Introducing 

Prezi AI.

Your new presentation assistant.

Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.

Loading…
Transcript

Authorized Acts

During the practice of dental hygiene a member is authorized, subject to the terms, conditions and limitations imposed on his or her certificate of registration, to perform the following:

1. Scaling teeth and root planing including curetting surrounding tissue.

2. Orthodontic and restorative procedures. 1991, c. 22, s. 4.

A member shall perform a procedure under the authority of paragraph 1 of section 4 in accordance with any requirements prescribed in the regulations, and may perform such a procedure,

  • on the member’s own initiative, if none of the contraindications prescribed in the regulations to performing the procedure are present, and if the member ceases the procedure if any of the prescribed contraindications to continuing the procedure are present; or
  • if the procedure is ordered by a member of the Royal College of Dental Surgeons of Ontario. 2007, c. 10, Sched. B, s. 4 (1).

If a registrant has not been approved for self-initiation ..

  • If care proceeds under an ‘order’, the ‘order’ could be a ‘standing order’ in the form of an office protocol outlining certain conditions which must be met prior to these procedures being performed.

  • This protocol should be signed by both the dentist and dental hygienist

  • Client specific orders normally are given based on the nature of the treatment for orthodontic and restorative procedures.

Self initiation and use of orders in the dental office

  • The amendment to the Dental Hygiene Act, 1991 (DHA) was proclaimed on September 1, 2007.

  • The act of 'scaling teeth and root planing, including curetting surrounding tissue' may do so without an order from a DDS subject to the regulation on the contraindications, was approved by the CDHO for approved registrants

How to find..

google search: CDHO practice guidelines

Last option on list

Authorized Acts

During the practice of dental hygiene a member is authorized, subject to the terms, conditions and limitations imposed on his or her certificate of registration, to perform the following:

Reference

CDHO. (2007, September). Use of Orders

(extracted from the CDHO Bylaws). Retrieved June 21, 2016, from http://www.cdho.org/my-cdho/guidelines/practice

1. Scaling teeth and root planing including curetting surrounding tissue.

2. Orthodontic and restorative procedures. 1991, c. 22, s. 4.

A member shall perform a procedure under the authority of paragraph 1 of section 4 in accordance with any requirements prescribed in the regulations, and may perform such a procedure

  • on the member’s own initiative, if none of the contraindications prescribed in the regulations to performing the procedure are present, and if the member ceases the procedure if any of the prescribed contraindications to continuing the procedure are present; or
  • if the procedure is ordered by a member of the Royal College of Dental Surgeons of Ontario. 2007, c. 10, Sched. B, s. 4 (1).

example of order

Dentist

  • The dentist can choose to establish his/her own office protocol outlining conditions under which a dental hygienist may proceed with treatment.

  • The protocol provided by this College is a sample and can be amended to accommodate individual office policies.

  • If there is no protocol in place, every ‘order’ must be client specific and recorded in the client’s chart every time the client presents to the office!

  • A ‘client-specific order’ should be signed/initialled by the dentist and recorded in the client’s chart.

Dental Hygienist in Ontario

  • There is no supervision requirement for dental hygienists in Ontario!

  • ....However, for a dental hygienist who has not been approved for self-initiation by the CDHO, the ‘order’ is required regardless of whether the dentist is present in the office or not and must be provided prior to commencing treatment on the client. (This is us)

  • Once an ‘order’ has been provided, a dental hygienist can treat a client without the dentist being present in the office.

  • ...However, the protocol may not cover a situation where a client presents with medical contraindications unless the dentist is available for consultation or the office protocol provides for obtaining medical clearance from a physician or a nurse practitioner.

CDHO: Use of Orders

Rachel Brough, Lisa Margerison & Jordan Whately

add logo here

Learn more about creating dynamic, engaging presentations with Prezi