IL DH Juris flashcards
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- Scope of dental hygiene
- The services a licensed Illinois dental hygienist may perform under a supervising dentist's authority, including assessment, prophylaxis, scaling, and patient education, but not diagnosis or prescribing.
- General supervision
- The dentist has examined the patient and authorized the procedure but need not be physically present; the dentist remains available for consultation during the service.
- Direct supervision
- The supervising dentist is physically present in the office and examines the patient before and after the procedure; required for services the Act restricts to on-site oversight.
- Public health supervision
- A hygienist may practice in specified public health settings without a dentist on site when statutory conditions, including a written agreement and protocol, are satisfied.
- Supervising dentist
- An Illinois-licensed dentist who authorizes hygiene services, examines the patient as required, and remains responsible for the patient's care and the delegated services.
- Delegation limits
- A dentist may delegate only functions authorized by the Act and rules; delegating outside scope is invalid and the delegating dentist remains responsible for the service.
- Illinois license renewal cycle
- Dental hygiene licenses in Illinois renew on a three-year cycle set by Department rule; renewal must be completed before expiration to avoid late fees or reinstatement.
- Continuing education requirement
- Licensees must complete approved CE each renewal cycle, including mandated subject areas such as infection control, and retain certificates for audit by the Department.
- Lapsed license reinstatement
- A lapsed license requires reinstatement, including fees and evidence of completed continuing education, before the licensee may lawfully resume practice.
- IDFPR role
- The Illinois Department of Financial and Professional Regulation administers licensure, renewal, investigations, and discipline for dental hygienists under the practice acts.
- Name and address reporting
- Licensees must report name and address changes to the Department; outdated information can affect renewal and service of process in disciplinary proceedings.
- Local anesthesia permit
- A separate Illinois permit required for a hygienist to administer local anesthesia, conditioned on approved didactic and clinical training and a supervising dentist's authorization.
- Nitrous oxide permit
- A separate Illinois permit required to administer nitrous oxide-oxygen sedation, conditioned on approved training, monitoring, documentation, and compliance with the dentist's protocol.
- Expanded function delegation
- Additional procedures a dentist may delegate to a hygienist only when the Act and rules authorize them and the hygienist holds any required permit or training.
- Sedation documentation
- Records must show agents, dosages, vital signs, monitoring, and patient response whenever anesthesia or nitrous oxide is administered in the dental office.
- Emergency preparedness
- When anesthesia or sedation is administered, the office must maintain emergency equipment, drugs, and protocols and trained staff able to manage adverse reactions.
- Dental Hygienist Practice Act
- Illinois statute defining dental hygiene practice, licensure qualifications, supervision, grounds for discipline, and the Department's rulemaking and enforcement authority.
- Unlicensed practice prohibition
- The Act bars practicing dental hygiene or using the registered dental hygienist title without a current Illinois license; violations are grounds for discipline and civil penalties.
- Department sanctions
- Sanctions available to the Department include reprimand, probation, suspension, revocation, refusal to renew, civil penalties, and assessment of costs.
- Administrative hearing rights
- Disciplinary hearings follow the Illinois Administrative Procedure Act and Department rules, providing notice, an opportunity to be heard, and appeal rights.
- Standard precautions
- Infection control practices applied to all patients, including hand hygiene, gloves, masks, eye protection, and gowns based on anticipated exposure to blood or saliva.
- Sterilization monitoring
- Cleaned critical and semicritical instruments are sterilized between patients, with biological indicator monitoring performed at the interval set by the practice's written protocol.
- Sharps and exposure control
- Sharps go in puncture-resistant containers, single-use items are never reused, and exposure incidents are reported and medically evaluated promptly.
- Hepatitis B vaccination
- Employers must offer hepatitis B vaccination to staff with occupational exposure and provide post-exposure evaluation and follow-up at no cost to the employee.
- Informed consent elements
- Consent requires disclosure of the procedure's nature, material risks, alternatives, and consequences of declining, documented in the patient record before treatment.
- Record confidentiality
- Patient records may be disclosed only with authorization or a legal exception such as a court order, statutory reporting, or coordination of treatment.
- Record retention
- Records must be kept for the period required by Illinois law and Department rules; records for minors may require longer retention after the patient reaches majority.
- Record alteration rule
- Corrections must preserve the original entry through a dated addendum identifying the author; obliterating or backdating entries is unprofessional conduct.
- Grounds for discipline
- Bases include fraud in licensure, practicing beyond scope, substance impairment, unprofessional conduct, infection control violations, and discipline in another jurisdiction.
- Mandatory self-reporting
- Licensees must report certain events, such as adverse licensure actions in other states and specified convictions, to the Department as required by the Act.
- Practicing while suspended
- Providing dental hygiene services during a suspension or after revocation constitutes unlicensed practice and exposes the individual to further sanctions and liability.
- Ethical duty to patients
- The hygienist's primary obligation is the patient's welfare, requiring competence, honesty, respect for autonomy, and referral when care exceeds the hygienist's scope.