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News — Texas

What is your Medical History Policy?

As healthcare practitioners, dentists may be the only doctor some of your patients may see. This is a great opportunity for you to connect with your patients about what's important to them. Written review of medical history, like treatment consent, can seldom be over-documented. This is another issue where state boards may differ.As a general rule, I suggest you and your staff update patient medical histories prior to performing any clinical procedure. This also applies to orthodontists, who often believe they are exempted because they don't perform invasive procedures. Keeping updated medical histories can help prevent terrible medical tragedies. Know your patients' health...

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Consent Considerations

How often do you and your staff obtain a new written informed consent for treatment? State laws vary some, but let me throw this out there.... I frequently see dentists disciplined for not having signed consent when they should have had it. Conversely, I have never seen a dentist disciplined for having consent forms signed for every clinical procedure (or too many consents). When in doubt as to whether or not you need consent, err on the side of caution and get it!Some principles to remember about consent: Always get consent in writing Consent forms should give patients enough information to...

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Will Emergency Drugs Bite You in the Butt?

Many states require that Dentists (and even staff members) maintain current BLS, ACLS and/or PALS. Additionally, there are requirements that Dentists have and maintain suitable emergency oxygen and have emergency drugs "as a reasonable Dentist with your training and experience."As a State Board Investigator, I investigated patient deaths and hospitalizations. I saw the real life consequences for Dentists who were not prepared for Medical Emergencies in their practice. Not only do you have the legal and administrative hassles, the worst consequence is that you have to live with yourself. Medical Emergencies are real and being prepared is vital. It starts...

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You Can't Handle the TRUTH... About N-95 vs. KN-95 Respirator Masks

I don’t understand why you keep telling us we have to implement an OSHA Respiratory Protection Program – we don’t use respirators.
  • The terminology around masks and respirators is the cause of a lot of confusion. You use N-95 masks, which you call “masks”. The N-95 mask is classified by OSHA as Face Filtering Respirators (FFR). As such, N-95 respirator masks are subject to the requirements OSHA’s Respiratory Protection standard (1910.134).

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No More Masks - Texas Mandate Lifted

ICYMI - Yes, Texas Gov. Abbott lifted the mask requirement and is allowing restaurants to open 100% (effective March 10th, 2021). How does this impact you, your staff, and your practice? Very little! The Texas State Board of Dental Examiners’ COVID-19 Rule found in Rule 108.7(16) (standard of care) remains in effect until June 18th, 2021 unless or until acted upon by the Board. Considering the Board met less than two weeks ago to modify and re-affirm this rule – the requirements will likely remain in full force until they expire. You can reach the rule directly on the TSBDE website here....

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