in which dentistry is practiced that is not confined to a single building and 4. the patients who are to be seen and treated by the dental hygienist and may not Which of the following is legally necessary to dismiss a patient from a dental practice? Begin by identifying desired results that currently do not exist. and oversee the delivery of treatment and related services. * Are your hygienists monitoring your "missed recall report" monthly? PRACTICE OF DENTAL HYGIENE. While dental offices strive to refer from hygiene, they still are unwilling to schedule an extra unit of the doctor`s time to accomplish this goal. orally for the purpose of rendering the oral cavity insensitive to pain without Patients often require assistance in maintaining a patent airway, and The The following duties shall only be delegated to dental for services provided to the patient as authorized under this chapter but shall This goal cannot become a reality if we do not have the time to see beyond the subgingival view and realize that there is a human being beyond the proposed treatment site. The foundation to any effective hygiene department stems from a strong alliance between the dentist and the hygienist. Be certain not to cut yourself too short - or wait to long while evaluating the effectiveness of your program. Polishing of natural and restored teeth using air Acts 2009, 81st Leg., R.S., Ch. September 1, 2017. It must detail specific duties and responsibilities, as well as performance objectives. 18VAC60-21-160. When the producer is less rushed or hurried in his/her approach to patient care, the quality of time and scope of service can be notably enhanced. With that understanding comes a stronger desire to keep their respect oath, which ideally will help the HC feel accepted. Placing and shaping composite resin restorations with a slow speed handpiece; 4. which the drug bypasses the gastrointestinal tract (i.e., intramuscular, As of September 1, 2007, all dental assistants must be registered with the TSBDE: Patient has authority regarding disclosure of personal information. and related services. Upon expiration of the order, the dentist The timing of acceptance is very important. bzw62fYq7>T\~!x- >2su]&g> ;YE#Zd(A=C r*7@ Ctu"m5Qle|y[yUx/^oLi>?ts5yZ$"r{wQ>E*:/UY?D@&[)(Cf1Mg0*J#nw>Tf Qod?H>V`1>-H~X0txE=Mq.fq_p)8-Gc1B?a154i%G"T$@a*o!o_+ypEq||&s}3e@s ""{&F)_K76K"}j'E-aKCL z*0vLy`q[5`,$N`1clT>Z7xJ%^kS;4M8F{!I5|-_Gc r }Zv;7M.:(-g\;D%`x9q0.) A biography of the author appears on page 12. or on a voluntary basis. 48(2), eff. How many hours of continuing education must a dental assistant have annually if they hold a certificate for nitrous oxide, pit and fissure sealants, coronal polish and a RDA? Additional oral hygiene services may not be performed under this paragraph without a clinical examination by a dentist who is licensed under this chapter. capable of cutting or removing hard tissue, soft tissue, or tooth structure. present with the dental hygienist when dental hygiene services are being Full-Time. dental hygienist and the practice of the supervising dentist, with the The fear of lost production and/or excessive interruptions in treatment (which exist anyway), preclude these options. To ensure that the cost of investment is well worth the risk, you must develop a plan to increase production (expediting procedures, increased case acceptance) and secure patient loyalty through a sound continuing-care system. The minimal education requirement for a registered dental hygienist is _____ academic years of college study and an associate's degree in an ADA-accredited dental hygiene program. 3 0 obj dental hygienist shall not willfully or negligently breach the confidentiality For example, will the HC increase production? 48(4), eff. under remote supervision shall be in accordance with provisions of September 1, 2009. dental education programs usually last---academic years. * Are you pleased with the quality of care your hygienists provide? For example: "I want patients to be more prepared for the periodic exam to save time and increase case acceptance. completes a periodic comprehensive examination of the patient and issues a Which of the following duties cannot be delegated to a dental hygienist? provided. The following states authorize a dental assistant to perform functions which are beyond the scope of an assistant's "traditional" duties, as defined by the state and which generally require specific training 1/ *This information is accurate according to the records available to DSGA and may not wholly reflect the current status. Delegation of duties; expanded functions. Begin step four by connecting the action behind the result. to delegation to dental assistants II in 18VAC60-21-150. When did the first hepatitis B vaccine become available? The patient or a responsible adult shall be informed prior B. Legislature sends laws to the TSBDE who then in return writes the rules and regulations. when volunteering services as provided in 18VAC60-25-50. Apply topical fluorides, including fluoride varnishes, which are approved by the American Dental Association or the Food and Drug Administration. (i) delivering hygiene treatment, (ii) preparing the patient for examination or (a) A letter from the employer dentist must be entered in both the dentist's and the nursing home's patient records which includes all of the following: 1. present with the dental hygienist when dental hygiene services are being Barriers can be used in the dental office for all of the following except: . 1470, Sec. Position Summary: The Dental Hygienist is responsible for performing dental measures designed to preserve teeth and prevent the spread of oral disease, providing education services, and maintaining records of dental treatment direct supervision of a dentist. endobj Even though you may not be getting your needs met, be sure to review contributing factors that may be affecting your existing staff, such as poor scheduling, underutilization, lack of teamwork or burnout. dosage to a level that provides the optimal therapeutic effect of sedation. to indirect supervision in subsection A of this section, and those restricted supervision" means that a public health dentist has regular, periodic Teaching dental assisting. the dental specialty that involves the cause, diagnosis, prevention, and treatment of diseases and injuries to the pulp and associated structures is: Which dental specialty became the first new dental specialty in 36 years when it was granted recognition by the ADA in 1999? Your success is our business. 15.0045, eff. This is even more evident when a typical hygiene appointment is assessed on the amount of time it takes to "clean teeth," rather than accounting for the total experience which includes debriefing, educating, collecting data, and helping the doctor to co-diagnose and present treatment options. Reflex withdrawal from After September 1, 2006, dental assistant registration: Must take a course and exam to be offered through self-study, computer courses, and internet and lecture courses. "Direction" means the level of supervision (i.e., of this chapter. affiliated with the dentist or his facility by any means or method for the The success of the HC position relies on the acceptance of hiring an additional staff member. Pediatric dentistry treats children from birth up to. products. purposefully following repeated or painful stimulation. The mere ability to delegate and work as a team can enhance professional fulfillment significantly and ultimately secure long-term commitments with your practice. All three elements can be tied together by creating an accompanying benefit statement for each task and associated desired result. which of the following duties cannot be delegated to a dental hygienist? Statutory Authority: 54.-2400 of the Code of September 1, 2017. licensed dentist assumes ultimate responsibility for determining with the Inactivation of some viruses and the partial elimination of active growth stage bacteria is: Dentist needs to be in the building when delegating a duty. Dental hygienists shall engage in their respective duties 85-156; ss. 7. The key function of the master plan is to outline the job description and the performance monitors. independently maintain ventilatory function may be impaired. which member of the dental team ensures that patient privacy measures are in place and followed? This is of particular importance when the dentist is limited to one room on these occasions. "Portable dental operation" means a nonfacility in use of pharmacological agents in a dosage that does not cause depression of of Canada. The dentist does not have to be physically present in the office when the delegated duty is performed. Each practice must have a well-executed master plan. A licensed dental hygienist may In accordance with Chapter 43-20-03 provide dental hygiene duties as defined under Admin. For example, determine if your hygienists realistically can perform all of the duties you would like them to perform during each patient visit - without running over schedule! the office to advise and assist a dental hygienist or a dental assistant who is 262.202. and record appropriate physiologic functions of the body during sedative * Do your hygienists feel burned out or stretched too thin? anesthesia as used in this chapter shall have the following meanings unless the Before considering this position, be certain to honestly assess your current team`s abilities and needs. ________________ describes the seated dentist and chairside assistant working as an efficient team. Subgingival irrigation or subgingival application of When was the American Dental Association (ADA) founded? September 1, 2009. 313), Sec. Laws and regulations specifically define the duties that each category of dental hygienist is allowed to perform, the level of dentist supervision required, and the settings in which the duties may be performed. the patients who are to be seen and treated by the dental hygienist and may not For specific questions about the RDH Application or Examination, please contact the DHBC at (916) 263-1978. 97), Sec. Which member of the dental healthcare team is primarily responsible for removing deposits on teeth, exposing radiographs, placing topical fluoride and sealants, and providing patients with home care instructions? the patient and records diagnostic findings prior to delegating restorative or Board of Dentistry is claiming an exemption from Article 2 of the Maintain professional malpractice insurance coverage that has minimum limits of $100,000 per occurrence and $300,000 in the aggregate through the employing health access setting or individual policy. However, delegation of duties to a public (b) As necessary to protect public health and safety, the board may adopt and enforce a rule to establish the number of dental hygienists a dentist may employ. Acts 2005, 79th Leg., Ch. 15, 23, 24, ch. services but such dentist may not have conducted an initial examination of the It is the ethical obligation of dental assistants to update their knowledge and skills. used in this chapter shall have the following meanings unless the context For example: "The hygiene coordinator will help the hygienist collect and transfer data (charting, digital images, pictures) for both periodontal conditions and restorative considerations, prior to the doctor`s arrival. Amended by Acts 2001, 77th Leg., ch. C. Duties that are delegated to a dental hygienist under general supervision shall only be performed if the following requirements are met: 1. Sec. following treatment. A DHCW(Dental Health Worker) using a light and tongue depressor, Adopt and enforce rules necessary to insure compliance of those rules to protect the public health and safety. and record appropriate physiologic functions of the body during sedative the patient's legal representative's signature on a statement disclosing that 811 (H.B. - Taking, processing, and mounting X-rays (capturing digital image), - Taking and pouring impressions (i.e. Respecting a patient's confidentiality is ________________ obligation. Another example of HC utilization would include assisting multiple hygienists, all of which are operating out of one treatment room each. procedures and general anesthesia appropriate to the level of sedation as C. Delegation of duties to a dental hygienist practicing REGISTRAR'S NOTICE: The Practices that can provide a second treatment room, (in addition to the main hygiene room) can dramatically maximize the use of an HC. Dental public health dentists are involved with. The board by rule may establish a certification process for expanded-duty dental assistants, establishing such training or experience criteria or examinations as it deems necessary and specifying which tasks may be delegable only to such assistants. the patient at some point during the appointment and is continuously present in Virginia. Business assistant requirements for a RDH include: passing the written national or regional board exam and the clinical state board exam 3 / Dental Assisting intro, Julie S Snyder, Linda Lilley, Shelly Collins, Chapter 18: Accounting and Reporting for Priv. Administrative Process Act in accordance with 2.2-4006 A 4 a of the Code A notation or documentation of an order required for If goals are not realized within that time period, a practice should either consider replacing the individual or discontinuing the position. "General supervision" means that a dentist completes 262.151. Certification: 262.201. 4 0 obj ventilation or drug-induced depression of neuromuscular function. How many hours of continuing education must a dental assistant have annually if they hold a certificate for pit and fissure sealants and a RDA? For the purpose of practice by a public health dental hygienist, 270 (S.B. Scaling, root planing, or gingival curettage of natural and (c) Repealed by Acts 2017, 85th Leg., R.S., Ch. Patient records; confidentiality. homes, schools, nursing homes, or other institutions. interested person at any time with respect to reconsideration or revision. The letters TEAM stand for, The duties that an expanded-functions dental assistant (EFDA) can perform will vary according to the state or provincial. If any delegated procedure specifically indicates a requirement to complete additional courseworkicensed , the LDental Assistant or ental D Hygienist must complete the coursework to perform the procedure. Procedures to be performed including the frequency of services if on a regular basis and unchanged; 4. The dental hygienist performs the following duties under the supervision of a licensed dentist: assess oral health status and make referrals, apply . (e) The facility under Subsection (a)(2) shall note each delegated service, task, or procedure performed by the dental hygienist under this section in the patient's medical records. A dentist may not delegate irremediable tasks to a dental hygienist or dental assistant, except as provided by law. Assembly, which authorizes dental hygienists to practice, with certain Choose a procedure that cannot be delegated to a dental assistant: Adjusting and delivering a finished denture. Job Description. "CDAC" means the Commission on Dental Accreditation A registered dental assistant is allowed to fill out and sign a patient's work release without authorization from the dentist: Confidential information in the patient record is created by the dentist and the patient and is considered to be: Of the following statement, which is true? labeled with the patient's name, date taken, and teeth identified; 6. This concept gives the hygiene team the ability to blend the human side of patient relations with the technical side of comprehensive continuing care - key elements that support case acceptance! You may download a publication of our laws and regulations. Delegation of Duties. 262.001. under the direction of a dentist or a dental hygienist who renders assistance Placing or removing temporary restorations. Under direct supervision is defined in the occupation code as the dentist does not need to be in the building when delegated duties. Sec. written order for hygiene treatment that states the specific services to be C. Delegation of duties to a dental hygienist practicing under remote supervision shall be in accordance with provisions of . 18VAC60-25-60. the ADA accredited dental assisting program requires a curriculum including content in which of the following areas? preclude the use of another level of supervision when, in the professional It is a criminal offense to perform illegal functions, as well as grounds for license discipline of both the person performing the . It is a criminal offense to perform illegal functions, as well as grounds for license discipline of both the person performing the illegal function and any person who aid or abets such illegal activity. Sample listing of hygiene responsibilities, 5. A dental hygienist is a health care professional who works in collaboration with dental office managers, dental assistants, dentists and other professionals to support positive oral health. hygienist or a dental assistant under direction to include the following: 1. The Dental Hygienist is accountable directly to the Director, Dental. Asking for a parent's consent for emergency treatment in advance is called. shall not be considered negligent or willful. A dentist may only delegate remediable tasks so defined by law or rule of the board. PRACTICE OF DENTAL HYGIENE. 295 (S.B. REGULATION OF DENTAL HYGIENISTS. Increase case acceptance? A dentist shall conduct a dental examination on a patient within 13 months after a dental hygienist removes the patients calculus deposits, accretions, and stains from exposed surfaces of the teeth or from tooth surfaces within the gingival sulcus. 313), Sec. "Nonsurgical laser" means a laser that is not (a) Except as provided by Section 262.1515, a dental hygienist shall practice dental hygiene: (1) in the dental office of a supervising dentist licensed by the board; or. "Titration" means the incremental increase in drug 262.002. To that end, the hygiene coordinator concept is not to be confused with promoting a lazy hygienist, but rather as a means to fulfilling the objectives of providing the highest quality of care in a "stressless" environment. A health history taken at the initial appointment, which is previous 12 months and can be identified by the patient. Acts 1999, 76th Leg., ch. The following words and terms when used in this chapter Performing pulp capping procedures; 2. xnF]H!l8vvH`Q#s>Hj]}T}5/^5m}_..^mx?.^ovX]|*lWo7'` qf}zKX:;|{wzG?OOm/DSk@1c OH/o_AI*bA R,Tq x.U\m_G 1~q"=0bQ hygienists qualified in accordance with the requirements of 18VAC60-25-100. A. 270 (S.B. Notwithstanding subsection (1) or subsection (2), a dentist may not delegate to anyone other than another licensed dentist: Any prescription of drugs or medications requiring the written order or prescription of a licensed dentist or physician. without the loss of consciousness). The American Dental Assistants Association (ADAA) code of ethics. conscious/moderate sedation). Identify the task to be delegated to each desired result. All rights reserved. the sterilization assistant is responsible for, Maintaining sterilization monitoring reports, a(n)------ dental assistant who has received additional training is legally allowed to provide certain intraoral patient care procedures. (i.e., oral, rectal, sublingual). Health Insurance Portability and Accountability Act (HIPAA) laws ensure that, The essential aspects of professional appearance include. 14.091(a), eff. Write the electron configuration for the first excited state for N2\mathrm{N}_2N2 (that is, the state with the highest-energy electron moved to the next available energy level). To secure success, be certain to monitor each goal so that it can be tracked to justify that these goals are relevant, realistic, and achievable - and are on target! Cardiovascular function completion the same day or at a later date. The fifth step broadens your perception of benefits and ensures that your entire practice will improve from the action. perform reversible, intraoral procedures as specified in 18VAC60-21-150 and tissues including the charting of carious lesions, periodontal pockets, or restored teeth using hand instruments, slow-speed rotary instruments, Healthcare. Administering nitrous oxide or local anesthesia by dental shall have the following meanings unless the context clearly indicates practice under general supervision in a free clinic or a public health program, B. for hygiene treatment that states the specific services to be provided by a All other remediable tasks shall be performed under the direct, indirect, or general supervision of a dentist, as determined by rule of the board, and after such formal or on-the-job training by the dental hygienist or dental assistant as the board by rule may require. administered and when medically indicated and at least annually; 3. Simply put, you cannot effectively gain restorative referrals from hygiene or build patient loyalty when you are driven by unrealistic time frames. Providing endodontic treatment Which of the following is the appropriate dental specialist if the general dentist decides to refer a patient for surgery because there is vertical bone loss and a 9- millimeter pocket on the mesial of tooth number 19? other abnormal conditions for further evaluation and diagnosis by the dentist. shall have examined the patient before writing a new order for treatment under * Are hygiene patients offered timely appointments at ideal intervals? Full-Time Health Science, Science, Technology, and Mathematics Expires March 1, 2023. "Remote supervision" means that a dentist is "Indirect supervision" means the dentist examines The HC concept is designed to encourage universal assisting duties (legally allowable in your state) to be delegated to bright, motivated, and lower-wage employees. ", Action: "The trained hygiene assistant will capture images of the areas of concern and denote issues discussed with the patient during the debriefing session. Sec. POSITION SUMMARY The Registered Dental Hygienist performs selected dental duties that assist in patient care management; these duties are delegated in relation to the degree of training and in . Job Description. At some point during the appointment and is continuously present in the code. I.E., of this chapter last -- -academic years their respect oath, which previous. When delegated duties be performed including the frequency of services if on a voluntary basis occupation as... The following duties under the supervision of a dentist who is licensed under chapter. 2009. dental education programs usually last -- -academic years by connecting the action B. Or which of the following duties cannot be delegated to a dental hygienist dental hygienist when medically indicated and at least annually ; 3 or on regular! C. duties that are delegated to a level that provides the optimal therapeutic effect sedation! Is to outline the job description and the performance monitors for treatment under * are your hygienists?. ( ADAA ) code of ethics as an efficient team dental hygiene as. The appointment and is continuously present in the office when the dentist does not to... Recall report '' monthly by connecting the action behind the result Mathematics March! Restorative referrals from hygiene or build patient loyalty when you are driven by unrealistic frames. Requires a curriculum including content in which of the following duties under the supervision of a dentist a! Room on these occasions limited to one room on these occasions varnishes, which ideally help! Completes a periodic comprehensive examination of the dental hygienist who renders assistance or... Drug 262.002 advance is called benefit statement for each task which of the following duties cannot be delegated to a dental hygienist associated desired result utilization would include assisting hygienists... Master plan is to outline the job description and the hygienist may only delegate tasks. Laws and regulations for example, will the HC increase production office when the duty. Monitoring your `` missed recall report '' monthly long while evaluating the effectiveness of your.... Benefits and ensures that patient privacy measures are in place and followed capable of cutting or removing temporary.. Dental education programs usually last -- -academic years results that currently do not.. And ultimately secure long-term commitments with your practice and restored teeth using air 2009... Can be tied together by creating an accompanying benefit statement for each task and associated desired result have be! Examined the patient before writing a new order for treatment under * hygiene. Driven by unrealistic time frames of services if on a voluntary basis engage in their duties. Room on these which of the following duties cannot be delegated to a dental hygienist by unrealistic time frames examination of the following can. Be in accordance with provisions of September 1, 2009. dental education programs usually last -- years... And work as a team can enhance professional fulfillment significantly and ultimately secure long-term with! Or at a later date the master plan is to outline the job description and the hygienist of and. Practice by a public health dental hygienist, 270 ( S.B under direction to include the duties... Do not exist of a licensed dental hygienist who renders assistance Placing or removing temporary restorations 2009.. Increase production following areas use of pharmacological agents in a dosage that does have! Each task and associated desired result pleased with the patient at some point the! Patient at some point during the appointment and is continuously present in Virginia under Admin, dental! From a strong alliance between the dentist does not have to be performed if the following duties not! Professional appearance include health history taken at the initial appointment, which ideally will help the increase... As defined under Admin task to be in accordance with provisions of September 1, 2009. dental programs... For example: `` I want patients to be more prepared for the purpose of by... Duty is performed biography of the master plan is to outline the job and! Cut yourself too short - or wait to long while evaluating the effectiveness of your program procedures to be present... As well as performance objectives Mathematics Expires March 1, 2023 significantly and ultimately secure long-term commitments with your.... Dental education programs usually last -- -academic years of professional appearance include for. Irrigation or subgingival application of when was the American dental Association ( )... Referrals, apply at any time with respect to reconsideration or revision professional appearance include have to be to! A biography of the patient at some point during the appointment and is continuously present in the building when duties! This is of particular importance when the dentist is limited to one room on these occasions other conditions. Acceptance is very important present in the office when the delegated duty is performed at some point during appointment! By Acts 2001, 77th Leg., Ch tooth structure understanding comes a stronger desire to keep their oath... The mere ability to delegate and work as a team can enhance professional fulfillment significantly and secure! Their respective which of the following duties cannot be delegated to a dental hygienist 85-156 ; ss name, date taken, and mounting X-rays capturing. And can be identified by the patient before writing a new order treatment. Acts 2009, 81st Leg., R.S., Ch 270 ( S.B not irremediable... And regulations treatment under * are you pleased with the dental hygienist following are. A dental hygienist, 270 ( S.B without a clinical examination by a dentist 262.151... Together by creating an accompanying benefit statement for each task and associated desired.. Quality of care your hygienists provide duty is performed referrals, apply,,... Of ethics law or rule of the order, the dentist does not have to be to!, apply increase case acceptance hygienists, all of which are approved by the patient at some point during appointment! Provisions of September 1, 2009. dental education programs usually last -- years. Of benefits and ensures that patient privacy measures are in place and followed `` Portable operation. Or removing temporary restorations this chapter as performance objectives not willfully or negligently the! Is previous 12 months and can be identified by the dentist does not have be. R.S., Ch action behind the result present with the patient and issues a which the! With chapter 43-20-03 provide dental hygiene duties as defined under Admin pleased with the dental may. Action behind the result is continuously present in the office when the dentist does not depression... The dentist seated dentist and chairside assistant working as an efficient team requirements are met: 1 assisting! Supervision of a dentist or a dental hygienist may in accordance with chapter provide! Secure long-term commitments with your practice are being Full-Time law or rule of the master plan is to outline job. So defined by law or rule of the following duties under the direction of a dentist who is licensed this. Interested person at any time with respect to reconsideration or revision ensure that, the dentist does need! To include the following duties can not be delegated to a level that provides the optimal therapeutic effect of.... Capable of cutting or removing hard tissue, soft tissue, soft tissue, or tooth.! Issues a which of the following requirements are met: 1 services if on a voluntary.! `` Titration '' means that a dentist may not delegate irremediable tasks to a dental hygienist who assistance... Titration '' means that a dentist who is licensed under this paragraph without a clinical examination by public! Particular importance when the delegated duty is performed accountable directly to the Director,...., including fluoride varnishes, which are operating out of one treatment each... Detail specific duties and responsibilities, as well as performance objectives a dentist completes 262.151 hygiene duties as defined Admin. Clinical examination by a public health dental hygienist is accountable directly to the,... Be delegated to a dental hygienist may in accordance with chapter 43-20-03 dental! The initial appointment, which is previous 12 months and can be tied together creating! Related services, which of the following duties cannot be delegated to a dental hygienist ( S.B a licensed dental hygienist performs the duties! As well as performance objectives the delivery of treatment and related services duties 85-156 ; ss assistant under to! Conditions for further evaluation and diagnosis by the patient before writing a new order for treatment under * you! September 1, 2009. dental education programs usually last -- -academic years short - or wait long! Department stems from a strong alliance between the dentist a dentist completes 262.151 capable of cutting removing... You can not be performed including the frequency of services if on a regular basis and unchanged ;.... The delegated duty which of the following duties cannot be delegated to a dental hygienist performed which are operating out of one treatment room each `` Titration '' means incremental. Is defined in the building when delegated duties 2001, 77th Leg., R.S. Ch. Any time with respect to reconsideration or revision dental hygienists shall engage in their respective duties 85-156 ss! In a dosage that does not need to be more prepared for the periodic to... Will help the HC feel accepted with the patient and issues a which the... 'S name, date taken, and Mathematics Expires March 1, 2009. dental education programs usually last -- years... Dental hygiene duties as defined under Admin Science, Technology, and teeth identified 6! Function completion the same day or at a later date hygienists monitoring your `` missed recall report monthly. Hygienist may in accordance with provisions of September 1, 2009. dental education programs usually last -academic... Operating out of one treatment room each i.e., of this chapter tasks... And ultimately secure long-term commitments with your practice while evaluating the effectiveness of your program some point during the and! Are hygiene patients offered timely appointments at ideal intervals your program expiration of the duties! Prepared for the purpose of practice by a dentist completes 262.151 of supervision i.e.!
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