reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › LICENSURE-APPLICATION AND ELIGIBILITY REQUIREMENTS › Section 246-812-159 - Continuing competency requirements

Current through Register Vol. 24-14, July 15, 2024
The goal of continuing competency is to encourage the
					 lifetime professional development of the licensed denturist, and to enhance the
					 clinical and overall skills needed to protect the health and safety of all
					 patients.
(1) A licensed denturist
				  shall:
(a) Complete and attest to the
				  completion of a minimum of fifteen clock hours of continuing competency every
				  year as a part of their annual license renewal requirement; and
(b) Comply with the requirements of chapter
				  246-12 WAC, Part 7.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › LICENSURE-APPLICATION AND ELIGIBILITY REQUIREMENTS › Section 246-812-159001 - Denturist health equity continuing competency training requirements

Current through Register Vol. 24-14, July 15, 2024
(1) A licensed
				  denturist must complete two hours in health equity continuing competency
				  training every four years as described in WAC
				  246-12-800 through
				  246-12-830.
(2) The two hours of health equity continuing
				  competency a licensed denturist completes counts toward meeting the applicable
				  continuing competency requirements under WAC
				  246-812-159.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › LICENSURE-APPLICATION AND ELIGIBILITY REQUIREMENTS › Section 246-812-160 - Expired license

Current through Register Vol. 24-14, July 15, 2024
If a denturist's license is expired, to return to active
					 status the denturist shall meet the requirements in chapter 246-12 WAC, Part 2
					 and comply with the following:
(1) If
				  a denturist's license is expired for one year or less, the denturist shall:
(a) Pay the late renewal penalty
				  fee;
(b) Pay the current renewal
				  fee; and
(c) Comply with the
				  current continuing competency requirements.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › LICENSURE-APPLICATION AND ELIGIBILITY REQUIREMENTS › Section 246-812-161 - Inactive license

Current through Register Vol. 24-14, July 15, 2024
(1) A licensed
				  denturist may obtain an inactive license by meeting the requirements of WAC
				  246-12-090.
(2) An inactive license must be renewed every
				  year on the denturist's birthday according to WAC
				  246-12-100 and pay the applicable
				  fees according to WAC
				  246-812-990.
(3) A denturist with an inactive license may
				  return to active status.
(a) If a license is
				  inactive for three years or less, to return to active status the denturist
				  shall meet the requirements of WAC
				  246-12-110 and pay the applicable
				  fees in WAC
				  246-812-990;
(b) If a license is inactive for more than
				  three years and the denturist has been actively practicing in a board-approved
				  state, territory of the United States, District of Columbia, or Puerto Rico the
				  denturist shall:
(i) Provide to the board
				  primary source verification of the active denturist license, submitted directly
				  from another licensing entity that includes:
(A) License number;
(B) Issue date;
(C) Expiration date; and
(D) Whether the denturist is or has been the
				  subject of final or pending disciplinary action.
(ii) Provide to the board verification of
				  current active practice in a board-approved state, territory of the United
				  States, District of Columbia, or Puerto Rico for the last three years;
				  and
(iii) Meet the requirements of
				  WAC 246-12-110 and pay the applicable
				  fees in WAC
				  246-812-990.
(c) If a license is inactive for more than
				  three years, and the denturist has not been actively practicing in a
				  board-approved state, territory of the United States, District of Columbia, or
				  Puerto Rico the denturist shall provide to the board:
(i) A written request to change inactive
				  licensure status to active status;
(ii) The applicable fees according to WAC
				  246-812-990;
(iii) Documentation of successful completion
				  of the examinations as required in
				  RCW
				  18.30.100;
(iv) Primary source verification of all
				  denturist or health care licenses held, submitted directly from the licensing
				  agency that includes:
(A) License
				  number;
(B) Issue date;
(C) Expiration date; and
(D) Whether the practitioner is or has been
				  the subject of final or pending disciplinary action.
(v) Written declaration that continuing
				  competency requirements for the two most recent years have been met according
				  to WAC 246-812-159; and
(vi) Proof
				  of successful completion of the approved written jurisprudence examination
				  within the past year.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › LICENSURE-APPLICATION AND ELIGIBILITY REQUIREMENTS › Section 246-812-165 - Retired active license

Current through Register Vol. 24-14, July 15, 2024
(1) A
				  licensed denturist may place their credential in "retired active" status by
				  meeting the requirements of this section.
(2) A licensed denturist who holds a retired
				  active license may only practice in intermittent or emergent circumstances. As
				  defined for this purpose:
(a) "Intermittent"
				  means the licensed denturist will practice no more than ninety days a year;
				  and
(b) "Emergent" means the
				  licensed denturist will practice only in emergency circumstances such as
				  earthquakes, floods, times of declared war, or other states of
				  emergency.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › LICENSURE-APPLICATION AND ELIGIBILITY REQUIREMENTS › Section 246-812-175 - Professional title

Current through Register Vol. 24-14, July 15, 2024
(1) A person may
				  not represent themselves as a licensed denturist or use any title or
				  description of services without being licensed by the board.
(2) A person represents themselves as a
				  denturist when they adopt or use a title or description of services that
				  incorporates one or more of the terms or designations:
(a) Denturist;
(b) Licensed denturist;
(c) LD; or
(d) DD.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-200 - Approval of a denturist program

Current through Register Vol. 24-14, July 15, 2024
At the board's discretion, the board may accept proof of a
					 national professional association's approval of a program based on standards
					 and requirements that are substantially equivalent to those identified in this
					 chapter, in lieu of the requirements contained in this chapter. Approval in
					 this manner must be on a form provided by the board. The board will consider
					 for approval any program that meets the requirements as outlined in this
					 chapter.
(1) To request board approval
				  of a denturist education program, the authorized representative shall submit to
				  the board a completed application provided by the board.
(2) The authorized representative may request
				  approval of the program as of the date of the application or retroactively to a
				  specified date. The board approval is valid for five years. The approved
				  program must reapply for renewed approval not less than one hundred eighty
				  calendar days prior to the expiration date.
(3) The application for approval of a program
				  must include, but is not limited to, the standards identified in WAC
				  246-812-220.
(4) The board may conduct a site inspection
				  of the program prior to granting approval.
(5) After completing the evaluation of the
				  application, the board may grant or deny approval, or grant approval
				  conditioned upon appropriate modification to the application.
(6) If the board denies an application or
				  grants conditional approval, the authorized representative of the applicant
				  program may request a review within ninety calendar days of the board's
				  decision. After ninety calendar days, the applicant program may only obtain
				  review by submitting a new application.
(7) The authorized representative must notify
				  the board within thirty calendar days of any significant changes including, but
				  not limited to, educational administration, instructor qualifications,
				  facilities, financial solvency, or content of training.
(8) The board may inspect an approved program
				  at reasonable intervals for compliance. Approval may be withdrawn if the board
				  finds failure to comply with the requirements of law, this chapter, or
				  representations in the program's application under this chapter.
(9) The authorized representative must
				  correct deficiencies that result in withdrawal of the board's approval, and
				  present its correction plan and evidence of actions taken to the board for
				  approval, within timelines specified by the board.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-220 - Standards required for approval of schools or programs of denturism

Current through Register Vol. 24-14, July 15, 2024
The following standards are used by the board in
					 considering a denturism program application for approval:
(1) Curriculum. The curriculum must consist
				  of a list of courses offered and the number of course hours or credits. Courses
				  offered must include:
(a) Head and oral
				  anatomy and physiology;
(b) Oral
				  pathology;
(c) Partial denture
				  construction and design;
(d)
				  Microbiology;
(e) Dental laboratory
				  technology;
(f) Clinical
				  jurisprudence;
(g)
				  Asepsis;
(h) Medical
				  emergencies;
(i) Dental
				  implantology; and
(j)
				  Cardiopulmonary resuscitation.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-225 - Standards required for approval of online schools or programs of denturism

Current through Register Vol. 24-14, July 15, 2024
(1) An online
				  school or program must meet the requirements of WAC
				  246-812-220(1)
				  through (4), (6), and (7).
(2) Supervision of students. Students
				  enrolled in a board-approved online program may perform denturism duties in the
				  course of their training under supervision.
(a) A denturist student must be supervised by
				  a denturist licensed and in good standing in Oregon or Washington, depending
				  upon where the clinical training is taking place.
(b) Students shall only perform those duties
				  within the scope of practice for which they are adequately trained.
(c) The student shall at all times wear an
				  identification badge readily visible to the public that identifies them as a
				  student.
(d) The licensed denturist
				  who is supervising denturist students shall cosign all treatment
				  records.
(e) A supervising
				  denturist may only supervise up to three students at any one time.
(f) The licensed denturist who is supervising
				  denturist students shall submit written reports, summaries, or other
				  information as is required by the approved online school or program.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-230 - Site review procedures for approval of programs of denturism

Current through Register Vol. 24-14, July 15, 2024
(1) The board, at
				  its discretion, may send a representative or evaluation committee to inspect
				  any program requesting approval or renewed approval as an approved denturist
				  program.
(2) Such inspections may
				  be at any reasonable time during the normal operating hours of the
				  program.
(3) The report of the
				  representative or evaluation committee and the program's response shall be
				  submitted as part of the documentation necessary for the board's action on the
				  program's application for approval.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-232 - Denial or withdrawal of a dentur-ist program

Current through Register Vol. 24-14, July 15, 2024
(1) When the board determines that a
				  denturist program fails to meet the standards for training as contained in this
				  chapter, the board shall:
(a) Deny approval
				  to a new program; or
(b) Withdraw
				  approval from an existing program.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-234 - Reinstatement of approval for a denturist program

Current through Register Vol. 24-14, July 15, 2024
The board may consider reinstatement of a denturist program
					 upon submission of satisfactory evidence that the program meets the standards
					 and requirements contained in this chapter.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-236 - Appeal right

Current through Register Vol. 24-14, July 15, 2024
A denturist program that has been denied or had approval
					 withdrawn shall have the right to a hearing to appeal the board's decision,
					 according to the provisions of chapter 34.05 RCW, Administrative Procedure Act,
					 Parts IV and V.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-240 - Nonorthodontic removable oral devices

Current through Register Vol. 24-14, July 15, 2024
(1)
				  A licensed denturist may provide nonorthodontic removable oral devices after
				  receiving an endorsement to their denturist license. These devices must be
				  accompanied by written encouragement to have regular dental checkups with a
				  licensed dentist.
(2)
				  Nonorthodontic removable oral devices are limited to:
(a) Bruxism devices also known as occlusal
				  splints, occlusal bite guard, bruxism appliance, bite plate, and night
				  guard;
(b) Sports mouth
				  guards;
(c) Removable cosmetic
				  appliances, regardless of whether the patient is missing teeth; and
(d) Snoring devices, but only after a
				  physician has ruled out snoring associated with sleep breathing disorders to
				  include obstructive sleep apnea.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-245 - Continuing education for nonorthodontic removable oral devices

Current through Register Vol. 24-14, July 15, 2024
(1) A denturist who
				  has an endorsement to provide nonorthodontic removable oral devices shall
				  complete two hours of continuing competency in three years that:
(a) Must include the making, placing,
				  constructing, altering, reproducing, or repairing of devices for bruxism and
				  snoring; and
(b) May be used
				  towards the continuing competency requirements in WAC 246-812-159 in order to
				  renew the denturist license.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › EDUCATION AND PROGRAM APPROVAL › Section 246-812-250 - Teeth whitening services

Current through Register Vol. 24-14, July 15, 2024
(1)
				  A licensed denturist may provide teeth whitening services after receiving an
				  endorsement to their denturist license.
(2) Teeth whitening services include:
(a) Fabricating whitening trays;
(b) Providing nonprescription strength
				  whitening solutions with over-the-counter equivalent concentrations;
				  and
(c) Providing required
				  follow-up care and instructions for use of the trays and solutions at
				  home.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-301

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-301, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-301,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-305 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The following definitions apply to WAC 246-812-305 through
					 246-812-320
					 unless the context requires otherwise:
(1) "Clinical record" means the portion of
				  the patient file that contains information regarding the patient exams,
				  diagnosis, treatment discussion, treatment performed, patient progress notes,
				  referrals, studies, tests, all imaging, and other information related to the
				  diagnosis or treatment of the patient.
(2) "Notation" means the entire patient file
				  maintained by a practitioner that includes all information related to the
				  patient.
(3) "Patient record" means
				  the portion of the record that contains information regarding the financial
				  aspects of a patient's treatment including, but not limited to, billing,
				  treatment plan costs, payment agreements, payments, insurance information; or
				  payment discussions held with a patient, insurance company, or person
				  responsible for account payments.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-310 - Patient record content

Current through Register Vol. 24-14, July 15, 2024
(1) A
				  licensed denturist who treats patients shall maintain legible, complete, and
				  accurate patient records.
(2) The
				  patient record must contain clinical records and financial records.
(3) Each clinical record entry must include
				  at least the following information:
(a)
				  Signature, initials, or electronic verification of the individual making the
				  entry note;
(b) Identity of
				  practitioner who provided treatment, if treatment was provided;
(c) Date of each patient record entry,
				  document, radiograph, or model;
(d)
				  Physical examination findings documented by subjective complaints, objective
				  findings, an assessment or diagnosis of the patient's condition, and treatment
				  plan;
(e) Treatment plan based on
				  the assessment or diagnosis of the patient's condition;
(f) Up-to-date dental and medical history
				  that may affect treatment;
(g) Any
				  diagnostic aid used including, but not limited to, images, radiographs, and
				  test results, which shall be retained as listed in WAC
				  246-812-320;
(h) Complete description of all treatment or
				  procedures, or both, provided at each visit;
(i) Referrals and communication to and from
				  health care providers;
(j) Notation
				  of communication to or from patients or patient's parent or guardian,
				  regarding:
(i) Notation of the informed
				  consent discussion indicating potential risk(s) and benefit(s) of proposed
				  treatment, recommended tests, and alternatives to treatment, including no
				  treatment or tests;
(ii) Notation
				  of post-treatment instructions or reference to an instruction pamphlet given to
				  the patient;
(iii) Notation
				  regarding patient complaints or concerns associated with treatment including
				  complaints or concerns obtained in person or by phone, email, or text;
				  and
(iv) Termination of the
				  denturist-patient relationship.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-320 - Patient record retention and accessibility requirements

Current through Register Vol. 24-14, July 15, 2024
A licensed denturist shall comply with state medical
					 records and health care information access and disclosure requirements in
					 chapter 70.02 RCW and the Health Insurance Portability and Accountability Act,
					 45 C.F.R. Sections 160, 162 and 164 destruction and privacy regulations.
A licensed denturist:
(1) Who treats patients eighteen years old
				  and older shall keep readily accessible patient records for at least six years
				  from the date of the last treatment;
(2) Who treats patients under the age of
				  eighteen years old shall keep readily accessible patient records for at least
				  six years after the patient reaches eighteen years old; and
(3) Shall respond to a written request from a
				  patient to examine or copy that patient's record within fifteen working days
				  after receipt of the request.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-320, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-320,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-330 - Privileged communications

Current through Register Vol. 24-14, July 15, 2024
A denturist shall not, without the consent of the patient,
					 reveal any information acquired in attending such patient, which was necessary
					 to enable the denturist to treat the patient. This does not apply to the
					 release of information in an official proceeding where the release of
					 information may be compelled by law.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-330, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-330,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-340 - Patient abandonment

Current through Register Vol. 24-14, July 15, 2024
(1) A
				  den-turist may accept or reject a patient, but shall respond to any reasonable
				  request for services in the interest of public health and welfare.
(2) The attending denturist, without
				  reasonable cause, shall not neglect, ignore, abandon, or refuse to complete the
				  current procedure for a patient.
(3) If the denturist chooses to withdraw
				  responsibility for a patient of record, the denturist shall:
(a) Advise the patient in writing that
				  termination of treatment is contemplated and that another denturist should be
				  sought to complete the current procedure and for future care; and
(b) Advise the patient that the denturist
				  shall remain reasonably available under the circumstances, for up to fifteen
				  calendar days from the date of such notice, to render emergency care related to
				  that current procedure.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-350 - License display-Notification of address

Current through Register Vol. 24-14, July 15, 2024
A licensed denturist shall:
(1) Display their license, at all times, in a
				  place plainly visible to individuals receiving services on the premises and be
				  readily available for inspection by any designee of the board; and
(2) Notify the board of the physical business
				  address or addresses, including changes, where the licensee shall engage in the
				  practice of denturism.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-350, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-350,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-360 - Identification of new dentures

Current through Register Vol. 24-14, July 15, 2024
(1) Each
				  complete upper and lower denture and removable partial denture fabricated by a
				  denturist licensed under the provisions of chapter 18.30 RCW, or fabricated
				  pursuant to the denturist's work order or under the denturist's direction or
				  supervision, must be marked with the name of the patient for whom the denture
				  is intended.
(2) The markings must
				  be done during fabrication and must be permanent, legible, and cosmetically
				  acceptable.
(3) The exact location
				  of the markings and the methods used to apply or implant them must be
				  determined by the den-turist fabricating the denture.
(4) If, in the professional judgment of the
				  denturist, this identification is not practical, identification must be
				  provided as follows:
(a) Only the initials of
				  the patient may be used, if use of the patient's first and last name is
				  impracticable; or
(b) The
				  identification marks may be omitted in their entirety if none of the forms of
				  identification specified in subsection (1) of this section is practicable,
				  clinically safe, or the patient declines.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-390 - Improper billing practices

Current through Register Vol. 24-14, July 15, 2024
The board may take disciplinary action for billing
					 practices including, but not limited to:
(1) Rebating or offering to rebate to the
				  insured any payment to the licensee by the third-party payor of the insured for
				  services or treatments rendered under the insured's policy; and
(2) Submitting to any third-party payor a
				  claim for a service or treatment at a greater or an inflated fee or charge
				  other than the usual fee the licensee charges for that service or treatment
				  when rendered without third-party reimbursement.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-390, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-390,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-400 - Denturist associations or societies (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-400, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-400,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-410 - Insurance carriers (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-410, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-410,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-420 - Professional liability carriers (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-420, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-420,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-430 - Courts (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-430, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-430,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-440 - State and federal agencies (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-440, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-440,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-450 - Professional standards review organizations (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-450, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-450,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-460 - Board conflict of interest

Current through Register Vol. 24-14, July 15, 2024
Members of the board shall not participate in a
					 disciplinary case where their participation presents a conflict of interest or
					 creates an appearance of a conflict of interest.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-460, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-460,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-462 - Prefabricated implant abutments

Current through Register Vol. 24-14, July 15, 2024
A licensed denturist, prior to placing a prefabricated
					 implant abutment on an implant for the purpose of fabricating, repairing,
					 relining, or rebasing a denture, must have documented proof that a licensed
					 dentist has examined the patient clinically. The documented proof from the
					 licensed dentist must include a report that the implant is sufficiently
					 osseointegrated, the surrounding soft tissues are stable and healthy, and
					 provide a documented diagnosis that the implant is ready to restore. The
					 prefabricated implant abutment seat shall be verified by radiographic
					 assessment by a licensed dentist no more than 90 days prior to delivery of the
					 denture.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-470 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this
					 section and WAC
					 246-812-480,
					 unless the context requires otherwise.
(1) "Denturist" means an individual applying
				  for a credential or credentialed as defined in chapter 18.30 RCW.
(2) "Health care information" means any
				  information, whether oral or recorded in any form or medium that identifies or
				  can readily be associated with the identity of, and relates to, the health care
				  of a patient.
(3) "Key party" means
				  immediate family members and others who would be reasonably expected to play a
				  significant role in the health care decisions of the patient and includes, but
				  is not limited to, the spouse, domestic partner, sibling, parent, child,
				  guardian, and person authorized to make health care decisions of the
				  patient.
(4) "Legitimate health
				  care purpose" means activities for examination, diagnosis, treatment, and
				  personal care of a patient, including palliative care, as consistent with
				  community standards of practice for the denturist profession within the scope
				  of practice of the den-turist.
(5)
				  "Patient" means an individual who receives health care services from a
				  denturist. The determination of when a person is a patient is made on a
				  case-by-case basis with consideration given to a number of factors including
				  the nature, extent, and context of the professional relationship between the
				  denturist and a person. A person that is not receiving treatment or
				  professional services is not the sole determining factor.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › PRACTICE STANDARDS › Section 246-812-480 - Sexual misconduct

Current through Register Vol. 24-14, July 15, 2024
(1) A denturist
				  shall not engage, or attempt to engage, in sexual misconduct with a current
				  patient, or key party, inside or outside the health care setting. Sexual
				  misconduct shall constitute grounds for disciplinary action. Sexual misconduct
				  includes, but is not limited to:
(a) Sexual
				  intercourse;
(b) Touching the
				  breasts, genitals, anus, or any sexual-ized body part, except as consistent
				  with accepted community standards of practice for examination, diagnosis, and
				  treatment within a denturist's scope of practice;
(c) Rubbing against a patient or key party
				  for sexual gratification;
(d)
				  Kissing;
(e) Hugging, touching,
				  fondling, or caressing of a romantic or sexual nature;
(f) Examination of or touching genitals
				  without using gloves;
(g) Not
				  allowing a patient privacy to dress or undress, except as may be necessary in
				  emergencies or custodial situations;
(h) Not providing the patient a gown or
				  draping except as may be necessary in emergencies;
(i) Dressing or undressing in the presence of
				  the patient or key party;
(j)
				  Removing patient's clothing, gown, or draping without consent, emergent medical
				  necessity, or being in a custodial setting;
(k) Encouraging masturbation or other sex act
				  in the presence of the denturist;
(l) Masturbation or other sex act by the
				  denturist in the presence of the patient or key party;
(m) Suggesting or discussing the possibility
				  of a dating, sexual, or romantic relationship after the professional
				  relationship ends;
(n) Terminating
				  a professional relationship for the purpose of dating or pursuing a romantic or
				  sexual relationship;
(o) Soliciting
				  a date with a patient or key party;
(p) Discussing the sexual history,
				  preferences, or fantasies of the denturist;
(q) Any behavior, gestures, or expressions
				  that may reasonably be interpreted as seductive or sexual;
(r) Making statements regarding the patient
				  or key party's body, appearance, sexual history, or sexual orientation other
				  than for legitimate health care purposes;
(s) Sexually demeaning behavior including any
				  verbal or physical contact which may reasonably be interpreted as demeaning,
				  humiliating, embarrassing, threatening, or harming a patient or key
				  party;
(t) Photographing or filming
				  the body or any body part or pose of a patient or key party, other than for
				  legitimate health care purposes; or for the educational or marketing purposes
				  with the consent of the patient or key party; and
(u) Showing a patient or key party sexually
				  explicit photographs, other than for legitimate health care purposes.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › INFECTION CONTROL › Section 246-812-501 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of WAC
					 246-812-501 through
					 246-812-520 is to establish that
					 a licensed denturist must have written policies, procedures, and requirements
					 for infection prevention and control in denturist offices to protect the health
					 and well-being of the people of the state of Washington. For purposes of
					 infection control, all denturist staff members and all patients shall be
					 considered potential carriers of communicable diseases. Infection control
					 procedures are required to prevent disease transmission from patient to
					 denturist and staff, denturist and staff to patient, and from patient to
					 patient. Every denturist is required to comply with the applicable standard of
					 care in effect at the time of treatment. At a minimum, the denturist must
					 comply with the requirements defined in WAC
					 246-812-520.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-501, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-501,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › INFECTION CONTROL › Section 246-812-510 - Definitions-Barriers and sterilization

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout WAC
					 246-812-501 through
					 246-812-520,
					 unless the context clearly requires otherwise.
(1) "Communicable disease" means an illness
				  caused by an infectious agent that can be transmitted from one person, animal,
				  or object to another person by direct or indirect means including transmission
				  via an intermediate host, vector, food, water, or air.
(2) "Decontamination" means the use of
				  physical or chemical means to remove, inactivate, or destroy bloodborne
				  pathogens on a surface or item to the point where they are no longer capable of
				  transmitting infectious particles and the surface or item is rendered safe for
				  handling, use, or disposal.
(3)
				  "Direct care staff" means denturist staff who directly provide denturist care
				  to patients.
(4) "Disinfection"
				  means the use of a chemical agent on inanimate objects to destroy recognized
				  pathogenic microorganisms, but not necessarily all microbial forms.
(5) "Sterilization" means the use of a
				  physical or chemical procedure to destroy all microorganisms including
				  substantial numbers of resistant bacterial spores.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-510, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-510,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › INFECTION CONTROL › Section 246-812-515 - Hand hygiene

Current through Register Vol. 24-14, July 15, 2024
(1) As used in this
				  section, "hand hygiene" means the use of soap and water when hands are visibly
				  soiled, otherwise an alcohol-based hand solution may be used.
(2) A licensed denturist shall perform hand
				  hygiene:
(a) When hands are visibly
				  soiled;
(b) After barehanded
				  touching of instruments, equipment, materials, and other objects likely to be
				  contaminated by blood, saliva, or respiratory secretions;
(c) Before and after treating each patient;
				  and
(d) Before putting on and
				  immediately after removing gloves.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › INFECTION CONTROL › Section 246-812-517 - Respiratory hygiene and cough etiquette

Current through Register Vol. 24-14, July 15, 2024
(1) A licensed denturist shall post signs at
				  entrances with instructions to patients with symptoms of respiratory infection
				  to:
(a) Cover their mouth and nose when
				  coughing or sneezing;
(b) Use and
				  dispose of tissues; and
(c) Perform
				  hand hygiene after hands have been in contact with respiratory
				  secretions.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › INFECTION CONTROL › Section 246-812-520 - Use of barriers and sterilization techniques

Current through Register Vol. 24-14, July 15, 2024
The use of barriers and sterilization techniques is the
					 primary means of assuring the least possible chance of transmission of
					 communicable diseases from denturist and staff to patients, from patient to
					 patient, and from patient to denturist and staff. To prevent patient to patient
					 cross contamination, instruments and supplies contaminated, or likely to be
					 contaminated, with blood or saliva and touched during treatment must be
					 sterilized between patients or discarded, except as otherwise listed in this
					 section. Surfaces and equipment that are likely to be contaminated with blood
					 or saliva and touched during treatment must be decontaminated or covered with a
					 barrier that is discarded and replaced between patients, except as otherwise
					 set forth below:
(1) Denturists shall
				  comply with the following barrier techniques:
(a) Gloves must be used by the denturist and
				  direct care staff during treatment that involves intraoral procedures or
				  contact with items potentially contaminated with the patient's bodily fluids.
				  Fresh gloves must be used for every intraoral patient contact. Gloves must not
				  be washed or reused for any purpose. The same pair of gloves must not be used,
				  removed, washed, and reused for the same patient at the same visit or for any
				  other denturist or nondenturist purpose.
(b) Masks must be worn by the denturist and
				  direct care staff when splatter or aerosol is likely.
(c) Unless effective surface decontamination
				  methods are used, protective barriers must be placed over areas that are likely
				  to be touched during treatment, not removable for sterilization, and likely to
				  be contaminated by blood or saliva. These procedures must be followed between
				  each patient including, but not limited to:
(i) Delivery unit;
(ii) Chair controls (not including foot
				  controls);
(iii) Light
				  handles;
(iv) Head rests;
(v) Instrument trays;
(vi) Treatment areas and laboratory
				  countertops and benches.
(d) Protective eyewear shields must be worn
				  by the den-turist and direct care staff and provided to all patients during
				  times when splatter or aerosol is expected.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › SUBSTANCE USE DISORDER MONITORING › Section 246-812-601 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The board recognizes the need to establish a means of
					 proactively providing early recognition and treatment options for denturists
					 whose competency may be impaired due to drug or alcohol use. The board declares
					 such denturists be treated and monitored so they can return to, or continue to,
					 practice their profession in a way that safeguards the public. The Washington
					 recovery and monitoring program (WRAMP) is the board's approved substance use
					 disorder monitoring program under RCW 18.130.-175. The board may refer
					 denturists impaired by substance use disorder to WRAMP as an alternative to
					 instituting, or in connection with, disciplinary proceedings as defined in
					 RCW
					 18.130.160.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-601, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-601,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › SUBSTANCE USE DISORDER MONITORING › Section 246-812-610 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout WAC
					 246-812-601 through
					 246-812-630
					 unless the context clearly requires otherwise.
(1) "Aftercare" means a period of time after
				  intensive treatment that provides the denturist and the dentur-ist's family
				  with group or individual counseling sessions, discussions with other families,
				  ongoing contact and participation in self-help groups and ongoing continued
				  support of treatment or monitoring program staff.
(2) "Approved treatment facility" means a
				  facility certified by the department under chapter 246-341 WAC. Drug and
				  alcohol treatment facilities located out-of-state must have substantially
				  equivalent standards.
(3) "Health
				  care professional" means an individual who is licensed, certified, or
				  registered in Washington to engage in the delivery of health care to
				  patients.
(4) "Monitoring contract"
				  means a comprehensive, structured agreement between a recovering denturist and
				  WRAMP that defines the requirements of a denturist's program
				  participation.
(5) "Random drug
				  screen" means laboratory tests to detect the presence of specific drugs in body
				  fluids and other biologic specimens, which are performed at irregular intervals
				  not known in advance by the person being tested.
(6) "Recovery-oriented group" means a group
				  such as alcoholics anonymous, narcotics anonymous, and related organizations
				  based on a philosophy of anonymity, belief in a power outside of oneself, a
				  peer group association, and self-help.
(7) "Substance use disorder" means a chronic
				  progressive illness that involves the use of alcohol or other drugs to a degree
				  that it interferes with the functional life of the den-turist, as manifested by
				  health, family, job (professional services), legal, financial, or emotional
				  problems, or all or any combination of the above.
(8) "Support group" means a group of health
				  care professionals meeting regularly to support the recovery of its members.
				  The group provides a confidential setting with a trained and experienced health
				  care professional facilitator in which denturists may safely discuss drug
				  diversion, licensure, return to work, and other professional issues related to
				  recovery.
(9) "Washington recovery
				  and monitoring program (WRAMP)" means the approved substance use disorder
				  monitoring program as described in
				  RCW
				  18.130.175 that meets criteria established by
				  the board. WRAMP does not provide evaluation or treatment services.
Statutory Authority: RCW 18.30.070(3). 98-20-068, §
						246-812-610, filed 10/2/98, effective 11/2/98; 95-22-062, § 246-812-610,
						filed 10/30/95, effective 11/30/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-812 - Board of denturists › SUBSTANCE USE DISORDER MONITORING › Section 246-812-620 - Approval of substance use disorder monitoring programs

Current through Register Vol. 24-14, July 15, 2024
(1) WRAMP is the board-approved monitoring
				  program that employs staff with the qualifications and knowledge of both
				  substance abuse and the practice of denturism as defined in this chapter to be
				  able to evaluate:
(a) Clinical
				  laboratories;
(b) Laboratory
				  results;
(c) Providers of substance
				  abuse treatment, both individuals and facilities;
(d) Support groups;
(e) The denturist work environment;
				  and
(f) The ability of the
				  denturist to practice with reasonable skill and safety.