2Today’s ClassDriving Question: What are the ethical and legal principles the dental team must follow?Learning Intentions:We will be able to identify the basic principles of ethics.We will be able to explain the American Dental Association’s Code of Ethics.Anchor: What are the 5 ethical principles in dentistry? Explain what each one is.
3This lessonThis lesson focuses on the guidelines for dental practice confidentiality, the federal HIPAA, and patient rights. Confidentiality as it relates to patient treatment and information has become one of the most important issues of today. The goals and guidelines for maintaining privacy are addressed, including the parts and functions of the HIPAA. There are specific guidelines for withdrawing from a patient case and maintaining a patient record, including making corrections on the chart.
4Contracts Click here for a question to consider Express contract verbal or written words that are agreed upon in an established contractImplied contractone that is implied based on patient’s actionsClick here for a question to consider4
5Question to ConsiderIf a patient comes to the dental office for the dentist to treat a toothache and implies that he wants treatment right away, while the dentist is still working on another patient, what should the DA do in this situation?5
6Due CareDefined as what any reasonable or prudent dental care professional would do under similar circumstancesCan result in either a negligence or malpractice lawsuit6
7Examples of Negligence and Malpractice Failure to properly detect a diseaseImproper utilization of surgical utensilsInstallation of defective or inferior dental productsPersonal injury to oral cavity or surrounding bone and tissueWrongful death due to dental procedures or anesthetic7
8Malpractice Known as professional negligence Occurs when four D’s are missing:duty (relationship)derelict (negligence)direct cause (injury)damage (loss)8
9Tort Law Click here for a question to consider Tort is an act that has caused harm to another person, which may be an intentional or unintentional wrongdoingClick here for a question to consider9
10Question to ConsiderYou are not a licensed DA to perform inhalation sedation, and your dentist wants to take care of another patient by allowing you to introduce nitrous oxide sedation to Mr. J. J. Papa. What would you do in this situation? (Your dentist trusts you, as he has provided you with onsite training in nitrous oxide sedation.)10
11Consent Informed consent Written consent Informed refusal fully informing patient about treatment optionsWritten consentdocumenting the patient is aware of diagnosis, required treatment, treatment, and risksInformed refusalpatient refusal of treatment after patient has been fully educatedClick here for a question to consider11
12Question to ConsiderA patient has signs of a potentially dangerous disease and your dentist has clearly informed the patient and is advising him to get a biopsy performed, but the patient is in denial and refuses to get any diagnostic tests. What should the dental team do in this situation?12
13Invasion of Patient’s Privacy Occurs when information is disclosed that should remain confidentialAnother type of tortOccurs when information is inappropriately shared either verbally or in writing13
14Protected Health Information Any information that can be used to identify person, such as:Social Security numberzip codebirth date14
15Health Insurance Portability and Accountability Act (HIPAA) Enacted in 1996Privacy requirements under HIPAA consist of three categories:privacy standardspatients’ rightsadministrative requirements15
16Privacy StandardsRequire dental offices to provide a copy of office’s Notice of Privacy Procedure to each patient at the first visitState that patients have rights to their own PHI16
17HIPAA Administrative Requirements Every office must have a HIPAA privacy contact person so that patients may file complaints regarding breach of privacyA complaint system must be establishedAgreements protecting PHI must be contracted and documented within HIPAA policy manualsHIPAA updates provided by the ADA can be found by clicking here or visiting17
18Standard of Care Patients Expect Qualified licensed dentistStandard materials and appropriate drugsCare and treatment within a given period of timeFees similar to those of other area dental officesAccurate and clear instructions as needed18
19AbandonmentDefined as withdrawing from patient care without reasonable notice or failing to provide a referral for completion of dental treatment; is illegalIf the dentist has treated the patient, then terminating a patient must be done in writing and usually within how many days?19
20The Patient Record Legal document Treating dentist is owner of original patient recordDental teams are responsible for keeping record accurate and up to dateHIPAA gives patients the right to review their charts and request copies of their records and radiographs20
21Check Your Understanding Why is it important as a DA to know the state dental practice act requirements for the state for which one is employed ?What constitutes abandonment of a patient?When manually entering data into a patient’s chart, why should the dental team member always sign behind his or her entries and notes?Click here to check your answers21
22Answers to Check Your Understanding To ensure that the DA only performs tasks that the act allows for that stateWithdrawing from patient care without reasonable notice or failing to provide a referral for completion of dental treatment is illegalThe signature validates what has been entered in the patient chart22
23Homework #3Homework #3- On page 29 of your dental assisting text book answer check your understanding 1-10 write out question and only correct answer.