Later that week, a dental assistant nearly administers…
Paediatric dentistry questions combine clinical management with age-appropriate considerations — LA dosing by weight, behaviour management. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.
A general dentist attends a weekend course on Botox injections for TMJ pain management. The course provides a certificate of attendance but does not include supervised clinical practice. On Monday, a regular patient mentions they have been considering Botox for their TMJ symptoms. The dentist offers to administer the injection at a discounted rate. Later that week, a dental assistant nearly administers the wrong concentration of local anaesthetic to a patient. The error is caught before injection and no harm occurs. The practice does not have a formal incident reporting system. According to the Code, this near-miss event:
- A. Need not be reported because the error was intercepted before any harm occurred, standard precautions worked as intended, and no adverse clinical outcome resulted from the event
- B. Should be recorded informally in the dentist's personal learning journal as a reflective exercise for their next continuing professional development cycle submission
- C. Should be reported only if the dental assistant independently decides it warrants reporting, as the person closest to the event is best placed to assess its significance
- D. Must be reported — the Code requires participation in surveillance of adverse events AND near misses, and review to reduce recurrence risk
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Section 6.2c explicitly requires practitioners to participate in systems for surveillance and monitoring of adverse events AND near misses, including reporting to relevant authorities. Near misses are included alongside adverse events — the reporting obligation is not conditional on harm occurring. Section 6.2e also requires working within systems to reduce error. Option A incorrectly requires harm as a threshold for reporting. Option B substitutes personal reflection for systemic reporting — the Code requires institutional reporting, not just personal learning. Option C delegates the reporting decision to the assistant when all practitioners share the obligation.
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