USE OF THESE POWER POINT HANDOUTS -1. Pay attention and “follow”, in sequence, as slides are projected and discussed during lecture. 2. Edit any mistakes on handouts and make chang- es, additions (i.e. colors), and notes as needed. 3. It is deliberate that much text is on slides, but you should know more. In after-class study, use the hand-outs as a study outline and guide. Expand on and learn the material and also how to apply the knowledge to patient care. 4. After class, read again and study all the refer- ences listed on the slides for each section. This includes textbook materials with the referenced cases, figures, tables, and exercises, the instru- mentation modules, the audiovisual material on the disks and tapes, including those online. General Comments The hygienist is not totally “immune” under the doctor umbrella. As a licensed health care provider, the hygienist has individual responsibilities, duties, accountability, and liabilities, Treatment rendered must meet a “standard of care” which may be estab- lished in court and involve testimony of “expert” witnesses who are knowledge- able about therapeutic procedures and standards. Treatment And Malpractice. No treatment- Too much treatment, Treatment beyond the level ofskill of the practitioner- Wrong treatment Treatment which does not have uniform professional endorsement– “Outside the standard of care”. Improper Informed Consent. The patient must not only consent to treat- ment procedures but, since a 1972 court , must be informed to the extent tha a “reasonable person” needs to exercise an individual’s right to self determination. Because each patient is different, it may be difficult to know what is average or reasonable. Informed consent thus is a process of under- standing, NOT merely reading and signing a consent form. However, a signed form and a progress note in the clinical record is evidence that a process took place.