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OSHA’S NEW RULING ON COVID-19 (ETS) - OSHA’s
COVID-19 Healthcare Emergency Temporary Standard
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ETS, 29 CFR 1910.502
Biomedical Waste Staff Training, (Dept of Health; Chapter 64E-16, F.A.C.)
Two (2 Credit) hours
Speaker: TBD
Chapter 64E-16 Florida Administrative Code ”Biomedical Waste” regulations.
OBJECTIVES
- To discuss the required annual BMW educational training for Chapter 64E-16 Florida Administrative Code.
GOALS
- To have dental healthcare professionals (DHCP) understand their legal responsibilities in the process of handling biomedical waste (BMW); To have dental healthcare professionals (DHCP) understand their legal responsibilities in the process of handling biomedical waste (BMW);
To have dentists formulate a corrective action plan for their respective practices and to attain the highest level of BMW compliance with Chapter 64E-16 Florida administrative code.
TOPICS WILL INCLUDE:
- HRS –Chapter 65E-16 Florida Administrative Code “Biomedical Waste Process” Process and Procedures:
- Definition and Identification Storage
- Transfer
- Treatment and disposal
- Records;
- Training Requirements
- Handling of BMW
- Labeling;
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COURSE # 20-111457
Dental Diagnosis
One (1) Credit hours
Speaker: TBD
GOALS: To raise the dental practitioner’s diagnosis standards and to re-enforce Dental Diagnosis recommended practices.
OBJECTIVES: To present the dental practitioner with a detailed out-line to follow when making a diagnosis. This will help reduce patient risk, improve patient’s dental care and increase patient/dentist confidence level.
OUTLINE:
- Meeting the patient;
- Formation of the Dentist/Patient relationship;
- Examination—Review the history given by patient;
- Review Systems—(subjective criteria), medical conditions–,
- Review medications taken by patient,
- Observe patient’s physical characteristics—objectives criteria;
- Consents: verbal/written; Importance of legal guardianship vs. “care-taker’s” consent in a child or physically/mentally impaired patient;
- Chief complaint; Oral facial, TMJ exams; Intra-oral exam—lips/vestibules, structure;
- Patient conditions: anatomical, physiological—tong and action, saliva type;
- Occlusion; Oral habits, Dentition; Periodontium;
- Need for Medical Consult;
- Medical Considerations—History and review, Disease based analysis, Problem based analysis; Emergencies—Chief complaint,
- Symptoms; Evaluations—Consent to oral examination process,
- Extra-oral and Intra-oral Radiographic;
- Appropriate test–The differential diagnosis,
- a) A list of the most probable to least probable;
- b)Pathology vs. normal deviation;
- Formulation of the initial diagnosis;
- Consent to treat re: Initial diagnosis;
- Revised diagnosis due to parameters recognized during treatment.
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COURSE # 20-313606
Dental Documentation and Record-keeping
Speaker: TBD
Goal: This course will teach the licensee the required and recommended dental documentation and record-keeping practices. Contrary to the risk management course in which we only touch upon main recommended documentation practices, in this course, we give a detailed presentation; providing in-depth examples of how to document a case presentation. We also provide samples of recommended forms and sources from where to obtain these forms.
Objective: To provide licensees with the legal understanding of required practices vs. recommended practices, and to provide samples and visual aids of recommended forms and traditional or computerized management systems to improve their dental practice’s record-keeping systems.
TOPICS WILL INCLUDE:
- How to recognize your professional responsibilities with the different regulatory agencies, i.e., BPR; OSHA; HRS; DERM, INS, EPA, etc.
- How to Implement Simple but Thorough Dental Office Management Practices
- Patient’s Files – dental records
- Patient’s Information Form—financial and medical
- Do’s and Don’ts of patient’s records
- Release of Medical Records
- Inform Consent of Treatment Plan
- Recommended Practices
- How to Prevent Documentation Liability Risks
- How to Prevent the Most Common Risk Management Mistakes
- Appointment Book
- Legal Evidence
- Recommended Techniques
- Laboratory Prescriptions
- Legal Evidence
- Impact on Fraud
- Repercussions of Improper Documentation
- Prescriptions of Control Substance
- Improper Documentation
- Recommended Practices for Emergency Prescriptions
- Financial Records
- Practice’s Financial Policy and its’ Risk Management Benefits
- Legal and Ethical Responsibilities
- Financial Arrangement with Patient and the Importance of the Treatment Consent Form
- Impact on Fraud
- Risk Management Practices
- Human Resources
- Documentation Requirements
- Job Description
- Personnel Manual
- Time Sheets
- Workman Compensation
- Risk Management Practices
- Purpose and Requirements of OSHA 29 Chapter Fl. Registry 1910.100030
- Record-Keeping and Documentation Requirements
- Rights, Common Violations, Citation and Penalties
- ADA Recommendations
- Safety Precautions Emergencies First Aid Procedures
- Hazard Communications Plan
- Technical and Professional Staff Training Requirements
- Documentation Requirements
- Chapter 64 E-16 Florida Administrative Code “Biomedical Waste Process” Process and Procedures:
- Dental Practice’s Record-keeping requirements
- Staff Training Requirements
- Documentation Requirements
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COURSE # 20-104142
Dental Treatment Planning One (1) credit hrs;
Speaker: TBD
Goals: To raise the dental practitioner’s level of understanding the importance of proper Treatment Planning, and the importance of using proper documentation when presenting a Treatment Plan.
Objectives: Provide a comprehensive presentation and have the dentist understand that Treatment Planning, not only is presenting the patient with the best dental Treatment Plan to reach optimum oral restoration, but it is the precise moment in which a dentist acquires maximum liability risk if he fails to ignore recommended practices.
OUTLINE:
- Inclusion of Diagnosis into overall Treatment Plan.
- Construction for the individualized Treatment Plan.
- Presentation.
- Consultation before acceptance.
- Explanation of Risks.
- Documenting in writing that the patient understood risks.
- Procedures.
- Benefits and Alternatives of Treatment Plans.
- Determination of Patient’s understanding and consideration of Treatment Plan; Lay-man’s language vs. professional terms.
- Post-operative care.
- Importance of documenting present witness during treatment plan presentation; Documentation of mental competency.
- Written acceptance, Required Record-keeping of patient’s dental records as per Chapter 59Q-17.002 and third-party submission.
- Confidentiality of patient’s Diagnosis, Treatment Plan and Dental Records.
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COURSE # 20-313607
Domestic Violence
Two (2 Credit) hours
Speaker: TBD
Goal: To comply with the requirements of 2 credit hours of instruction on domestic violence as dictated by Ch. 95-187, Laws of Fl., set forth in Rule 59R-13.005, F.A.C. and to make the participant aware of the prevalence of domestic violence in our society.
Objectives: Provide the participant with information on the prevalence and incidence of domestic violence in the patients seen in a dental practice; including information on how to identify those patients who may be victims or perpetrators of domestic violence. Teach participants in how to implement a secure domestic violence plan. Instruct the participants on screening procedures to determine if a patient has a history of being a victim or perpetrator of domestic violence; and provide information on the care or referral of such patients to the appropriate authorities, treatment centers, advocacy groups and other resources in the community. We will provide the participants with a list of agencies and community resources dealing with domestic violence.
TOPICS WILL INCLUDE:
- Recognizing the signs and symptoms presented by the victims and perpetrators of domestic violence
- Instruction on the screening procedures to determine if a patient is a victim/perpetrator of domestic violence
- The prevalence/incidence of domestic violence; particularly witnessed by DHCP
- The legal duties of the practitioners in regards to the victims and/or perpetrators of domestic violence
- Information on the different community resources available, including a list of those resources
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COURSE # 20-246638
Ebola Virus Awareness in the Dental Setting
Two (1) credit hours of Continuing Professional Education
Speaker: Magda Fariña Rodriguez, B.S.
GOALS: To raise the dental practitioner’s level of understanding the risk of transmission of Ebola in the Dental Office; to introduce the practitioner to established laws requiring administrative and engineering measures; and to have the licensee recognize their responsibilities and liabilities for failing to implement and comply with required engineering control measures and administrative protocols for the prevention of EBOLA transmission in the Dental Office.
OBJECTIVES: Provide a comprehensive presentation and have the dentist understand and become aware of the incidence of Ebola in their County and the risks for a potential outbreak. Have the dentist understand, that regulations and healthcare politics move very slow when facing such a contagious disease as Ebola, and have the dentist understand his/her personal professional responsibility. We will present statistics on the increase of EBOLA in different parts of the world, and the incidence and the demographics of EBOLA; provide the dentist with the necessary information to implement administrative and engineering measures in the dental practice.
OUTLINE:
- Epidemiology, Transmission and Pathogenesis; CDC “Guidelines for Preventing the Transmission of Ebola in Healthcare Facilities”.
- Goals of implementing an EBOLA infection control program:
- Early screening and detection, isolation, and effective treatment.
- Hierarchy of controls using two tier approach risk assessment protocol:
- Implementing administrative measures.
- Evaluating the need for engineering controls.
- Screening of patients for active and latent EBOLA infection.
- Reporting guidelines.
- Physical measures to reduce contamination.
- Prompt investigation and control of exposure.
- Identification of greater incidence in specific healthcare facilities.
- Identification of suspected EBOLA potential patient
- Risk assessment – Appointing a team
- Patient screening for Ebola– specific questions to ask.
- High risk population – Travelers from known areas with outbreaks of Ebola.
- Requirement of implementation of EBOLA policy in the Dental Office.
- Exposure identification, documentation, and screening procedures; staff medical records.
- Required education of staff in the prevention of EBOLA infection, documentation.
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COURSE # 20-246638
Florida Laws and Rules
Speaker: TBD
GOALS: To have the dental professional thoroughly understand Chapter 466 Florida Statues and Rule 64B5 that rules the Dental Profession in the State of Florida. To have dental professionals gain the necessary understanding to be able to recognize their professional responsibility and competence to practice dentistry according to community standards of practice. Have them understand how to recognize the differences between moral and legal standards of practice and how to attain a satisfactory balance inn meeting both objectives. Provide Dentists with the necessary information to understand the legal relationship in a professional relationship. Have them understand thoroughly their responsibility with the confidentiality of patient records, and the legal ramifications for failing to meet this requirement. Present a basic guideline in understanding record-keeping requirements (it is recommended that they follow through with HMS’s Dental Documentation and Recordkeeping seminar); common malpractice complaints for failing to document properly; and most commonly reported violations and follow recommended and required practice guidelines.
OBJECTIVES: To have dental professionals practice within recommended and required practice guidelines, and to have them understand the ethical, legal, and moral issues they encounter in the course of their daily practice. To equip dentist with information and relevant case studies and have them be able to make ethical, legal, and moral decision in the course of their practice. To achieve the objectives of the course, HMS not only lectures, but we use visual aids, hand-outs, reference materials and encourage licensees to interact in the lecture, and openly discuss case studies presented, and other dentist shared experiences that will contribute to the course’s objectives.
The course consist of instruction in Florida Laws and Rules and Risk Management in relevant topics including:
- Professional responsibility and competence.
- Moral and legal standards.
- Confidentiality.
- Professional relationships.
- Record-keeping.
- Common malpractice complaints.
- Commonly reported violations reported to the agency.
- Relevant case studies
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COURSE # 20-114205
HIPAA & Fl. Law
(2,3,4,or 5 Credit Hours (as advertised)
Speaker: TBD
GOALS: Present an in-depth discussion on HIPAA’s Privacy Documentation Requirements and Florida State Privacy law requirements and have dental professionals gain an understanding of the differences between the Federal HIPAA Privacy Law and the State of Florida’s Privacy Law. Be able to identify when one law will pre-empt the other when they will need to comply with both regulations. We will use case discussions; definitions under both federal and state laws in order to illustrate situation licensees will face in their practice, and provide them with sufficient knowledge to make the right decisions.
We will teach the professional to identify situations in their practice requiring documentation changes in order to comply with both requirements in order to limit their civil liability, and possible risk to criminal liability for improper handling of Protective Health Information (PHI). Be able to relate the importance and necessity of administrative changes to comply with both regulations; and to recognize the need for periodic staff training.
OBJECTIVE: To provide licensees with the tools to examine their practice to identify situations in which PHI is being compromised, and have them recognize that they need to make changes either administratively or structurally in order to comply with both Federal HIPAA Privacy Law and the State of Florida’s Privacy Law. We aim to provide the professional with documentation options to implement documentation requirements; have licensees understand the benefits of practicing within required guidelines, and have them recognize situations in which the services of a practice consultant may not be sufficient to solve a situation in which PHI has already been compromised. They may need to seek the services of a professional attorney.
COMMENTS: The course is geared to highlight a complete understanding of terminology, legal responsibilities and required documentation, and the practice’s structural, electronic and security requirements to comply with both laws, which in many cases are in contradiction with traditional and recommended dental practices’ layouts. The subject matter is provocative as it makes licensees aware of their shortcoming, and the many challenges and risk management issues they need to address; however, they are presented with acceptable solutions and alternatives. Primarily dental professionals are confronted with the realization “change” and the insecurity and fear this subject brings. Inevitably, it provokes licensees into active ethical discussions challenging the limits and scopes of the laws being discussed.
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COURSE # 20-127406
HIPAA Omnibus Rule
Two (2 Credit) hours
Speaker: TBD
GOALS: Present an in-depth discussion on HIPAA’s High-tech Privacy Act Requirements and have the healthcare professional acquire an understanding of their responsibilities to implement security “written policies and procedures”; Change the HIAA Notice of Privacy Practices to comply with the High Tech Act and Implement a patient’s bill of rights; create a Breach Notification Policy; implement Breach Documentation and Notification Protocols and Procedures; Acquire new business associate agreements from BA; Have ANNUAL staff training and conduct continuing periodical internal HIPAA staff training; Have appropriate patients and office administrative forms to comply with all policies and; Conduct an independent written IT risk assessment, which must be signed by a professional IT company.
We will use case discussions; definitions under both Federal and State laws in order to illustrate situation licensees will face in their practice and provide them with sufficient knowledge to make the right decisions and/or acquire additional continuing education training on the subject for the professional and his staff. Have the professional identify situations in their practice requiring documentation changes in order to comply with both requirements in order to limit their civil liability, possible risk to criminal liability, and “mandatory” Federal Fines for improper handling of Protective Health Information (PHI). Be able to relate the importance and necessity of administrative changes to comply with both the High-tech and Privacy Act; and recognize the need for periodic staff training.
OBJECTIVE: To provide the licensee with the tools to examine their practice to identify situations in which PHI is being compromised, according to the law, not according to what the practitioner feels “compromise is”, and have them recognize that they need to make changes either administratively or structurally in order to comply with both Federal HIPAA Privacy Law and the High-tech Act and the State of Florida’s Privacy Law; provide the professional with documentation options to implement documentation requirements; have licensees understand the benefits of practicing within required guidelines, and have them recognize situations in which the services of a practice consultant may not be sufficient to solve a situation in which PHI has already been compromised. Have the dental practitioner understand not only the legal ramifications, but the nature of the “mandatory fines” and the magnitude and scope of these mandatory fines. Make the dental practitioner understand the need to acquire a Cyber Policy Liability Rider.
COMMENTS: The course is geared to highlight a complete understanding of terminology, legal responsibilities and required documentation, and the practice’s structural, electronic and security requirements to comply with both laws, which more often than not, are in contradiction with traditional and recommended dental practices’ layouts. The subject matter is provocative, as it makes licensees aware of their shortcomings, and the many challenges and risk management issues they need to address; however, they are presented with acceptable solutions and alternatives. Primarily dental professionals are confronted with the realization “Change” and the insecurity and fear this subject brings. Inevitably, it provokes licensees into active ethical discussions challenging the limits and scopes of the laws being discussed.
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COURSE # 20-769864
HIV/AIDS
(1 or 2 CE hours, as advertised)
Dentist’s requirements 455.2226
Speaker: TBD
Goals: To have dental practitioners comply with Chapter 448 requirements as set forth in Rule 59R-13.005, F.A.C.
Objectives: Upon completion of this article, participants should be able to recognize strategies to prevent occupational exposure of blood- borne pathogens; list essential steps in the management of occupational exposure; describe CDC recommendations for HIV/AIDS post exposure protocol; and describe the OSHA requirement for an occupational exposure record.
COURSE OUTLINE:
- Modes of transmission
- Including transmission from healthcare worker to patient and patient to healthcare worker
- Infection control procedures
- Including universal precautions
- Epidemiology of the disease
- Clinical Management
- Prevention
- Current Florida law on AIDS and its impact on testing, confidentiality of test results, and treatment of patients
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COURSE # 20-104138
Human Trafficking
This course adheres to the standards for approved providers as set forth in Rule 64B5-12.0175, FL Administrative Code (FAC) and CHAPTER 2019-152, Florida Law requirements on Human Trafficking.
Goals: Provide participants (DHCP) with information on:
- CHAPTER 2019-152, Florida Law requirements on Human Trafficking.
- The specific documentation requirements
- The Staff Trafficking
- What is Sex, Labor, and Organ Trafficking
- How to identify individuals who may be victims of human trafficking
- How to report cases of human trafficking
- Resources available to victims
- Laws that combat trafficking
- Liability for not reporting trafficking
Objectives: To have participants (DHCP) gain the necessary understanding and knowledge on the scope of Human Trafficking and to have them be able to implement policies, procedures, and documentation practices, to be able to identify patients who may be potential victims of Human Trafficking visiting their practices, and to know what to do in those situations.
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COURSE # 20-675051
Infection Control
(1 or 2 credit hours, as advertised, and up to 10 credit hours by special request)
Speaker: TBD
Goals: This course will teach the licensee about the latest infectious diseases in the dental practice and how to prevent them by implementing engineering precautions throughout the practice.
Objectives: This course is designed to meet two objectives. First, to provide licensees with information on the prevention, dissemination of infectious disease through the implementation of infectious control and biomedical waste practices; and to inform licensees on the current statistics, guidelines and recommended practices by the Center for Disease Control. Second, to have licensees understand administrative practices, documentation requirements, legal responsibilities and definitions.
In order to accomplish these objectives, instructors, in addition to the course outline and manual, use visual aids (slides, overhead projections, a live or-shop display; and three dimensional displays –bulletin board and sample manuals). Also, interactive participation is encouraged. We allow questions, answers and personal experiences pertinent to the subject being discussed to be shared that will enhance the course objectives.
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COURSE # 20-114199
Medical Errors
Two (2 Credit) hours
Speaker: TBD
GOALS: This course fulfills the State of Florida’s requirement for two (2) hours of continuing education on the prevention of medical errors. Upon completion of the course, participants will be awarded a certificate entitling them to claim up to two (2) hours of credit towards their continuing education requirement. Participants should claim only those hours of credit that were actually spent on this activity.
OBJECTIVES: The objectives of this course are to provide healthcare professionals with information about error reduction and prevention, patient safety, and the root cause analysis while satisfying the educational requirement. Upon completion of this course the participants should be able to:
- Recognize medical errors as defined by the Institute of Medicine
- Describe and recognize the types of sentinel events pertaining to medical errors identified by the Joint Commission on Accreditation of Healthcare Operations (JCAHO) and identify the most common sentinel events reported to JCAHO
- Discuss the factors to be included in a root cause analysis to be considered “thorough” and “credible” within the JCAHO standards
- Know what types of adverse events must be reported to the Florida Agency for Health Care Administration (AHCA) within 24 hours of notification of the incident
- Identify what types of adverse events specific to the practice of dentistry
- Identify the safety needs of special populations
- Apply the information obtained from this course to their own practice for the prevention of medical errors
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COURSE # 20-104139
OSHA's Blood-borne Pathogen Standard
(2 or 5 credit hours, as advertised)
Speaker: TBD
GOALS: To discuss the required annual educational training for OSHA – 29 Chapter Fl. Registry 1910.1030 “Occupational Exposure to Blood-borne Pathogens”; and HRS—Chapter 64E-16 Florida Administrative Code–“Biomedical Waste”.
OBJECTIVES: To have licensees understand their legal responsibilities for failure to comply with these regulating organizations; understand their differences, goals and objectives, and have the dentists formulate a Corrective Action Plan for their respective practices to attain the highest level of compliance. To have licensees comprehend that they will attain a higher level of risk management control by being in compliance; and that by recognizing this not only will they prevent risk factors with these regulating agencies, but will also attain a higher level of protection from other potential risk situations, non-related to these organizations (actual cases will be presented – the names of the dentist and patients will be with-held).
TOPICS WILL INCLUDE:
7* Purpose and Requirements of OSHA 29 Chapter Fl. Registry 1910.100030;
- Purpose and Requirements and Standards of OSHA’s Regulations; Materials Necessary for Compliance
- Definitions and Responsibilities; General Compliance Requirements
- Epidemiology of blood-borne diseases; CDC recommendations
- Asepsis and sterilization techniques in the Dental Office; Record-Keeping and documentation Requirements
- Rights, Common Violations, Citation and Penalties; Infection Control Process and Procedures
- Universal Precautions; Exposure Determination
- Blood-borne Diseases Pathogen Standards; HIV/AIDS, Confidentiality of test & Med. Records
- Personal Protective Equipment; HBV, Vaccination Requirements
- Engineering Controls; Housekeeping; Safety Precautions Emergencies First Aid Procedures
- Hazard Communications; Training Requirements
8* HRS –Chapter 65E-16 Florida Administrative Code “Biomedical Waste Process” Process and Procedures:
- Definition and Identification Storage
- Transfer
- Treatment and disposal
- Records
- Training Requirements
- Handling of BMW
- Labeling
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COURSE # 20-114203
OSHA's Globally Harmonized System of Classification
Course Description Coming Soon!
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COURSE # 20-436026
Professional Ethics and Jurisprudence
Two (2 Credit) hours
Speaker: TBD
Chapter 466 Florida Statues Requires Dentists 2 credit hours of Ethics and Jurisprudence for Licensing Renewal or Reactivation.
GOALS: To have dental professionals gain the necessary understanding to be able to recognize their professional responsibility and competence to practice dentistry and understand how to recognize the differences between moral and legal standards of practice, and how to attain a satisfactory balance in meeting both objectives. To provide dentists with the necessary information to understand the legal relationship in a professional relationship—dentist/patient—their responsibility with the confidentiality of patient records, and the legal ramifications for failing to meet this requirement. To provide a thorough guideline in understanding record-keeping requirements, common malpractice complaints about failing to document properly, and most commonly reported violations for failing to document and follow recommended and required practice guidelines.
OBJECTIVES: To have dental professionals be able to practice within recommended and required practice guidelines and to have them understand the ethical, legal and moral issues they encounter in the course of their objectives. To equip dentists with information and relevant case studies to have them be able to make ethical, legal and moral decisions in the course of their practice. In order to achieve the objectives of the course we not only lecture, but use visual aids, hand-outs, reference materials and encourage licensees to interact in the lecture, and openly discuss case studies presented and individual experiences that will contribute to the course’s objectives.
Two hours (2hrs.) of instruction in Ethics and Jurisprudence and Risk Management in relevant topics including:
- professional responsibility and competence
- moral and legal standards
- confidentiality
- professional relationships
- record-keeping
- common malpractice complaints
- commonly reported violations reported to the agency
- relevant case studies
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COURSE # 20-127466
Risk Management
(5 crdt. Hrs. or 10 Hrs. by special request)
Speaker: TBD
GOAL: It is an in-depth presentation that addresses the following: To have dental professionals gain the necessary understanding to be able to recognize their professional responsibility and competence to practice dentistry; to understand how to recognize the differences between moral and legal standards of practice and how to attain a satisfactory balance in meeting both objectives. To provide dentists with the necessary information to understand the legal relationship in a professional relationship—dentist/patient—their responsibility with the confidentiality of patient records, and the legal ramifications for failing to meet this requirement. To provide a thorough guideline in understanding record-keeping requirements, common malpractice complaints about failing to document properly, and most commonly reported violations for failing to document and follow recommended and required practice guidelines
OBJECTIVES: To present in-depth discussions of all issues that may place the dental practice at risk. We will use case discussions and “real” case presentations to illustrate risk management issues. In contrast to the Ethics and Jurisprudence course, this course will be more explicit and interactive, allowing the participants more time to thoroughly discuss, in a forum-like manner, those issues that are relevant to their dental practices and or/ dental experiences.
OUTLINE:
- Professional responsibility and competence
- Moral and legal standards
- Confidentiality
- Professional relationships
- Record-keeping
- Common malpractice complaints
- Commonly reported violations reported to the agency
- Relevant case studies
- Florida Law on AIDS and its impact on testing
- Confidentiality of test results
- Treatment of patients and
- Current events related to Risk Management
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COURSE # 20-104144
TB Infection Control in the Dental Office
Two (2 Credit) hours
Speaker: TBD
GOALS: To raise the dental practitioner’s level of understanding the risk of transmission of Tuberculosis in the dental office; to introduce the practitioner to established laws requiring administrative and engineering measures; and to have the licensee recognize their responsibilities and liabilities for failing to implement and comply with required engineering control measures and administrative protocols for the prevention of TB transmission in the dental office.
OBJECTIVES: Provide a comprehensive presentation and have the dentist understand and become aware of the incidence of Tuberculosis in their county. We will present statistics on the increase of TB in their county and the incidence and the demographics of TB; provide with the necessary information to implement administrative and engineering measures.
OUTLINE:
- Epidemiology, Transmission and Pathogenesis; CDC “Guidelines for Preventing the Transmission of Tuberculosis in Healthcare Facilities”
- OSHA’s Standard (29 CFR 1910.145 (f) 4) for Occupational Exposure to tuberculosis
- State of Florida’s Tuberculosis Control Act as detailed in Florida Statutes, Chapter 392
- Goals of implementing a TB infection control programs
- Early detection, isolation and effective treatment
- Hierarchy of controls using two tier approach risk assessment protocol
- Implementing administrative measures
- Evaluating the need for engineering controls
- Screening of patients for active and latent TB infection
- Screening for TB infection amongst health care facility employees
- Reporting guidelines
- Physical measures to reduce contamination
- Prompt investigation and control of exposure
- Identification of greater incidence in specific healthcare facilities
- Identification of high hazard procedures performed on individuals with suspected or confirmed TB-such as aerosolized medication treatments and/or suctioning procedures
- Risk assessment – Appointing a team
- Perform a risk assessment according to the five categories identified by the CDC
- Explanation of the five categories
- Required documentation for risk assessment; initial risk assessment survey, annual risk assessment survey
- Patient screening for Mycobacterium Tuberculosis – specific questions to ask;
- High risk population
- Requirement of implementation of TB policy in the Dental Office
- Exposure identification, documentation and screening procedures; staff medical records
- Required education of staff in the prevention of TB infection, documentation
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COURSE # 20-127434