OnlineOrientationtoClinicII20173

Afteranice,welldeservedbreak….

• Noworries,nostress!

DatestoRemember

• 6/6/17- AM-OrientationPM- UltrasonicWorkshop1• 6/8/17- Firstdayofclinicandrotations• 6/13/17-AM-Regularclinic/rotationsPM-UltrasonicWorkshop2• 7/4/17-4th ofJuly-Noschool!• 7/11/17-AM-Regularclinic/rotations/PMConferences• 8/10/17-Lastdayofclinic• 8/15/17-ClinicMake-upDay,ClinicClean-up,FinalConferences

Syllabus

DEH1802LCLINICALDENTALHYGIENEIILABORATORY(453868,453869,453871,4537872,453873)

PROFESSORINFORMATION

CynthiaPWampler,CRDH,MScynthia.wampler@fscj.edu(904)766-6744

AdditionalFaculty

Dr.AnthonyDean,Dr.MargaretDennis,AngelaFlood,CRDH,BAS,KimKilby,RDH,KimberlyKernohan,CRDH,MBA,AnnReidy,CRDH,BS,BonnieWilson,CRDH,BS

OfficeHoursandLocation

OfficeHours:Hours Days7:30AM-8:00AM Monday7:30AM-8:00AM Tuesday7:30AM-8:00AM Thursday

AndbyappointmentOfficeLocation:NorthCampus,A314C

CourseDescription

Description:ThiscourseisacontinuationofDEH1800LClinicalDentalHygieneILaboratorycoursewithadditionalemphasisonthetreatmentofmorecomplexpatients.Othertherapeuticmodalities,suchastheuseofultrasonicinstrumentation,airpolishing,andadvancedfulcrumtechniques,areintroduced.Instructioninlocalanestheticadministrationisprovidedandstudentsapplythesenewskillsinthetreatmentofmoreadvancedpatientcases.Detailedproceduresforplaquecontrolandpatienteducationincludetheuseoforalhygieneaidsspecializedforpatientswithmorecomplexneeds.Prerequisites:DES1600L,DEH1001C,DEH1003C,DEH1720,DEH1800,DEH1800L,DES1200,DES1200LandDEH2400Corequisites:DEH1802DegreesOffered:A.S.

CourseInformationCourseNumber/Title: DEH1802L/CLINICALDENTALHYGIENEIILABORATORYReferenceNumber: 453868,453869,453871,453872,453873,453874NumberofCreditHours: 4.00Term/Year/Session/Length: Summer/2017/B/12

ClassBegins 05/30/2017100%RefundDeadline 06/06/20177:00PM(ET)Non-AttendanceDrop 06/14/20177:00PM(ET)Withdrawwith"W"Deadline 07/20/20177:00PM(ET)ClassEnds 08/18/2017CollegeHoliday(s)05/29/2017,07/04/2017TechnicalMaintenance05/27/2017-05/29/2017,06/17/2017-06/18/2017,07/15/2017-07/17/2017

Thesedatesarecriticalforthiscourse.AdditionalcriticaldatesforthiscoursecanbefoundbyclickingtheappropriatetermlinksintheonlinecalendarattheFloridaStateCollegeatJacksonvilleWebsite.COURSELOCATIONLocation Room Times

Days SessionDate

NORTHCAMPUS A0320 8:00AM-12:00PM

Tuesday

05/30/2017-08/18/2017

NORTHCAMPUS A0320 1:00PM-5:00PM

Tuesday

05/30/2017-08/18/2017

NORTHCAMPUS A0320 8:00AM–12:00PM

Thursday 05/30/2017-08/18/2017

NORTHCAMPUS A0320 1:00PM-5:00PM

Thursday 05/30/2017-08/18/2017

INSTRUCTIONALMATERIALSANDEQUIPMENTIfyouhavenotdonesoalready,obtainyourtextbookandrelatedcoursematerials.Visityournearestcampusbookstoreororderonlineviathestudentportal,Connections,ortheFollettOnlineBookstore.Besuretoorderusingyourcourseandinstructor’snameandthesix-digitcoursereferencenumber.Pleasenotethatsomecourses,particularlymathandscience,mayrequireatextplusadditionalsoftwareorapublisherWebaccesscode.Ifpurchasingausedtext,besuretocheckonandobtainallrequiredmaterials.

ClinicalPracticeoftheDentalHygienist,Wilkins,12thEditionISBN9781451193114ByEstherM.Wilkins,LippincottWilliamsandWilkinsPublishing

SyllabusCont.

ACCESSIBILITYFloridaStateCollegeatJacksonvillerecognizestheimportanceofassistingandencouragingallstudentstoreachtheirfullpotential.InaccordancewiththeAmericanswithDisabilitiesAct(ADA),theAmericanswithDisabilitiesActasamendedin2008,andSection504oftheRehabilitationActof1973,theCollegeensuresthatitsadmissionrequirementsareuniformlyapplied,andthatitsservices,activities,facilitiesandacademicprogramsareaccessibletoandusablebyallqualifiedstudents.TheOfficeofServicesforStudentswithDisabilities(OSSD)implementsandcoordinatesreasonableaccommodationsanddisability-relatedservicestopromotefullparticipationofindividualswithdisabilitiesinallaspectsoflife.TheRehabilitationActdefinesadisabilityasanindividualwhohasaphysical,mental,orlearningdisability,whichsubstantiallylimitsoneormoremajorlifeactivity(i.e.,seeing,hearing,speaking,

FSCJDentalHygieneClinicManualandHandbookandiPadandTypodont

LocalAnesthesiafortheDentalHygienist,2ndEditionISBN9780323430494ByDemetraLogothetis,ElsevierPublishing

DHNotes2ndeditionISBN9780803658264ByPrajer,R.,Grosso,G.,FADavisCompany

FundamentalsofPeriodontalInstrumentationandAdvancedRootInstrumentation8thEditionISBN9781496320209ByJillS.Nield-Gehrig,LippincottWilliams&Wilkins

COURSE-SPECIFICLEARNINGOUTCOMESPreparationforClinicAppointmentUponsuccessfulcompletionoftheClinicIIlaboratorysessionsthedentalhygienestudentwillbeableto:

1.Demonstratethesafeuseofthemedicalanddentalequipment.8.62.Recognizeandreportsafetyhazards.8.63.Demonstrateproperbodymechanics.8.64.Demonstrateknowledgeofmedicalanddentalasepsis.8.65.Demonstratehowtodisposecorrectlyofbiohazardousmaterials,accordingtoappropriategovernmentguidelinessuchasOSHA.8.66.Demonstratethecorrecttechniquetosterilizeinstruments.8.67.Recognizeandapplytheneedforandproperprecautionsforpreventionofdiseasetransmissionduringalldentalrelatedprocedures.8.6

PatientAssessmentUponcompletionoftheclinicIlaboratorysessionsthedentalhygienestudentwillbeableto:

1.Take,record,andcorrelatemedical/dentalhistorywithdentalhygienetreatmentplanandservicestobeperformed.1.3,6.1,6.2,7.62.Useappropriatearmamentariumtopre-assessandchartsuspectedfindingswithdentalhygienetreatmentplanandpatientservicestobeperformed.1.3,6.1,6.2,6.3,7.63.Perform,record,andcorrelateextra-oralandintraoralexaminationfindingswithdentalhygienetreatmentplanandpatientservicestobeperformed.1.3,6.1,6.2,6.3,7.64.Conductcompleteperiodontalexaminationincludingprobing,radiographicinterpretationmobilityassessmentandtissuedescription.1.3,6.3,6.2,6.5,7.1,7.65.Consultwithdentistand/ordentalhygieneinstructortoverifydentalandmedicalinformationanddevelopthetreatmentplantobeimplemented.7.2,9.46.Observeandrecordexistingrestorations,conditions,andpathologies.6.3,6.57.Interpretandcorrelatedentalrestorations,conditions,pathologies.6.3,6.58.Interpretandcorrelatedentalradiographsanddentalchartingwithdentalhygienetreatmentplan.6.3,6.4,6.5,7.29.Recognizeandreactappropriatelytocontraindicationstodentaltreatmentfoundinmedicalanddentalhistory.7.1,7.2,7.5

InstrumentationUponcompletionoftheclinicIlaboratorysessionsthedentalhygienestudentwillbeableto:

1.Manipulatemechanicalinstrumentsfordepositremoval,i.e.ultrasonics.8.12.Cleanandpolishremovableappliances.8.1,8.43.Detectcalculusforremovalanddifferentiatebetweendepositsandothercausesoftoothsurfaceroughness.8.1,8.44.Scaleteeth,performingperiodontaldebridementusingappropriatearmamentariumandinstrumentationtechnique.8.1,8.45.Identifytypeofstainspatient’shaveandtheappropriatetechniqueneededtoremovethestain.8.1

PainManagementUponcompletionoftheClinicIIlaboratorysessionsthedentalhygienestudentwillbeableto: 1.Applytheinclusionoflocalanestheticinjectionsindentalhygienepractice.8.2

MoreSyllabus

PreventionofOralDiseaseUponcompletionoftheClinicIlaboratorysessionsthedentalhygienestudentwillbeableto:

1.Directpatientinallhometherapiestomaintainandrestoresofttissuehealth.3.2,4.1,4.2,7.3,7.4,9.12.Developcariespreventionanddiseaseinterventionstrategiesforapatientbasedontheassessment.3.2,4.1,4.2,7.1,7.3,7.4,9.13.Recommendtheappropriatefluorideproductsforthepatient’suse.3.2,4.1,4.2,7.3,9.14.Establishanappropriateintervalforevaluationofthesuggestedstrategies.3.2,4.1,4.2,7.3,9.1

RadiographsUponcompletionoftheclinicIlaboratorysessionsthedentalhygienestudentwillbeableto:

1.Demonstratethecorrecttechniqueforradiographicimaging.6.42.Performdarkroom/processingandmaintenanceprocedures.6.43.Placeandexposedentalradiographicfilms.6.44.Identifyradiographicanatomicallandmarks.6.4,6.55.Mountradiographicsurveys6.5

ProfessionalismUponcompletionoftheclinicIlaboratorysessionsthedentalhygienestudentwillbeableto:

1.Demonstratebasicobservationalskillsandrelateddocumentationstrategiesinwrittenandoralform.1.12.Composewrittencommunicationusingcorrectspelling,grammarandformat.1.33.Useappropriatemedicalterminologyandabbreviations.1.34.Recognizetheimportanceofcourtesyandrespectforpatientsandotherhealthcareworkersandmaintaingoodinterpersonalrelationships.1.15.Demonstrateabilitytogiveandfollowdirections.1.16.Demonstrateprofessionalattireandappearanceinclinic.2.3,2.57.Demonstrateprofessionalisminactionsattitudes,dress,writtenandverbalcommunication.2.5

CourseParticipationMETHODSOFINSTRUCTION

GradeScaleCourseGrade PointsA 93–100%B 85–92.5%

C 77–84.5%D 70–76.5%

F <69.5%

• Discussionandproblemsolvingperformedinclinic• Chairsideinstruction• Clinicalpractice• Extramuralexperiences

InClinicII,theclinicalinstructorswillusethefollowingrubricstogradeyourDentalHygieneProcessof

Care:

DENTALHYGIENEPROCESSOFCARERUBRIC

Assess/careplanerrors

Instrumentationerrors

Polish/Fluorideerrors

Evaluationerrors

0 100% 0 100% 0 100% 0 100%

1 96% 1 96% 1 92% 1 90%

2 94% 2 96% 2 88% 2 80%

3 88% 3 93% 3 82% 3 70%

4 85% 4 88% 4 77% 4 60%

5 82% 5 82% 5 72% >5 0%

6 77% 6 77% 6 60% Critical

Error*

0

7 72% 7 72% 7 0

>7 <7

-5/error

>7

-5/error

<7

-5/error

Critica

l

Error*

0

Critical

Error*0 Critical

Error*0

*CriticalerrorsatFSCJaredelineatedintheclinicmanualandstudenthandbook

ThefinalgradeforClinicIIlaboratoryiscalculatedusingthefollowingweights:

□ Patientassessmentandcareplanning20%□ TreatmentplanImplementation55%

o Instrumentation45%

o Polishing&fluoridetherapy10%

□ Evaluation5%

CalendarofActivitiesNACourseGradeBreakdownStudentsmusthaveapatientateachclinicsession.Failuretodosowillresultin1pointbeingdeducted

fromtheclinicalgradeforeachsessionwithoutapatientaftermorethantwo(2)sessionswithoutapatient

hasoccurred.

InordertoprogresstotheClinicIIIcourse,thefollowingDentalHygieneProcessofCarerequirementsmust

bemetinClinicII.

ClinicLevel

Requirements Competencies

II • ObservationofScalingononequadrantofone

PerioClassIIpatient

• Casepatientselection

• PerioChart

• UltrasonicInstrumentation(process)

• LocalAnesthesia(MB,SP)

Andmore…

□ CommunityServiceGrade5%

o ProvideeducationandclinicalcaretounderservedpopulationsinDuvalCounty□ MonitorRotation5%

o Fulfillresponsibilitiesassignedtothemonitorinordertofacilitateclinicaloperationandpatientcare.

*Radiographsreceivingagradebelow77%willnotbecalculatedinthefinalclinicgradeasacompletedrequirement.Allradiographsmustbeturnedinbythelastdayofclinictoreceiveagrade.Anyradiographsnotcritiquedorturnedinonthelastdayofclinicwillreceiveazero.RefertoClinicManual.CompetencyevaluationsHavingsuccessfullycompletedyourfirstclinicalcourse,includingfivecompetencies,studentmanagementofthecompletionoffutureclinicalcompetencieswillbecomethestudent’sresponsibility.Thisterm,studentsareprovidedwithalistofclinicalcompetenciesthattheymustcompleteinthefinalthreeclinicalcourses(ClinicalDentalHygieneLaboratoryII,III,&IV)inordertograduatefromtheprogram.Asmallnumberoftheclinicalcompetencies,suchaslocalanesthesiaandperiodontalcharting,arerequiredtobecompletedinspecificcourses.Itistheresponsibilityofthestudenttoworkcontinuouslytocompleteallrequiredcompetenciesbytheendofthefourthclinicalcourse(DEH2806L).ClinicalcompetenciesaregradedonaPass/Failbasiswithascoreof80orhighersignifyingapassinggrade.Failedcompetenciesmustberepeated.Thesecondattempt,ifsuccessful,willearnapassinggrade.PleaserefertotheClinicManualforpolicyonfailedcompetencies.Failureconstitutesgroundsfordismissalfromtheprogram.Aspartofthiscourse,studentsmustcompletethefollowingclinicalcompetenciesduringthisDEH1802Lcourse:

o 2Localanesthesia(supraperiostialandmentalblock)o 1Periodontalchartingo 1Ultrasonicinstrumentation

Additionally,studentsarestronglyencouragedtocompleteallofthefollowing*clinicalcompetencies:

o 1Comprehensivetreatmentplano 1Nutritionalcounselingo 1Tobaccocounseling

ClinicalRequirementsAspartofthiscourse,studentsmustcompletethefollowingrequirementsduringthisDEH1802Lcourse:

o ObservationofScalingo Casepatientselection

In

SpecialNeedsPatients

MedComp

Pediatric/AdolescentPatient

Adult Geriatric

PerioClassRadiographs

0/1 2 3/4

3 10 6 15 10 6 6 315CMX(9D/6F)

10Pans12BWX(8D/4F)

InordertograduatefromtheDentalHygieneprogram,thefollowingrequirements*mustbemet:

*SpecialNeeds,MedComp,PatientandPerioClassrequirementsrequirethepatienttobecompletedinordertoreceivecredit.ClinicalConferences1.Studentsareresponsibleforhavingalldocumentsrequiredforstudent/facultyconferences.Eachmissingdocumentwillresultina2pointsdeductionfromthefinalgrade.TherearetwoscheduledconferencesinClinicII.2.Studentsareresponsibleformaintainingallpaperworkfromextramuralrotationsitesincludingstudentevaluationsheets.Failuretosubmitallpaperwork(includingrotationfolder)willresultina1-pointdeductionfromthefinalgrade.

OtherGradingInformation

FNGRADE-FAILUREFORNON-ATTENDANCEAFailureforNon-Attendance(FN)gradeindicatesthatastudenthasfailedacourseduetonon-attendance.Itiscalculatedasan“F”inthestudent’sgradepointaverage.Forstudentsreceivingfinancialaid,failurefornon-attendancemayrequirethestudenttorefundtotheCollegeallorpartofhisorheraid.TheFNgradewillbeassignedbythefacultymemberatanytimefollowingthefinalwithdrawaldateforthecourse.SeetheCollege’spageonGradingpolicies(http://fscj.edu/grading)formoreinformation.IGRADE-INCOMPLETEIncomplete(I)gradesmaybeawardedbasedonthecriteriaintheCollegeCatalog.SeetheCollege’spageonGradingpolicies(http://fscj.edu/grading)formoreinformation.AnIncomplete“I”gradeisgivenveryrarelyinthiscourseandonlyfordocumented,excusedabsencesthatresultinthestudentbeingunabletocompletethecourseontime.Thedecisiontograntan“I”gradeissolelyuptoProfessorWamplerandisreservedforemergencysituations(prolongedillnessrequiringhospitalizationwouldbeanexample).AcontractwillbepreparedbyProfessorWamplerthatdetailsthestudent’sresponsibilitiestosuccessfullyresolvethe“I”grade.An“I”grademayimpactthestudent’sabilitytoqualifyforfinancialaidandmayresultinthestudentbeingrequiredtopaybackpreviousstudentloans.

AttendancePolicy

CourseGuidelines&Policies

AcademicDishonesty

Academicdishonesty,inanyform,hassevereconsequences.ClickheretoviewFSCJ’sacademicdishonestydefinitionsandprocedures.

LateMakeupWorkAmake-upsessionisscheduledattheendofthetermforstudentswhohavenotsuccessfullycompletedallclinicalcompetencies.

AttendancePolicyDuetotheuniqueresponsibilitiesassociatedwithbecomingacompetenthealthprofessional,theprogressivenatureofthecurriculumanditsimportancetotheprovisionofqualityoralhealthservices,attendanceandclassparticipationisrequiredatallscheduledclinics,laboratories,seminars,casepresentations,scheduledclassesandindividualfacultyappointments.Shouldanabsencebenecessary,thestudentmustcontactthecourseinstructorpriortothestartofclass.Failuretocommunicateintheabovemannerwillresultintheabsencebeingconsideredunexcused.Onlyanexcusedabsence(studentillnesswithphysiciandocumentation,accident,deathintheimmediatefamily,jurydutyoranydeemedexcusablebythecourseinstructor)maybemadeup.Anotefromaphysicianorotherappropriateindividualmustbesubmittedtoconstituteanexcusedabsence.Whenaclinicalabsenceisnecessaryyoumust:

§ Contactthedentalprogramsadministrativeassistantat766.6571.§ CallanypatientsyouhavescheduledatFSCJandreschedulethem.§ Callyourrotationsite

Failuretofollowthisprotocolwhenscheduledatarotationsitewillresultina5-pointdeductionfromthefinalgradeforeachclinicalsessionimpacted.FailuretofollowthisprotocolwhenscheduledatFSCJclinicwillresultina3-pointdeductionfromthefinalgradeforeachclinicalsessionimpacted.Thesespointreductionsareinadditiontoreductionsfortheunexcusedabsence(seebelow).Intheunusualeventthatastudentreportstoaclinicalrotationsiteandthefacilityisclosed,orclosesandthepatientsarecancelled,thestudentmustreturntoFSCJoraclinicalabsencewillbeincurred.TheclinicalattendancepolicyappliestostudentsassignedtoFSCJ’sclinicasclinicians,radiologymonitors,sterilizationtechnicians,clinicalassistants,ortostudentsassignedtoanyoftherotationsites.Additionally,theclinicalattendancepolicyappliestoorientation,clinicalcleanup,clinicaladvisingorotherspecialassignmentsonclinicaldays.WhenscheduledatFSCJ’sclinic,eachstudentisrequiredtosignthecliniclotontheirarrivaltobothmorningandafternoonclinicalsessionstoverifyattendanceandtimeliness.Studentsmustarriveintimetopreparetheiroperatoryanddocumentationformsforpatientcare.StudentsMAYNOTsign-inforeachother.Thisisunethicalandwillresultinacriticalerroroneachpageofthegradingsheet.

Missing10%ormoreoftheassignedclinicalhoursinanytermwillresultinafailinggradeforclinic.Thereare175clinicalhoursinthe11-weektermforClinicII.Missing18hoursormoreofclinicconstitutesaclinicalfailure.

Two(2)latearrivalstoClinicIIconstituteanunexcusedabsence.Anyunexcusedabsencewillresultina10-pointreductioninthefinalclinicgrade.PleaseseeClinicManualforfurtherinformation.

MoreSyllabusHousekeeping

PolicyOnElectronicDevicesRefertotheElectronicDevicePolicysectionoftheStudentHandbook.Unapproveddevicesshouldnotbeusedduringclasstime.Approveddevicesshouldbeusedonlyforpermittedpurposes.Ifseenbyinstructor,onewarningwillbegivenduringthetermforanyinfractionandafterthatpointswillbedeductedfromyourgrade.CommunicationInthiscourse,asinallcoursesinFSCJ’sDentalHygieneprogram,eachstudentisexpectedtopresentthemselvesprofessionallyintheiractions,attitudes,dress,andwritten/verbalcommunication.Allwrittenassignmentswillbeevaluatedforprofessionallanguage,grammarandspelling.Nohandwrittenassignmentswillbeacceptedinthiscourse.StudentsshouldchecktheirFSCJe-maildailyasfacultypostcourserelatedinformationviathislink.Failuretodosomayresultinmissingkeyinformation.Havingnotreadfacultymessagesisnotanacceptableexcuseforfailuretorespondappropriately.StudentsmayelecttoconfigurealinkbetweentheirFSCJandpersonale-mailaddressestoreceivemessages.CourseContent

Introduction• ClinicOrientation• ClinicForms• ClinicEquipmentPreparationforClinicAppointment• PreventingInjuriesintheWorkplace• InfectionControl&Sterilization• PreparationandMaintenanceofDentalEquipmentPatientAssessment• Medical&DentalHistory• VitalSigns• Extra/IntraOralExam• DentalCharting• IdentifyingTreatmentNeedsInstrumentation• ScalingandCalculusRemoval• InstrumentSharpening• StainRemovalandPolishingPainManagement• Desensitization• PsychosomaticPainControl• AssistingwithLocalAnesthetic• TopicalAnesthetic• LocalAnestheticAdministration

Radiographs• Completemouth,BitewingandPanoramicSeriesProfessionalism• PatientRapport• Student,Faculty,StaffRelationship• AppearanceandAttireEvaluation&Counseling• Self• Instructor

ThefollowingFloridaStateCollegeatJacksonville(FSCJ)DentalHygieneProgramcompetenciesareaddressedinthiscourse:MAJORCOMPETENCY#1ThenewgraduateofthedentalhygieneprogramatFSCJmustbeabletodiscernandmanageethicalissuesofdentalhygienepracticeinarapidlychangingenvironment.Specifically,thenewgraduatewillbeableto:1.1Demonstratehonestyandintegrityinrelationshipswithpatients,colleaguesandotherprofessionals.1.3 Recognizepatientrecordaslegaldocumentandmaintainitsaccuracyandconfidentiality.MAJORCOMPETENCY#2ThenewgraduateofFSCJ’sDentalHygieneprogrammustbeabletocontributetoimprovingknowledge,skills,andvaluesoftheprofession.Specifically,thenewgraduatewillbeableto:2.3Promotethevaluesofthedentalhygieneprofessiontothepublicandotherorganizationsbothwithinandoutsideofthedentalprofession.2.4Applyself-assessmentskillaspreparationforlifelonglearning&professionalgrowth.2.5Presentthemselvesprofessionallyintheiractions,attitudes,dress,writtenandverbalcommunication.MAJORCOMPETENCY#3ThenewgraduateofFSCJ’sDentalHygieneprogrammustbeabletoacquireandsynthesizeinformationinacriticalandscientificmanner.Specifically,thenewgraduatewillbeableto:3.2Usesoundjudgmentinprocessinginformation,professionaldecision-makingandapplicationofnewinformationtoassureevidence-basedpatientcare.MAJORCOMPETENCY#4ThenewgraduateofFSCJ’sDentalHygieneprogrammustbeabletoprovideplannededucationalservicesusingappropriateinterpersonalcommunicationskillsandeducationalstrategiestopromotetheoptimalhealthoftheindividual.Specifically,thenewgraduatewillbeableto:4.1Identifytheoralhealthneedsofindividualsandassisttheminthedevelopmentandmaintenanceofappropriateandindividualizedself-careregimes.4.2Providehealtheducationcounselingusingcurrentandeffectivemethodsofinstructionandmotivation.

9.4Providereferralforadditionalpatienttreatmentasneeded.

MAJORCOMPETENCY#6ThenewgraduateofFSCJ’sDentalHygieneprogrammustbeabletosystematicallycollect,analyzeandaccuratelyrecordbaselinedataonthegeneral,oral,andpsychosocialhealthstatusofpatientsusingmethodsconsistentwithmedicolegalprinciples.Specifically,thenewgraduatewillbeableto:Supportingcompetency(CourseObjectives):6.1Obtain,reviewandupdateacomprehensivemedical,dental,nutritional,healthbehaviorhistoryincludingassessmentofvitalsigns.6.2Recognizeconditionsthatrequirespecialprecautionspriortoorduringdentalhygienetreatment.6.3Performextra-oral,intraoral,periodontal,anddentalexaminationsandaccuratelyrecordfindings.6.4Obtainradiographsofdiagnosticquality.6.5Distinguishnormalfromabnormalradiographicfindingsandcorrelatethosefindingswithclinicalexamdata.MAJORCOMPETENCY#8ThenewgraduateofFSCJ’sDentalHygieneprogrammustprovidetreatmentthatincludespreventiveandtherapeuticservicesdesignedtoachieveandmaintainoralhealthandassistthepatientinachievingoralhealthgoals.Specifically,thenewgraduatewillbeableto:8.1Applyprinciplesofdentalhygieneinstrumentationtoremovedepositswithouttraumatohardorsofttissue.8.2Controlpainandanxietyduringtreatmentthroughuseoflegallyacceptedclinicaltechniquesandappropriatebehavioralmanagementstrategies.8.3SelectandadministerappropriatechemotherapeuticagentswithinthescopeofdentalhygienepracticeinthestateofFlorida.8.4ProvideallneededdentalhygieneservicesthatmaybeperformedlegallyinthestateofFlorida.8.6Usemeasurestominimizeoccupationalhazardsintheworkplace.MAJORCOMPETENCY#9ThenewgraduateofFSCJ’sDentalHygieneprogrammustbeabletoevaluatetheeffectivenessofplannedclinicalandeducationalservicesandmodifyservicesasnecessaryforoptimaloralhealth.Specifically,thenewgraduatewillbeableto:9.1Determinetheclinicaloutcomesofdentalhygieneclinicalandeducationalinterventionsusingindices,instrumentsandexaminationmethods.9.3Developandmaintainacontinuingcaresystemappropriatetopatientneeds.

Remember:“It’sintheSyllabus”

GradeSheet

Florida State College at Jacksonville DEH1802L Dental Hygiene Clinic II Clinical Competency Form

Summer 2017

Student’s

Name:

________________________

Patient’s

Name_________________________

Competency Appointment # Initial Exam/ Reassessment 1 2 3 4

Reviews medical & dental history A Recognizes and records medical risks B Records/understands pt medications C Documents contraindications to tx. D Documents lifestyle risk factors E Intra- & Extra-oral exam F Gingival/periodontal assessment G

Calculus Detection 1 2 3 4 Technique (grasp, stroke, air) H Interpretation of deposits I Recorded accurately J

Dental Charting 1 2 3 4 Recorded restorations correctly K Recognizes suspicious areas L Recorded teeth correctly M Used instruments appropriately N Used radiographs appropriately O Conducts caries risk assessment P

Periodontal Charting 1 2 3 4 Records all relevant conditions Q Measures recession accurately R Records pocket depths & mobility S Gingival margin drawn T Used radiographs appropriately U Conducts periodontal risk assessment V Reassessment as needed W

DH Treatment Plan 1 2 3 4 Clear/accurate explanation to patient X Identifies & adapts to patient’s needs Y Thorough & orderly Z Consent obtained AA

Errors

Final Grade ______

Comments

Patient Classification

Periodontal Classification: 1 2 3 4

Age: __ Child (<12) Special Needs? __ Yes __ Adolescent (13-17) Condition __ Adult (18-60) __ Geriatric (61+) __ No Med. Comp? __Yes Condition

__No

Radiographs: __ BX __ CMX __ Pan __ none needed

Instructor Signature: __________________________ Date:

Treatment Dates

Initial exam date __________ Time_____

2nd appointment __________ Time_____

3rd appointment __________ Time_____

4th appointment __________ Time_____

Assessment/ Planning

Scoring Errors Score

0 100 1 96 2 94 3 88 4 85 5 82 6 77 7 72

>7 -5ea. Critical Error

0

Competency Appointment # Patient Education 1 2 3 4

Plaque Index Recorded A Overall health condition considered B Uses OPT & educational aids C Tobacco cessation included D Fluoride home care instruction E Desensitizing agents as needed F Nutrit. counseling /lifestyle concerns G Sealants recommended appropriately H

Technique & Instrumentation 1 2 3 4 Instrument sharpness I Patient/operator position J Indirect vision K Instrument selection & use L Fulcrum/grasp M Adaptation/ angulation/ stroke N Lateral pressure O Use of radiographs P Use of air Q

Debridement 1 2 3 4 Calculus deposits remaining R Root planing S Tissue trauma T

Errors

Implementation: Instrumentation

Periodontal Class I/II Periodontal Class III/IV

Quad/Sext. Initials Errors Date Sext. Initials Errors Date

UR UR U anterior U anterior

UL UL LR LR

L anterior L anterior LL LL

Grade Grade

Competency Appointment # End Product Analysis 1 2 3 4

Stain remaining A Plaque remaining B Tissue trauma C Other D

Technique Errors 1 2 3 4 Patient/ Operator positioning E Selection of cup/brush F Selection of polishing agent G Adaptation of cup/brush H Disclosing I Use of floss J Other K

Fluoride 1 2 3 4 Selection of fluoride L Correct administration M Remains with the patient N

Errors

Comments

Implementation: Polish & Fluoride

Grade: _______ ________________________________________

Instructor Signature Date

Scoring Errors Score

0 100 1 90 2 80 3 70 4 60 5 0 6 0

>6 0 Critical Error

0 Competency Appointment #

Professionalism 1 2 3 4 Time management A Tray/equipment preparation B Infection control C Evidence-based decisions in pt. care D Attitude & judgment E Ethical decision making F Follows procedures & protocols G Professional appearance H Communication: written, verbal I

Quality Assurance 1 2 3 4 Bill of Rights/HIPAA signed J Consent form signed K Cumulative radiation record L Documentation/ recordkeeping M Continued/comprehensive care (referral noted)

N

Name and date on radiographs O Errors

Evaluation

Grade: _______

Instructor Signature

______________________

Date

Requirements

Somethingsremainthesame…Student Name___________________________________

I. PATIENT REQUIREMENTS

a. Pediatric/Adolescent Patient Requirement-

Seven [7] pediatric (<or=12 yo) and or adolescent (13-17 yo) patients must be successfully completed before you graduate.

Name Perio Class

Age Date Completed

Date/Instructor Signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

b. Adult Patient Requirement

Fifteen [15] adult (18 – 60 yo) patients must be successfully completed

b. Adult Patient Requirement Fifteen [15] adult (18 – 60 yo) patients must be successfully completed before you graduate.

Name Perio Class

Age Date Completed

Date/Instructor Signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

c. Geriatric Patient Requirement Ten [10] geriatric (> 61 yo) patients must be successfully completed

before you graduate.

Name Perio Class

Age Date Completed

Date/Instructor Signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

Ch ch ch Changes

d. Periodontal Class I Six [6] Class I Periodontal patients must be completed before you graduate.

Name Age Date

Completed Date/Instructor

Signature 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

e. Periodontal Class II Six [6] Class II Periodontal patients must be completed before you graduate.

Name Age Date

Completed Date/Instructor

Signature 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

f. Periodontal Class III/IV Three [3] Class III/IV Periodontal patients must be completed before you graduate.

Name Age Date

Completed Date/Instructor

Signature 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

g. Medically Compromised patient requirement: A minimum of ten [10] patients with

DEH1802 Clinic II Student Daily Log Summer Term 2017 PATIENT DEFINITIONS: Medically Compromised Patient: A patient with mild to moderate systemic disease. * [Using the ADA Physical Status Classification of ASA Class II- accreditation guidelines 2-18. New as of January 06, 2006.} Maintenance (Recare) patient: a patient who completed treatment in our facility and is returning after 3-6 months. You do not need to be the original clinician. *ASA PHYSICAL STATUS CLASSIFICATION SYSTEM* ASA I: Normal, healthy patient. No organic, physiologic, or psychiatric disturbance; excludes the very young and the very old; healthy with good exercise tolerance. ASA II: Patients with a mild systemic disease or a risk factor for a systemic disease, for example, tobacco use, alcohol abuse, mild obesity. No functional limitations; has a well-controlled disease. Patients who may be categorized as ASA II are those with controlled hypertension or type 2 diabetes without systemic effect, cigarette smoking without chronic obstructive pulmonary disease (COPD), mild obesity, pregnancy. * Medical Emergencies Essentials for the Dental Professional, 2nd Edition, Ellen B. Grimes, 2014, Pearson Education, Inc. Examples: ( Medical Emergencies Essentials for the Dental Professional) Controlled type 2 diabetes Controlled epilepsy Controlled hypertension (Stage 1) Allergies Fearful dental patient Pregnancy Smoker

I. Requirements to be completed in Clinic II

a. Calculus Removal Observation: The student will select a quadrant/sextant that meets the following criteria and will be approved by the instructor

• The quadrant/sextant must have a minimum of 6 teeth • 4 of the 6 teeth must have supra-subgingival calculus • One tooth must be multi-rooted • Each tooth must be in proximal contact with at least one other tooth • Selected teeth cannot have a full crown or large carious lesion • 4mm or greater pocket depth on at least two (2) teeth

The faculty will observe 1 multirooted tooth and 1 anterior tooth from both the facial and lingual aspect and will use the criteria on the implementation page of the grade sheet to assess performance.

b. Case Study Patient Approval - see criteria handed out in class

**Brief description why patient was selected:

Name Quad Perio

Age Date/Instructor Signature

Name Age Perio/Calculus Class

Date/Instructor Signature

CompetenciesThatmustbecompletedbeforeyougraduate

III. Competencies - The following competencies must be completed before you graduate. You must pass these competencies at a minimum of 80% in order for any attempt to be considered successful. Any competency not completed successfully must be repeated.

a. Tobacco Counseling This assessment is completed on patients who are currently using a tobacco product. Its purpose is to

demonstrate a student’s knowledge and application of the American Cancer Society’s 5 A’s in a clinical situation.

Patient Name Age Date Competency P/F Instructor

Signature 1.

Tobacco Counseling

2.

Tobacco Counseling

b. Nutritional Counseling

Patient Selection: Patient assessment demonstrates current or history of dental caries and/or periodontal disease. The student will review the patient’s diet survey and give recommendations for healthy changes to their diet related to oral health. The instructor will assess computations for food group adequacy and sugar exposures.

Patient Name Age Date Competency P/F Instructor Signature

1. Nutritional Counseling

2.

Nutritional Counseling

c. Comprehensive Treatment Plan

Patient Selection: Patient who requires multiple appointments and has been classified as a Calculus

Class 2,3, or 4. The plan must be presented after patient assessment is completed, prior to scaling. Radiographs are required. After presentation, the treatment plan remains in the patient’s chart, it is not given to the patient.

Patient Name Age Date Competency P/F Instructor

Signature 1. Comprehensive

Treatment Plan

2. Comprehensive Treatment Plan

Tobacco Control Intervention Competency

________________________ _______ ________________________ Student Name Date Instructor Name ______________________ ____________________ ___________________ Patient Name (1st Attempt) Patient Name/Date (2nd Attempt) Patient Name /Date(3rd Attempt)

Instructions: This assessment is completed on patients who are currently using a tobacco product. Its purpose is to demonstrate a student’s knowledge and application of the American Cancer Society’s 5 A’s in a clinical situation. The instructor will observe only and will not make any comments to the student until the entire evaluation is complete.

Intervention – 5 A’s Errors 1 2 3

1-Ask- confirms what the patient marked on Tobacco Use Survey

2-Advise-in a clear, unambiguous way, advises the patient to quit using tobacco: The quit message is tied to oral pathology/disease and other treatment options (pharmaceutical, behavior modification, etc). Intra-oral signs of tobacco use were shown to the patient.

3- Assess-confirms level of readiness to quit 4-Assist-appropriate resource materials are selected, referral options are discussed

5-Arrange -schedule follow-up contact, preferably within the first week after the quit date.

6-For those who are not interested in quitting, one or all of the 5As are attempted

Presentation of Intervention 7-Open ended questions were used 8-Active listening was utilized 9-The intervention was provided with empathy, sensitivity, and confidence

Total Errors Grade

DentalHygieneDiagnosisBasedon

assessmentdata

PatientRiskFactors

PatientrisksrelatedtoDental

HygieneDiagnosis

PreventionEducationprovidedtopatientrelatedtoDentalHygiene

Diagnosis

TreatmentTreatmentStrategies

MaintenanceGoalsforthe

patienttomaintainposttreatmentoral

health

Comprehensive Dental Hygiene Treatment Plan Competency

_________________________ _____ _________________________

Student Date Instructor’s Signature

_________________________ _________________ _________________________ Patient/Class (1st Attempt) Patient/Class/Date (2nd Attempt )

Patient/Class/Date (3rd Attempt)

Procedure Errors/Attempts 1 2 3

Written Plan 1-Patient selection criteria followed.

2-Analyzes assessment data to determine dental hygiene diagnosis

3-Identifies patient risk factors related to dental hygiene diagnosis

4-Identifies appropriate preventative measures related to risk factors.

5-Identifies appropriate treatment related to dental hygiene diagnosis.

6-Identifies strategies for patient maintenance of oral health.

7- Written plan well-organized, typed, professional language & grammar.

Patient Presentation 8-Informs patient of their oral health needs using professional, but patient centered language

9- Uses visual presentations of assessment data to inform patient of oral health condition and needs. (radiographs, dental and periodontal charting)

10-Informs patient of clinical & self-care interventions needed to treat and maintain oral health, including referrals.

11-Establishes expected & realistic goals of treatment with patient as active participant acknowledging cultural differences.

Total errors

Patient Selection: Patient who requires multiple appointments and has been classified as a Calculus Class 2, 3, or 4 . The plan must be presented at the third appointment before treatment begins. Radiographs are

required. After presentation, the treatment plan remains in patient’s dental chart. It is not given to patient.

Dental Hygiene DiagnosisBased on assessment data

Patient Risk FactorsPatient risks related to

Dental Hygiene Diagnosis

PreventionEducation provided to patient

related to Dental Hygiene Diagnosis

TreatmentTreatment Strategies

MaintenanceGoals for the patient to

maintain post treatment oral health

Probing depths 5-6 mm in posteriors /bleeding on probing suggests periodontal disease

infrequent cleanings/ systemic disease (Type II Diabetes) and inflammatory process

-education on the relationship between diabetes and oral health-periodontal disease progression and importance of regular care

4 quadrants of periodontal debridementreferral to a periodontist

regular cleanings and 3mos recare interval

schedule appointment with periodontist for evaluation

class V demineralizationat cervical thirds radiographic evidence suggests interproximal caries

diet, inadequate plaque control

-nutritional counseling and emphasis on eating refined carbohydrates with fats and proteins-effective and daily flossing

treatment to include fluoride treatment and home fluoride useevaluate for improvement of plaque controlreferral to dentist for evaluation of possible carious lesions

-use of fluoride and lower acid attach potential through diet

modifications-improve at home plaque control-regular recare appointments.-schedule appointment with dentist for examination and treatment of carious lesions.

Rolled and inflamed gingival margins

inadequate plaque control modified bass with c-shaped floss-interdental brush in areas with larger punched out papillae

evaluate plaque score at each appointment to check for improvement

regular care and effective home care routine

patient complains of dry mouth

due to polypharmacy suggesting xerostomia

recommendation of saliva substitute such as Biotine

look for improvement in comfort level due to dry mouth - may have to continually sip on water during appointment

continued use of biotenesip on water throughout the day

and night as needed

Heavy calculus poor plaque control and infrequent professional care

education on the importance of professional carehome care instructions to include brushing and interproximal cleaning

4 quadrants of periodontal debridementevaluate PHP for effectiveness with new routine and techniques

regular professional dental care and shorter recall interval.

Nutritional Counseling Competency Clinic II

_____________________ _______ ___________________

Student Name Date Instructor Name

_________________________ _________________ ____________________ Patient (1st Attempt) Patient/Date (2nd Attempt) Patient/Date (3rd Attempt)

Instructions: The student will review the patient’s diet survey and give recommendations for healthy changes to their diet. The instructor will assess computations for food group adequacy and sugar exposures. The instructor will observe only and will not make any comments to the student until the entire evaluation is completed.

Procedure Errors 1 2 3

1-Summarizes results of analysis of 3 day diet history and carbohydrate analysis. (Includes one (1) weekend day.)

2-Educates patient in the link between nutrition and dental disease.

Identifies the patient’s interpretation of diet related condition by: 3-Using open ended questions. 4-Using listening skills. 5-Using language the patient can understand. 6-Providing patient with accurate, evidenced based information.

7-Reinforcing healthy behaviors. 8-Pointing out “at risk” behaviors from assessment and discusses with patient.

9-Discussing behavioral changes to improve dietary excesses and deficiencies.

Total Errors Grade

CompetenciesThatmustbecompletedinClinicII

Periodontal Charting Competency Clinic II

_________________________ _______ ________________________

Student Name Date Instructor Signature

_______________________ ______________________ _________________________

Patient/Quad (1st Attempt) Patient/Date/Quad (2nd Attempt Patient/Date/Quad (3rd

Attempt

Instructions: The student will select one quadrant on an adult who is a minimum of a class II periodontal patient with recession. The student must record all periodontal findings. The instructor will examine the patient after the student has recorded information on the periodontal chart. The criteria listed below will be utilized to determine student competency in periodontal charting.

Procedure Errors 1 2 3

Probe Technique 1-Fulcrums on same arch near tooth being probed 2-Positions probe parallel to the tooth surface 3-Keeps tip in contact with the tooth surface 4-Uses small walking strokes within the sulcus 5-Tilts probe and extends tip beneath contact area to assess interproximal areas. 6-Covers entire circumference of sulcus with walking strokes Pocket Depth 7-Accurately measures and legibly records pocket depth in assigned area of the mouth with no more than 2 errors.

Other Periodontal Disease Indicators: (Accurately demonstrates and records the following; using the correct symbols and colors)

§ 8-Furcation involvement § 9-Mobility § 10-Tension Test § 11-Bleeding points

Adequacy of Attached Gingiva 12-Accurately measures the width of attached gingiva 13-Indicate areas of inadequate attached gingiva using proper symbol 14-Accurately measures and draws in gingival margin Final Evaluation 15-Correctly calculates clinical attachment level (CAL) and plots line in blue pencil.

Total Errors

Ultrasonic Instrumentation Competency

____________________________ ________________________ ____________________________ Student Name Date Instructor Name ____________________________ ___________________________ _________________________ Patient /Quad (1st Attempt) Patient/Quad (2nd Attempt) Patient/Quad (3rd attempt)

Patient Selection Criteria: The student will select a patient who has visible moderate supra-and sub-gingival calculus. Patients must be approved by the instructor. The instructor will not make comments until the evaluation is complete.

Criteria Errors

1 2 3 1- Prepares equipment for use according to manufacturers’ instructions 2- Uses protective attire for self and patient; provides patient with preprocedural rinse

3- Adjusts water and power settings as appropriate for instrument tip 4-Prepares patient for procedure by explaining purposes, advantages and likely sensations

5-Uses evacuation effectively and cups patients lips and checks to collect water

6-Holds handpiece with a light grasp with stable intraoral or extraoral finger rest

7-Chooses appropriate insert for area and condition (i.e probing depths) 8- Keeps active area (terminal 2-4 mm) of insert/tip adapted to tooth surface being treated

9- Maintains insert/tip-to-tooth angulation close to 0°, not exceeding 15° 10-Utilizes short, overlapping, equally distributed horizontal, oblique and vertical sweeping strokes to dislodge calculus deposits

11-Applies only light lateral pressure and keeps tip in constant motion while activated

12-Subgingival debridement proceeds from the CEJ in an apical direction to depth of pocket

13-Evaluates thoroughness with explorer

LOCAL ANESTHESIA: Mental Block Injection Procedure Student Name:__________________________________ Date:______________________ Patient Name:__________________________________ Instructor Signature:___________________ Competency: Provide each patient with personal dental hygiene care including assessment, diagnosis, planning, implementation and evaluation to achieve and maintain oral health and wellness. Goal: By following the stated protocols, when provided with the appropriate materials, the student will demonstrate the proper technique for administering a mental block injection.

Procedure Errors

Does the student: 1 2 3 Assume the correct operator position (Horizontal approach, Right-handed: 8 or 9 o'clock, Left-handed: 4 or 3 o'clock Vertical approach, Right- or Left-handed, 12 o’clock or 1 o’clock)?

Asked the supine patient to open their mouth and then retracted the lower lip, pulling the tissue taut?

Located the mental foramen by placing cotton tip applicator in the depth of the mucobuccal fold in the area of the mandibular first molar and then palpated anteriorly until a depression is felt?

Prepared the alveolar mucosal tissue in the vestibule anterior to the mental foramen in the depth of the mucobuccal fold?

Communicate with the patient as topical anesthetic is placed and during the injection?

Using a 25/27-gauge short needle in the syringe in the dominant hand, oriented the bevel of the needle away from the large window of the syringe to ensure bevel orientation toward the bone?

Stabilize/fulcrum the syringe? *Place the syringe with the large window facing the operator? Horizontal Approach: Direct the syringe from the anterior of the mouth to the posterior in a horizontal manner? Insert the needle to the depth of the mucobuccal fold, directing the needle anterior to the mental foramen?

Vertical Approach: Establish a fulcrum using the thumb of the retraction hand, then directed the syringe vertically with the patient’s cheek, insert toward the injection site anterior to the mental foramen?

* Verbalize Aspiration within two planes?

If negative aspiration, slowly deposited approximately 0.6 mL (one-third of cartridge) over 30 to 60 seconds? (Ensured that the anesthetic was not injected too rapidly?

*Carefully withdrew the syringe and immediately recapped the needle using a recapping device?

Rinsed the patient’s mouth and waited approximately 2 to 3 minutes until anesthetic took effect before starting treatment?

Maintain the “aseptic chain” throughout the competency? Accurately document administration of local anesthetic including utilization of topical, type and amount of anesthetic, type of injection, area(s) of administration and patient response.

Total Errors

Grade

*Critical – Competency is not met, the procedure fails and must be repeated.

MentalBlockSupraperiostealLOCAL ANESTHESIA: Supraperiosteal Injection Procedure

Student Name:__________________________________ Date:______________________ Patient Name:__________________________________ Instructor Signature:__________________________________ Competency: Provide each patient with personal dental hygiene care including assessment, diagnosis, planning, implementation and evaluation to achieve and maintain oral health and wellness. Goal: By following the stated protocols, when provided with the appropriate materials, the student will demonstrate the proper technique for administering a supraperiosteal injection.

Procedure Errors

Does the student: 1 2 3 Assume the correct operator position depending on the area anesthetized?

Ask the supine patient to open their mouth and then retract the lip, pulling the tissue taut?

Prepared the alveolar mucosal tissue in the vestibule at the height (or depth) of the mucobuccal fold at the apex of the selected tooth?

Communicate with the patient as topical anesthetic is placed and during the injection?

Using a 25/27-gauge short needle in the syringe in the dominant hand, oriented the bevel of the needle away from the large window of the syringe to ensure bevel orientation toward the bone?

Stabilize/fulcrum the syringe? *Place the syringe parallel with the long axis of the tooth with the large window facing the operator?

Insert the needle at the height (or depth) of the mucobuccal fold, approximately one–fourth the length (approximately 5 mm) or until the bevel is slightly superior (or inferior) to the apex of the tooth?

* Verbalize Aspiration within two planes? If negative aspiration, slowly deposited approximately 0.6 mL (one-third of cartridge) over 30 to 60 seconds? (Ensured that the anesthetic was not injected too rapidly?

*Carefully withdrew the syringe and immediately recapped the needle using a recapping device?

Rinse the patient’s mouth and wait approximately 3 to 5 minutes until anesthetic took effect before starting treatment?

Maintain the “aseptic chain” throughout the competency? Accurately document administration of local anesthetic including utilization of topical, type and amount of anesthetic, type of injection, area(s) of administration and patient response?

Total Errors

Grade

*Critical – Competency is not met, the procedure fails and must be repeated.

ClinicManualReminders

Radiographs

• Allradiographsexposedmustbeturnedinforagrade.• Radiographsnotturnedinwithin2weeksofexposurewilllose5points.• Anyradiographsnotturnedinbythelastdayofclinicwillreceivea0.• Retakeslipsmustbeturnedinwithradiographcritiquesheet.• AnanatomicalformmustbesubmittedwitheveryCMXexposed• Pathology(cariesetc.mustberecordedonBWXcritiqueform• Logradiographstakenintofacultyadvisorsredfolders

Besuretoreadoverthefollowing:

• ClinicalDressCode• TransferringPatients• CancellationsandNoshows

ImportanceofFollowingProcedureandProtocol

• -nocompetencies/requirementscompletedbystudentsonclinicrotations• 1competencyeachclinicsession/exceptLAinjectionswhichmovetreatmentforward• Patientdismissalpolicies- herpeticlesionsandHBP- (nosignoflesionremainingand• BPover160/100• PatientreferralsexcepttoSulzbacher,HelpingHands,etc.Listwillbeprovided• Trytoansweryourownquestionsusingtheresourcesyouhave• Makesureallareasofgradesheetaresigned• Monitors(radiology,sterilization,clinic)cannotbepatientsduringtheirrotations• Allno- showsandcancellationsalongwith“patientnottobereappointed”needs toberecordedinservicesrenderedinthepatient’schartandsignedoffbybayinstructor

NewStuff

MorningHuddleandEndofClinicRoundup

• Clinicwillstartat8:00witha30minutehuddletime.PatientSign-uptimeswillremainthesamefortheAM/PM- Finalsignup3:45-Patientdismissedby4:15.Readyforround-upby4:30-Dismissedby5:00

OverviewofClinicMorningHuddleandendofdayClinicRound-up• 7/27Roundupwillbeusedasabriefconferencetocheckonstudents’progress.• AM-• Patientbeingseen,new,maintenanceorreturning• - Healthhistoryconcerns• -Goalfortheday• - Treatmentplannedfortheday-Comps• - QuestionsandConcerns• - TipsandTricksforschedulingandappointmentmanagement• PM-• What’sthebestthingthathappenedtoday?• Whatwentwell?• Whatdidnotgosowellandwhattheyneedtodoforimprovement

AdvisorAssignments,ChairAssignments,RotationSchedules• YouwillreceivetheseonJune6th

Beprepared!

• Asyougothroughtheseslidesjotdownquestionsthatyoumayhavesothatwecanspendtimecoveringthematorientation!

• Thankyou

• Beprepared!