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Jurisprudence 2024Eight components of dental record - answers1. Personal data.
2. Patient's reasons for visit.
3. Dental and medical history.
4. Clinical examinations.
5. Diagnosis.
6. Treatment plan.
7. Informed consent.
8. Progress notes.
Progress notes. Dental records must be legible and include a chronology of the patient's
progress throughout the course of all treatment and postoperative visits. The chronology
must include: - answerso All treatment provided
o All medications and materials placed
o The treatment provider by license number, name, or initials
o When applicable, the identity of the collaborating dentist authorizing treatment by
license number
o Administration information of nitrous oxide inhalation analgesia, including indication
for use, dosage, duration of administration, posttreatment oxygenation period prior to
discharge, and patient status at discharge
Corrections of records - answersNotations must be legible, written in ink, and contain no
erasures or "white-outs." If incorrect information is placed in the record, it must be
crossed out with one single line and initialed by a dental health care worker.
Is Financial Data considered part of the dental record? - answersNO
·An adult patient's record must be kept __ years beyond the last time they were seen. -
answers7
A minor (child) patient's record must be kept ___ years past the age of majority -
answers7 years past age of majoirity (21) so 21 + 7 = keep records until child turns 28
True or False If a patient shows up at the office, sits in the dental chair, and opens up
their mouth they've agreed to treatment - answersNO!
Informed consent consists of the health care provider giving options, prognosis,
benefits, and risks and the patient giving approval. Must be documented. Different than
implied consent. - answersthe health care provider giving options, prognosis, benefits,
, and risks and the patient giving approval. Must be documented. Different than implied
consent.
Is consent neccesary in a medical emergency situation? - answersNO
Does a Medical History form need to be filled out when a new patient comes in for an
emergency exam? - answersYES
When electronic records are kept, a dentist must keep : - answerseither a duplicate hard
copy record or use an unalterable electronic record.
T or F At the request of a patient, their dental records must be transferred to another
dentist according to Minnesota Statutes, irrespective of the status of the patient's
account. Even if they still owe money, the radiographs (or whatever part of the record)
must be transferred. - answersTrue
If a patient requests for their x-rays to be sent over, should the dental office send over
the OG x-rays? - answersNO. Only send copies that are diagnostic
T or F · A dental office may charge a patient a "nominal" (small) fee for the cost of
transferring records. The MN Department of Health (MDH) decides on the maximum fee
a dentist can charge. - answersTrue
T or F Any health care provider who is licensed, credentialed, or registered by a health-
related licensing board as defined under section, must wear a name tag that indicates
by words, letters, abbreviations, or insignia the profession or occupation of the
individual. The name tag must be worn whenever the health care provider is rendering
health services to a patient, unless wearing the name tag would create a safety or
health risk to the patient. - answersTrue
Can dentists accept money (renummeration) for sending refferals to another dentist? -
answersNO
· A dentist can dismiss a patient for being non-compliant to recommended treatment.
The doctor/patient relationship can be terminated for: - answerso Patient's failure to
comply with treatment or professional advice
o Consistent tardiness or failed appointments
o Failure to pay for services rendered
o Behavior management issues
An LDA ____ scale the lower anteriors on a pediatric patient, even if the dentist asks
them to do it. The LDA would be held accountable for violation of the Dental Practice
Act. Scaling is ____ a duty in the Scope of Practice for the LDA. The dentist and the
LDA would BOTH be in violation and held accountable. - answersCANNOT, NOT
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