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Ch 40 legal issues
legal issues, quality assurance, and infection control
| Question | Answer |
|---|---|
| an image on a radiograph that is not an actual structure but its caused by the technique | artifact |
| process of informing the patient about a procedure | disclosure |
| permission granted by a patient after being informed about the details of a procedure | informed consent |
| accountable or legally responsible | liable |
| a plan to ensure that the dental office produces consistent, high-quality images with a minimum of exposure to patients and personnel, | quality assurane |
| specific tests used to ensure quaility in dental x-ray equipment, supplies, and film processing | quality control tests |
| device constructed of layered aluminum steps to demonstrate film densities and contrasts | stepwedge |
| an illuminated boxlike device used to view radiographs | viewbox |
| The use of dental x-ray equpiment is regulated by | federal and state regulations |
| Radiation health codes may include regulations pertaining to | barriers, film speeds, position of the operator, and film processing |
| most states have laws that require inspections of dental x-ray equipment on a regular basis, such as every _____years. | five |
| Some states require _________ certification and other states may require an additional examination in order to expose radiographs | DANB |
| Key areas of risk management include: | patient consent, patient records, liability issues, and patient education |
| it is the ___________ responsibility to discuss the need for radiographs and treatment procedures with the patient | Dentist |
| the ___________ may participate in the process of obtaining informed consent | dental assistant |
| before patients can give informed consent they must be provided with : | risks and benefits of radiographic procedures, person who will be exposing the radiographs, number and type of radiographs that will be taken, consequenes of not having the radiographs,and alternative diagnostic aids that may provide the same information |
| if the dentist has not obtained____________ from the patient before exposure of dental radiographs a patient may legally claim_____________ | informed consent, malpractice or negligence |
| documentation of dental radiographs must include what information | informed consent, # and type of radiographs exposed, rationale for exposing radiographs,and diagnostic interpretation |
| radiographs are the property of the _____,even though the ______ or the patients _________ paid for them because____ | dentist, patient, insurance company,dental radiographs are a part of the patients dental records |
| what should be done when a patient requests that their dental radiographs be transferred to another dental office | request should be written and signed by patient, dentist should be informed, entry should be made in chart stating when and to whom duplicates were sent. |
| when patients request radiographs what should never be done | never give or send the original radiographs to the patient |
| if a lawsuit should ocur no defense is possible without what | the patients original radiographs |
| how long should dental radiographs be retained | indefinitely |
| no document can be signed that totally releases the dentist from what | liability for treating a paient without taking radiographs |
| Even if the patient suggests signing a release or waiver that would release the dentist from liability, would be considered invalid if: | an injury were to result |
| legally a patient cannot consent to what | negligent care |
| the dental assistant can explain to the patient________ but can not__________ | the importance of radiography in detecting disease and planning treatment, diagnose treatment |
| The dental assistant can remind the patient that the dose from four bitewing films in about the same as a ___ | single day's worthof natural background radiation |
| intensifying screens inside the extraoral cassette should be checked periodically for | dirt and scratches |
| intensifying schreens should be cleaned_______ with a commercially available cleaner | monthly |
| after cleaning the intesifying screens what should be applied to the screen to prevent static electricity | antistatic solution |
| when doing the coin test what does it mean if the processed film has the image of a coin and a fogged background appear on the radiograph | the safelight is not safe to use with that type of film |
| What is considered the most critical component in the quality control of film processing | processing solutions |
| an easy way to check the strength of the developer solution is to : | compare the film densities against a standard ( reference radiograph or stepwedge) |
| when the fixer is at full strength a film should clear within | 2 minutes |
| during patient preparation prior to exposing radiographs what duties can be performed before putting on gloves | adjust chair, adjust headrest, place lead apron, remove personal objects |
| do you remove lead apron before glove removal or after glove removal | after glove removal |
| your first step in preparation of the operatory is to what | identify the surfaces to be covered or disinfected with a high level surface disinfectant |
| which surfaces are likely to be contaminated during x-ray procedures | x-ray tubehead, pid,control panel,exposure button, lead apron, dental chair controls,operatory counter surfaces, darkroom equipment and sleeves on automatic processors |
| one technique that can be used to minimize contamination of the film packet by saliva is to: | place a clear plastic barrier envelope over the film packet |
| what can be used to stabilize film placement in the patients mouth | cotton rolls |
| when taking radiographs when should you wear a mask and protective eyewear? | if ther eis a likelihood that blood or other body fluids may spatter, or if you or the patient has a cough or a cold |
| what is considered the major source of cross contamination durig radiographic procedures | contaminated film packets |
| immersion of the film packet in a disinfecting solution can result in what | the solution seeping into the emulsion and damaging the image |
| to prevent film fog caused by radiation never place the container filled with exposed films where | in a room where additional films are being exposed |
| exposed films should never be placed where | in the operators lab coat or uniform pocket |
| when processing dental radiographs, you have to recycle the ____ in the film packet as it is considered | lead foil, environmental hazard |
| harm for which a dentist could be held liable may include | stress, embarrassment, loss of income and expenses incurred in seeking additional treatment |
Created by:
cynthia.fryer
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