DH 173, CLINICAL DENTAL HYGIENE I - Cabrillo …lalbers/173syl 2010.doc · Web viewClinical Dental...

ClinicalDental Hygiene I

Cabrillo College

DH 173A COURSE SYLLABUS

SPRING 2010

Leanne Albers, RDH, BS5.15.09, 6.19.09, 11.20.09

/tt/file_convert/5b04289e7f8b9aba168ce162/document.doc 1 05/08/23 5:40 PM

DEDICATION

To Joanne Wylie, RDH, MAMy mentor, friend, and colleague

Who is responsible for creating this syllabus;For her dedication to the profession of Dental Hygiene and

to this program. She provides an example as the utmost professional.Joanne is my role model as an educator and as a person.

To Toni Alderson, RDH, MSMy counterpart and friend

Who provides wisdom, knowledge, and clinical expertise.She teaches professionalism through modeling her role as an exceptional health care provider.

LMA

Published annually in spring since 19972010 Edition

10.05, 10.06, 11.07, 3.08, 11.08

1.15.09, 1.22.09, 3.31.09, 5.15.09 , 6.19.09, 11.09


DH # 11-_____

MEMORANDUM OF UNDERSTANDINGOf Course Requirements for DH 173

Activity: This page is to be signed and turned in to the course coordinator by the 2nd Wednesday of the semester.

7.98, 7.01, 11.01, 11.07, 7.16.08

I, ________________________________________, have read the introduction to the Syllabus for (print name)

DH173, Clinical Dental Hygiene I. I understand the policies and requirements outlined in this manual.

_________________________________________________ _________________Student signature date


COMPETENCIES, GOALS, AND PHILOSPHY7.27.08

Cabrillo Dental Hygiene Core CompetenciesApproved 8/24/2004

The Cabrillo DH Graduates must be competent in1. Applying ethical, professional, and legal concepts to the provision and/or the support of oral health

care services to all persons 2. Community oral health strategies

Cabrillo College Core Competencies2/19/05

I. Communication (Reading, Writing, Listening, Speaking and/or Conversing) II. Critical Thinking and Information Competency (Analysis , Computation, Research, and Problem Solving III. Global Awareness (An Appreciation of Scientific complexities, An Appreciation of Social diversity and

civics, An Appreciation of Artistic variety)IV. Personal Responsibility and Professional Development (Self-Management and Self-Awareness Social

and Physical Wellness, Workplace Skills

Dental Hygiene Program Goals3.94, 9.99, 2.24.05

The goals of the Cabrillo College Dental Hygiene Program are to prepare the student to:1. Assess, plan, implement, and evaluate effectively dental hygiene services essential to a total care program

for a wide scope of patients 2. Demonstrate the highest degree of professional ethics and conduct and be competent in the application

of self-assessment skills3. Demonstrate competence in educating the public on dental health promotion and disease prevention

both at chair side and at the community level

Philosophy Statement of the Cabrillo Dental Hygiene Program3.94, 9.99, 4.11.07

It is our intent to produce a clinically competent, ethical and knowledgeable dental hygienist. This person is capable of combining the knowledge from didactic courses in the sciences, social sciences and clinical sciences with the skill and techniques gained from clinical dental hygiene practice. He/she applies this knowledge for the betterment of each individual patient, as well as the community.


INSERT LECTURE SCHEDULE, current year PAGE 1 OF 28.16.04


INSERT LECTURE SCHEDULE, current year PAGE 2


TABLE OF CONTENTS

10.97, 11.04, 3.05, 10.06, 11.07, 7.22.08, 11.10.08 page #SECTION I: FORMS

Memorandum of Understanding..................................................................................3Competencies, Goals, and Philosophy.................................................................................4Lecture Schedule.............................................................................................................5Tracking SheetsSummary of Clinic Competencies.................................................................................121. Recruitment...................................................................................................................132. Assisting in 2nd Year Clinic..............................................................................................133. Clinical Competencies....................................................................................................154. Radiographic Competencies .........................................................................................165. DH173 Patient Tracking Sheets......................................................................................176. Clinical Demonstration Scores of Code 03, 05, 06.........................................................197. Patients Not Completed by End of Semester.................................................................208a. Summary Sheet for Midterm Conference...................................................................21 8b. Midterm Self Assessment.....................................................................................23 8c. Midterm Clinical Process Evaluation.....................................................................259a. Summary Sheet for End of Semester Conference.......................................................27 9b. End of Semester Self Assessment...........................................................................29Assignment Change Form (sample) ..................................................................................31

SECTION II: COURSE INFORMATION

Lecture Outline, Day One .................................................................................................32Take Home Scavenger Hunt.............................................................................................35Course Description ...........................................................................................................37Required Texts..................................................................................................................37Course Philosophy............................................................................................................37College Behavior Expectations.........................................................................................................38Learning Outcomes.........................................................................................................................39Educational Objectives....................................................................................................................39

DH 173 Course Requirements

A. Clinical Requirements...............................................................................................39 B. Attendance...............................................................................................................42 C. Participation ............................................................................................................43 D. Assignments.............................................................................................................43 E. Professionalism.........................................................................................................43 F. Clinical Evaluation Protocols for DH173, DH181, DH183............................................43 G. Evaluation................................................................................................................44 H. Clinical Grading Criteria............................................................................................44 I. Course Grade.............................................................................................................45DH Program Evaluation of Clinical Performance................................................................46Clinical Evaluation Procedures...............................................................................49

1. Clinical Competency Exam..................................................................................492. Mock Board Competency...................................................................................53

Day One Lab ................................................................................................Lab page 1Case Study Reports....................................................................173 Case Study page 1


SECTION III: LECTURE CONTENT11.00, 3.6.06, 10.14.06, 11.8.07, 7.16.08

UNIT 1: DENTAL CHARTING

Objectives ---------------------------------------------------------------------------------------------------1-1Dental Charting Lab Performance Test --------------------------------------------------------------1-2Lab Exercises------------------------------------------------------------------------------------------------1-3Lecture Outline --------------------------------------------------------------------------------------------1-5Symbols for Dental Charting --------------------------------------------------------------------------1-11Exercise: Summary of Symbols for Dental Charting-----------------------------------------------1-13Sample Dental Charting --------------------------------------------------------------------------------1-14Take Home Dental Charting Exercises -------------------------------------------------------------1-15Dental Charting Competency Exam Form ---------------------------------------------------------1-17

UNIT 2: PERIODONTAL CHARTINGObjectives ---------------------------------------------------------------------------------------------------2-1Lecture Outline --------------------------------------------------------------------------------------------2-2Steps in Periodontal Charting ---------------------------------------------------------------------------2-3Symbols for Periodontal Charting ----------------------------------------------------------------------2-4Periodontal Charting Clinical Exam Info -------------------------------------------------------------2-6Lab Exercises -----------------------------------------------------------------------------------------------2-8Common Clinical Variations in Margins & Contour----------------------------------------------2-12Take Home Periodontal Charting Exercises---------------------------------------------------------2-13

UNIT 3: APPLICATION OF PIT AND FISSURE SEALANTS

Objectives ---------------------------------------------------------------------------------------------------3-1Performance Objectives --------------------------------------------------------------------------------3-2Sample Treatment Record Entry -----------------------------------------------------------------------3-2Lab Performance - Criteria Sheets---------------------------------------------------------------------3-3EW Study Guide for Sealants-----------------------------------------------------------------------------3-4Disposa-Shield ---------------------------------------------------------------------------------------------3-5Directions for Ultradent’s Ultraseal XT Plus---------------------------------------------------------3-6MSDS for Ultradent’s Ultraseal XT Plus-------------------------------------------------------------3-10Fluor Protector (Fluoride Varnish) Info Sheet-------------------------------------------------------3-12

UNIT 4: SCALING AND ROOT PLANING (Periotriever & Gracey Curets)

Objectives----------------------------------------------------------------------------------------------------4-1Video Resources in the library--------------------------------------------------------------------------4-2Gracey Lab Exercise --------------------------------------------------------------------------------------4-3MG & EW Study Guides-----------------------------------------------------------------------------------4-4Use of the Periotriever -----------------------------------------------------------------------------------4-6Video Outline: Techniques for Successful Use of Gracey Curets-------------------------------4-7Professional Care and Maintenance of Intraoral Dental Materials Dentalhygienistnews, Vol 8 No 1, 1995----------------------------------------------------------4-8


Continued, SECTION III: LECTURE CONTENT11.00, 11.01, 7.02, 4.03, 6.04, 10.05, 10.06, 11.8.07, 11.13.07, 11.25.07, 7.16.08

UNIT 5: ULTRASONIC INSTRUMENTATIONObjectives--------------------------------------------------------------------------------------------------------------5-1Armamentarium -----------------------------------------------------------------------------------------------------5-2How to Sterilize and Store Ultrasonic Inserts-------------------------------------------------------------------5-3Lab Exercise------------------------------------------------------------------------------------------------------------5-4Steps for Ultrasonic Instrumentation---------------------------------------------------------------------------5-6Lab Exercise, Ultrasonic Instrumentation------------------------------------------------------------------------5-5Overview of the Ultrasonic Scaler Unit---------------------------------------------------------------------------5-6NG Study Guide Ultrasonic Instrumentation--------------------------------------------------------------------5-7EW Study Guide Ultrasonic Instrumentation-------------------------------------------------------------------5-9

UNIT 6: COMPUTERS IN CLINICAL DENTAL HYGIENEObjectives--------------------------------------------------------------------------------------------------------------6-1Lecture------------------------------------------------------------------------------------------------------------------6-2

UNIT 7: THE PEDIATRIC PATIENTObjectives -------------------------------------------------------------------------------------------------------------7-1Lecture Outline -------------------------------------------------------------------------------------------------------7-2Fact Sheet --------------------------------------------------------------------------------------------------------------7-4General Guidelines in Treating Children -------------------------------------------------------------------------7-5How Children Learn --------------------------------------------------------------------------------------------------7-5ADHA’s Tips for Working with Children--------------------------------------------------------------------------7-6The Pediatric Patient Discussion Topics--------------------------------------------------------------------------7-7

UNIT 8: MANAGEMENT OF THE HYPERSENSITIVE PATIENTObjectives -------------------------------------------------------------------------------------------------------------8-1Lab Performance, Desensitizing Agents----------------------------------------------------------------------- 8-2Study Guide ----------------------------------------------------------------------------------------------------------- 8-3Set up for Local Anesthesia ---------------------------------------------------------------------------------------- 8-4Parts of the Syringe---------------------------------------------------------------------------------------------------8-4Loading & Unloading the Astra Syringe ------------------------------------------------------------------------- 8-5Types of Bevels on Disposable Needles--------------------------------------------------------------------------8-6Common Problems Related to Syringe Handling---------------------------------------------------------------8-7Data Sheets on Oraqix-----------------------------------------------------------------------------------------------8-8

UNIT 9: PATIENT EDUCATION, DIET ANALYSIS, and Risk Assessment Objectives--------------------------------------------------------------------------------------------------------------9-1Lecture Outline-------------------------------------------------------------------------------------------------------9-2Patient Education Critique Sheet --------------------------------------------------------------------------------9-3Casey Education Systems Index 2003----------------------------------------------------------------------------9-4Exercise 9-1, ORA Worksheets------------------------------------------------------------------------------------9-6Nutrition and Oral Health, Steps 1 to 6-------------------------------------------------------------------------9-9

Continued, SECTION III: LECTURE CONTENT


11.00, 11.01, 7.02, 4.03, 6.04, 10.05, 10.06, 11.8.07, 11.13.07, 11.25.07, 7.16.08, 11.22.08

UNIT 10: ETHICS AND LEGALITIES

Objectives-------------------------------------------------------------------------------------------------10-1Assigned Reading --------------------------------------------------------------------------------------10-1Review Outline ------------------------------------------------------------------------------------------10-2Exercises on the DPA----------------------------------------------------------------------------------10-4California Dental Practice Act for Dental Professionals------------------------------------------10-5By Debi Gerger, RDH, BS, MPHPublished in the CDHA Journal, Fall 2007

UNIT 11: ADVANCED INSTRUMENTATION

Objectives-------------------------------------------------------------------------------------------------11-1Study Guide ----------------------------------------------------------------------------------------------11-2Lab Skills (advanced fulcrums, 3A explorer, Universal curets, Gracey curets) -------------------------------------------------------------------11-3

UNIT 12: FIFTEEN PRINCIPLES OF INSTRUMENTATION

Lesson F, Fifteen Principles of Instrumentation-------------------------------------------------12-1


DH 173 Student Name ______________________________________ DH # ______--_______ 6.3.07, 11.15.07, 11.25.07, 6.3.08, 11.9.08, 11.10.08, 12.11.08

DH173 TRACKING SHEETSDH173 TRACKING SHEETSTRACKING SHEETS – keep with you in clinic at all times.

The student must maintain these tracking sheets accurately and shall submit these forms at the end of the semester

NOTE: Faculty initials are required for all tracking sheet procedures. Failure to have all faculty initials will impact your final grade

Table of Contents – Tracking SheetsSummary of Clinical Requirements.................................................................................................12Tracking Sheets:

1. Recruitment Tracking.............................................................................................................132. Summary of Assisting in 2nd Year Clinic......................................................................133. Clinical Competencies............................................................................................................154. Radiographic Competencies .....................................................................................165. DH173 Patient Tracking Sheets.................................................................................176. Clinical Demonstrations Scores of Code 03, 05, 06................................................................197. Patients Not Completed by End of Semester.........................................................................208a. Summary Sheet for Midterm Conference...............................................................21 8b. Midterm Self Assessment.............................................................................................23 8c. Midterm Clinical Process Evaluation................................................................259a. Summary Sheet for End of Semester...................................................................................27 9b. End of Semester Self Assessment......................................................................29

Assignment Change Form (sample) .............................................................................................31

Due Dates for Conferences with Clinic Coordinator: Week 9: Bring to Midterm Conference:

Midterm Summary of Competencies AND Self-assessments (8a-8c) All Clinical Tracking Sheets

Week 14/15 Bring to End of Semester Conference: Clinical tracking sheets List of patients not completed this semester List of Unsatisfactory Performance Scores (03,05,06) End of Semester Summary of Competencies AND Self-assessments (9a-9b)


DH173 Student Name ______________________________________ Student # ____--____

1..98, 6.04, 10.05, 8.06, 11.08, 12.08, 3.31.09, 5.25.09

SUMMARY OF DH173 CLINICAL COMPETENCIESTO REVIEW RE CCE VS MK BDSThe following performance tests and competency cases are required skill demonstrations. The Clinical Competency Exams are scheduled on specific days during the semester. The remaining clinical skill demonstrations are scheduled by the student during regular clinic hours. A performance test may be attempted twice.

DH173 CLINICAL EVALUATIONS 7.98, 10.17.04, 10.30.05, 6.3.08, 10.27.08, 12.11.08, 5.25.09

CLINICAL SKILL DEMOS ACCEPTABLE CRITERIA Reference PAGES

Passing01 02

REPEAT / FAIL 03

1. 1 Mock Board Class 3 Competency Exam

Class 3 patient – skills on class 3 patient: HHx, Oral Assessment, DH Dx, Treatment Planning, Plaque Index and Preventive Counseling, Universal curet and sickles, Polishing and Fluoride Trays

See Handout

0-2 3-4 5+ ERRORS

2. 1 Mock Board Class 4 Competency Exam

Class 4 patient – skills on class 4 patient: HHx, Patient Assessment Update, Universal Curets and Fluoride Varnish

3. 1 Health History Health history, vital signs, HH Notes on any asmt patient with 4 YES answers on medical history

CM 11 pg Tx 4- 9

0-2 3 4+ ERRORS

4. 1 Dental Charting (separate form; long version)

Minimum of 20 teeth with 10 restorations AND either 3 caries OR 3 different restorative materials, BW or FMX depending on patient status (turn in completed dental charting form)

CM 11 pg Tx 24-25

0-2 3 4+ ERRORS

5. 1 Periodontal Charting (separate form; long version)

Must be a Class 5 or 6 patient with a current and complete FMX (not a pano and 4 BWX). Probe 1 quad. The quadrant selected must have a minimum of 6 teeth, 2 furcations, and 4 pockets that measure 5 or 5+ mm. Chart all findings in the selected quadrant per DH173 criteria. Turn in completed perio charting form with DCEF

CM 11 pg Tx 26- 29

0-2 3 4 + ERRORS

6. 1 Gracey & universal curets

Demonstrate on an appropriate patient 0-2 3 4 + ERRORS

7. 1 Ultrasonic Scaler Demonstrate on an appropriate patient – 2 quads Class 3/4, or 1 quad Class 5. Need instructor approval in advance

0-2 3 4 + ERRORS

8. 1 Fluoride Varnish Minimum of 2 tooth surfaces on an appropriate patient 0-2 3 4 + ERRORS

9. 3 teeth

Sealants (3)(Pit & Fissure)

On appropriate patient(s) . Need instructor approval in advance

CM 11 pg Tx 48-49

0-2 3 4+ ERRORS

10. 4 FMXR Any patient who has not had an FMX within 5 years / Or per DDS request. Cl. 5-6 need FMX

CM 11 pg Tx 32-37

0-4 5-9 10+ ERRORS

11. 2 BWX Any patient who has had no radiographs within 2 years / Or per patient’s DDS request

CM 11 pg Tx 32-37

0-2 3 4+ ERRORS

NOTE: competencies cannot be performed on classmates without prior permission of the clinic coordinator

REQUIRED CASE COMPLETIONS = 10 completed Class 1 to 3 patients, 3 completed Class 4 patients; (includes Mock Board Class 4) 1 quadrant of a Class 5 patient

A total of 13 ¼ completed patients is requiredExtra heavy patient completions can count for lighter completions. Light completions cannot count for heavy completions.


TRACKING SHEETS – keep with you in clinic at all times.

TRACKING SHEETSStudent name ______________________ DH # __ - __

1) RECRUITMENTCompleted by the 13TH WEEK OF CLASS

10.04, 11.07, 5.25.09

Complete a total of six (6) hours of recruitment. Two hours of recruitment were required over winter break and must be completed before the first week of class in spring semester. The additional 4 hours of recruitment are required during the semester. Use this form to document all your hours of recruitment. Write a short paragraph describing the experience. This form with the paragraph is to be turned in at the end of the semester.

Date Location Time spent (# of hours)

COMPLETED REFLECTION (attached)

2) ASSISTING IN SECOND YEAR CLINICCompleted by the 13TH WEEK OF CLASS

10.04, 11.07, 6.3.08, 5.28.09

Minimum of six (6) hours of assisting in second year clinic are required – 8 hours are recommended. Upon completion of your observations, write a short paragraph describing and evaluating the experience. Submit the reflection at the end of the semester with your tracking sheets

Date Hours spent assisting in 2nd year clinic Clinical faculty initials

COMPLETED REFLECTION (attached)


BLANK PAGE


DH 173- Student Name _____________________ Student # ____--___ Date completed _________1.98, 10.04, 5.05, 8.06, 3.07, 12.08, 5.25.09

3) CLINICAL COMPETENCIES

This will be reviewed in week 8 and is DUE the 15th week of class

NOTE: competencies cannot be performed on classmates without prior permission of the clinic coordinator

# req Requirement Patient Name/DHST # Calc. Class

# Errors

Grade Date Faculty Initials

1 1 Mock Board Competency Exam Class 3 patient

1. 1. 1. 1. 1. 1.

2 1 Mock Board Competency Exam - Class 4 patient

1. 1 1 1 1. 1.

3 1 Health History 1. 1. 1. 1. 1.

4 1 Dental Charting (separate form; long version)

1. 1. 1. 1. 1.

5 1 Periodontal Charting (separate form; long version)

1. 1. 1. 1. 1. 1.

6 1 Gracey and universal curets

1. 1. 1. 1. 1. 1.

7 1 Ultrasonic Scaler 1. 1. 1. 1. 1. 1.

8 1 Fluoride Varnish 1. 1. 1. 1. 1.

9 3 teeth

Pit & Fissure Sealants (3)

Record any extra sealants as 04/05

1.

2.

3.

4.

1.

2.

3.

4.

1.

2.

3.

4.

1.

2.

3.

4.

1.

2.

3.

4.

Footnote to Mock Board Competency Exam scheduling: Identification of the patient is an important time management issue. Specific information is provided in this syllabus

Mock Board Exam on a class 3 patient and on a class 4 patient: performed during a 4 hour clinic session to demonstrate competence in instrumentation (end product)

Professional Demonstration is observed on a daily basis.


Student name _____________________ DH # ___-____

Radiograph grader’s sign off prior to midterm conference: _____________ Date of sign off: _________midterm

Clinic Coordinator sign off at end of semester:______________ Date of sign off: ___________end of semester6.04, , 3.05, 5.05, 8.06, 6.07, 11.08, 5.25.09

4) RADIOGRAPHIC COMPETENCIES- DUE the 15th week of class

Due Wk:

Patient Name Initial Read instructor

# errors Grade Date exposed

Grading Instructor

10.

4 FMXR

4 required

15 1.

2.

3.

4.

5.

6.

1.

2.

3.

4.

5.

6.

1.

2.

3.

4.

5.

6.

1.

2.

3.

4.

5.

6.

1.

2.

3.

4.

5.

6.

1.

2.

3.

4.

5.

6.

11 2 BWX

2 required

Record any extra films here 04/05

15 1.

2.

3.

4.

1.

2.

3.

4.

1.

2.

3.

4.

1.

2.

3.

4.

1.

2.

3.

4.

1.

2.

3.

4.

Criteria: When a student submits 2 FMX series each having one error less than the number resulting in a failing grade (9 for DH 173),

she/he will be removed from Radiology Rotation and required to expose and develop a full mouth series on a DXTR. When a student submits 2 BWX series each having one error less than the number resulting in a failing grade (3 for DH 173),

she/he will be removed from Radiology Rotation and required to expose and develop a bitewing series on a DXTR. When a student fails 3 FMX's or 2 BWX's, she/he will be removed from Radiology Rotation and will not be permitted to

expose radiographs on patients until satisfactory remediation is completed.RADIOGRAPHS (Patient retakes: 5 retakes for FMX, 1 retake for BWX) Pano - TBA

# Errors by level # Errors by level # Errors by level # Errors by level

FMX/Digital FMX Horizontal/Digital BWX Vertical/Digital BWX Analog/Digital PanoCourse S-01 NI-02 U-03 S-01 NI-02 U-03 S-01 NI-02 U-03 S-01 NI-02 U-03DH171 -- 1-11 12+ -- NA -- -- -- -- -- -- --DH173 0-4 5-9 10+ 0-2 3 4+ 0-3 4 5+ 0-4 5-9 10+DH181 0-3 4-7 8+ 0-1 2 3+ 0-2 3 4+ 0-3 4-7 8+DH183 0-2 3-5 6+ 0 1 2+ 1 2 3+ 0-2 3-5 6+


6.04, 1.05, 8.06, 11.07, 11.08, 12.08, 5.09, 6.16.09 Student name ___________________ DH # _____Date completed ___________Clinic Coordinator sign off on completions at end of semester __________________ Date of sign off ___________

5) DH173 PATIENT TRACKING SHEETDirections: Record name of each patient you assess/treat by the calculus classification. There are sections for class 1 to 3, for class 4, and for class 5-6 categories. As you complete each quadrant, have the evaluating instructor sign & date the quadrant s/he checked. Upon completion of all 4 quads, the block instructor must initial the far right column.By the end of the semester, a patient not scaled to completion is recorded on the tracking page titled “Patients Not Completed by End of Semester”. These tracking sheets are DUE the 14th or 15th week of class

Calculus class -Circle

Name of Patients Assessed and Scaled by appt

DHST ID# Quad/s Scaled w/ date & instructor initials

Circle Grade

Instructor signs at completion

Cl 1, 2, Mrs. Gertrude Rocks 1666-201003081 BHC 2/9 JNW 2/24 BHC 2/9 RA 3/15

S/ NI/U RA

1. Cl 1, 2, 3 S/ NI/U

2. Cl 1, 2, 3 S/ NI/U

3. Cl 1, 2, 3 S/ NI/U

4. Cl 1, 2, 3 S/ NI/U

5. Cl 1, 2, 3 S/ NI/U

6. Cl 1, 2, 3 S/ NI/U

7. Cl 1, 2, 3 S/ NI/U

8. Cl 1, 2, 3 S/ NI/U

9. Cl 1, 2, 3 S/ NI/U

10. Cl 1, 2, 3 S/ NI/U

11. Cl 1, 2, 3 S/ NI/U

12. Cl 1, 2, 3 S/ NI/U

13. Cl 1, 2, 3 S/ NI/U

14. Cl 1, 2, 3 S/ NI/U

15. Cl 1, 2, 3 S/ NI/U


Calculus class -Circle

Name of Patients Assessed and Scaled by appt

DHST ID# Quad/s Scaled w/ date & instructor initials

Circle Grade

Instructor signs at completion

1. Cl 4 S/ NI/U

2. Cl 4 S/ NI/U

3. Cl 4 S/ NI/U

4. Cl 4 S/ NI/U

5. Cl 4 S/ NI/U

6. Cl 4 S/ NI/U

7. Cl 4 S/ NI/U

8. Cl 4 S/ NI/U

9. Cl 4 S/ NI/U

Calculus Class- Circle

Patient Name DHST ID# Quad (s) You Scaled Grade Instructor Initials

1. Cl 5 or 6 S/ NI/U










Student Name _____________________ Student # ____--___ Date completed _________

Clinic Coordinator sign off the end of the semester __________________ Date of sign off ___________

6) CLINICAL DEMONSTRATIONS OF Unsatisfactory (03, 05, 06)

DUE the 15th week of class

6.04, 10.04, 3.12.05, 11.15.07, 1.15.08, 11.10.08, 12.11.08

Record all unsatisfactory skill demonstrations (evaluated at a code of 03, 05, or 06). Instructor initials are required. .

Date PERFORMANCE SKILL Patient Name CodeO3/U

O5/U

O6/U

Instructor Initials

6-step completed if indicated


5.21.07 11.15.07, 11.29.07, 1.15.08, 7.28.08, 11.9.08 Student name _____________________ DH # _______

Clinic Coordinator sign off the end of the semester __________________ Date of sign off ___________

7) Patients Not Completed by End of SemesterDirections: Enter the name(s), case classification, areas that have not been scaled in the chart below.

NOTE: All patients not completed this semester must be deactivated by the Clinic Coordinator. To deactivate a patient, the student will review the patient’s chart documentation with the clinic coordinator, prepare a DDS referral, make an entry on the patient’s Treatment Record, and mail the DDS referral.Failure to deactivate incomplete patients will result in a code of 05 in professionalism. Bring this completed page to a meeting with the clinic coordinator. DUE the 15th week of class

5.21.07

Patient Name Calculus Class

Areas/Tooth #s to be

completed

DDS referral sent on DATE

DDS to Complete

Patient

Patient to be completed in Summer clinic

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.


8a) SUMMARY SHEET FOR MIDTERM CONFERENCEStudent name ____________ # ______

Date _________________Student completes this with Clinic Coordinator during conference

===========================DH173 Competency Completions============================7.02, 5.05, 8.06, 11.07, 12.08, 3.31.09, 5.25.09, 6.16.09, 6.19.09

Number required COMPETENCIES

Number successfully completed

Check if patient is Identified

Check if NEED to

find patient

1 Mock Board Competency Exam CLASS 3

1 Mock Board Competency Exam CLASS 4

1 Health History

1 Dental Charting (submit charting with DCEF)

1 Periodontal Charting (submit charting with DCEF)

1 Gracey and universal curets

1 Ultrasonic Scaling (Cavitron)

1 Fluoride Varnish

3 teeth Sealants (3) (Pit & Fissure)

4 FMXR

2 BWX

Hours of empty chair time: _______________ as of _____________ (date)

=============================Patient Completions==============================

Number of Completed Patients by assessed classification

(13 ¼ required)

Number of required

completions

Number of patients completed by calculus

classification

Number of patients in process by calculus

classification

Number of completions

needed

Class 1 to 3 - completed patients 10

Class 4 – completed patients 3

Class 5 & 6 (completed quadrants) 1 Quad # quads = # quads = # quads=

Negotiations: Total # of extra Class 4 patients completed ________ as of __________ (date)Total # of extra Class 5 quadrants completed ________ as of __________ (date)

#____ of Class 4 completed #_____ of Class 3 equivalencies

#____ of Class 5 or Class 6 quads completed #_____ of Class 3 equivalencies

#____ of Class 5 or Class 6 quads completed #____ of Class 4 equivalencies

Clinic Coordinator sign off on status as of __________________ ______________________ Date of sign off Clinic Coordinator initials

EQUIVALENCIES:The Class 5 equivalencies are as follows

Two completed quads of a Class 5 One Class 4 patient One completed quad of a Class 5 One Class 3 patient

The Class 4 equivalencies are as follows: Two completed quads of a Class 4 One Class 3 patient


Blank Page


11.23.04, 3.12.05, 11.25.07

8b) MIDTERM SELF-ASSESSMENT, page 1

Student Name____________________ DH #Date______________

NOTE: In your written summary, do NOT use any instructor, student, or patient personal names. When referring to another individual, write in third person, please. (i.e.: my instructor, my patient, a classmate, a 1st year student, he, she, etc.)

(1) How do you see yourself contributing to your patient(s) dental health (2) And how would you describe your chief role in making this happen?

(3) Describe a situation that occurred in clinic this semester, which greatly contributed in increasing your clinical skill and/or knowledge.

(4) Explain how this learning opportunity helped to broaden your critical thinking and/ or decision-making abilities.


Midterm Conference Self Assessment page 2

(5) In what area(s) of clinical skill(s) do you feel you could most benefit from improvement?

(6) In what area(s) do you feel you have most improved this semester?

(7) What goal would you like to achieve by the end of this semester?

(8) What would you change about your learning experience in clinic, thus far?


3.12.05, 11.25.07 8c) Midterm Conference: Clinical Process (Self) Evaluation form: page 1

(2 pages; located in Ref. Library cubbies, on NCR paper)


8c) Midterm Conference: Clinical Process (Self) Evaluation form, page 2


9a) SUMMARY SHEET FOR END OF SEMESTER CONFERENCEStudent NAME ____________ # ______ Date ____________

Student completes this with Clinic Coordinator during conference===========================DH173 Competency Completions============================

7.02, 5.05, 8.06, 11.07, 12.08, 3.31.09, 5.25.09, 6.16.09

Number required COMPETENCIES

Number Successfully Completed

Number Not

completed1 Mock Board Competency Exam – Class 3

1 Mock Board Competency Exam – Class 4

1 Health History

1 Dental Charting (submit charting with DCEF)

1 Periodontal Charting (submit charting with DCEF)

1 Gracey and universal curets

1 Ultrasonic scaling (Cavitron™)

1 Fluoride Varnish

3 teeth Sealants (3) (Pit & Fissure)

4 FMXR

2 BWX

Hours of empty chair time: _______________ as of _____________ (date)

================================= Patient Completions==============================

Number of Completed Patients by assessed classification

(13 ¼ required)

Number of required

completions

Number of patients completed by calculus

classification

Number of patients not completed

Extra completions

Class 1 to 3 - completed patients 10

Class 4 – completed patients 3

Class 5 & 6 (completed quadrants) 1 Quad # quads = # quads = # quads=

Negotiations: Total # of extra Class 4 patients completed ________ as of __________ (date)Total # of extra Class 5 quadrants completed ________ as of __________ (date)

#____ of Class 4 completed #_____ of Class 3 equivalencies

#____ of Class 5 or Class 6 quads completed #_____ of Class 3 equivalencies

#____ of Class 5 or Class 6 quads completed #____ of Class 4 equivalencies

Clinic Coordinator sign off on status as of __________________ ______________________ Date of sign off Clinic Coordinator initials

EQUIVALENCIES:The Class 5 equivalencies are as follows

Two completed quads of a Class 5 One Class 4 patient One completed quad of a Class 5 One Class 3 patient

The Class 4 equivalencies are as follows: Two completed quads of a Class 4 One Class 3 patient


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9b) End-of-Semester Self-Assessment

1.03, 9.13.06, 11.15.07, 11.25.07, 5.12.08, 12.11.0, 3.17.098 DH 173

OBJECTIVES: Upon completion of this project, the student will

1. Demonstrate critical thinking in the clinical setting2. Refine self evaluation of his/her clinical performance

REFLECTION PAPER Write a reflection paper based on your clinical evaluation forms (DCEFs), green radiographic technique forms, Typhon data, 15 Principles of Instrumentation, personal experiences, etc. Review the development of your critical thinking skills, patient management skills, and your instrumentation skills.

Specific Criteria for the Reflection Paper:The reflection paper is to be typed (in 12 point type)

o Your name and DH #, DH173 and the date are to be at the top of the page, right justifiedo Single spacedo correct spelling, punctuation, and grammar

The paper should describe the following points:1. Identify your strengths 2. Identify areas that need to be strengthened, that you will work on next semester.

This is due on Wednesday of the 14th week of class.


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MEMO TO REQUEST ASSIGNMENT CHANGEDIRECTIONS: Complete this form and submit it to the appropriate Clinic Coordinator at least 3 DAYS PRIOR to the requested day of the assignment change. Approval of the Clinic Coordinator must be obtained in advance. Upon approval, the student is responsible for informing the front desk and confirming that the appointment schedule reflects the changes.

Date_________________TO: Second Year Clinic Coordinator First Year Clinic Coordinator

FROM: _______________________ ______________ Student #1 Name Student #1

______________ _______________ _________________ ______________________ Assigned Date Time (AM or PM) Assignment /Op # Block Instructor

If this involves another student, complete the following information:________________________ ____________ ___________ ___________ ____________Student #2 Name Student #2 DH# Assigned Date Assignment/Op # Block Instructor

RE: Assignment Change

Request Summary (include patient(s) name, if applicable)_____________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Rationale ____________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

_______________________________ _______________________________Student #1 SIGNATURE Student #2 SIGNATURE

=============================To be completed by Clinic Coordinator: ===============================

Approved Disapproved

Rationale ___________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

_____________________________________________ _______________________Clinic Coordinator Signature Date 7.01, 8.02, 11.04, 1.20.09, 1.22.09

White copy to Clinic Coordinator Yellow copy to studentClinic forms /forms assgnmt change revised 7/01, 8/02, 1.22.09


TO: 1st Year Clinic Coordinator 2nd Year Clinic Coordinator

1.95, 5.00, 7.02, 6.04, 3.05, 8.28.06, 7.16.08, 5.25.09 DH173 Spring semester

DH 173 DAY ONE OUTLINE

I. Welcome to your first lecture/lab for Spring semesterA. PretestB. Introduction

II. About your Instructor – a reviewA. Educational backgroundB. Work backgroundC. Philosophy re: educationD. Ways for us to work together or How to Please Your Instructor

1. Be on time for class (in fact, be a few minutes early so you are ready to start when class is scheduled to begin)

2. Avoid talking when I am lecturing3. Work is due on the due date, unless arrangements are made in advance4. Keep the classroom/lab/clinic clean (we are sharing this space with others)5. Do "disagree” with me (or each other) in a professional way

How to discuss differences of opinion with an instructor or anyonea) -Use "I" statementsb) -State your position and your rationalec) -Be specificd) -Discuss, do not argue or challenge

6. Be open & honest with me; I'll do the same for you7. Be prepared for lecture by reading the assignment before the lecture8. Be prepared to work hard, learn a lot, and hopefully enjoy the experience

E. My office hours; my office phone # 479-6480, Email [email protected]

III. Introduction to DH 173 – Review Syllabus Introduction A. Weekly Schedule and Clinic scheduleB. Course DescriptionC. TextsD. Evaluation

1. Didactic2. Clinical

E. Handout coupon for “free cleaning” - only for last minute recruitment. Not x-raysF. What happens when you need to change assigned clinic chair time? – see “Assignment Change Form”G. Discuss today’s Lab

IV. What You Can Expect From MeV. Suggestions/Discussion

A. My suggestions - (see II. D. above)1. -Read assignments prior to lecture – at the least skim the readings 2. -Be prepared to think and analyze information and have fun doing it

VI. Any questions, comments? Whatever YOU want to discuss


Clinic Procedures – Suggested Information & Procedures to Review I. Review for DH173 Clinic:

A. Phone ProtocolB. Chart Abbreviations

1. The “t” for LR and UR, etc; X2. Abbreviate words, not content3. Quote the pt to show attitudes, beliefs X4. Your only defense is documentation5. Your only memory is documentation

C. Clinic Evaluations (The Print-Out) – in two to 4 weeksD. Discuss Evaluation of Support Duties using Performance Test formsE. Discuss Chart audits

II. Office Emergencies Review – A ReviewA. Medical Emergencies rarely happen, BUT each one of us needs to be prepared to spring into action in an

emergency. REVIEW emergencies in “DH163A Patient Assessment I” syllabus B. Emergency team flow chart (See Clinic Manual, Section 3)

1. Emergency kit, CPR, Operation of oxygen tank2. Emergency Reference Chart3. 911, Campus police

C. Thorough medical and dental histories1. Keep good records2. Consultations with MD3. Nitroglycerin or inhaler accessible4. Monitor patient constantly5. Establish rapport6. Most emergencies due to fear

D. What to do in case of an emergency1. Remain calm - you are in charge; your panic makes situation worse2. Slow down, talk to patient calmly; lower your voice3. Assess situation; conscious vs. un conscious, altered consciousness (alcohol, barbiturates,

insulin?)4. Check breathing

a) Hyperventilation, too slow, too fast. Heart palpitations, dizzy, tingling of extremities?b) Tx: increase CO2 - breath into a bag or hands slowly. (O2 -will make it worse)

5. Hypoglycemia – Orange juice6. Drug ingestion7. Orthostatic hypotension (getting up too fast)

a) What happens - increase in pulse and decrease in BPb) Can be caused by drugs pt is taking

E. Syncope (most common emergency) vasodepressor syncope is most life threatening in the office.1. Signs & Symptoms - Pt complains of being warm, ashen/white color, perspires, nauseous,

tachycardia, hypotension, cold hands/feet, bradycardia2. Tx = feet up, head down and O2 - will recover immediately

F. Epilepsy,G. Myocardial Infarction (MI), Respiratory difficulty, Angina - put in sitting position


H. Recognize when consciousness is altered then1. Stop procedure2. Monitor vital signs - pulse, BP3. Put chair back4. Basic life support

a) Maintain airwayb) Assess breathing,c) Circulationd) CPR

II. Review Emergency ProtocolsA. The code to show you need help is to say “I need help NOW” in a loud voiceB. Mouthpiece for CPRC. Operator of patient experience an emergency situationD. Notify nearest student first - review DH163A Patient Assessment I Syllabus and Emergency team

flow chart (See Clinic Manual, section 3)E. Get O2

1. Smaller O2 tank/lighter green and lighter tank2. Hudson valve - demand valve3. Turn on O2 tank 4. Put mask on pt, and O2 automatically dispenses

F. SEE WILKINS PAGES 1104-1110 in 10th edition, table 66-5:Emergency Reference Chart


A Take Home Scavenger Hunt11.17.04l, 11.13.07, 7.16.08, 5.25.09

DIRECTIONS: As you begin treating patients in clinic, there will be topics you need to look up for clarification. Search for these topics in the Clinic Manual, the DH Handbook, your DH course textbooks and course syllabi from fall or spring semesters. Some topics may be discussed in more than one area. Review the information for each topic. List the page numbers and location of the information. This becomes your reference

TOPIC PAGE NUMBER(S)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

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DH 173, CLINICAL DENTAL HYGIENE I

COURSE DESCRIPTION10.97, 10.06, 11.07, 11.08, 5.25.09, 6.9.09

1st Year Clinic Coordinator: Mrs. Leanne Albers, RDH, MA 479-6480 Email: [email protected] Room 609A Course Web site: http://www.cabrillo.edu/~lalbers/

Lab Instructors: Ms. R Arnesty, RDH Mrs. L Albers, RDH Mrs. Wylie, RDHClinical Instructors: Mrs. L Albers, RDH Mrs. Duncan, RDH Dr. Clark, DDSTO CHECK FACULTY ON SCHED Ms. Arnesty, RDH Mrs. Wylie, RDH Dr. Post DDS

Mrs. Black, RDH Dr. S Reddy, DDSMrs. Lemon, RDH

5 Units: 2 hours lecture, 2 hours laboratory, and 12 hours clinicPrerequisites: Enrollment in the Dental Hygiene Program and DH171Co-requisites: DH 162B, 163B, 174Recommended Preparation: Eligibility for ENG100 and READ100

Schedule: Tuesday Clinic 7:45-12:10 1-5:15Wednesday Lecture 7:50-10

Lab: 10-12:15Clinic 1-5:15

Description

This course introduces dental & periodontal charting, desensitizing procedures, pit & fissure sealants, ultrasonic scalers, and Gracey curets through laboratory and clinical experiences. It is the second of a series of four courses in clinical dental hygiene practice.

Texts/Course Materials:

1. Wylie, J., DH173, (2010 edition) Clinical Dental Hygiene I, A Course Syllabus. Cabrillo Duplications2. Cabrillo Dental Hygiene Clinic Manual, (2009-2010-edition). Cabrillo Duplications3. Cabrillo Dental Hygiene Student Handbook, (2009-2010-edition). Cabrillo Duplications4. Nield-Gehrig, J. (2008). Fundamentals of Periodontal Instrumentation and Advanced Root Planing, Sixth Edition,

Williams & Wilkins, ISBN: 978-0-7817-6992-15. Wilkins, E. (2009). Clinical Practice of the Dental Hygienist, 10th Edition, Lippincott, Williams & Wilkins, ISBN-13 978-

0-7817-6322-66. F Pickett, G Terezhalmy. (2006). Dental Drug Reference with Clinical Implications. Lippincott, Williams & Wilkins.

ISBN-13: 978-0-7817-7762-97. Course web site: http://www.cabrillo.edu/~lalbers/ (Password needed)

Course philosophy:Emphasis in this course will be placed on comprehensive patient care for the simple patient classifications following the dental hygiene process of care including patient assessment, dental hygiene treatment planning, patient education, instrumentation, application of preventive therapies, and radiographic skills.


http://www.cabrillo.edu/~lalbers/

http://www.cabrillo.edu/~jwylie/

mailto:[email protected]

College Behavior Expectations

9.27.07 from Cabrillo College Dean of Student Services Sesario Escoto

Cabrillo College Behavior Expectations:All students are expected to:1) Respect your classmates and your instructor, no sarcasm, no put-down, no disruptions by speaking out of

turn, calling out, etc. 2) Be attentive, stay on task, and participate in discussion. 3) Complete and turn in homework on time.4) Work collaboratively with peers as appropriate for each assignment. 5) Be honest with homework and exams, do your own work.6) Not eat in class.

Definition of Plagiarism: The conscious or inadvertent failure to identify the contributions of others. It occurs when someone borrows any part of another’s work and submits it, uncredited, as his or her own work. A failure to credit others may result in one or more of the following: a student receiving a failing grade for the course, or suspension from college enrollment. Students are expected to know how to credit sources, how to quote or paraphrase, and how to avoid plagiarizing the work of others. If you are unsure, ask you instructor for assistance before you submit your work for credit. (Cabrillo College Student’s Rights and Responsibilities)

What students can expect of the instructor:1) Courtesy and respect of all students 2) Start class on time and end class on time.3) Score and provide feedback on all assignments and exams.

Everyone Succeeds Students who have special needs should make an appointment with me to discuss these needs. Every effort possible will be made to accommodate your needs. Students are encouraged to use all Cabrillo College support resources to ensure successful completion of this course. This includes accessing the tutorial center, EOPS/Care and DSPS programs. DSPS students must bring me their current DSPS approved accommodations form before accommodations can be fully implemented.

All students needing accommodations should inform the instructor ASAP. Veterans may qualify for accommodations. Wounded Warriors may have acquired injuries which through the Americans with Disabilities Act (ADA) entitles the use of accommodations to ensure equal opportunity for students with verified disabilities. To determine if you qualify or need assistance with an accommodation, please contact Disabled Student Services, Room 810- 479-6379, or the Learning Skills Program, Room 1073, 479-6220.9.6.09

=====================================

I encourage students with disabilities, including “invisible” disabilities such as chronic diseases, learning, and psychological disabilities, to please bring a verification of the accommodations from the Learning Skills or DSP&S offices to me during my office hour

3.2.08


DH 173, Clinical Dental Hygiene ILearning Outcomes

=======================================================================================================11.04, 3.05, 10.05, 8.28.06, 3.31.09

Upon completion of this course the student will demonstrate the following to an increasing higher level of competence over the 3 semesters of clinical courses. Apply theoretical knowledge, scientific rationale, and clinical decision-making skills following the dental

hygiene process of care in a laboratory and/or a clinical setting to the second semester level Perform selected fundamental clinical dental hygiene skills safely and accurately initially in the laboratory

and in the clinical setting

Educational Objectives10.8.97, 7.19.03, 6.28.04, 11.6.04, 3.9.05, 10.27.05, 10.30.05, 8.28.06, 11.24.07, 11.9.08, 1.15.09, 5.8.09

The educational objectives of this semester of the dental hygiene program are that the student shall

1. Apply basic skills and principles of safety and infection control and time management in patient assessment, treatment planning, implementation, evaluation, and documentation as part of the dental hygiene process of care at the novice level.

2. Demonstrate appropriate ergonomics and motor skills in basic dental hygiene instrumentation to a beginning level.

3. Demonstrate professional behaviors including assuming responsibility and accountability for one’s role as novice dental hygiene students.

4. Demonstrate professional communication both written and verbal (reading, writing, listening, speaking and/or conversing)

5. Apply critical thinking and clinical decision making to interpret simple data in dental situations utilizing the dental hygiene process of care.

6. Demonstrate dental charting, periodontal charting, risk assessments, placement of pit and fissure sealants, the use of area-specific curets, ultrasonic scaling devices, and nutrition evaluation

DH173 Course Requirements7.98, 2.03, 6.04, 10.05, 8.06, 11.15.07, 11.29.07, 7.16.08, 7.27.08, 11.9.08, 3.31.09, 5.5.09

THE CLINICAL REQUIREMENTS

The DH173 student is expected to successfully complete the following clinical requirements according to established protocols and criteria:

1. Provide comprehensive care to a minimum number of clinic patients according to established protocol and to acceptable standards for this semester

Ten (10) Class 1 to Class 3 patients (includes Clinical Competency Exam on a Class 3 patient)Three (3) Class 4 patients (includes Mock Board Class 4)One quadrant of a Class 5 patient


Clinical Requirements continued:

2. Successfully complete one Mock Board Clinical Competency Exam on a Class 3 patient and one Mock Board Competency Exam on a Class 4 patient:

Skills to be demonstrated and criteria will be provided for these exams.

3. Complete a Health History graded Competency Exam at an initial assessment appointment

4. Dental Charting :(a) Chart all existing restorations and obvious pathology at initial visit on each clinic patient utilizing Symbols

for Dental Charting (Section 6 Clinic Procedures in the Clinic Manual) – non-graded(b) Successfully perform a graded skill demonstration of one complete dental charting on one (1) appropriate

patient this semester. See patient criteria for this graded skill demonstration.5. Periodontal Charting (long version)

Perform one (1) periodontal charting this semester utilizing the Symbols for Perio Charting (Section 6 Clinic Procedures in the Clinic Manual) PRIOR to removal of calculus; evaluate and utilize findings to plan dental hygiene care.

The acceptable patient charted will present as a Class 5 or 6 with a current and complete FMX (not a pano and 4 BWX). The quadrant selected must have a minimum of 6 teeth, 2 furcations, and 4 pockets that measure 5 or 5+ mm. Correctly probe, record, and chart periodontal findings for one quadrant. The selected quadrant MUST be anesthetized prior to initiating this competency. Submit perio charting form with DCEF. It is expected that the student will recall this patient in the fall, clinical semester II.

The objective is for students to learn how to probe AROUND calculus. Complete periodontal chartings are to be performed on all Class 5 and 6 patients prior to any scaling.

6. Successfully demonstrate correct use of Gracey & universal curets on an appropriate clinic patient.

7. Successfully demonstrate correct use of the ultrasonic scaler on appropriate clinic patients.

8. Successfully demonstrate correct placement of 3 sealants on an appropriate patient(s) according to established criteria.

9. Radiographic techniques according to established protocol and to acceptable standards (see page 46 in this syllabus) for this semester by successfully completing:a. Four (4) full mouth series. b. Two (2) bitewing series.

For each set of radiographs, the student will 1) Evaluate his\her technique using the green radiographic technique form2) Determine the needed retakes3) Consult with the block instructor for initial read4) Describe to the instructor which films need retakes and why, and5) Review the films for pathology with the instructor using the Radiographic Interpretation form

NOTE 1: When a student submits 2 FMX series with 9 or more errors, she/he will be required to expose and develop a full mouth series on a DXTR. When a student submits 2 BWX series with 3 or more errors, she/he will be required to expose and develop a bitewing series on a DXTR.

NOTE 2: When a student fails 3 FMX's or 2 BWX's, she/he will be removed from x-ray rotation and will not be permitted to expose radiographs on patients until satisfactory remediation is completed.


NOTE 3: it is the responsibility of the student to inform the clinic coordinator within one day of learning that the above criteria described in notes 1 and 2 has been met


Clinical Requirements continued:

10. Utilize appropriate infection control procedures for the dental setting including: prevention of cross contamination, disinfection of the operatory, and sterilization of instruments.

11. Assessment, DH Diagnosis and Treatment Planning at all initial assessment appointments

a. Record the gingival condition and 6-point probe readings, mobility, recession, and furcations on each patient’s Oral Evaluation form. Evaluate and utilize the findings to plan dental hygiene care (develop a treatment plan).

b. Recognize patients in need of referral to a dentist and/or physician and follow through with such a referral.

c. Counsel patients with the aid of a plaque index to deliver individualized oral hygiene instruction based on patient dexterity, motivation and oral health status.

d. Identify patients in need of pain control procedures , and arrange for or administer such procedures according to acceptable standard for this semester.

12. Update Patient Assessment Data on all patients at every appointment after the initial assessment appointment according to established protocol (review the patient’s medical history, oral evaluation, and home care procedures, provide preventive counseling to patients after disclosing the amount of biofilm, and evaluate all areas previously scaled for completion of debridement and for healing).

13. Demonstrate correct technique using universal curets, Gracey curets and sickles to a 2nd semester level. Maintain sharp and properly contoured instruments.

a. Deliver post-operative instructions to each patient according to established protocols.b. Work with a second year student on a quadrant of a class 5 patient in DH 173

14. Demonstrate correct coronal polishing technique and fluoride applications on appropriate patients. 15. Accurately record data in a patient's chart according to established protocol.16. Identify time management strategies and complete all clinical procedures within the time guidelines

established for this semester.17. Demonstrate on a weekly basis the accurate documentation of clinic requirements utilizing the 173

tracking sheets with appropriate instructor initials”18. Identify emergency situations that may occur in the dental setting, be prepared to obtain assistance,

administer or assist in the administration of first aid according to established protocol.19. Exhibit sensitivity to individuals' emotions, needs, rights, and comforts with emphasis on the influence

of cultural, psychosocial and other factors.20. Select a patient and present a written case study and oral case presentation according to the criteria

for this semester.21. According to established protocol perform the duties of

a. radiographic assistant , b. clinical management assistant (rover), c. practice management assistant (front office) and d. sterilization assistant

22. Accurately complete the Daily Clinical Evaluation Form (DCEF) for each clinic patient experience. a. The DCEF is on NCR paper so the yellow copy goes to the student and the original white copy

goes to the 1 st Year DCEF box at the end of each clinic session. b. The student is responsible for checking the accuracy of all DCEFs and for submitting them to the

block instructor in a timely manner.


23. Using the Typhon Group’s online Dental Hygiene Student Tracking System (DHST), input clinical patient data. Present patient documentation in the DHST binder at midterm and end-of-semester conferences or at times requested by the clinic coordinator.

24. Meet with the clinic coordinator for a midterm conference. See handout re: what to bring to the conference.

25. Meet with the clinic coordinator for your end-of-semester conference. See handout re: what to bring to the conference.

26. Identify and select acceptable individuals and/or community groups as patients for the Cabrillo College Dental Hygiene Clinic. Document a minimum of 4 hours of patient recruitment (in addition to winter break recruitment) on the form included at the front section of this syllabus. It is ultimately the student’s responsibility to obtain appropriate patients for Clinical & Mock Board Competencies and for all clinical requirements.

27. Attend a professional meeting or activity : Each student shall receive credit for attending a local, state, or national meeting of a dental or dental hygiene association. To receive credit a one page reflection paper must be submitted within one week of the professional activity. If you have any questions about a particular activity, confer with the 1st year clinic coordinator.

28. Assist in second year clinic by the 14th week of class – MINIMUM OF 6 HOURS a. observe second year students administering anesthesia

Student ResponsibilitiesATTENDANCE 7.16.08, 7.22.08, 7.27.08, 9.26.08, 11.9.08, 1.15.09, 5.15.09

Attendance is inextricably linked to academic success and students are expected to attend all scheduled class, labs and clinical sessions. It is an essential workplace skill. Tardiness is considered unprofessional. If it is necessary to miss a class period, it is the student’s responsibility to obtain notes and assignments from another student. In the event of an absence, notify the course coordinator (831-479-6480) or call the Dental Hygiene Program number 479-6471 or 479-6431. It is a good idea to have these phone numbers in your cell phone.No make-up didactic tests will be given in the event of an absence. In the event that the student has 5 absences (more than 2 weeks of class) the student may be dropped from the course. A tardy is defined as being late to class one (1) minute or more. When the student is late to clinic/lab or lecture five (5) times the final course grade will be lowered one grade level. Unusual circumstances will be discussed on an individual basis between the student and course coordinator.The clinic and lecture/lab sessions are class hours. Attendance is required whether a patient cancels or fails an appointment. Students are expected to attend each class session and to engage in patient care/support duties for the entire session.Children of students are not allowed in class, clinic (unless as a patient), or in room 610 for safety reasons. Please plan ahead for child care.Cell phones and electronic devices are to be turned off during lecture and are not allowed during clinic/lab.Accidents incurred in the clinic area are not the responsibility of the school. The student will fill out an accident form should an incidence occur in the clinic or dental hygiene facility.Should a student become ill during class, he/she shall notify the block instructor, clinic coordinator, and dental hygiene office in person or via voice mail (831-479-6480 Mrs. W) prior to leaving campus.In the event of a cancelation in clinic, the student clinician is to practice on the typodont at the operatory.


PARTICIPATION:

Participation includes class contributions, discussion roles, promptness, and regular completion of assignments, and preparedness. Participation also includes serving as a cooperative patient for the assigned lab partner(s).

ASSIGNMENTS:

Assignments must be completed on time and according to specified criteria. LATE ASSIGNMENTS are accepted at the discretion of the clinic coordinator

1. The student is expected to keep a daily clinical record and to be aware of his/her clinical standing at all times.2. The student will input patient data into the Typhon DHST (online data base).3. Prior to class or laboratory students are responsible for reviewing all assigned reading and videos as well as for

providing the appropriate armamentarium for all labs and clinics.4. TYPODONT PRACTICE : It is expected that students will spend time outside of class (approximately one hour per

week) in practicing scaling and instrumentation principles. Typodont mounts for home practice may be checked out for the semester ($200 deposit required).

NOTE: It is illegal for unlicensed students to practice on another person (including other DH students) outside of the Cabrillo dental hygiene clinic. Graded skills can be performed only during scheduled DH173 clinic hours.

PROFESSIONALISM 1.20.03, 12.29.03, 10.17.04, 1.7.05, 1.12.05, 11.15.07, 11.2.4.07

Students must demonstrate all professional behaviors (intellectual, ethical, behavioral and attitudinal attributes) in the dental hygiene clinic, radiology clinic, and other Cabrillo facilities at a satisfactory level.

From the obvious emphasis placed on professionalism, students may rightfully infer that the Dental Hygiene faculty considers professionalism one of the most significant aspects of academic performance

CLINICAL EVALUATION PROTOCOLS FOR DH173, 181, and 183 1.15.08, 5.5.09

To enhance learning/teaching students are to be evaluated by their assigned block instructor in clinic and lab. Only the assigned block instructor has the authority to refer you to another instructor. Seeking another instructor without permission of the assigned block instructor is not acceptable. Failure to follow this protocol is considered a violation of professionalism and may result in a grade code of 05/U. Only RDH clinical instructors shall evaluate root planing periodontal charting and mock boards unless otherwise directed by the Clinic Coordinator.

STUDENT PARTNER PROGRAM 9.94, 5.11.96, 1.19.09, 3.6.09

In order to master the volume of information required in this course, the students are encouraged to form small study groups. The learning process seems to be more permanent if verbal discussion is added to the learning tools of reading the text, listening to the lecture and reviewing notes.Students are encouraged to form working groups after the first week of class, to meet outside of class to review assignments, and to confer by phone.For some specified assignments students may complete their exercises with a partner and share the grade. During the exercises, partners are free to discuss the questions and their answers quietly until they reach agreement. In this case the team submits one completed exercise paper with both names; the grade for the exercise is recorded for both members of the team.Several students can work on a student team, but only two to three students are allowed on an exercise-taking team. Some students may prefer to work alone; solo exercise taking is allowed. Students are free to choose their own exercise-taking partner and are free to change them at any time.(Reference: "INNOVATION ABSTRACTS", Vol XI, No 12, University of Texas at Austin, 1989)


EVALUATION 7.98, 10.05, 5.06, 11.07, 7.22.08, 5.8.09

1. Laboratory Skill Demonstration: The student must demonstrate skill competence in the lab on typodonts and partners in order to perform the service in clinic on patients.

2. Required Clinical & Mock Board Competency Exams must be completed during the semester. These Competency Exams are graded using the Competency form and the DCEF. The following scale is used: Satisfactory/correct = 01; Needs Improvement = 02; Unsatisfactory = 03. A clinical skill demonstration or Competency Exam not attempted will result in the grade of 03 for that test. As time allows before the last day of clinic, the student must repeat a failed skill and must achieve a grade of 01 or 02 competency level in order to pass the course.

3. Non-graded performance: After successful completion of a required performance test, it is expected that the student will consistently demonstrate competency in that skill (code 04, Satisfactory). The repeated achievement of a code 05 or code 06 (unsatisfactory) level for a skill will result in remediation and may adversely affect the student’s grade.

4. Professional behavior. Students must demonstrate all professional behaviors & attendance requirements at a satisfactory level.

5. Quizzes will be given covering material presented in class, laboratory, and reading assignments. 6. Comprehensive written midterm and final examinations will be given at scheduled times during the semester.

The Six Step Problem Solving Method (see Clinic Manual Section 1 Professionalism) is required for all code 06 grades (and a code 03 Unsatisfactory if requested by instructor)

GRADING CRITERIA 5.98, 3. 05, 5.06, 5.07, 7.27.08, 12.12.08, 1.15.09, 5.15.09

The clinical component of this course is graded Credit/No Credit and will impact the final grade in this course.

CRITERIA FOR PASSING THIS COURSE:To pass this course, DH173 the student must achieve all of the following:

1. An overall performance of 77% or better on the didactic portion of the course (quizzes, midterm, final exam)2. Completion of all clinical requirements to a satisfactory level (code 01/02)3. Completion of all competencies to a satisfactory level (code 01/02).4. Completion of the minimum number of patient requirements or equivalency5. Demonstration of all professional behaviors and attendance at a satisfactory level (code 01/02)6. Demonstration of less than the allowable number of code 05 (unsatisfactory) or code 06 (critical error)

evaluations for semester 2

A “No Credit” in the clinical portion of the course will result in a final grade of “F” in the course regardless of the didactic percentage. A No Credit in the clinical portion of the course is assigned

1. When the student fails to complete all professional behaviors and all clinical skill demonstrations at a satisfactory level (code 01/02)

2. When the student earns 4 scores of code 06 during semester 2 or 6 code 06s between semesters 1 & 2.3. When the student earns 10 scores of code 05 unsatisfactory

ADJUSTMENTS TO FINAL GRADE IN DH173:The final semester grade will be lowered by one grade level (i.e. an A lowered to a B or a B lowered to a C) for each of the following circumstances:

1. Six (6) scores of Unsatisfactory code 05 are earned by the student2. Three (3) scores of Unsatisfactory code 06 (that is one less than the maximum of 4 code 06s allowed for this

semester) 3. Arriving late to class or clinic five (5) or more times


Course Grade Calculations 7.98, 5.30.06, 8.28.06, 11.19.07, 7.22.08, 1.15.09, 5.15.09

Didactic Grade (non-clinical part of course) is a percentage

Didactic PercentQuizzes = 10%

Written Midterm = 40%Written Final = 50%

100%

Final grade = Didactic percentage less any adjustments based on clinical skill demonstration (see previous page)

See previous page for information on Clinical Grading Criteria. The clinical grade is credit/no credit.Both the clinical and the didactic parts of this course must be passed in order to pass the course. Therefore, a No Credit in the clinical component will result in a final grade of “F” even if a passing grade is earned in the didactic portion of this course

To Pass DH173, a student must achieve all of the following:

1) An overall performance of 77% or better on all didactic performance (written exams)2) Completion of all clinical requirements for the course to a satisfactory level (code 01/02)3) Completion of all competencies and clinical skills to a satisfactory level (code 01/02)4) Completion of the minimum number of patient requirements or equivalency5) Demonstration of all professional behaviors and attendance at a satisfactory level 6) Achieving 3 or less critical unsatisfactory scores of Code 06 and 9 or less unsatisfactory scores of code 05

Overall Course Grade*A= 93-100%B = 85-92%C = 77-84%F = <77%

*Note: A Course Grade of “C” or better must be obtained in DH 173 Clinic I in order to progress to the next level of the dental hygiene program.

TOTAL code 06/CUs by semester resulting in dismissal TOTAL code 06/CU s over 2 semesters resulting in dismissal5 unacceptable demos in 1st semester & summer 1 5 unacceptable demos with repetition of 2nd & 1st semesters 4 unacceptable demos in 2nd semester 6 unacceptable demos in 1st & 2nd semesters/summer 3 unacceptable demos in 3rd semester or summer 5 unacceptable demos in 2nd semester & 3rd semester/summer 2 unacceptable demos in 4th semester 4 unacceptable demos in 3rd & 4th semesters

Critical Unsatisfactory Code 06- When the following # of code 06 occur, the student will be dismissed from the DH program


EVALUATION OF CLINICAL PERFORMANCE5.28.98, 11.6.01, 6.27.04, 10.31.04, 1.7.05, 5.30.06, 11.25.07, 6.3.08, 7.22.08, 5.8.09

Skill Evaluations (non-requirement) occur daily and are recorded on the DCEF. Skill Evaluations are non-graded and provide the student with the opportunity to monitor and improve instrumentation skills (non-graded coding: “04” and “05”). Failure to demonstrate continued skill building in labs and clinics, as evidenced by 05’s, will result in an academic consultation with the Course Coordinator to determine further progression in the course.

Competency Exams (requirements) are recorded on the DCEF & the appropriate Competency form and are either at scheduled times or are completed during any clinic session with the approval of the block instructor. This approval must be granted before the procedure is undertaken. Time restrictions may apply. COMPETENCIES may not be performed on dental hygiene students without the written approval of the Clinic Coordinator. Criteria for COMPETENCIES are in the clinic manual and/or in the course syllabus.

Skill Maintenance - Once the student has successfully demonstrated competence for a specified procedure at a Satisfactory (01) or Needs Improvement (02) performance level, he/she should continue to perform that procedure to a competent level. If the level of care provided does not meet the standards of competence, a 05 level evaluation will be entered for the procedure.

Evaluation Performance Levels are defined as:01/S = SATISFACTORY

During the observation, the student’s performance of the procedure surpasses that of entry-level competency in judgment and skill. The number of allowed non-critical errors has been met. (No critical errors occur at this level of performance).

02/NI = NEEDS IMPROVEMENT During the observation, the student’s performance of the procedure is at entry-level competency in judgment and skill. The number of allowed non-critical errors has been met. (No critical errors occur at this level of performance.)

03/U = UNSATISFACTORY - REPEAT/FAILDuring this observation, the student’s performance of the procedure is below entry-level competency in judgment and/ or skill. The number of allowed non-critical errors has been surpassed. In some situations a maximum of 2 attempts are permitted. A performance test not attempted will result in an evaluation of 03. The student may be asked to write a 6-step problem solving method paper.

7.16.08, 1.15.09

ALL CLINICAL SKILLS EXCEPT Radiographs, Scaling, and Professional Demo # of errors by level

PROFESSIONAL DEMONSTRATION# of errors by level

Code 01-S Code 02-NI Code 03-U Code 01-S Code 02-NI Code 03-UDH 173 0-2 3 4+ DH 173 0 1 2+DH 181 0-1 2 3+ DH 181 0 1 2+DH 183 0 1 2+ DH 183 0 1 2+

RADIOGRAPHS (Patient retakes: 5 retakes for FMX, 1 retake for BWX) Pano - TBA# Errors by level # Errors by level # Errors by level # Errors by level


FMX/Digital FMX Horizontal/Digital BWX Vertical/Digital BWX Analog/Digital PanoCourse S-01 NI-02 U-03 S-01 NI-02 U-03 S-01 NI-02 U-03 S-01 NI-02 U-03DH171 -- 1-11 12+ -- NA -- -- -- -- -- -- --DH173 0-4 5-9 10+ 0-2 3 4+ 0-3 4 5+ 0-4 5-9 10+DH181 0-3 4-7 8+ 0-1 2 3+ 0-2 3 4+ 0-3 4-7 8+DH183 0-2 3-5 6+ 0 1 2+ 1 2 3+ 0-2 3-5 6+

Continued from previous page7.01, 5.30.06, 11.25.07, 6.3.08, 7.22.08

04/S = AT ACCEPTABLE LEVEL (if graded is equivalent to 01/02Today the student performed this procedure in a competent manner. The student’s performance demonstrates above (01) OR at (02) entry level performance, however; this procedure was not a Clinical Competency Exam.

05/U = UNSATISFACTORY. The student performed a procedure in the lab/clinical course, today, however: The student’s performance was not at a competency level in the areas of professional judgment,

patient management, and/or technical skill. The student will not receive a 03/Unsatisfactory evaluation since this was not a Clinical Skill Exam

and/or his/her instructor determined that the student encountered an unusual situation or condition that is not typically encountered by students performing this procedure at this level of learning.

The student’s level of clinical experience and previous Clinical Skill Exams indicate that he/she should have been able to provide care in this procedure in a competent manner.

Five performances in one area at this code 05 level indicate the need for tutoring in these areas of performance. It is the student’s responsibility to inform the Clinic Coordinator when he/she has acquired five code 05s. See the DH Handbook for information regarding tutoring.

The student’s final semester grade may be lowered by one grade level when the student acquires six (6) scores at the 05 level.

06/CU= CRITICAL UNSATISFACTORY/FAIL. The student demonstrated unacceptable judgment and/or skill. Today the student was unable to demonstrate a critically important skill that includes jeopardizing health and safety. This performance is an UNSATISFACTORY DEMONSTRATION. The student must write a paper following the 6-step problem solving method. The student may be removed from lab or clinic due to this error. When the student exceeds the acceptable number of critical unsatisfactory errors for the semester, he/she will fail the lab/clinical course.


Scaling Evaluation revised 1/31/2001, 6.25.01, 4.4.04, 4.18.05, 11.25.07, 6.8.08

Scaling is evaluated at every scaling appointment. Each piece of supra-gingival or sub-gingival calculus and each tissue laceration shall constitute one error. The number of errors allowed shall follow the schedule below. A partial quadrant completed is graded with a proportional decrease in maximum points. When more than one quadrant is completed in a clinic appointment on a class 4, 5, or 6 patient, a “03/05” in any one quadrant will result in a “03/05” being recorded on the D-CEF for that appointment. The number of quadrants to be completed at each appointment shall be determined by the difficulty of the patient (via discussion with the block instructor) and by the clinical semester. Excessive tissue trauma as determined by the instructor will result in an automatic 06 for that day

Scaling is evaluated at each appt - either graded (code 01/02/03) or non-graded (code 04/05).

SCALING EVALUATION (GRADED and NON-GRADED)

Graded in italics:

Non-Graded bolded:

DH 173 DH 181 DH 183

Code 01 or 04 -S

Code 02 or 04 -NI

Code 03 or

05-U

Code 01 or 04 -S

Code 02 or 04 -S

Code 03 or

05 -NI

Code 01 or 04-S

Code 02 or 04 - S

Code 03 or 05-U

NUMBER OF ALLOWABLE ERRORS FULL MOUTH FOR EACH OF THE FOLLOWING CASE CLASSIFICATIONS

CLASS 1 0 1-2 3+ 0 1 2+ 0 0 1+

CLASS 2/ 2PM 0-1 2-3 4+ 0 1-2 3+ 0 1 2+

CLASS 3/ 3RP 0-2 3-5 6+ 0-1 2-3 4+ 0-1 2 3+

NUMBER OF ALLOWABLE ERRORS PER QUAD FOR EACH OF THE FOLLOWING CASE CLASSIFICATIONS

CLASS 4 0-2 3-4 5+ 0-1 2-3 4+ 0-1 2 3+

CLASS 5 0-3 4-5 6+ 0-2 3-4 5+ 0-1 2-3 4+

CLASS 6 1-4 5-6 7+ 0-3 4-5 6+ 0-2 3-4 5+

5/98, 2/1/01, 6.25.01, 4.4.04, 11..25.07

DAILY GRADED CRITERIA for scaling are the same as non-graded. The graded codes are 01 -Satisfactory, 02- Needs Improvement, and 03 -Unsatisfactory while non-graded codes are 04- Satisfactory, and 05-Unsatisfactory.


DH173 CLINIC EVALUATION PROCEDURES11.9.08

There will be one Mock Board Exam that will be tested as a Clinical Competency Exam (CCE) demonstrating the student’s ability in providing total patient care and the second Mock Board Exam will focus on end product. Further information will be given in class. The graded competency exams can be attempted multiple times and must be passed by week 15. See the following guidelines.

1. The Clinical Competency Exam is scheduled by the clinic coordinator.2. The second Mock Board Competency Exam is scheduled by the student.

1. DH173 CLINICAL COMPETENCY EXAM (CCE)

10.97, 11.07, 11.9.08, 12.11.08, 11.20.09

EVALUATION For Clinical Competency Exam (CCE)

The CCE will be performed at a scaling appointment of a patient who is a Class 3 or Class 4. The skills to be evaluated are preparation of the unit, Health History, Oral Assessment, Periodontal Assessment, DH Diagnosis, Treatment Planning, Disclosing and Preventive Counseling, Universal Curets and Sickle Scalers, Polishing and Fluoride Trays, record keeping and standard precautions. The end product (supra, sub, tissue laceration) is also evaluated.

The student will scale two quadrants to completion on the class 3 patient or one quad on a class 4 patient. The area to be scaled will be pre-approved in clinic and reviewed by the CCE examiner The criteria are on the exam form.

What happens if a student does not pass this exam? Tutoring will be recommended. Retesting is scheduled by the student during clinic hours. The CCE must be passed by week 15.

Frequently Asked Questions regarding the Clinical Competency ExamsWhen does the exam begin and end? The exam will begin at 8 a.m. and 1 p.m. The exam ends at 11:30 and 4:30 – this means patients are to be out of the clinic and all paper work completed by the student. Examiners will arrive for a pre-exam faculty huddle at 7:45 and 12:45

What skills will be evaluated in the exam?

1. Health and safety2. Medical/Dental Hx interview & presentation, 3. Assessment update (EO/IO exam) –patients have been assessed already. The examinee

will review specifics of Assessment Update procedure4. Periodontal exam including 6 point probe of one quadrant (chosen by the examiner) and

full mouth recording of recession and missing teeth as well as exploring 5. Anterior instrumentation with anterior sickle and universal 3 /4 curet, 6. Posterior instrumentation with posterior sickle and 411/412 curets, 7. General instrumentation principles8. Selective polishing & fluoride, and 9. Treatment record and documentation

What is the examiner/examinee ratio? Each examiner will test 2 students during the exam.


What is the examiner responsible for during the exam? The examiner is responsible for documenting student in and out time on the Clinical Competency Exam form and observing the entire process from setting up the operatory to disinfecting it and from assessment to instrumentation to completion of clinic paperwork.

Are operatories pre-assigned? Yes, the operatory assignments are in the clinic rotation schedule.Will clinical assistants be available to record assessment data? Yes, see clinic rotation schedule.

What is the student responsible for during this exam? The student is responsible for having all appropriate forms at the operatory.

The student will complete a DCEF, Mock Board Grade Sheet, and Dentrix route slip as part of this exam.

The student is responsible for demonstrating the skills listed for the specific Clinical Competency.The student is to follow all clinic protocols and proceduresThe student is responsible for keeping track of their own time.The student is responsible to complete a self-assessment upon completion of the exam and submit into the clinic coordinator’s mailbox on the day of the exam.

What are the criteria for patient selection for this exam? Must be a class 3 patient (2 quads) or Class 4 (1 quad). Pre-approval is required for the

CCE Patient must have a current FMX or BWX The examiner will determine the teeth to be scaled after assessment check in.

o Must have 5 teeth with explorer detectable subgingival calculusHow are patients identified? Some students may identify a patient they have assessed. In other cases second year students may refer a patient who was assessed during 2nd year clinics.

NOTE: Faculty pre-approval is required. During the assessment the examiner will explore and review the teeth to be scaled for this exam.

What is the student to do about confirming their patients before the exam? The students are instructed to confirm their patient’s appointment and to have an alternate plan if the patient fails, presents with a condition that prevents treatment, or cancels at the last minute. As part of the alternate plan, they are encouraged to have a list of patients who are able to come in at the last minutes or to have a back up patient.When confirming the patient’s appointment prior to the exam, the students are reminded to ask the patient appropriate questions, i.e. has the patient had any changes in their medical history since their last visit or taken new meds; remind the patient to eat.

What is included in the assessment portion of the exam? It is expected that the patients have been previously assessed this semester. Patient assessment update is part of the exam. For the CCE this includes a review of all information on the OE form including confirming the accuracy of missing teeth, recession, occlusion, and existing restorations. In addition a 6 point probe will be performed during the exam in the quadrant determined by the examiner. Students will identify furcations, mucogingival involvements, and mobility as required for the second clinical competency exam.

What is to be scaled during this exam? Two quadrants of a class 3 patient or 1 quad of a class 4 patient are to be scaled. PRE-APPROVAL of the patient is REQUIRED for the CCE and the Mock Board Competency.


PROCEDURE FOR CLINICAL COMPETENCY EXAM 3.3.08, 11.9.08, 12.11.08

All students will be present in the facility during the hours of the scheduled CCE.

One student will take the exam as the operator in the assigned operatory; and one student will participate as the recorder.

The operator will be told the name of the recorder during the exam.

The process: Starting at 8 AM (or 1 PM) the student enters the clinic and prepares the operatory for treatment. The patient is then seated and health history is reviewed with appropriate paperwork completed. After obtaining examiner sign off of the patient’s medical history and Dentrix route slip, the operator performs an assessment or assessment update.

In the event the patient was previously assessed, the operatory will confirm the EO/IO Exam data as recorded on the Oral Evaluation form and probe one quadrant as indicated by the examiner.

The student then reviews the treatment plan and obtains patient consent.

The examiner will review the assessment data and concur with the treatment plan. The student then provides OHI based on assessment data & PI, instruments, polishes and administers fluoride. The examiner will observe technique and will perform a check out. Upon completion of treatment the operator will breakdown the operatory.

Some pointers to review :

Infection Control: Wipe twice before applying barriers After setting-up your unit, seat your patient

Medical History: Complete interview and HH Notes Establish rapport with your patient HH Notes will be “long format” for initial assessment or “short format” for previously

assessed patient Present the medical/dental history, route slip, etc to instructor

EO/IO exam Have your assistant help you to chart Perform a thorough exam

Probing The assistant should record the pocket depths for the assigned quad, and any other

notation for the perio & caries exam. Recession, MGI, furcations and mobility are to be noted.

Instructor will watch & evaluate your technique. If s/he needs to see more, s/he’ll just ask you to repeat

Exploring Instructor will watch & evaluate your technique. If s/he needs to see more, s/he’ll just ask

you to repeat


Instructor Assessment Check Read off your EO/IO exam to instructor Instructor will evaluate the assessment including the probe readings. Describe perio exam findings, calculus class, caries, occlusion Instructor will give you permission to start instrumentation

Plaque Index/Biofilm Assessment and Oral Health Education

Instructor will observe the operator during this process (anecdotal notes only)

Instructor Scaling Check Instructor will observe all instruments during the scaling process & evaluate your

technique. If s/he needs to see more, s/he’ll just ask you to repeat Blow air, look for supra & trauma Explore for residual calculus. Instructor will give you permission to polish the quad

Instructor Polishing Check and Fluoride observation Instructor will observe polishing, looking for signs of trauma or incorrect technique Instructor will observe administration of fluoride Instructor will give you permission to dismiss patient

Infection Control

Break down and disinfect the unit. Transport contaminated instruments to sterilization

Records Document procedures on treatment record per established protocol The probing readings are w/in 1mm (+ 2 mm is an error) Scaling errors follow clinical criteria for this semester Be sure all initials & signatures are on the forms (MH, HH notes, route slip, OE, treatment

record)

This exam is timed and ends at 11:30 and 4:30.


CLINIC EVALUATION PROCEDURES

2. DH173 MOCK BOARD COMPETENCY EXAM10.97, 6.05, 9.13.06, 11.9.08, 12.11.08, 11.20.09

CRITERIA FOR MOCK BOARD COMPETENCIES (2 required, one of which is a CCE)

The student will provide one Class 3 patient and one Class 4 patient for these clinical exams. The patients must present with explorer detectable clicks per the criteria of calculus case classification.

Two clinical instructors must approve the patient prior to the exam and the instructors must initial OE form.

EVALUATION FOR MOCK BOARD COMPETENCIES

The student will probe one quadrant and scale all four quadrants to completion on one Class 3 patient and on one Class 4 patient.

Probe readings for one quadrant will be recorded and evaluated on the Mock Board Competency Exam grade sheet prior to initiation of scaling.

The student is evaluated on sub, supra, stain, tissue trauma, probing, professionalism, and infection control. Specific criteria are listed on the Mock Board Grade Sheet – see the following page.

At times a student may encounter a patient who meets the following acceptable equivalencies:

Mock Board Equivalency

1 class 3 = 1 quad of a light class 51 class 3 = 2 quads of a class 41 class 4 = 2 quads of a light class 5

A grade of "01" or “02” in each category is considered acceptable on Mock Board Competency exams. If performance falls below this level for any category, a grade of "03" will be assigned and the student will repeat the examination. Reexamination will involve scheduling another patient for the mock board competency exam. The mock board exam must be successfully completed by the 15th week of class.

Time Allotment and Scheduling

The student should schedule the mock board competency appointment during a 4 hour clinic session. The patient must be completed in the two and one-half hours of scaling time (this includes scaling and polishing, but does not include the time needed for probing, anesthesia, check in or check out).

The mock board exam can be completed in one appointment/clinic session or over two appointments.

If the test is completed over two appointments, at the first appointment the student must scale the selected teeth to completion and must be checked out on the area scaled prior to dismissal of the patient. The patient must be completed in a total of two and one half hours of scaling time

The instructor records time-in and time-out for scaling on the Mock Board Competency grade sheet

Time management is a part of the Mock Board Competency experience.


1.99, 6.05, 9.13.06,11.20.09

MOCK BOARD PROCEDURE: A multi-step process

A. Mock Board Approval: Prior to scheduling the Mock Board Competency Exam, two dental hygiene clinical instructors must concur with the student clinician that the patient is acceptable and must document their concurrence on the Oral Evaluation Form.

B. The Mock Board patient will be scheduled for a 4-hour clinic sessionC. The Mock Board appointment: the student

1. Completes the top part of the Mock Board Grade sheet2. Seats the patient and reviews patient's health history3. Takes patient's blood pressure, pulse, and respiration if required by medication or if

anesthesia will be administered4. Requests instructor to sign off med history and to administer anesthesia, if needed. Note: a

second year student may also administer the anesthesia.5. Probes the one quadrant selected by instructor and records readings on Mock Board Grade

Sheet

D. The instructor evaluates the calculus and grades the probe readings in the selected quadrant 1. The instructor records the "Time In" for scaling on the Mock Board Grade Sheet

E. The student initiates scaling . The patient is to be scaled and polished in the allotted time of 2.5 hours. The clock starts ticking when the student begins scaling.

F. Check out after completion of scaling and optional polishing : 1. The student will notify the Block Instructor when she/he has completed scaling/polishing OR

when 2.5 hours have passed, whichever comes first.2. One instructor will record “ time out” and evaluate the quadrant(s) scaled. The student

and instructor will conference to discuss errors3. All identified errors are recorded on the Mock Board Grade Sheet and the DCEF.

a. If any errors are found, the student is expected to remove those deposits prior to the patient's dismissal OR have the patient return for completion of the quad(s).

4. The instructor will complete the DCEF and the Mock Board Grade Sheet.G. Footnotes

1. Use of the ultrasonic scaler is prohibited2. The completed patient will count as one Class 3 (or Class 4) completed patient AND as a

Mock Board.


1995, 5.31.05, 9.13.06, 5.26.08, 7.28.08, 11.9.08, 12.11.08, 3.31.09

DH173 MOCK BOARD COMPETENCY GRADE SHEETTime used Part One _________ Remaining time Part Two_________ Student name ______________________Part One: Part Two: Student #______________Time in _______ Time in _______ Patient name ______________________Instructor Initials______ Instructor Initials______ Date_______________Time out _______ Time out _______Instructor Initials______ Instructor Initials______ Grade: (Circle one) Pass Repeat

This Mock Board is a (Circle one) Class 3 Mk Bd (Class 3 or 1 quad Cl5) or Class 4 Mk Bd (Class 4 or2 quads Cl5)

MOCK BOARD CRITERIA: 1 Class3 required and 1 Class 4 required

DH 173 Mock Boards #Acceptable Errors by Code

S/01 NI/02 U/03Class 3 Sub-calc 0-1 2-3 4+

Supra-calc 0-2 3-4 5+ Tissue Trauma 0-1 2-3 4+ Stain 0-2 3-4 5+ Probing (1quad) 0-1 2-3 4+

Class 4 Sub-calc 0-2 3-4 5+

Supra-calc 0-1 2-3 4+

Tissue Trauma 0-1 2 3+

Stain 0-1 2-3 4+

Probing (2quads) 0-2 3-4 5+

Class 4: & 3 Professionalism 0 -- 1+Infection Control 0 -- 1+

DIRECTIONS: Circle quad being probed and record probe readings. Scaling errors and tissue trauma are recorded below. for sub, place mark inside of box in Red for stain, place mark in Blue

for supra, place mark outside box in Red for tissue trauma (TT), place “TT” outside box in Red

Grade Summary: All categories mustbe passed in order to pass the MkBd


Item # errors Circle P/FProbing Pass/FailSub-calculus Pass/FailSupra-calculus Pass/FailTissue Trauma Pass/FailStain Pass/FailProfessionalism Pass/FailInfection Control Pass/Fail

Grade = S (01) NI (02) U (03) (Circle)

RECORD ERRORS ON DCEF

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