather than beyond a reasonable doubt.
- Mandatory abuse reporting
- Dentists and hygienists are mandated reporters under Iowa law and must report suspected child or dependent adult abuse to the proper authorities.
- Informed consent duty
- The dentist must obtain and document informed consent for treatment; exceeding the consent given or failing to obtain it may support a disciplinary charge.
- Patient abandonment
- Terminating the dentist-patient relationship without proper notice and an opportunity to transfer care. It is a recognized ground for Board discipline.
- Infection control standards
- Board rules adopt sterilization, barrier, and waste-handling standards, often by reference to current CDC recommendations, enforceable through discipline.
- Teledentistry rules
- Board rules govern remote dental services and specify when a prior in-person examination or other safeguards are required before treatment.
- Expanded function permit
- A permit or certification the Board may require before a hygienist performs specified advanced procedures such as local anesthesia or nitrous oxide administration.
- Dentist supervisory responsibility
- The supervising dentist remains legally responsible for the patient's overall care and for the quality of services delegated to hygienists and assistants.
- Public health hygiene exception
- A rule may allow hygienists to provide limited services in public health or school settings without a prior dentist examination under stated conditions.
- License expiration effect
- Practicing on an expired, lapsed, or inactive license is unlicensed practice and is both a criminal matter and a ground for Board discipline.
- Reinstatement after revocation
- A revoked licensee may petition the Board for reinstatement after a period set by the Board or rule, and may be required to show rehabilitation and competence.