Dental Hygiene Manual

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4331) TRACKING . Melissa Stutzman 111 dentistry ......

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The University of Oklahoma College of Dentistry Department of Dental Hygiene Dental Hygiene Manual

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Table of Contents

Table of Contents Table of Contents .................................................................................................................... 3 P&P Section I-‐ GOALS AND PHILOSOPHY ................................................................................. 7 DEPARTMENT OF DENTAL HYGIENE GOALS and PHILOSOPHY ............................................................................ 7 DEPARTMENT OF DENTAL HYGIENE MISSION STATEMENT AND GOALS ........................................................ 9 DEPARTMENT OF DENTAL HYGIENE PHILOSOPHY ................................................................................................ 12 P&P Section II-‐ CURRICULUM AND COMPETENCIES ............................................................... 13 DENTAL HYGIENE CURRICULUM .................................................................................................................................... 13 COMPETENCIES FOR THE ENTRY-‐LEVEL DENTAL HYGIENIST ......................................................................... 14 CLINICAL COMPETENCIES BY STUDENT LEVEL ...................................................................................................... 19 CLINICAL PROGRAM REQUIREMENTS ......................................................................................................................... 20 P&P Section III-‐ ADMINISTRATION ........................................................................................ 21 DH FACULTY AND STAFF .................................................................................................................................................... 22 P&P Section IV-‐ SCHEDULES .................................................................................................. 26 FACULTY SCHEDULES .......................................................................................................................................................... 26 P&P Section V-‐ ADHA CODE OF ETHICS, ATTENDANCE, PROFESSIONALISM, INCLEMENT WEATHER ............................................................................................................................. 27 ADHA BYLAWS & CODE OF ETHICS ............................................................................................................................... 27 ATTENDANCE ........................................................................................................................................................................... 28 ATTITUDE/PROFESSIONALISM ....................................................................................................................................... 29 COLLEGE OF DENTISTRY DRESS CODE (PROFESSIONAL APPEARANCE POLICY) ...................................... 31 DENTAL HYGIENE DEPARTMENT INCLEMENT WEATHER PROCEDURES .................................................. 33 P&P Section VI-‐ ONSITE PROVISION OF SERVICES K-‐12, FERPA, D2L....................................... 35 ON-‐SITE PROVISION OF SERVICES AT K – 12 SCHOOLS POLICY ....................................................................... 35 FERPA (FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT) ............................................................................ 36 DESIRE2LEARN ....................................................................................................................................................................... 37 P&P Section VII-‐ BOARD EXAMS ............................................................................................ 38 DENTAL HYGIENE BOARD EXAMS .................................................................................................................................. 38 P&P Section VIII-‐ STUDENT ORGANIZATIONS ........................................................................ 39 DENTAL HYGIENE CLASS OFFICERS ............................................................................................................................ 39 BYLAWS OF THE UNIVERSITY OF OKLAHOMA .................................................................................................... 45 STUDENT AMERICAN DENTAL HYGIENISTS’ ASSOCIATION ......................................................................... 45 P&P Section X-‐ CLINICAL TRACKING, REMEDIATION & MENTORING ...................................... 48 CLINICAL DENTAL HYGIENE III (DH 4336 and DH 4331) TRACKING ........................................................... 49 CLINICAL DENTAL HYGIENE IV (DH 4446 and 4341) TRACKING ................................................................... 50 PATIENT EXPERIENCE DEFINITION .............................................................................................................................. 52 CLINICAL REMEDIATION PROTOCOL ........................................................................................................................... 53 PATIENT CARE REMEDIATION AGREEMENT ........................................................................................................... 54 REMEDIATION SELF-‐ASSESSMENT WORKSHEET .................................................................................................. 55 MENTORING ............................................................................................................................................................................. 56 STUDENT/FACULTY MENTOR MEETING FORM ....................................................................................................... 57

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P&P Section XI-‐ OKC SITE CLINICAL ROTATIONS DHI .............................................................. 59 P&P Section XI-‐ OUCOD OKC SITE CLINICAL ROTATIONS DH II ............................................... 63 CLINICAL ASSISTANT ROTATION ..................................................................................................................................... 64 ASSIST SENIOR DENTAL HYGIENE ROTATION ........................................................................................................... 65 CROSSINGS COMMUNITY CLINIC ..................................................................................................................................... 66 GOOD SHEPHERD MISSION ................................................................................................................................................ 67 IMPLANTOLOGY ...................................................................................................................................................................... 68 ORAL DIAGNOSIS .................................................................................................................................................................... 73 PEDIATRIC DENTISTRY AND SEALANT CLINIC ......................................................................................................... 78 RADIOLOGY ............................................................................................................................................................................... 82 DH SCREENER in GREEN CLINIC ..................................................................................................................................... 83 TEACHING ASSISTANT in JUNIOR CLINIC .................................................................................................................... 85 TINKER AIR FORCE BASE .................................................................................................................................................... 86 COMPREHENSIVE CARE ...................................................................................................................................................... 88 P&P Section XII-‐ SOTC SITE CLINICAL ROTATIONS .................................................................. 89 IMPLANTOLOGY ...................................................................................................................................................................... 90 RADIOLOGY ROTATION ...................................................................................................................................................... 95 SOTC CLINIC .............................................................................................................................................................................. 95 SCREENING ROTATION ...................................................................................................................................................... 97 TEACHING ASSISTANT in JUNIOR CLINIC ................................................................................................................ 99 DENTAL PRACTICE OBSERVATIONS ........................................................................................................................ 100 MERCY MOTHERS’ ORAL HEALTH INITIATIVE .................................................................................................. 101 P&P Section XIII-‐ TCTC SITE CLINICAL ROTATIONS ............................................................... 102 TEACHING ASSISTANT in JUNIOR CLINIC ................................................................................................................. 104 CATHOLIC CHARITIES ........................................................................................................................................................ 105 GREEN COUNTRY FREE DENTAL CLINIC ................................................................................................................... 107 OBSERVATIONS IN DENTAL OFFICES ......................................................................................................................... 108 ORAL SURGERY & GENERAL DENTISTRY ................................................................................................................. 110 PEDIATRIC DENTISTRY ..................................................................................................................................................... 111 SCREENING & STERILIZATION ....................................................................................................................................... 112 FRONT DESK ........................................................................................................................................................................... 113 IMPLANTOLOGY .................................................................................................................................................................... 114 P&P Section XIV-‐ WTC CLINICAL ROTATIONS ....................................................................... 120 CLINIC ASSISTANT .............................................................................................................................................................. 121 IMPLANTOLOGY .................................................................................................................................................................... 122 STERILIZATION/SCREENING ............................................................................................................................................. 127 WESTERN OKLAHOMA FAMILY CARE CENTER .................................................................................................. 128 HOPE CLINIC ........................................................................................................................................................................... 128 TEACHING ASSISTANT in JUNIOR CLINIC ............................................................................................................... 129 DH I Competencies & Clinical Evaluation Forms .................................................................. 130 DISINFECTION AND SET-‐UP OF THE DENTAL UNIT AREA ............................................................................... 131 MOUTH MIRROR ................................................................................................................................................................... 133 11/12 & SHEPHERD’S HOOK EXPLORERS ................................................................................................................ 134 EXTRA/INTRA ORAL EXAM ............................................................................................................................................. 135 PERIODONTAL PROBE ....................................................................................................................................................... 136 SICKLE SCALERS ................................................................................................................................................................... 137 BARNHART 5/6 ..................................................................................................................................................................... 138 GRACEY 1/2 ............................................................................................................................................................................ 139 GRACEY 11/12 ....................................................................................................................................................................... 140 GRACEY 13/14 ....................................................................................................................................................................... 141 PROPHY CUP POLISHING .................................................................................................................................................. 142 SEALANT APPLICATION ASSESSMENT ...................................................................................................................... 143

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INSTRUMENT SHARPENING -‐ MANUAL ..................................................................................................................... 145 SIDEKICK SHARPENING .................................................................................................................................................... 146 CARE OF REMOVABLE PROSTHESIS ............................................................................................................................ 147 SCALING COMPETENCY I .................................................................................................................................................. 148 POLISHING COMPETENCY ................................................................................................................................................ 149 DH3313-‐ CDHI POST COMPETENCY SELF-‐ASSESSMENT ................................................................................... 151 ALGINATE IMPRESSION LABORATORY DIAGNOSTIC CASTS LABORATORY

CLINICAL OPERATIONS SECTION II-‐ DH II Competencies and Clinical Evaluation Forms ........ 154

AIR POLISHING COMPETENCY TOTAL TECHNICAL COMPETENCY ............................................................................................................................... 156 CALCULUS DETECTION COMPETENCY ...................................................................................................................... 159 SCALING COMPETENCY II ................................................................................................................................................. 160 COMPETENCY SELF-‐ASSESSMENT WORKSHEET .................................................................................................. 161 ULTRASONIC INSTRUMENTATION COMPETENCY ............................................................................................... 162 LOCAL ANESTHESIA WORKSHEET ............................................................................................................................... 164 MOCK WREB ........................................................................................................................................................................... 173 CHECKLIST FOR ADMINISTRATION OF NITROUS OXIDE/OXYGEN SEDATION ....................................... 175 CLINICAL EVALUATION FORM ....................................................................................................................................... 176

CLINICAL OPERATIONS SECTION III-‐ Clinical Evaluation Criteria ........................................... 177

DH I CLINICAL EVALUATION .......................................................................................................................................... 178 DH II CLINICAL EVALUATION CRITERIA ................................................................................................................... 187 DH I & DH II CLINICAL PRODUCT EVALUATION TABLE ..................................................................................... 196

CLINICAL OPERATIONS SECTION IV-‐ Clinic Reference Documents ........................................ 197 ABBREVIATIONS ................................................................................................................................................................... 198 ASA PHYSICAL STATUS CLASSIFICATION ................................................................................................................. 200 axiUm CHARTING LEGEND .............................................................................................................................................. 201 TREATMENT NOTE EXAMPLES ..................................................................................................................................... 202 CARE PLAN EXAMPLE ....................................................................................................................................................... 204 DENTAL CARIES CHARTING ............................................................................................................................................ 210 EXTRA ORAL-‐INTRA ORAL EXAM ................................................................................................................................. 211 TERMINOLOGY ...................................................................................................................................................................... 211 INFECTION CONTROL TERMINOLOGY ....................................................................................................................... 213 MEDICATION DOCUMENTATION EXAMPLE ............................................................................................................ 215 OCCLUSION .............................................................................................................................................................................. 216 ODONTOGRAM 101 ............................................................................................................................................................. 217 PATIENT SEQUENCE CHECK LIST ................................................................................................................................. 220 PTP MONOLOGUE ................................................................................................................................................................. 222 PERIODONTAL CLASSIFICATION .................................................................................................................................. 224 VITAL SIGN PROTOCOL ..................................................................................................................................................... 225 GUIDELINES FOR PRESCRIBING DENTAL RADIOGRAPHS ................................................................................ 226 PATIENTS WITH SPECIAL NEEDS ................................................................................................................................. 227 A1C LEVEL CONVERSION CHART .................................................................................................................................. 228 CLINICAL OPERATIONS SECTION V-‐ Patient Documents ....................................................... 229 ARESTIN POST OP INSTRUCTIONS: .............................................................................................................................. 230 WHITENING PROCEDURE INFORMATION AND CONSENT ............................................................................... 231 IN-‐OFFICE WHITENING ...................................................................................................................................................... 232 PATIENT SURVEY ................................................................................................................................................................. 284 INSTRUCTIONS FOLLOWING ROOT PLANING ......................................................................................................... 285 DIRECTIONS FOR CARE AFTER TREATMENT WITH FLUORIDE VARNISH ........................................... 287 PATIENT RIGHTS AND RESPONSIBILITIES ............................................................................................................ 288 CLINICAL OPERATIONS SECTION VI-‐ Technology Failure Back-‐Up Documents, Miscellaneous, Fees, etc. ............................................................................................................................ 290 CONSENT FOR DENTAL HYGIENE PROCEDURES ................................................................................................... 291 O’LEARY’S PLAQUE INDEX FORM ................................................................................................................................. 294 5

OKC DENTAL HYGIENE FEES .......................................................................................................................................... 295 SOTC DENTAL HYGIENE FEES ........................................................................................................................................ 296 TCTC DENTAL HYGIENE FEES ........................................................................................................................................ 297 WTC DENTAL HYGIENE FEES ......................................................................................................................................... 298

CLINICAL OPERATIONS SECTION VII-‐ Daily Operations ......................................................... 299 ROTATION REPORT FORM ................................................................................................................................................ 301 FAX COVER SHEET ............................................................................................................................................................. 302 MEDICAL CONSULTATION FORM .................................................................................................................................. 303 DENTAL HYGIENE PATIENT PROTOCOL .................................................................................................................... 305 IDENTIFIED CLINICAL DEFICIENCIES FORM .......................................................................................................... 309 TREATMENT PROGRESS NOTES .................................................................................................................................... 310 CLINICAL OPERATIONS SECTION VIII-‐ Student Sign-‐Up Forms .............................................. 311 CLINICAL INSTRUCTOR INFORMATION: DH I ......................................................................................................... 312 CLINICAL INSTRUCTOR INFORMATION: DH II ....................................................................................................... 313 CLINIC SIGN-‐UP FORM ....................................................................................................................................................... 314 RADIOGRAPHY SIGN-‐UP FORM ...................................................................................................................................... 315

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Policies & Procedures P&P Section I-‐ GOALS AND PHILOSOPHY

DEPARTMENT OF DENTAL HYGIENE GOALS and PHILOSOPHY The philosophy of the Dental Hygiene Program at the University of Oklahoma is one of commitment to the education of oral health professionals who are capable of integrating educational, clinical, and individual services that support and promote the total health of the patient as well as optimal oral health. In addition to the broader goals of the University and the College, the following goals have been adopted. Graduates of the Department of Dental Hygiene are expected to: Be competent in recognition, evaluation, and appropriate treatment of oral diseases. In all settings in which responsibility has been delegated, apply scientific principles and an analytic approach to the practice of dental hygiene, educational endeavors, public health and research. Act as an integral member of the dental health team by performing quality preventive and therapeutic dental hygiene services, in a variety of settings, in order to improve the oral health status of the consumer. Function as a valuable member of interdisciplinary teams of health personnel recognizing the unique contributions of each discipline. Communicate effectively with patients and colleagues, develop intellectual curiosity and demonstrate the skills necessary to enhance learning and continue professional development throughout their career. The curriculum is designed and implemented with the goals as a foundation. The facilities offer a good environment for basic science and pre-clinical instruction, laboratory and clinical experiences. Faculty are dedicated to excellence; sensitive to the depth of the curriculum offered; offer a wide range of professional experiences; and attempt to establish an atmosphere of respect and understanding with students. The program goals require that students provide appropriate treatment of oral diseases, apply the scientific principles and an analytic approach to all aspects of dental hygiene practice, act as an integral member of the health team, communicate effectively with patients and colleagues and demonstrate skills necessary to enhance continued professional development. In order to meet the goals of the program, one of the educator's primary challenges is to provide opportunities to foster and improve the students' critical thinking skills. This task falls not just to didactic course directors, but even more importantly to clinical instructors who are most likely to have more occasions to reinforce theoretical concepts and apply what has been learned in the classroom to actuality. The attainment of the program's goals necessitate background knowledge and skills in a variety of curriculum areas but just as importantly, the addition of knowledge of the latest scientific advancements and innovations in dental hygiene practice and health care systems. This essential information on the latest scientific advancements is provided by faculty in the classroom, laboratory, clinic and community projects, but training for student involvement both while in the educational process and later as a professional is provided by requiring active participation by the

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students in the attainment of information (i.e., library assignments, reading updated texts, individual research assignments, sharing of information by peer presentations, etc.). The goals are a living document sensitive to the changing needs of the profession. Each year usually in late summer the goals are reviewed, evaluated and revised as necessary by the faculty during a faculty retreat established for that purpose. The retreat is mandatory for faculty affiliated with and/or holding a teaching appointment in the DH program.

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DEPARTMENT OF DENTAL HYGIENE MISSION STATEMENT AND GOALS

DEPARTMENT OF DENTAL HYGIENE MISSION STATEMENT The mission of the Department of Dental Hygiene (DDH) is to improve the health of Oklahomans and shape the future of dentistry by developing highly qualified dental hygienists through excellence in education, patient care, research, community service, faculty, and facilities. GOAL #1: EDUCATION Comprehensively prepare students, through appropriate academic and clinical education, to be qualified dental hygiene professionals. 1.1 1.2

1.3 1.4 1.5 1.6 1.7

Recruit students of the highest quality who can reasonably be predicted to successfully complete the educational programs of the College within specified time frames. Provide appropriate didactic and clinical instruction through an inter- active, competency-based curriculum that is reviewed regularly through an outcomes assessment process and modified as necessary to address the dynamics of a constantly changing profession. Provide didactic and clinical instruction in a diverse positive learning environment that leads to social and ethical development along with technical competency and practice management skills. Prepare students to integrate critical thinking, evidence-based dental hygiene, and life-long learning throughout their dental hygiene careers. Prepare students to practice in a changing healthcare environment. Integrate biomedical and clinical sciences throughout the curriculum. Incorporate intraprofessional and interprofessional education and practice into the curriculum. GOAL #2: PATIENT CARE

Provide appropriately supervised dental hygiene treatment of the highest quality. 2.1 2.2 2.3

Provide high quality efficient comprehensive patient-centered care in a humanistic environment throughout the clinical education programs as an integral component of the College's teaching and service missions. Develop and implement a quality assurance program based on measurable criteria that facilitate reliable and valid assessment. Teach the necessity of professional ethics and responsibility in the delivery of patient care. GOAL #3: RESEARCH and SCHOLARLY ACTIVITY

Create a positive and rewarding academic environment that facilitates research and scholarly activity by both students and faculty. 3.1 Provide faculty with sufficient time, guidance and resources to engage in productive research and other scholarly activities. 3.2 Integrate research with the educational mission of the College by providing students with opportunities for direct experience in meaningful research activities under faculty mentorship. 3.3 Create a culture in which achievements in research and scholarly activity by both faculty and students are recognized and rewarded. 3.4 Encourage and support collaboration with faculty internal and external to the college. GOAL #4: COMMUNITY SERVICE Foster opportunities for involvement in service activities that are consistent with the dental hygienist’s responsibility to promote oral health care as an integral component of the overall health and welfare of the community. 4.1

Promote participation in community and professional organizations by students, faculty and staff. 4.2 Identify new, and strengthen existing, relationships between the College's academic programs and the public. 4.3 Encourage student and faculty participation in and support of professional service organizations that promote the service mission of the College and the dental profession. 4.4 Promote programs and service activities that emphasize an interdisciplinary approach between dentistry and other health professions. 4.5 Instill in students a sense of community service through externships and other opportunities that expand their clinical and cultural experiences. GOAL #5: FACULTY Provide students with highly qualified faculty and provide faculty with an environment that facilitates personal and professional growth. 5.1 Recruit and retain highly qualified faculty with the requisite education, knowledge, clinical skills, and motivation to facilitate student achievement of the College's didactic and clinical goals. 5.2 Provide a total compensation package and an environment that are competitive with peer institutions. 5.3 Provide opportunities for faculty development. 5.4 Promote faculty leadership and service within and outside the institution. GOAL #6: FACILITIES Provide a state-of-the-art educational environment.

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6.1 Incorporate relevant innovations in information technology and management as an integral facet of the College's goals in the areas of teaching, patient care, research, and service. 6.2 Expose students to advanced dental technology and equipment to best prepare them for practice. 6.3 Initiate an ongoing program for facility maintenance and improvement. Adopted by Faculty July 2015

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DEPARTMENT OF DENTAL HYGIENE PHILOSOPHY

The philosophy of the Dental Hygiene Department is one of commitment to the education of oral health professionals who are capable of integrating a full range of knowledge and skills that support and promote the total health of the patient as well as optimal oral health. Competencies serve as the foundation of the curriculum. Program goals require that students provide appropriate prevention and treatment of oral diseases, apply principles of evidencebased practice, act as an integral member of the health team, communicate effectively with patients and colleagues, and demonstrate continued professional development. In order to meet the goals of the program, one of the educator's primary challenges is to provide opportunities to foster and improve the students' critical thinking skills. Students are required to take active roles and responsibility for their education, including attainment of information and skills and self-assessments.

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P&P Section II-‐ CURRICULUM AND COMPETENCIES DENTAL HYGIENE CURRICULUM Access online at: http://dentistry.ouhsc.edu/CurrentStudents/AcademicCalendarsSchedulesCourses.aspx

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COMPETENCIES FOR THE ENTRY-‐LEVEL DENTAL HYGIENIST

Competence: That level of skills, knowledge, and values required by new graduates to begin the practice of dental hygiene. CORE COMPETENCIES (C): Reflect the ethics, values, skills, and knowledge integral to all aspects of dental hygiene practice. The graduate will be able to: C.1 Ethics: Discern and manage ethical issues of dental hygiene practice in a rapidly changing environment and apply a professional code of ethics in all endeavors. 1.1 Apply principles of ethical behavior in decision-‐making, interactions with patients and staff, and personal conduct. 1.2 Apply the ADHA Code of Ethics in the practice of dental hygiene. C.2 Jurisprudence: Adhere to state and federal laws, recommendations, and regulation in the provision of oral health care. 2.1 Apply the provisions of the Oklahoma State Dental Practice Act C.3 Critical Thinking: Use critical thinking skills and comprehensive problem-‐ solving to identify oral health care strategies that promote patient health and wellness 3.1 Locate, critically evaluate, and integrate written and electronic sources of scientific information to improve the oral health of the patient.

C.4

Evidence-based Decision-Making: Use evidence-based decision making to evaluate emerging technology and treatment modalities to integrate into patient dental hygiene care plans to achieve high-quality, cost-effective care. 4.1 Evaluate the safety and efficacy of new diagnostic and treatment modalities and make appropriate decisions regarding the use of new procedures on patients. 4.2 Evaluate and select products for patient care based upon scientific evidence.

C.5

Professional Responsibility: Assume responsibility for dental hygiene actions and care based on accepted scientific theories research, and the accepted standard of care. 5.1 Provide quality dental hygiene services to the public based on current

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theory and research C.6

Self-Assessment: Continuously perform self-assessment for life-long learning and professional growth. 6.1 Evaluate clinical, didactic, and practicum performance and identify factors that would result in an improved outcome.

C.7

Theory Integration: Integrate accepted scientific theories and research into educational, preventive, and therapeutic oral health services.

C.8

Professionalism: Promote the values of the dental hygiene profession through service-based activities, positive community affiliations, and active involvement in local organizations

C.9

Quality Assurance: Apply quality assurance mechanisms to insure continuous commitment to accepted standard of care. 9.1 Utilize appropriate standard precautions in preventing transmission of infectious diseases. 9.2 Understand the role of the Centers for Disease Control and Prevention (CDC), Occupational Safety and Health Administration (OSHA), and Environment Protection Agency (EPA) in regulating dental practices. 9.3 Implement and evaluate measures to minimize occupational hazards. 9.4 Expose radiographs based on patient need in compliance with current accepted professional guidelines.

C.10 Communication: Communicate effectively with diverse individuals and groups, serving all persons without discrimination by acknowledging and appreciating diversity.

10.1 Evaluate factors that can be used to promote patient adherence to disease prevention and encourage patients to assume responsibility for health and wellness. C.11 Documentation: Record accurate, consistent, and complete documentation of oral health services provided.

11.1 Recognize the patient record as a legal document and maintain its accuracy and consistency prior to or during dental hygiene treatment. 11.2 Main confidentiality of patient health information by compliance with HIPAA regulations. C.12 Individualize Care: initiate a collaborative approach with all patients when developing individualized care plans that are specialized, comprehensive, culturally sensitive, and acceptable to all parties involved in care planning. C.13 Professional Collaboration: Initiate consultations and collaborations with all relevant health care providers to facilitate optimal treatments. C.14 Medical Emergencies: Manage medical emergencies by using professional judgment, providing life support, and utilizing required CPR and any

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specialized training or knowledge.

HEALTH PROMOTION AND DISEASE PREVENTION (HP): General knowledge of wellness, health determinants, and characteristics of various patient communities. The graduate will be able to: HP.1 Promote the values of oral and general health and wellness to the public and organizations inside and outside the profession. HP.2 Respect the goals, values, beliefs, and preferences of all patients. HP.3 Refer patients who may have physiological, psychological, or social problems for comprehensive evaluation. HP.4 Identify individual and population risk factors, and develop strategies that promote health-related quality of life. HP.5 Evaluate factors that can be used to promote patient adherence to disease prevention or health maintenance strategies. HP.6 Utilize methods that ensure the health and safety of the patient and the oral health professional in the delivery of care. COMMUNITY INVOLVEMENT (CM): Local, state and national roles of dental hygiene graduates. The graduate will be able to: CM.1 Assess the oral health needs and services of the community to determine action plans and availability of resources to meet health care needs CM.2 Provide screening, referral, and educational services that allow patients to access The resources of the health care system. CM.3 Provide community oral health services in a variety of settings. CM.4 Facilitate patient access to oral health services by influencing individuals or organizations for the provision of oral health care. CM.5 Evaluate reimbursement mechanisms and their impact on patient access to oral health care. CM.6 Evaluate the outcomes of community-based programs, and plan for future activities. CM.7 Advocate for effective oral health care for underserved populations.

PATIENT CARE (PC): A defined process of care in provision of patient care services and treatment modalities. The graduate will be able to: Assessment: PC.1 PC.2

Systematically collect, analyze and record diagnostic data on the general, oral, and psychosocial health status of a variety of patients using methods consistent with medico-legal principles. Recognize predisposing and etiologic risk factors that require intervention to prevent disease. 16

PC.3 PC.4

Recognize the relationships among systemic disease, medications, and oral health that impact overall patient care and treatment outcomes. Identify patients at risk for a medical emergency, and manage the patient care in a manner that prevents an emergency.

Dental Hygiene Diagnosis: PC.5

Use patient assessment data, diagnostic technologies, and critical decision making skills to determine a dental hygiene diagnosis, a component of the dental diagnosis, to reach conclusions about the patient’s dental hygiene care needs.

Planning: PC.6

Utilize reflective judgment in developing a comprehensive patient dental hygiene care plan. PC. 7 Collaborate with the patient and other health professionals as indicated to formulate a comprehensive dental hygiene care plan that is patient-centered and based on the best scientific evidence and professional judgment. PC.8 Make referrals to professional colleagues and other health care professionals as indicated in the patient care plan. PC.9 Obtain the patient’s informed consent based on a thorough case presentation

Implementation: PC.10 Provide specialized treatment that includes educational, preventive, and therapeutic services designed to achieve and maintain oral health. 10.1 Partner with the patient in achieving oral health goals. Evaluation: PC.11 Evaluate the effectiveness of the provided services, and modify care plans as needed. PC.12 Determine the outcomes of dental hygiene interventions using indices, instrument, examination techniques, and patient self-reports as specified in patient goals. PC.13 Compare actual outcomes to expected outcomes, re-evaluating goals, diagnoses, and services when expected outcomes are not achieved 13.1 Evaluate patient satisfaction with the oral health care received and the oral health status achieved. PROFESSIONAL GROWTH AND DEVELOPMENT (PGD): Communication, problemsolving, and critical thinking skills required to positively influence the dental hygiene profession and increase patients’ access to the oral health care system. The graduate will be able to: PGD.1 Pursue career opportunities within health care, industry, education, research, and other roles as they evolve for the dental hygienist. 1.1 Describe the six roles of the dental hygienist as defined by the American

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Dental Hygienists’ Association. PGD.2 Develop practice management and marketing strategies to be used in the delivery of oral health care. 2.1 Implement and gauge the effectiveness of a re-care system. 2.2 Develop skills to enhance teamwork and efficiency in the dental office. 2.3 Effectively manage business aspects of dental hygiene practice. PGD.3 Access professional and social networks to pursue professional goals. 3.1 Identify the importance of professional organizations through participation in student professional organization. 3.2 Develop mechanisms for professional networking. Adopted by Faculty June 16, 2014

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CLINICAL COMPETENCIES BY STUDENT LEVEL Pre-Clinic I *Dental Charting *Medical History Infection Control Oral Inspection and Recording (EIE) Multiple Instrument Competencies Prophy Cup Polishing Fluoride Tray & Varnish Clinic II Sealant Placement Instrument Sharpening -‐Manual Instrument Sharpening-‐Sidekick Care of Removable Prosthesis *Risk Assessment Scaling I Plaque Removal/Polishing Medical Emergencies Clinic III Total Technical Competency Ultrasonic Scaling Scaling II Clinic IV Local Anesthesia Nitrous Oxide/Oxygen Sedation Mock WREB

*Competency determined by written exam All other competencies examined by clinical exam

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CLINICAL PROGRAM REQUIREMENTS Total&Req.&before&Graduation& Cumulative&from&CDH&II9CDH&IV& Radiographs:, 10,FMX,&,5,panoramic, LA:, 10,IAN, 5,PSA, 3,MSA, 3,infraorbital, 2,nasopalatine, 2,greater,palatine, 2,mental, Sealants, 12, Pediatric, 3, Adolescent, 2, Special,needs,2,

CDH&II&(DH&3312&&&3313)& Patients& • 6,Prophylaxis,&,PM Sealants& •4 Radiographs& • 1,FMX • 1,panoramic,survey

Competencies&

Instrument,sharpening,w/stone, Instrument,sharpening,w/sidekick, Patient,specific,dental,hygiene,care, plan/risk,assessment, Care,of,removable,appliance, Polishing, Scaling,I, Sealant,(on,clinical,partner),

Other:& ! mentor,meetings,2X/semester&

CDH&III&(DH&4336&and&4341)&

CDH&IV&(DH&4446&and&4341)&

2,Pediatric,(Erika Cheadle (30502) & Jessica Blackwell (33411) ORAL SURGERY Evanna Avery 14441 Gold Clinic, 3rd floor Dispensary 16532 Dr. Steven M. Sullivan, Chair 50055 > Listina Reygers (30612) & Deena Spaeth (30486) Dr. Kevin Smith, Residency Prog Director 50056 Green Clinic, 4th floor Dispensary 16953 Dr. Alan Miyake > Athina Griffin 30495 vacant 46966 Yellow/Orange Clinic, 4th floor Dispensary 12360 Lisa Nichols, Administrative Coordinator 46964 > Thelma Diaz 33250 Jennifer Romreill, Surg Tech/Team Lead 46971 Evanna Avery, Admin Asst 14441 DEANS Appts: Pre-doct & Post-doc Oral Surg Clin 14079 Dr. Raymond Cohlmia, Dean 15444 Dr. John Dmytryk, Academic Affrs 15444 ORTHODONTICS Terrie Birdsong 16087 Mr. Michael Ferguson, Admin/Finance 15444 Dr. Frans Currier, Chair 46836 Dr. Kevin Haney, Student Affrs 13530 Dr. John Clayton 46837 Dr. Sharukh Khajotia, Research 12929 Dr. Mark Felton 33025 Mrs. Kathy Miller, Quality & Assurance 34143 Dr. Onur Kadioglu, Grad Program Dir 33275 Dr. Paul Mullasseril, Clinical & Preclin Educ 16400 Ortho Clinic (Yellow-Orange) 14148 Dr. Stephen Young, Dean Emeritus 15444 ORTHO, GRAD Terrie Birdsong 14271 Dr. Onur Kadioglu, Director 46836 DIVISION CHAIRS Terrie Birdsong 16087 Dr. Susan Settle, Oral Biology 15988 Dr. Dunn Cumby, Community Dent 14919 OU DENTISTRY 15714 * Dr. Frans Currier, Development Dent 16087 Dr. Paul Mullasseril, Director Dr. Paul Mullasseril, Restorative Dent 16400 *Appointments Press 1 Dr. Steve Sullivan, Oral/Max Surgery 14441 REV. 06/15/2015

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P&P Section IV-‐ SCHEDULES ACADEMIC CALENDAR, CLINIC SCHEDULE, CLASS SCHEDULE: Faculty and student access online at http://dentistry.ouhsc.edu/CurrentStudents/AcademicCalendarsSchedulesCourses.aspx

FACULTY SCHEDULES Faculty access online through D2L > faculty resources

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P&P Section V-‐ ADHA CODE OF ETHICS, ATTENDANCE, PROFESSIONALISM, INCLEMENT WEATHER ADHA BYLAWS & CODE OF ETHICS ADHA Bylaws and Code of Ethics is available online at: http://www.adha.org/sites/default/files/7611_Bylaws_and_Code_of_Ethics.pdf

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ATTENDANCE

The methods of enforcing the attendance policy will be carried out at the departmental level. Students will be informed of departmental procedures for checking attendance at the beginning of each course. Unexcused absences may result in grade reduction or failure, at the discretion of the department chairperson and/or course director. Clinics Attendance in clinic is required unless the student is excused by the course director. If not treating a patient, the student is expected to assist in clinic or perform other tasks as directed by clinic faculty. Proper Procedure for Reporting Absences for Dental Hygiene Students Unanticipated absences, (i.e., personal illness, family emergency, transportation problems, etc.) are to be reported to individual course directors and the Departmental Student Program Coordinator at 271-‐4435 or specific Site Coordinator on the date the absence occurs. In the case of unanticipated absences necessitating cancellation of patient(s), it is your responsibility to notify the patient and the Clinical and/or Site Coordinator. Anticipated absences, (i.e., family events, advanced program interviews, personal business, doctor appointments, etc.) should be discussed with appropriate faculty prior to the time of the absence. For any absence, individual course absence policies will apply and arrangements for make-‐up work must be made with individual course directors.

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ATTITUDE/PROFESSIONALISM Members of the health professions need to exemplify the traits which they hold as objectives for others if response and cooperation is to be expected. As future members of a health profession, dental hygiene students must be willing to accept the responsibilities placed on them in order to prove themselves capable of assuming future responsibilities. The transition from layperson to professional which must be made during professional training is not easy, but can be facilitated by the individual's striving to learn and transferring this learning to clinical experiences. Professional behavior is a combination of technical skills, mature observation and judgment, and ethics. Technical skills are achieved through the preclinical dental hygiene course and gradually refined through clinical experiences until the students achieve the level of proficiency required for graduation. Clinical observation of normal and abnormal must be mastered, based on the knowledge acquired in the didactic clinical courses and in clinical experiences. Judgment is based on obtaining and utilizing pertinent information gained through observation and patient need, patient-‐student interaction, technical skills and continuing clinical experiences. Professional ethics is concerned with the conscientious use of technical skills, observation and judgment affecting the patient's health and well-‐being, interpersonal relationships, community involvement and a commitment to service. The following are specific expectations of dental hygiene students at The University of Oklahoma. A willing attitude on the part of the student to accept these responsibilities in a positive manner is partial evidence of {our ability and sincere desire to become an effective member of the dental health team. General Clinical Guidelines The clinic manual is available on the OU COD website, and students should follow all policies/procedures therein Certain procedures (i.e.: asepsis, appearance, patient management, professionalism, patient education, etc.) apply to each patient and are considered part of the total competency evaluation . The student will utilize feedback given by instructors on all procedures. Once a student has achieved competency in a certain procedure, that procedure may be subject to spot checks. An unsatisfactory spot check will require an additional demonstration of competency for that procedure. Faculty must be in clinic for any procedure to be started on a patient. PTP is to be obtained from a clinical instructor before procedures are begun. General Clinic Conduct During clinic sessions, students entering the clinic must be in uniform. According to the departmental policy, food, drinks, or smoking are not allowed in the clinic area.

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Professional Conduct Class, Laboratory and Clinic Attendance You are expected to attend all classes, laboratories, and clinic sessions and to have patients for all clinic appointments. Absenteeism from pre-‐clinic to laboratory and clinic sessions must be reported to the dental hygiene Student Program Coordinator at 271-‐4435 and the course director in advance of the session to be missed. Gum chewing is not permitted in any area where patient contact is likely. Professional Attitude Shows initiative while seeking to utilize free time. Uses time efficiently. Demonstrates responsibility for the total preventive treatment of all patients assigned. Demonstrates discretion when conversing in the clinic. Protects patient's rights to privacy. Upholds honest and ethical behavior in all situations Demonstrates maturity in judgment, actions and reactions during clinical situations. Willingness to accept suggestions for improvement and evaluation of procedures gracefully. Continued eagerness to learn. Placing the patient's welfare first when planning and implementing patient care. Attitudes of respect, concern, and cooperation toward fellow classmates, support personnel, and faculty. Honesty.

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COLLEGE OF DENTISTRY DRESS CODE (PROFESSIONAL APPEARANCE POLICY) Clinic Guidelines Hair must be kept clean, neat, and out of the patient's face and operator’s eyes. Long hair must be secured on back of head, not allowing it to fall forward while in clinic and the pre-‐clinic laboratory. Headbands may be worn that are non-‐decorative and plastic so that they may be decontaminated. (Embellishments, such as rhinestones, are not allowed.) Fabric headbands that can be laundered are also acceptable. No other hair adornments are permissible in clinic. Hands must be clean and well manicured, with fingernails short and free of nail polish, to ensure efficient work and cleanliness. Nails must not extend beyond fingertips. Artificial nails are not permitted. Visible tattoos and any hair color not found in nature must be covered. Certain jewelry, rings (with the exception of smooth surface wedding rings), decorative watches, long necklaces or large earrings must be removed during patient treatment, to avoid unnecessary collection of microorganisms and possible cross-‐contamination. Unadorned, small watches and short, small necklaces are acceptable, but must be concealed by disposable gown. No jewelry worn in facial body piercing (other than ear lobes) is allowed. Small earrings not extending beyond the ear lobe are acceptable Scrub tops and pants are required as general clinic attire. Scrubs are issued as part of your student kit. Students are responsible for laundering them. Scrubs must be ironed and/or starched. Either a white or a solid color T-‐shirt, which matches or compliments the scrub color, may be worn under the scrub top, provided no writing or design is visible. The shirttail of the T-‐shirt is worn inside the scrub pants. Altered scrubs must follow original design. Hems of pants MUST NOT touch the floor. Shoes must be clean, protective and in the judgment of the attending clinical faculty. Shoes must be made of a non-‐penetrable material. Socks covering the ankles are required. Solid color is permitted, but must be the same color and not patterned! *No food, drink, chewing gum, application of cosmetics, placing/removing contact lenses, brushing teeth in the clinic area Violations of this policy will be handled in the following manner: 31

First offense: verbal/written warning (‘A’ on clinic eval form) Second offense: ‘N’ on clinic eval form Third offense: Professional Concerns Report/Dismissal from clinic

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DENTAL HYGIENE DEPARTMENT INCLEMENT WEATHER PROCEDURES Since many dental hygiene students and faculty commute from different locations and for various distances, there has been a considerable degree of confusion expressed about what to do when the weather is snowy and/or icy, and one or more sites close or are delayed. Weather conditions have varying impact on regions of the state and occasionally one or more sites may be OFFICIALLY closed. It is the student’s responsibility to determine whether their campus is officially closed, has altered hours of operation, or will meet for classes or clinics even if other sites are closed. ALL STUDENTS should: Verify whether your site is officially closed (see below). Check email and D2L sites for information from specific course directors regarding classes. Course directors may choose to hold class for those students whose sites are open and post a recording, cancel class, alter hours, or post an assignment. If your site is open and others are closed, confirm whether clinic will be held at your site even if classes are cancelled. Carry the phone numbers of your rotations and patients with you. In the event the campus closes or clinic start time is delayed, you must contact your patients with the information. Official closing notification: HSC Students: Check the OUHSC website at ouhsc.edu for a weather announcement posted on the home page. You can additionally call the Weather Line at 405-‐271-‐6499. TCTC Students: If the College closes or cancels classes due to weather conditions, Mrs. Snyder will call the class presidents and email TCTC students. If TCTC is open, clinic may be held even if other sites are closed; students will be notified. SOTC Students: Closure information can be obtained on local news channels. Additionally, an SOTC instructor will contact the students either by email or phone to notify them of the closure (usually between 6:00 and 7:00 am). If SOTC is open, clinic will be held even if other sites are closed. WTC Students: Students will be notified of closures or delays by text, phone call and/or email. WTC may hold clinic if the Weatherford campus is open, even if OU or the main campus in Burns Flat is closed; students will be notified. Our greatest concern is for safety; therefore, each individual should use his or her best judgment as to whether it is safe to travel based upon individual circumstances that exist. We expect that all concerned are responsible and professional and that they will be cognizant of the problems that may ensue due to an absence. Therefore, if class, clinic, and/or rotation is being held as scheduled, but you feel that it is not safe for you to travel, you MUST: Class: contact your course director(s), site coordinator and the Departmental Student Program Coordinator. Clinic or Rotation: contact the clinical or site coordinator, your patient, AND the rotation site.

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P&P Section VI-‐ ONSITE PROVISION OF SERVICES K-‐12, FERPA, D2L ON-‐SITE PROVISION OF SERVICES AT K – 12 SCHOOLS POLICY Application of Policy This policy applies to all employees, residents and students of the University of Oklahoma Health Sciences Center and OU-Tulsa who provide University sponsored services on K – 12 school premises. Faculty, staff, or students who volunteer to perform services unrelated to the business of the University to support humanitarian, charitable, or public service activities are not subject to this policy; but are subject to any policies and procedures regarding background checks established by the organization where they volunteer to provide services. Purpose Oklahoma state law prohibits entities that contract with or provide services to school districts from allowing any person to provide services on school premises if the person has been convicted of any sex offense, subject to the Oklahoma Sex Offenders Registration Act (or similar state or federal law), or any felony offense, within the past ten years. The entity providing services is legally responsible for compliance with this law. This policy is intended to ensure the state law requirements for persons providing services on K-12 school premises are met, and the University provided on-site services meet their commitments. Statement of General Policy It is the policy of the University of Oklahoma Health Sciences Center and OU-Tulsa that all employees, residents and students who provide on-site services on K – 12 school premises complete the University of Oklahoma Declaration Regarding Prohibition of Sex Offenders and Convicted Felons on School Premises form and have this background information verified prior to and as a condition of providing onsite services to schools. Faculty, staff, or students who volunteer to perform services unrelated to the business of the University to support humanitarian, charitable, or public service activities are not subject to this policy, but are subject to any policies and procedures regarding background checks established by the organization where they volunteer to provide services. This policy applies to all employees, residents and students who provide any University sponsored on-site services to K – 12 schools. Individuals subject to this policy must notify Human Resources and their department if there is any change in their status regarding criminal or violent offender registry. Declining to submit the declaration is grounds for not selecting or allowing an individual to participate in the services. Discovery of violations of University policies shall be handled in accordance with paragraph C, Sanctions for Violation. Appropriate action will be taken by the department in consultation with the applicable campus Human Resources office. University of Oklahoma Health Sciences Center Human Resources September 1, 2006

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FERPA (FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT) Access FERPA online at any time: http://admissions.ouhsc.edu/FERPA.aspx

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DESIRE2LEARN Instructions for Students How to Access Desire2Learn: Enter the D2L site at https://learn.ouhsc.edu/ Sign-on using campus username and password Click on the course that you wish to enter

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P&P Section VII-‐ BOARD EXAMS DENTAL HYGIENE BOARD EXAMS NATIONAL BOARD DENTAL HYGIENE EXAM (NBDHE) 211 East Chicago Ave Chicago, IL 60611-‐2678 www.ADA.org 800-‐232-‐1694 Date: Must be scheduled during spring semester (not before spring break) at Pearson VUE Testing Center. This must be scheduled between the first day of spring break or prior to the last day of class in May, and cannot interfere with any class or clinic sessions Application process online, after January 1. Requires 2 passport photos

WESTERN REGIONAL BOARD EXAM (WREB) 9201 N. 25th Ave. Suite 185 Phoenix, AZ 85201 (602) 944-‐3315 Fax (602) 371-‐8131 Email: [email protected] www.wreb.org Application process online after January 1 *Must submit verification from COD Requires 2 passport photos Results available usually 2-‐3 weeks

OKLAHOMA BOARD OF DENTISTRY JURISPRUDENCE EXAM FOR STATE LICENSURE 201 NE 38th Ter., #2 Oklahoma City, Ok 73105 (405) 524-‐9037 www.state.ok.us/dentist/ Date: 3rd – 4th week of April Application process: form available 1st of March Requires physical exam Requires passport photo Must be notarized

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P&P Section VIII-‐ STUDENT ORGANIZATIONS DENTAL HYGIENE CLASS OFFICERS ELECTION AND DUTIES ELECTION PROCESS

• •

The faculty advisor will call and preside over a class meeting for the purpose of electing officers Nominations will be accepted from the floor and voted by office. Candidates for each office will be provided two minutes to speak to

•

Votes will be counted by the site faculty advisor and an appointed official.

•

their colleagues if desired.

JUNIOR CLASS OFFICER JOB DESCRIPTIONS/DUTIES PRESIDENT will: 1 AT EACH SITE • • • • • • •

Call and preside over meetings of the Site Class Assume responsibility for representing the Site Class and act as spokesperson for the Site Class when indicated Act as liaison between Dental Hygiene Department Co-‐Chairs, Site Coordinators, and the Class Be responsible for informing DH Department Co-‐Chairs of Class activities, event, and functions Coordinate functions, schedule locations of events for the Class with the Dental Hygiene Department, Dean's office and various COD departments as necessary Call a meeting in April of the first year to elect Senior Class Officers Serve as member of the Class Executive Council

VICE-‐PRESIDENT will: 1 AT EACH SITE • • • •

Assume duties of the President in case of absence Assist the president in organization of class functions Carry out other duties assigned by the president Serve as member of the Class Executive Council

SECRETARY/ TREASURER will: 1 AT EACH SITE • • • • • •

Collect and deposit individual site class funds Maintain an accounting system for individual class funds Work with COD accounting Department to monitor class funds derived from the Student Activity Fee Record minutes from class meetings Disburse funds on behalf of the class Serve as member of the Class Executive Council

Class Executive Council will consist of: Site Presidents Site Vice Presidents Site Secretary/Treasurer 39

Duties: • •

Plan and coordinate class activities, events, and social functions (in collaboration with DH I and DH II Executive Councils from individual sites or jointly with all sites if indicated Delegate class members to arrange facility, time, invitations, food, beverages and clean up

DH I STUDENT COUNCIL REPRESENTATIVES (2) will: *MUST BE OKC SITE STUDENTS AS MEETINGS OCCUR ON WEDNESDAY AFTERNOONS AT 5:00PM AT COD OKC Site President, VP will represent all sites as a voting members of Student Council • • • •

Represent the DH I Class from all sites on the Student Council (STUCO). Attend monthly STUCO meetings Volunteer as appropriate in activities organized by STUCO Keep classmates informed about the activities of STUCO and promote participation in its activities

STAPLES SOCIETY REPRESENTATIVE will: MUST BE OKC SITE STUDENT • • •

Attend and participate in Staples Society meetings Participate as appropriate in the various activities and fund raisers of the Society Keep classmates informed about activities of the Society and promote participation in Society activities

YEAR BOOK COMMITTEE will: 1 AT EACH SITE • •

Responsible for collecting pictures and other information about the class for publication in the yearbook Coordinate items, photos, etc. from class to be included in the COD yearbook

SADHA OFFICERS: TERM OF OFFICE ADHA Student Officers will be elected fall semester junior year and will continue these elected positions through the senior year ELECTION PROCESS • • • • • •

Elections will occur separately at each site on an agreed upon day The faculty advisor(s) at each site will call and preside over a class meeting for the purpose of electing officers Three officers* will be elected at each site: President, Vice-‐President, Secretary-‐Treasurer Additional nominations will be accepted from the floor and voted by office Candidates for each office will be provided two minutes to speak to their colleagues Site-‐specific voting will occur and votes counted by each advisor

OFFICER DUTIES President-‐elect will: • •

plan assigned ADHA meeting date and speaker in collaboration with the Site ADHA Student Member Faculty Advisor(s) inform class of ADHA and ODHA (Oklahoma Dental Hygienists’ Association) meeting dates, activities, and national and state issues

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Vice President-‐elect will: • •

represent the president in her/his absence assist the president with planning meetings and functions

Secretary/Treasurer-‐elect will: • •

record proceedings from ADHA meetings collect and deposit ADHA funds

*Additional officer positions may be added based upon the site-‐specific need (i.e., Hospitality Chair, Fundraising Chair, etc.) DH I CLASS SITE FACULTY ADVISOR will: provide guidance and counsel to class officers approve individual site fund-‐raising activities EPIC (Empowering Patients Through Interprofessional Collaboration) PROJECT Faculty-‐appointed DH II (2-‐4 Students each year); OKC Site due to dates/times of meetings Four 4-‐hour instruction sessions in Fall semester Four Evening Clinic sessions in Spring semester

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JUNIOR YEAR RESPONSIBILITIES ALL STUDENTS • • •

Fundraising Senior Sendoff Assist Seniors with WREB backup patient pool

SENIOR YEAR RESPONSIBILITIES ALL STUDENTS • • • •

New Class Welcome during orientation Fundraising Christmas Party (Optional) WREB Backup patient pool

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CONSTITUTION OF THE UNIVERSITY OF OKLAHOMA STUDENT MEMBER ORGANIZATION OF THE AMERICAN DENTAL HYGIENISTS’ ASSOCIATION ARTICLE I – NAME The name of this organization shall be the University of Oklahoma Student Member Organization of the American Dental Hygienists’ Association, hereafter referred to as “the Organization” or this Organization. ARTICLE II – OBJECTIVES The objectives of this Organization shall be to cultivate, promote, and sustain the art and science of dental hygiene, to represent and safeguard the common interest of the members of the dental hygiene profession, and to contribute toward the improvement of the oral health of the public. ARTICLE III – ORGANIZATION The membership of this Organization shall consist of an unlimited number of dental hygiene students who are attending the accredited program of dental hygiene at the University of Oklahoma College of Dentistry. ARTICLE IV – OFFICERS The elective officers of this Organization shall be six (6) in number per site. The 3 senior class officers shall be the President, Vice President, and the Secretary/Treasurer. The 3 junior class representatives shall be the President-‐Elect, Vice President-‐Elect, and the Secretary/Treasurer-‐Elect. ARTICLE V – MEETINGS Meetings shall be held as deemed necessary by the SADHA Advisors and the Officers who shall determine the date, time, and place. ARTICLE VI – PRINCIPLES OF ETHICS The Principles of Ethics of the American Dental Hygienists’ Association shall govern the professional conduct of all members. ARTICLE VII – AMENDMENTS This Constitution may be amended by a two-‐thirds (2/3) affirmative vote of the membership provided that the proposed amendments or revisions shall have been presented in writing to the Executive Council and advisor 30 days prior to the voting.

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BYLAWS OF THE UNIVERSITY OF OKLAHOMA STUDENT AMERICAN DENTAL HYGIENISTS’ ASSOCIATION Adopted, 2001 CHAPTER I – MEMBERSHIP Section I – Classification. The membership of the University of Oklahoma Student American Dental Hygienists’ Association shall be classified as Active Membership. Section II – Qualifications. The active members shall be dental hygiene students enrolled in University of Oklahoma, College of Dentistry, who are of good moral character, who possess a satisfactory scholastic standing, and who are Student Members of the American Dental Hygienists’ Association. Section III – Privileges. Members shall be entitled to an annual membership card, a subscription to Journal of Dental Hygiene, the Access news magazine, admission to any scientific session of the Association at the current student rate, and such other services provided by the American Dental Hygienists’ Association or the Oklahoma Dental Hygienists’ Association for the benefit of student members. CHAPTER II – OFFICERS Section I – Number and Title. The officers of the University of Oklahoma Student Member Organization shall be six (6) in number per site. (President, Vice President, Secretary-‐Treasurer, President-‐Elect ,Vice President-‐Elect, and Secretary/Treasurer-‐ Elect.) Section II – Qualifications. Any active junior Class student member of SADHA may be elected to serve as President-‐Elect, Vice President-‐Elect, or Secretary/Treasurer-‐Elect. Section III – Nominations and Elections. President-‐Elect, Vice President-‐Elect, and Secretary/Treasurer-‐Elect officers are elected at the beginning of their junior year by floor nominations and class vote. The candidate receiving the majority of votes cast for each office shall be declared elected. Section IV – Tenure of Office. The President-‐Elect, Vice President-‐Elect, and Secretary/Treasurer-‐Elect will serve until the completion of their junior year, at which time they will automatically advance without election to the offices of President, Vice President, and Secretary/Treasure, respectfully. Section V – Vacancies. In the event of a vacancy in one of the offices, the Executive Council and Student Advisor(s) shall consider all factors which govern the situation, and shall determine the course of action. Section VI – Duties President. The duties of the President shall be: To set the date, time, and place of all meetings. To preside at all meetings. 45

To call special meetings. To appoint members of all committees. To perform such other duties as may be expected of the President or as may be provided in these bylaws. To maintain communications with the Oklahoma Dental Hygienists’ Association and the American Dental Hygienists’ Association. Vice President. The duties of the Vice-‐President shall be: To preside at all meetings in the absence of the President. In the event that the President’s term of office is terminated, the Vice President will preside as President for the duration of the President’s term of office. Secretary/Treasurer. The duties of the Secretary/Treasurer shall be: To announce all meeting information in advance to the membership. To serve as secretary for all meetings, and submit minutes of each meeting to the Advisor. To prepare correspondence. To collect and preserve data relative to the history of the Organization. To maintain an official register of all members with current home addresses, telephone numbers, Social Security numbers, class level (1st yr., 2nd yr., graduate, etc.). To submit news of the Organization to the school publications, and to the publications of the American Dental Hygienists’ Association and Oklahoma Dental Hygienists’ Association. To maintain accurate financial records of the Organization. To endorse each expenditure of the Organization and obtain a second signature of either the SADHA Advisor or the Senior Staff Accountant at the University of Oklahoma College of Dentistry. To submit a financial report and at the commencement and completion of their office, at each local meeting, or as requested by the Advisor or President. President-‐Elect. This officer shall advance to the office of President, without election, at the completion of the current President’s term. Vice President-‐Elect. This officer shall advance to the office of Vice President, without election, at the completion of the current Vice President’s term. Secretary/Treasurer-‐Elect. This officer shall advance to the office of Secretary/Treasurer, without election, at the completion of the current Secretary/Treasurer’s term. CHAPTER III – MEETINGS Section I – Regular Meetings. Meetings shall be held as deemed necessary by the SADHA Advisors and Officers.

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Section II – Special Meetings. Special meetings may be held with one-‐week notice to the members. Section III – Quorum. 1/2 of the active members of the Organization shall constitute a quorum for the transaction of business. Section IV – Order of Business. Unless changed by a quorum affirmative vote, the order of business at each meeting shall be: Call to Order Advisor’s Report Unfinished Business New Business Programs Adjournment CHAPTER IV – ACTIVITIES The Student Advisors and Officers shall determine the focus of activities. Proper protocol would then consist of presentation of ideas to the general membership for their discussion and approval through a majority vote. CHAPTER V – COMMITTEES The presidents shall appoint members. Committees shall prepare goals. Meetings on a semi-‐regular basis are recommended. Committee activities should be presented to the general membership for their input, support, and approval. CHAPTER VI – FINANCES Section I – Membership Dues. Each member shall submit dues with the membership application. Individual site dues will be determined and collected for the expenditures of the University of Oklahoma component at each site. Two (2) signatures will be required for payments by check from the SADHA account. The Secretary/Treasurer will provide one signature, and the other will be either the SADHA Advisor or the Senior Staff Accountant of the University of Oklahoma College of Dentistry or financial officers at each distant site. . CHAPTER VII – PARLIAMENTARY AUTHORITY Robert’s Rule of Order Newly Revised shall govern all meetings of this Organization in all cases to which they are applicable and in which they are not inconsistent with these bylaws. CHAPTER VIII – AMENDMENTS These bylaws may be amended upon two-‐thirds (2/3) affirmative vote of the members present and voting provided that written notice has been given to the members seven days prior to voting.

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P&P Section X-‐ CLINICAL TRACKING, REMEDIATION & MENTORING

48

CLINICAL DENTAL HYGIENE III (DH 4336 and DH 4331) FALL 2015

Name_________________________________ Mentor Meeting Dates/Mentor signature

A: N: Remediation:

Competencies Avg X .60 = Pt Experiences (#/40) X .40 = Total = 2 Ns in any category -‐2 Min. requirements not met -‐5 Mentor meetings not met -‐2 Unexcused clinic absence -‐2 GRADE =

Competencies Total Tech Ultrasonic Calculus Detection Scaling II Transitional Dent. AVG =

Prophylaxis (8) Periodontal Maintenance (6) NSPT (1 pt/4quads) _____________________________ _________________________________ _________________________ _____________________________ _________________________________ _________________________ _____________________________ _________________________________ _________________________ _____________________________ _________________________________ _________________________ _____________________________ _________________________________ Re-‐evaluation _____________________________ _________________________________ _____________________________ _________________________________ _____________________________ _________________________________ _____________________________ _____________________________ Other Requirements Impressions _______ Local Anesthesia Study Cast _______ 5/10 IAN_______ _______ _______ _______ _______ _______ Sealants _______ _______ _______ _______ 2/5 PSA _______ _______ _______ Pediatric pt _______ _______ 1/3 MSA _______ _______ Adolescent pt _______ 1/3 ASA _______ _______ Special Needs _______ _______ 1/3 infraorbital _______ _______ Desensitization _______ 1/2 nasopalatine _______ _______ Chemotherapeutics _______ 1/2 greater palatine _______ _______ Radiographs 1/2 mental _______ _______ FMS _______ _______ _______ PAN _______ _______ PA _______ HBW_______ _______ _______ _______ _______ _______ _______ VBW_______ _______ _______ _______ _______ _______ _______

Patient Experiences 8/24 AP 8/25a_______ 8/25p_______ 8/26 _______ 8/27 _______ 8/31 _______ 9/1 a _______ 9/1 p _______ 9/2 _______ 9/3 _______ 9/7 Holiday 9/8a _______ 9/8p _______ 9/9 _______ 9/10 9/14 AI Lab 9/15a _______ 9/15p _______ 9/16 _______ 9/17 _______ 9/21 _______ 9/22a _______ 9/22p _______ 9/23 _______ 9/24 _______

9/28 _______ 11/2 ______ 9/29a_______ 11/3a _______ 9/29p_______ 11/3p_______ 9/30 _______ 11/4 ______ 10/1 11/5 _______ 10/5 11/9 _______ 10/6a_______ 11/10a ______ 10/6p_______ 11/10p______ 10/7 _______ 11/11 ______ 10/8 _______ 11/12 ______ 10/12 LA LAB 11/16 ______ 10/13a _____ 11/17a_____ 10/13p______ 11/17p______ 10/14 _______ 11/18______ 10/15 _______ 11/19 _______ 10/19 ______ 11/30 _______ 10/20a______ 12/1p _______ 10/20p_______ 12/2 _______ 10/21 _______ 12/3 _______ 10/22 _______ 12/7 _______ 10/26 BOOST LAB 12/8a _______ 10/27a ________ 12/8p________ 10/27p _______ 12/9 _________ 10/28 _______ 12/10 _______ 10/29 _______

CLINICAL DENTAL HYGIENE IV (DH 4446 and 4341) SPRING 2015

Name_________________________________ Mentor Meeting Dates/Mentor signature

A: N: Remediation:

Prophylaxis (10) _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________

Comps total points: X .60 = Pt Experiences( /40) X .40 = Total = 2 Ns in any category -‐2 Min. requirements not met -‐5 Mentor meetings not met -‐2 Unexcused clinic absence -‐2 GRADE

Periodontal Maintenance (6) _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

Competencies Air Polishing _________ X .10 _________ Transitional Dent. ________ X .10 _________ Calculus Detection ________ X .15 _________ Mock WREB ________ X .40 _________ Local Anesthesia ________ X .25 _________ N2O P/F Total Points

=

NSPT (1 pt/4quads) _________________________ _________________________ _________________________ _________________________ Re-‐evaluation

Requirements Other

Sealants _______ _______ _______ _______ Local Anesthesia Pediatric pt _______ _______ 5/10 IAN_______ _______ _______ _______ _______ Adolescent pt _______ 2/5 PSA _______ _______ _______ Special Needs _______ _______ 1/3 MSA _______ _______ Desensitization _______ 1/3 ASA _______ _______ Chemotherapeutics _______ 1/3 infraorbital _______ _______ Impressions/Study Casts_________ 1/2 nasopalatine _______ _______ 1/2 greater palatine _______ _______ Radiographs 1/2 mental _______ _______ FMS _______ _______ _______ PAN _______ _______ PA _______ HBW_______ _______ _______ _______ _______ _______ _______ VBW_______ _______ _______ _______ _______ _______ _______

Patient Experiences 1/11 _______ 1/12a _______ 1/12p _______ 1/13 _______ 1/14 _______ 1/18 Holiday 1/19a _______ 1/19p _______ 1/20 _______ 1/21 _______ 1/25 1/26a _______ 1/26p _______ 1/27 _______ 1/28 ______ 2/1 _______ 2/2a _______ 2/2p _______ 2/3 _______ 2/4 _______ 2/8 _______ 2/9a _______ 2/9p _______ 2/10 _______ 2/11 _______ 4/26p________

2/12a_______ 3/23 ______ 2/12p_______ 3/24 ______ 2/15 3/28 _______ 2/16a _______ 3/29a _______ 2/16p _______ 3/29p _______ 2/17 _______ 3/30 _______ 2/18 _______ 3/31 _______ 2/22 _______ 4/4 _______ 2/23a _______ 4/5a _______ 2/23p _______ 4/5p _______ 2/24 _______ 4/6 _______ 2/25 _______ 4/7 _______ 2/29 _______ 4/11 _______ 3/1a _______ 4/12a _______ 3/1p _______ 4/12p _______ 3/2 _______ 4/13 3/7 _______ 4/14 Sci Day 3/8a _______ 4/18 _______ 3/8p _______ 4/19a _______ 3/9 _______ 4/19p _______ 3/10 _______ 4/20 _______ SPRING BREAK 4/21 _______ 3/21 Local Lab 4/23 _______ 3/22a 4/25 ________ 3/22p 4/26a _______ 4/27_______ 4/28 _________

5/2-‐5/5: OPTIONAL WEEK

5/6-‐9 WREB

PATIENT EXPERIENCE DEFINITION A ‘Patient Experience’ is defined as treatment that is being performed by an OU dental hygiene student, which includes providing dental hygiene treatment while applying the DH Process of Care. The patient experience is supervised and evaluated by OU faculty. Accepted Patient Experience Assessment in process/complete Treatment in process/complete Dental student -‐ Limited to 2 per semester Personal patient – Limited to 2 per semester Pediatric prophylaxis (could have 2 pt. experiences in 1 appt., if 2 prohys are completed) Adolescent prophylaxis (could have 2 pt. experiences in 1 appt., if 2 prohys are completed) Sealant application Screening patients into clinic during clinic session as an assigned screener on the rotation schedule (since an abbreviated POC takes place for this process) 1 pt. exp. for each screening. Prophylaxis on student partner during regular clinic session if assessment is completed as part of tx and confirmed by CI -‐ Limited to 1 per semester Treatment at Good Shepherd Ministries at evening Pedo Clinics No Patient Experience No patient in chair during clinic session for tx Student partners during pre-‐clinic (Jr. year) Injections on student partners Alginate impressions on student partners WREB pt screening Radiology rotation OD rotation Assisting in any clinic Oral surgery rotation Teaching assistant Tx at OKMOM

PEDO PROTOCOL 4 Pedo prophys -‐12 and under (Cumulative from CDHII-‐CDHIV) 2 adolescent prophy patients (13-‐18) Over-‐flow adolescent prophy patients do not count toward adult prophy requirements but DO qualify as a “patient experience”. (Cumulative from CDHII-‐CDHIV) 12 sealants. (Cumulative from CDHII-‐CDHIV). Includes the one sealant completed on student partner during sealant assessment junior year. 4 of the 12 sealants can be completed on patients over 15 years of age; remaining 8 sealants must be completed on patients age 15 and under.

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CLINICAL REMEDIATION PROTOCOL If student scores less than 75% on clinical competencies, the student must self assess errors and undergo remediation with the assigned faculty mentor. The student must retake the competency until a score of 75% is achieved. The initial grade will stand. PROTOCOL for remediation of other clinical skills: Faculty will review clinical deficiencies tracking form weekly to identify areas of concern and the need for student remediation. JUNIOR STUDENT 1. After 3 Ns in one category on the Clinical Evaluation Form: • 2 points will be deducted from the clinical course grade. • Remediation is required with faculty mentor. 2. Student must complete a self-assessment of the error prior to meeting with faculty mentor, using the Remediation Self Assessment Worksheet. 3. Mentor will give prescriptive feedback, using the Remediation Contract. SENIOR STUDENT 1. After 2 Ns in one category on the clinical evaluation form • 2 points will be deducted from the clinical course grade. • Remediation is required with faculty mentor. 2. Student must do a self-‐assessment of the error prior to meeting with faculty mentor, using the Remediation Self Assessment Worksheet. 3. Mentor will give prescriptive feedback, using the Remediation Contract.

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PATIENT CARE REMEDIATION AGREEMENT I ,

have agreed to participate in one-‐on-‐one remediation for the clinical course. I understand that I have not progressed with the development of my patient care skills for the level that is expected at this time in the dental hygiene curriculum, and that I am not performing these skills at a level that is required to successfully complete the course. I also understand that there is no guarantee that my dental hygiene mentor can bring my skills to the required level of performance through remediation sessions. I agree to meet on the following date(s) with my faculty mentor for one-‐on-‐one instruction.

I understand that prior to meeting with my mentor I will self-‐assess my skill deficiency/deficiencies on the self-‐assessment worksheet. I will be evaluated on my self-‐ assessment and ability to correct deficiencies during the remediation session(s). My dental hygiene faculty mentor will provide verbal and written feedback on my progress. I understand that I am the only person who can assure my success in learning and retaining the skill level necessary for competent patient care.

Student

Date

Clinical Instructor Identifying Deficiency

Date

Remediation Mentor

Date

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REMEDIATION SELF-‐ASSESSMENT WORKSHEET

REMEDIATION SELF-ASSESSMENT WORKSHEET Student Name ______________________________ Date_____________________ Clinical Instructor__________________________________

Error

Self-assessment of Error

Remediation Date ________________________ Remediation Mentor ______________________________________ FACULTY COMMENTS:

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Correction Method

MENTORING Faculty Mentor’s Role The faculty mentor’s role is to provide students with guidance in: professional development academic and clinical concerns (i.e., monitoring of grades and clinical tracking progress) ethical issues The goal of the mentoring meetings is to aid in student success by proactively anticipating challenges and promoting positive outcomes. Mentors strive to address student needs pertaining to the dental hygiene program and may facilitate referrals to appropriate academic and clinical resources. Student’s Role in Mentoring As a partner in the mentoring relationship, the student is responsible for: Scheduling and maintaining regular communication with his or her assigned mentor. Preparing in advance for mentoring meetings by: setting daily and weekly goals for program progression assessing attainment of goals identifying impediments to achieving goals monitoring grades/and clinical tracking Goals To attain and maintain regular communication between students and assigned mentors regarding clinical, didactic, ethical and programmatic issues. To provide guidance in areas of clinical skills needing attention or development (“A” or “N” on clinical evaluation) To provide remediation as stated in the Clinical Remediation Protocol. Meetings Meetings must be scheduled a minimum of every four (4) weeks Meeting length should average 15-‐30 minutes Students will be assigned to a new faculty mentor every eight (8) weeks Mentors will advise appropriate Clinical Coordinator and/or Program Chair of clinical outcomes immediately following mentor meeting Meeting format can be face-‐to-‐face or virtual meeting place (iChat, Skype, etc.) as agreed on by both mentor and student. NOTE: Email will not be utilized for the mentoring session.

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STUDENT/FACULTY MENTOR MEETING FORM Topics to address at mentoring session: Professional Progress Positive outcomes or deficiencies* related to Professional appearance Punctuality Attentiveness to feedback Preparedness Positive attitude Ethical judgment Respectful to others Confidentiality Protocol adherence Teamwork Academic Performance Current status in didactic courses (excellence and deficiencies) Student goals for academic progression Impediments to achieving goals Progress toward attainment of previous goals Need for tutoring (Identify specific courses & notify Program Chair) Clinical Performance Area(s) of clinical competence attained Area(s) of clinical deficiencies noted* Remediation required* Current goals for clinical progression Impediments to achieving goals Progress toward attainment of previous goals Distance sites: Attach completed chart audit form Advise Clinical Coordinator of any deficiencies/remediation For remediation sessions: complete the remediation agreement, schedule remediation sessions, and have student complete Remediation Self-‐assessment Form prior to remediation. Ethical Issues* Aware of the core values’ (autonomy, confidentiality, societal trust, non-‐maleficence, beneficence, justice and fairness, and veracity) role in the educational setting. Practices professional responsibility to self, family, friends, patients, peers, professors, community and society. *Taken in part from the American Dental Hygienists’ Association code of Ethics for Dental Hygienists.

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MENTORING NOTES Date:

Student Name

Professional Development

Academics

Clinical

Ethical

Student Signature

Faculty Signature

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P&P Section XI-‐ OKC SITE CLINICAL ROTATIONS DHI OUCOD OKC SITE CLINICAL ROTATIONS DHI Assist Faculty Practice Assist Graduate Periodontics Assist Implantology Assist Comprehensive Care Assist Oral Diagnosis Assist Senior DH Clinic CLINICAL REQUIREMENTS The Dental Hygiene Clinic Manual contains the goals, requirements and protocol for each rotation site. Students are advised to consult this manual prior to attending each rotation. Orientation to the rotations will be scheduled at the beginning of the semester prior to students' attendance in the rotation.

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ASSIST FACULTY PRACTICE GOALS: To provide the dental hygiene student with the opportunity to: Assist the assigned hygienist with various duties, such as room disinfection, room set-‐up and break-‐down, or any other assisting tasks deemed necessary by the hygienist. In the event the RDH has a cancellation, then the student may assist in the instrument sterilization area, radiology or the front office. REQUIREMENTS: Attend scheduled rotations as listed on the CDH I Rotation Schedule. Faculty Practice is on the 4th floor of the COD. You are assigned according to the rotation schedule from 1:00-‐4:00 pm. Appropriate clinic attire and safety glasses are mandatory. You will be provided with any other safety equipment required. PROTOCOL: Students are to report to Sherri Lewis-‐Eleby and present a Rotation Report Form. She will assign the student to a specific dental hygienist, to perform room disinfection, room set-‐up and break-‐down, as well as assisting the RDH as needed. When the student is not assisting, they are to be observing the hygienist. The dental hygiene student is expected to be present during the entire assigned time and must be dismissed by Sherri Lewis.

ASSIST GRADUATE PERIODONTICS GOAL: To provide the student with the opportunity to: Apply the didactic principles and clinical skills learned in Clinical Dental Hygiene I to assist senior dental hygiene students or graduate periodontics residents. REQUIREMENTS Attend scheduled grad perio clinic rotations as listed on the Clinic Rotation Schedule. Dress in appropriate clinic attire and bring safety glasses. You will assist a graduate periodontics resident during a surgical procedure. Principles of four-‐handed dentistry are to be followed during assisting. Also, you may assist in the care, sterilization and disinfection of instruments and equipment. PROTOCOL Students are to report to the Grad Perio clinic before 1:00 pm. Please report to Jean Lapham and present your Rotation Report Form. The rotation representative will instruct the student as to his/her specific duties for that clinic session. The dental hygiene student is expected to be present during the entire clinic session. 60

ASSIST IMPLANTOLOGY GOALS: To provide the dental hygiene student with the opportunity to: Assist and observe implant procedures and/or maintenance. REQUIREMENTS: Attend scheduled rotations as listed on the Rotation Schedule. The Implantology Clinic is located on the 4th floor of the COD, in the left side of the Green Clinic. Clinic begins at 1:00 pm. You will assist and observe a dental hygiene student during implant maintenance and/or assist and observe a dental student during the completion of restorative care. Appropriate clinic attire and safety glasses are mandatory. PROTOCOL: Students are to report to Mrs. Miller and present a Rotation Report Form. Mrs. Miller will then direct the dental hygiene student with regard to his/her specific duties for the duration of the clinic session. You are expected to utilize four-‐handed dentistry methods. The dental hygiene student is expected to be present during the entire procedure/clinic session and must be dismissed by Mrs. Miller.

ASSIST COMPREHENSIVE CARE CLINIC GOALS: To provide the dental hygiene student with the opportunity to: Assist and observe the preparation and placing of amalgam and composite restorations. REQUIREMENTS: Attend scheduled rotations as listed on the Rotation Schedule. Comprehensive Care Clinic is conducted on the 3rd floor of the COD. Clinic begins at 1:00 pm. You will assist and observe a dental student during the preparation, restorative, and carving phases of amalgam or composite restorations. Appropriate clinic attire and safety glasses are mandatory. PROTOCOL: Students are to report to the faculty/dentist in charge in the Comprehensive Care Clinic and present a Rotation Report Form. The dentist in charge will then direct the dental hygiene student to assist a dental student utilizing four-‐handed dental methods and observe dental procedures. The dental hygiene student is expected to be present during the entire procedure/clinic session or until released by the faculty of the assigned clinic.

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ASSIST ORAL DIAGNOSIS GOALS: To provide the dental hygiene student with the opportunity to: Assist and observe in the oral diagnosis screening clinic and radiology. REQUIREMENTS: Attend scheduled rotations as listed on the Rotation Schedule. The Oral diagnosis clinic is located on the 2nddfloor of the COD. Clinic begins at 1:00 pm. You will assist and observe a dental or dental hygiene student during the oral diagnosis screening clinic. Appropriate clinic attire and safety glasses are mandatory. PROTOCOL: Students are to report to the dentist in charge to present a Rotation Report Form. The dentist in charge will then direct the dental hygiene student to assist a dental student utilizing four-‐handed dental methods. The dental hygiene student is expected to be present during the entire procedure/clinic session or until released by the faculty of the assigned clinic.

ASSIST SENIOR DENTAL HYGIENE CLINIC GOALS: To provide the student with the opportunity to: Apply the didactic principles and clinical skills learned in Clinical Dental Hygiene I in assisting senior dental hygiene students. REQUIREMENTS Attend scheduled senior clinic rotations as listed on the Clinic Rotation Schedule. Dress in appropriate clinic attire and bring safety glasses. You will assist a senior dental hygiene student during the assessment and treatment of a patient utilizing the four-‐handed dental methods. You will also assist with axiUm/digital charting. When patient treatment has been completed, assist in care, sterilization and disinfection of instruments and equipment. PROTOCOL Students are to report to DH Faculty in the Green Clinic at 1:00 pm and present a Rotation Report Form. DH Faculty will instruct the student as to his/her specific duties for the clinic session. The dental hygiene student is expected to be present during the entire clinic session. REV. 7-‐15

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P&P Section XI-‐ OUCOD OKC SITE CLINICAL ROTATIONS DH II OUCOD OKC SITE CLINICAL ROTATIONS-‐ DHII

Clinic Assistant Crossings Community Clinic Good Shepherd Mission Patient Screener Implantology

Oral Diagnosis Pediatric Dentistry Radiology Tinker Air Force Base Comprehensive Care

CLINICAL REQUIREMENTS 1. Students will provide dental hygiene services to patients during the fall semester above named clinical rotations. In each of these rotations, students will be under the direct supervision of dental, dental hygiene faculty and/or staff. 2. The Dental Hygiene Clinic Manual contains the goals, requirements and protocol for each rotation site. Students are advised to consult this manual prior to attending each rotation. Orientation to the rotations will be scheduled at the beginning of the semester prior to students' attendance in the rotation. 3. Student use of local anesthesia and nitrous oxide analgesia is prohibited until notification by the course director that the student has attained a passing grade in the didactic and clinical exams for the use of local anesthesia and nitrous oxide analgesia.

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CLINICAL ASSISTANT ROTATION GOALS To allow each student the opportunity to experience dental assistant duties. The duties involve skills necessary for: l) efficient maintenance of the clinic and 2) chairside assistance in dental hygiene procedures. Students will serve as clinical assistants in the event that there is no patient available during clinic. REQUIREMENTS: 1. Dispensing instruments and supplies to dental hygiene students prn. 2. Assist clinicians/instructors, as requested, with procedures such as periodontal charting and ultrasonic scaling. Duties: Students assigned to clinic assistant position will perform the following infection control procedures: l. Observe asepsis protocol in clinic. 2. Procure and distribute equipment and supplies in accordance with asepsis protocol. 3. Abide by clinical asepsis protocol when assisting clinician chairside oral stations. 4. Wear appropriate barrier equipment when handling contaminated, caustic or otherwise dangerous materials. These materials will be labeled. See section on Safety Protocol. 5. Properly sterilize, disinfect, sanitize equipment, instruments, and counters. Students assigned to be clinic assistant should report to the clinic 15 minutes before the clinic begins and should remain on duty until the close of the clinic period when all students and patients have left the clinic area. Reporting: The clinic assistant should report to the Clinical Coordinator to receive specific duties. However, any faculty member may request the student's help.

ASSIST SENIOR DENTAL HYGIENE ROTATION

GOALS To provide the student with the opportunity to: Apply the didactic principles and clinical skills learned in Clinical Dental Hygiene I and II in assisting senior dental hygiene students.

REQUIREMENTS Attend scheduled senior clinic rotations as listed on the Clinic Rotation Schedule. Dress in appropriate clinic attire and bring safety glasses. Assist a senior dental hygiene student during the assessment and treatment of a patient. (Principles of four-handed dentistry are to be followed during assisting.) Assist in care, sterilization and disinfection of instruments and equipment.

PROTOCOL Students are to report to the Clinical Coordinator and present a rotation report form to her. She will instruct the student as to his/her specific duties for that clinic session. The dental hygiene student is expected to be present during the entire clinic session.

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CROSSINGS COMMUNITY CLINIC

DENTAL CLINIC 10255 N Pennsylvania Ave, The Village, OK 73120 (405) 749-0800 Mrs. Carolyn Ray, R.D.H., Professor Mrs. Melissa Stutzman, R.D.H., Clinical Assistant Professor Dr. John DuPlessis, Supervising Dentist Kortni Howerton, Dental Assistant/Scheduling Coordinator (M) 405-823-9415 GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Clinical Dental Hygiene and Dental Hygiene Process of Care to providing dental hygiene services to adults from the community. REQUIREMENTS Dress in appropriate clinic attire and bring your safety glasses/loupes. Bring all necessary forms. Check out ultrasonic unit from Green Clinic Bring package of Arestin (syringe will be provided) Petite syringe if needed Bring Kit C and either Kit A or B (need 2 kits) ultrasonic inserts PROTOCOL Students should report to The Crossings Community Center 30 minutes prior to first scheduled appointment at 8:30 a.m. (8:00 a.m.) Students will be required to provide the following services (but not exclusively) for adult periodontal patients during the scheduled clinic session: 1. 2. 3. 4. 5. 6.

Assess and/or update the medical history. Charting as needed Provide patient education and oral hygiene instruction. Provide a prophylaxis, NSPT (non surgical periodontal therapy; scaling & root planing) fluoride treatment, chemotherapeutics and desensitization as needed. Expose and process radiographs as indicated by dental faculty. Administer local anesthesia as needed, following successful completion of DH 4472 Anxiety and Pain Control.

A Rotation Report Form must be signed by supervising faculty and turned in by noon on Friday of the week of the rotation for credit.

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GOOD SHEPHERD MISSION The Mission Clinics-Good Shepherd Ministries, OKC, Inc. 1201 North Robinson Ave Street (12 & Robinson) Oklahoma City, Ok 73103 (405) 232-8631 Dr. Jeannie Bath, D.D.S.- Dental Clinic Director Dr. Leta Langford, D.D.S.- Supervising Dentist Kathy Rogers, R.D.H. Clinical Assistant Professor (405) 271-5579 ext 46525 (405) 410-6367 (M) www.goodshepherdokc.org th

GOAL: To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Developmental Dentistry and Clinical Dental Hygiene to providing dental hygiene services to children from the community. REQUIREMENTS Dress in appropriate clinic attire and bring your safety glasses/loupes. Bring all necessary forms. (Clinic Evaluation, Local Anesthesia form, Rotation Form, Competency form.) Ultrasonic units will be provided at GSM. Bring C kit and either A or B kit, (two kits needed), hand piece and ultrasonic inserts. Bring package of Arestin (syringe will be provided). Petite syringe if needed. PROTOCOL Students should report to The Good Shepherd Mission no later than 8:30 am for 9:00 a.m. Tuesday and 12:30 for 1:00 p.m. Thursday clinics. Students will be required to provide the following services (but not exclusively) for dental hygiene patients during the scheduled clinic session: 1. 2. 3. 4. 5.

Assess and/or update the medical history. Hard tissue charting as needed. Perform comprehensive periodontal examination. Provide patient education and oral hygiene instruction. Provide a prophylaxis, periodontal maintenance, NSPT, chemotherapeutics, desensitization, fluoride treatment, and sealants as needed. 6. Expose digital radiographs as indicated by faculty. 7. Administer local anesthesia as needed, following successful completion of DH 4472 Pain Control. A Rotation Report Form, Clinic Evaluation Form with any Competency Forms and Local Anesthesia Forms must be signed by supervising faculty and turned in by noon on Friday of the week of the rotation for credit.

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IMPLANTOLOGY 4th floor, Green Clinic Mrs. Kathy Miller, R.D.H., M.Ed Professor and Assistant Dean For Quality Assurance And Compliance, Director of Patient Relations Clinical Faculty Department of Implantology (405) 271-8001 x 34143 GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Clinical Dental Hygiene to providing dental hygiene services to patients with dental implants. REQUIREMENTS Attend scheduled implantology rotations as listed on the Clinic and Rotation Schedule. Dress in appropriate clinic attire and bring your safety glasses. Specific implant instruments will be available in the clinic PROTOCOL Implantology Rotation Orientation for DH II’s ♦ Arrive at 8:30 a.m. to prepare for clinic. ♦ We are on the north side of the Green Clinic on the 4th floor. ♦ Oral hygiene products are in the red/black cabinet and in the upper cabinets. ♦ Bring your Midwest handpiece, personal safety eyewear (loupes w/light if you have them), and a watch with a second hand. ♦ Complete the PTP guide and see Mrs. Miller for PTP as you would in general clinic (follow laminated guide sheet). Have your PTP notes entered into axiUm. ♦ Radiographs are exposed and developed in Oral Radiology on the 2 floor. ♦ No dental charting; chart recall perio prn on perio chart; EIE findings are noted in the clinical notes. ♦ Follow appointment procedure guidelines on clinic laminate. ♦ Recall appointments are scheduled by Mrs. Miller at the end of the appointment. ♦ You will escort the patient to the Implantology front desk to pay for that day’s service. ♦ Be sure to complete a clinical performance assessment form (the same one you use in general clinic). ♦ A rotation form only needs to be completed if you did not provide any direct patient care. ♦ Distance students need to have parking cards validated in the Dean’s office. nd

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IMPLANT MAINTENANCE RECALL Department of Oral Implantology Implant Maintenance Prophylaxis/Oral Hygiene Instructions Complete Denture/Fixed Detachable Oral Hygiene Products Needed: Ø Tapered end tuft brush (bent under hot water at the appropriate angle for the patient, set with cold water) Ø 2 row sulcus brush Ø Conventional toothbrush Ø Implant Superfloss -‐ use the single dose packet at chairside to ensure the patient has the motor skills to use this product and then dispense a take-‐home package. This product is now available at Walmart. Ø Denture brush Ø Toothpaste Optional Oral Hygiene Products: Ø Proxabrush (if the patient is unable to use the superfloss or merely prefers these over the superfloss) Ø Tongue cleaner (if the patient is unable to adequately clean their tongue with a toothbrush) Prophylaxis Instructions Ø Place the maxillary denture in the ultrasonic cleaner following the posted instructions. Ø Intraorally, debride any soft accretions first by brushing and flossing. Ø Use the tapered end tuft brush for the lingual aspect and the two-‐row sulcus brush for the facial aspect of the base of the fixed prosthesis and the posts. Use a very small amount of toothpaste and then rinse the brushes and re-‐brush with water only to remove any toothpaste residue. Ø Use a wet conventional toothbrush to clean the fixed prosthesis acrylic (NO toothpaste). Ø Floss all appropriate areas including underneath the distal extensions. Ø Scale any calculus found on metal structures with a titanium curette. Be sure to dry thoroughly with compressed air and effectively use light reflection and indirect vision during your assessment. Ø Re-‐toothbrush polish scaled areas. Ø Clean the maxillary denture as outlined in the posted instructions and store in the water/Crest Pro Health rinse in the denture cup until Mrs. Miller has completed her patient examination.

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DEPARTMENT OF ORAL IMPLANTOLOGY Implant Maintenance Prophylaxis/Oral Hygiene Instructions Complete Denture/Complete Denture with Bar and Clip(s) Oral Hygiene Products Needed: Ø Tapered end tuft brush (bent slightly under hot water at the appropriate angle for the patient, set with cold water) Ø Implant Superfloss -‐ use the single dose packet at chairside to ensure the patient has the motor skills to use this product and then dispense a take-‐home package. Ø Denture brush Ø Toothpaste Optional Oral Hygiene Products: Ø Proxabrush (if the patient is unable to use the superfloss or merely prefers these over the superfloss) Ø Tongue cleaner (if the patient is unable to adequately clean their tongue with a toothbrush) Prophylaxis Instructions Ø Place both dentures in the ultrasonic cleaner following the posted instructions. Ø Intraorally, debride any soft accretions first by brushing and flossing. Ø Use a very small amount of toothpaste and then rinse the brush and re-‐brush with water only to remove any toothpaste residue. Ø Floss under the bar and around the posts. Ø Scale any calculus found with a titanium curette. Be sure to dry thoroughly with compressed air and effectively use light reflection and indirect vision during your assessment. Ø Re-‐toothbrush polish scaled areas. Ø Clean the dentures as outlined in the posted instructions and store in the water/Crest Pro Health rinse in the denture cup until Mrs. Miller has completed her patient examination.

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• • •

•

• • • • • • • • • •

• • • • •

WORK FLOW FOR IMPLANT MAINTENANCE RECALL APPTS. Jana indicates on the schedule that the patient is present by selecting “pt checked in”. The student indicates that the pt. has been seated by right clicking on the appt. and selecting “Pt seated”. Student completes the MedHx ONLY in the EHR under the forms tab. The pt. should not sign the MedHx until after it has been reviewed by faculty. If updating an existing MedHx, use Control R to advance to each question with unchanged answers to (this enters the new date of review). Be sure to include all information on drugs being taken. Student completes the PTP template note in the EHR under the tx history tab. Select new note and select the PTP template note (continuing care) from the General Notes bundle. Be sure to select the location as Green Clinic 1/Implantology. Be sure to include the presence or absence of a chief concern in the comments on the PTP note and notify faculty if there is a potential need for a lab repair. Student enters the codes for the procedures for that appt.(i.e. D6080 for implant maintenance, D0330 for pano). The faculty approves the planned tx codes at ptp. If pano is needed, student should inform patient of the cost of this additional service. PTP is presented at chairside and faculty has the pt. sign the MedHx and approves the MedHx, the planned procedure codes, and the PTP note. Student fills out paper Radiology slip and takes patient to Radiology if a panoramic radiograph is needed. Student places any removable prostheses in the ultrasonic following the posted instructions. Student performs the Extra-Intraoral Examination (EIE) including evaluating the status of the implants, stability of the prosthesis(es), adequate closure of access holes, and the status of the health of the supporting tissues. Student records periodontal/perimplant findings and plaque on the perio chart as needed. Be sure to name the examination. Implant maintenance prophylaxis is completed (see reference laminate) and OHI delivered. Complete implant system/prosthesis adjustments as may be necessary. Perform fluoride tx for natural dentition if indicated. Student completes the clinical template note (attaching it to the procedure code). Select the Implant Maintenance procedure code (D6080) and right click; Near the top of the selection list is “add tx note”, select this option and select the Implant Maintenance note in the Implantology bundle in template notes. Student selects the procedures completed and right clicks on the procedure and indicates it as completed. When recall card appears, click on the plus sign and close the card. Faculty examines the patient; approves the note and completed procedure codes. Mrs. Miller schedules the next recall appt. Pt is checked out with Jana. Commonly used codes:

D6080

Implant Maintenance

D6078 Fixed Detachable Prosthesis D6053 Implant retained over-denture D5110 Conventional max. denture

D0330 Panoramic Film D5867 Replace Implant part

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PTP Pt presents as a

yr old

(ethnicity) female/male

Pt’s medical hx includes Date and nature of last visit with physician If Diabetic, has the pt. taken meds today? Yes Has pt eaten today? Yes (following pt’s normal regimen)

No No

Pt’s current meds are for

(condition)

Dental considerations with these meds are Pt’s vital signs are: BP

Resp

Pulse Pt does/does not have a chief complaint Pt’s last pano was taken Pt has no changes in address or phone / pt has changes in address or phone.

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ORAL DIAGNOSIS

2nd floor, OD clinic 271-4945 Dr. Susie Beavers-Clinic Faculty Dr. Farah Masood- Clinic Faculty Dr. Emile Farha-Clinic Faculty Dr. Lida Radfar-Clinic Faculty Dr. Doug Rockwood-Clinic Faculty

Dr. Susan Settle, Chair Listina Reygers, Clinic Coordinator Donna Harrison- Radiology Technician Pam Lujan - Radiology Technician James Price - Radiology Technician

GOALS To provide the dental hygiene student with the opportunity to: Perform oral examinations on patients applying for dental treatment at the College of Dentistry. Assist dental students in providing emergency dental care to patients. Purpose of screenings: • Provide suitable patients for dental hygiene and dental students • Provide students with a diagnostic experience • Increase awareness of oral conditions beyond patients assigned to you REQUIREMENTS Attend oral diagnosis rotations as listed in the Clinic and Rotation Schedule. Dress in scrubs and bring your safety glasses/loupes. Comply with College of Dentistry Infection Control Policies.

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OD PATIENT SCREENING ORIENTATION Clinic hours 9:00 to 12:00; 1:00 to 4:00 10 minutes prior to set up your chair and orientation

• • •

NO AUTOMATIC BLOOD PRESSURE CUFFS STUDENT AND PATIENT CELLPHONES ON SILENT **BE SURE ARM REST IS DOWN before seating or dismissing the patient**

Settings on patient chairs 0 is down for patient to be seated and dismissed 1 MAXILLARY 2 MANDIBULAR When removing water bottles to fill, please make sure the unit is turned off. FLUSH EVACUATIONS AND AIR/WATER SYRINGES FOR 20 – 30 SECONDS. Students are to stay until everyone on rotation is through with screenings. Please do not leave the CLINIC area while waiting for your patient to come back from Radiology or while waiting for the next screening patient to show. If you need to leave the clinic please let the Faculty know. If another student is with a patient and needs assisting please help. When wiping down the units always use provided disinfecting towelettes. Never wear your gloves when coming up to the dispensary to get your supplies, because you should remove gloves and wash your hands after wiping down the unit area. EXAM KITS and AIR/WATER TIPS are at the counter in the dispensary. SAFETY GLASSES please clean and place back in tub in dispensary. Patients only in clinic if possible, due to HIPAA, never discuss any health history questions or procedures in waiting room. Patients are appointed during FALL SEMESTER: Monday-Thursday 9:00, 10:30, 1:00, 2:30 Friday 9:00, 10:30 and 1:00

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If you do not have a patient you must assist someone. NO Immediate Dentures of any kind. You may request the patient that you screened during the week of your rotation. You will make a comment in the comment section on screening form as follows: “Please consider assignment to John Smith” It should be the last notation. It is not a guarantee that the patient will be assigned to you. Clinic Operations will make that decision. Remember mask and glasses go on before your gloves. Once you have the gloves on do not touch your mask, glasses and/or hair. There is a list of patients in the order that they came on the counter. After seating the patient you will need to go over the OUCOD Policy, Health History and take blood pressure. Right click on the patient’s name on the schedule and click Seat Patient. It will then turn black on the schedule. Double click on patient and input your student ID. Then go to the PHR, Tx History, Add, Macro Codes,(in Macro codes there are three codes that you will normally use so they are all together there; pano, bitewings and exam. Click Screening Pt and then click on the tooth symbol. Click OD Template Notes for screening. Click Forms, new record, OUCOD screening form, go over medical info and screening form with patient. Add form, click radiology request for facility to approve. If the patient is approved go to tx history and plan a FMX for the work up appointment which has to be approved. Then add template note, OD template screening end note. (If you need help with the computer the clinic coordinator, facility, or a fellow student can help). Next you will do the exam and chart missing teeth and existing. Probe and type your findings. Follow the list of medical history questions and note medications. Once you have an idea of what the patient might need you will then present your case. YOU MUST BE READY TO PRESENT WITHIN 30 MINUTES OF SEATING THE PATIENT. You and the Faculty will decide what, if any, radiographs are needed. Faculty will do an exam before they approve x-ray request. Faculty will approve the Radiograph Request, along with noting what x-rays are needed. You will seat the patient back in the waiting room and go set up a chair in Radiology. You will then return to waiting room from the radiology side and retrieve your patient to take the x-rays yourself. (Someone in Radiology will HELP you). Review the x-rays and then talk to the faculty to decide if the patient is accepted. Then let the patient know if they are accepted or not. Once you and the Faculty have made the decision whether or not the patient will be tentatively accepted or rejected make sure you tell the Clinic Coordinator if the patient is accepted or rejected because she notes that in the computer. The Clinic Coordinator also does the referrals in axiUm. If the patient is accepted for the Dental student program you will tell them they are “TENTATIVELY” accepted. If the patient is not accepted make notes in the computer.

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If patient was “TENTATIVELY” accepted and may need more films then they will get a FMX at their first work up appointment. There are NO REFUNDS of screening fees. If they have an emergency they must seek help with a private dentist or call 271-7744 (the communication office) and make an appointment. If a patient is to be placed straight on the Endo list, we must make sure that we have a PA of the tooth. Then note in the screening comments as follows: PLACE ON ENDO LIST #24. And if you would like to have it assigned to you then just note John Smith would like to do the Endo. But remember it is not a guarantee that it will be assigned to you and Endo department has the final say wither or not treatment can be completed at OUCOD. Patients being screened with teeth that need to be extracted for dentures and having more than 6 teeth will be rejected. If they have 6 teeth or less we may tentatively accept. Patient rejected due to High Blood Pressure, we can credit the screening fee to their account. Refer the patient to their Physician; after patient has seen Physician and has a letter they can call the communication office for another screening. REFERRAL TO GRADUATE PROGRAMS Inform patient of the cost difference for the Grad programs before calling AEGD or GRADUATE PERIO to request a provider in the graduate program to examine patient. Alert the scheduling coordinator of any referrals made. Patient will be contacted by the referred department. For AEGD referrals, we will then give the patient AEGD business card, and the program will call patient about a screening appointment. Always note in comments the explanation of the rejection, for example: PATIENT REJECTED DUE TO RAMPANT CARIES or FIXED UNITS EXCEED REQUIREMENTS. If the patient would like a copy of x-rays and/or paper work, you will need to take patient to Clinic Operations to fill out request for copies and to pay the fee. At the end of the day please set units back up and place rheostat back in chair.

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Friday at 2:30 you will do a CASE PRESENTATION. Any down time during your week of rotation you will need to write up the treatment plan. Other than that the cases MAY NOT LEAVE THE DEPARTMENT, for any reason. Thank you FALL SEMESTER ONLY DS III will do a Screening Competency. Not on totally edentulous patients.

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PEDIATRIC DENTISTRY AND SEALANT CLINIC 4TH floor, Yellow/Orange Clinic (405) 271-‐5579 X 46525 Dr. Theresa White, Chair, Department of Pediatric Dentistry Mrs. Kathy Rogers, R.D.H. Clinical Faculty Department of Pediatric Dentistry GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Developmental Dentistry and Clinical Dental Hygiene to providing dental hygiene services to children and adolescents. REQUIREMENTS Attend scheduled pediatric dentistry rotations as listed on the Clinic and Rotation Schedule. Dress in appropriate clinic attire. Each student should bring handpiece and instrument kit. PROTOCOL Students should report to Yellow/Orange clinic no later than 12:30 p.m. for Wednesday afternoon clinic. DENTAL HYGIENE STUDENT ORIENTATION FALL SEMESTER PEDIATRIC DENTISTRY Pediatric Dentistry Recalls – Wednesday afternoons in the Yellow/Orange Clinic ◆ One patient will be seen every 90 minutes; use chairs 1, A, B, and C. ◆ Protocol review for BWX: ◆ One year or longer since last BWX ◆ Caries history ◆ Interproximal incipient caries/watch areas from last visit ◆ Diagnostic integrity of last BWX ◆ No BWX if bands and brackets are in place Objectives: 1.

Identify eruption patterns and morphology of the primary dentition and mixed dentition.

2.

Classify occlusion and recognize malocclusion.

3.

Implement and refine communication skills with parents and the child/ 78

adolescent patient. 4.

Recognize indications and contraindications of the patient’s health history and/or oral status and be able to modify treatment plan accordingly.

5.

Expose and evaluate radiographs on the child/ adolescent patient.

6.

Apply clinical guidelines to determine if new radiographs are necessary at recall appointments.

7.

Enhance clinical skills for delivery of care for the pediatric/ adolescent patient and orthodontic patient. This includes instrumentation skills.

8.

Refine dental charting skills.

9.

Implement diagnostic skills for detecting hard and soft tissue lesions/ anomalies.

10. Educate parents and the child/adolescent patient on preventive home care techniques. 11. Implement clinical judgment in the determining type of topical fluoride, indications and contraindications for use. 12. Develop clinical skills for applying sealants and maintenance instruction.

PROTOCOL FOR PEDO DENTAL HYGIENE RECALL

1. Review the patient’s health history before collecting the patient from the reception area. The Health History will be online. Also determine if new radiographs are needed. Remember, no radiographs will be taken if patient has ortho brackets and wires. 2. Call the patient’s name, introduce yourself, check with parent on any health concerns that were reported in history and ask if there have been any changes in health, any medications that are currently being taken, any concerns or teeth that we need to check today. 3. Take the patient back to the clinic and proceed to the chair or radiograph room to expose digital films. 4. Complete a PTP note and get it approved. Add a radiograph request, if needed. 5. Begin with hard/soft tissue exam and check the odontogram for accuracy. Make any changes on the odontogram based on the patient’s current status. i.e; the patient may have a permanent tooth where there was a primary on the last visit. 6. Be sure to note any soft or hard tissue findings and/or crowding, malocclusion, so that you can present those to the attending pedo and ortho faculty upon their exam. 79

7. Do the Gingival and Plaque Index. You will add the “Pedo Oral Hygiene Assessment” and complete the form. 8. Review Oral Hygiene instructions with patient. 9. Scale/ultrasonic as needed. Rubber cup or toothbrush polish. Have DH faculty check the patient. 10. Complete the 3 codes for the procedures done that day, periodic exam, prophy, fluoride. Get codes approved. Add and complete the “Pedo Recall Exam” template note. 11. Have Pedo faculty perform exam. Add codes for any return procedures. 12. Deliver Fluoride treatment (either foam, gel, or varnish). 13. Walk patient out to parent. Discuss findings with parent and/or any recommendations. Walk parent and patient to PSC if the patient needs to schedule a return visit for restorative that was found. Thank the patient and parent. * We will have the parent pre-pay the proper fee before you see the patient, so that they don’t have to wait in line to check out at the end of the appointment. However, if the patient needs to schedule a return appointment for restorative, they will need to be brought to PSC desk.

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ASSIST PEDIATRIC DENTISTRY GOAL: To provide the dental hygiene student with the opportunity to: Assist DH II students in unit set-up, four-handed dentistry, and unit break-down during treatment of children, adolescents and young adults. REQUIREMENTS: Attend scheduled pediatric dentistry rotations as listed on the Clinical Rotation Schedule. Dress in appropriate clinic attire. PROTOCOL: Students should report to DH Faculty in pedo clinic for student assignment.

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RADIOLOGY

2nd Floor, OD Clinic (405) 271-5687 Ms. Donna Harrison-Radiology Tech Ms. Pam Lujan- Radiology Tech M r . James Price - Radiology Tech GOALS To provide the dental hygiene student with experiences that will develop proficiency in intraoral radiographic technique, patient management, radiation protection, infection control, quality evaluation, and diagnostic analysis. Students will be familiarized with panoramic and extraoral technique, darkroom care, film processor maintenance, and radiographic duplication. REQUIREMENTS 1. Attend scheduled Oral Radiology Clinic sessions as assigned on the Clinic and Rotation Schedule. 2. 3.

Complete a minimum of ten complete intraoral radiographic surveys with a 70% score or better. Complete other radiographic procedures as directed during rotations.

PROTOCOL 1. Report to the Radiographic Technicians in the Oral Radiology Clinic for room and patient assignment. 2.

Prepare the cubical and x-ray unit for the patient.

3.

Comply with “Radiation Use Policy” upheld by the University of Oklahoma College of Dentistry.

4.

Expose and process films in compliance with The University of Oklahoma College of Dentistry Infection Control Policy.

5.

Evaluate radiographic quality, document this evaluation and determine the number and type of retake radiographs necessary with the agreement of the teaching faculty.

6.

Complete the rotation report form, recording the names of patients and the number and type of radiographs. Turn this form in to the Senior Clinical Coordinator for credit.

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DH SCREENER in GREEN CLINIC

GOAL To provide the dental hygiene student with the skills to screen prospective patients for DH2 clinic. **Remove Sidekicks from cabinet, place on desk behind unit 20 for use and replace them at the end of clinic. **Acquire sensors from dispensary personnel and return at the end of clinic. REQUIREMENTS Attend scheduled Screener sessions as assigned on the Clinic Rotation Schedule. FORMS Screener should have these forms at operatory 1. Patient recruitment flyers 2. DH Consent for treatment, page 1 and 2 in plastic sheet for patient to read (DHCON will be signed after DH assessment, diagnosis and treatment planning) 4. Rotation Report Form PROTOCOL • • • • • •

Patients will be scheduled through the Communications Center. Screener will see patients at 1:00, 2:00 and 3:00 pm (9:00, 10:00, 11:00 on Thursday) Screener to check the 'screener schedule' in axiUm the day prior to assignment to confirm that there are patients scheduled. If not, contact DH SPC to schedule one of your assigned patients. Patients will check in at the Communications Center on 3rd floor to complete Notice of Privacy Practices, Payment Policy & pay the screening fee, which includes prescribed bitewings. (2- 4) Set up assigned unit & request exam sets from the dispensary personnel Green Clinic. These are in the locked cabinets. (Includes 11/12 explorer, mirror, probe). You may set up an extra chair if one is available. Check with dispensary personnel to verify a chair is available.

In axiUm, add the following codes and notes: D0191H Hygiene screening "SCREMR" D0274.1 (4 bwx) Rad Request "RADREQ" PTP note At end of appt: add template note, general note, and add long text SEQUENCE •

Seat patient 83

Obtain vitals Request PTP from CI. Expose prescribed radiographs (2- 4 BWX) Click on 'screening tab' and select 'perio findings' Quickly probe and record deepest pd in each sextant (PSR index) Explain treatment needed, time involved and fees. Place instruments in autoclave bag & write your Student Name Green Clinic Screener Exam Kit (Place these in the basket for sterilization on the cart at the dispensary) • Fill our Rotation Report Form & have CI sign. Screener will assist other students in clinic when available and will stay until all have finished in clinic to assist with clean up etc.

• • • • • • •

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TEACHING ASSISTANT in JUNIOR CLINIC Senior Clinic Coordinator GOAL To provide the student with the opportunity to apply the didactic principles and clinical skills learned in Clinical Dental Hygiene I, II, III, and IV in assisting and mentoring junior dental hygiene students. REQUIREMENTS Review all class/lab/clinic material(s) prior to attending the rotation. Attend DH-I & DH-II lectures, as instructed to do so by faculty. Attend scheduled junior clinic rotations (see ‘Clinic Rotation Schedule’). Dress in appropriate clinic attire and bring safety glasses. Write a summary of the clinic experience and upload to D2L at the end of the day. DUTIES: Fall Assist and mentor DH I students in lab and clinical exercises Assist clinical faculty as requested Spring 1. 2. 3. 4. • • • • 5.

Check instrument sharpening at the beginning of each clinic session. Assist and mentor radiographic technique Assist and mentor DH I student in organization and treatment sequencing (DH II student is not allowed to record probing depths or hard tissue until notification by faculty) Assist clinical faculty upon request by: evaluating work-ups and documenting results on evaluation form. evaluating polishing and documenting results on evaluation form. providing instrumentation technique feedback and documenting prn providing individualized mentoring at chairside for students Dental hygiene faculty must co-sign all record documentation entries

Write a one-‐page reflection regarding your clinical experience as a TA, including thoughts on professionalism, instrumentation, time management, patient communication, and clinician preparedness. Please do not include the names of the students you were assisting. Place reflection in dropbox on D2L by Friday of the same week you experienced this opportunity. This rotation is for the duration of the academic year (fall and spring semesters).

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TINKER AIR FORCE BASE 72 Dental Squadron 7050 Air Depot Blvd Bldg 1094 TAFB, OK 73145 (405) 582-6474 (dental clinic) (405) 736 -3324 FAX (405) 736-2072 Diana Mills, R.D.H. Staff Dental Hygienist Cell 405.650.7349 [email protected] GOALS To provide the dental hygiene student with experiences that will develop competency in the areas of patient assessment, treatment planning, patient care and adjunct services in an environment similar to a private practice setting. REQUIREMENTS Attend scheduled Tinker rotations as assigned on the Clinic Rotation Schedule. Need to provide: TB test results/vaccine history Dtap and flu vaccine dates OUCOD HIPAA security training Proof of liability (malpractice insurance) Needlestick insurance Automobile registration and proof of insurance CPR card Records may be requested by DH Department Administrative Secretary from: OU Family Medicine Student Health Clinic 900 N.E. 10th St Oklahoma City, Ok 73104; (405) 271-2577 Fax#: (405) 271-4059 Dress in street clothes or wear your scrubs and change into provided clinic attire (provided by Tinker) at the rotation site. Wear your clinic shoes. Take your own instruments and ultrasonic inserts. Be prepared to finish by 3:30…clinic closes at 4:00 Provide patient treatment according to the guidelines established in the TAFB manual. PROTOCOL for Pass and ID (do this prior to rotation, NOT on day of rotation) Enter at Air Depot Gate Get in left hand lane after going through gate & park in visitor parking lot. Acquire Pass and ID at the Visitor's Center located at SE 29th and Air Depot Center is open 24/7. Take driver's license and application for ID card. You will need: 86

2 forms picture identification Current driver’s license (names must match) Current proof of vehicle insurance Current vehicle registration Current vehicle tag Students should report at 1:00 p.m for the afternoon clinic. First patient will be seen at 1:30. Locker assignments and name tags provided. NO cell phone use while driving on base Watch speed!!! Do not park in reserved spots (cars will be towed) Bldg 1094 Important Keep ID safe and secure at ALL times (don't leave it in cars or just laying around). The first one is made at no charge. If lost, the student and Mrs. Mills have to report it to Security Forces (military police) & the Dental Squadron Commander Colonel Stetson. Another will be made with HIS permission & it will cost the student $50.

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COMPREHENSIVE CARE

3rd Floor Clinics, OUCOD Ms. Donna Wood, Sr. Clinic Coordinator Office: 271-‐4445 GOAL: To provide the dental hygiene student with the opportunity to: Apply the didactic and clinical principles learned in CDH Theory I, II and Dental Hygiene Process of Care, to provide dental hygiene services to patients from the community in a comprehensive care setting. REQUIREMENTS Attend scheduled comprehensive care rotations as listed on the Clinic and Rotation Schedule. Dress in appropriate clinic attire. Each student is required to bring his/her reference documents, handpiece, ultrasonic inserts, and instruments with them to their assigned clinic. Students will be required to provide the following services (but not exclusively) for adult periodontal patients during the scheduled clinic session: 1. Assess and/or update the medical history. 2. Charting as needed 3. Provide patient education and oral hygiene instruction. 4. Provide a prophylaxis, NSPT (non surgical periodontal therapy; scaling & root planing) fluoride treatment, chemotherapeutics and desensitization as needed. 5. Expose radiographs as indicated by dental or dental hygiene faculty. 6. Administer local anesthesia, or N2O2 analgesia as needed, following successful completion of DH 4472 Anxiety and Pain Control. 7. Students must complete clinical evaluation form documenting patient services rendered and return form to Senior Clinic Coordinator by noon on Thursday, the week of the scheduled rotation, to receive credit. PROTOCOL Students should report to assigned clinic no later than 12:30 p.m. for Tuesday afternoon clinic.

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P&P Section XII-‐ SOTC SITE CLINICAL ROTATIONS SOTC CLINICAL ROTATIONS ARDMORE SITE CLINICAL ROTATIONS

CLINICAL REQUIREMENTS 1. Students will provide dental hygiene services to patients during the fall and spring semesters in clinical rotation sites as assigned. In each of these rotations, students will be under the direct supervision of dental, dental hygiene faculty and/or staff. 2. The Dental Hygiene Clinic Manual contains the goals, requirements and protocol for each rotation site. Students are advised to consult this manual prior to attending each rotation. Orientation to the rotations will be scheduled at the beginning of the semester prior to students' attendance in the rotation. 3. Student use of local anesthesia and nitrous oxide analgesia is prohibited until notification by Sr. Clinical Coordinator that the student has attained a passing grade in the didactic and clinical exams for the use of local anesthesia and nitrous oxide analgesia. •Note: Administration of local anesthesia must be documented on the Local Anesthesia Report Form to receive credit. CLINICAL ROTATIONS Implantology Radiology Screening Teaching Assistant Dental Practice Observation Mercy Mothers' Oral Health Initiative

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IMPLANTOLOGY 4th floor, Green Clinic Mrs. Kathy Miller, R.D.H., M.Ed Professor and Assistant Dean For Quality Assurance And Compliance, Director of Patient Relations Clinical Faculty Department of Implantology (405) 271-8001 x 34143 GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Clinical Dental Hygiene by providing dental hygiene services to patients with dental implants. REQUIREMENTS Attend scheduled implantology rotations as listed on the Clinic and Rotation Schedule. Dress in appropriate clinic attire and bring your safety glasses. Specific implant instruments will be available in the clinic PROTOCOL Implantology Rotation Orientation for DH II’s ♦ Arrive at 8:30 a.m. to prepare for clinic. ♦ We are on the north side of the Green Clinic on the 4th floor. ♦ Oral hygiene products are in the red/black cabinet and in the upper cabinets. ♦ Bring your Midwest handpiece, personal safety eyewear (loupes w/light if you have them), and a watch with a second hand. ♦ Complete the PTP guide and see Mrs. Miller for PTP as you would in general clinic (follow laminated guide sheet). Have your PTP notes entered into axiUm. ♦ Radiographs are exposed and developed in Oral Radiology on the 2 floor. ♦ No dental charting; chart recall perio prn on perio chart; EIE findings are noted in the clinical notes. ♦ Follow appointment procedure guidelines on clinic laminate. ♦ Recall appointments are scheduled by Mrs. Miller at the end of the appointment. ♦ You will escort the patient to the Implantology front desk to pay for that day’s service. ♦ Be sure to complete a clinical performance assessment form (the same one you use in general clinic). ♦ A rotation form only needs to be completed if you did not provide any direct patient care. ♦ Distance students need to have parking cards validated in the Dean’s office. nd

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IMPLANT MAINTENANCE RECALL Department of Oral Implantology Implant Maintenance Prophylaxis/Oral Hygiene Instructions Complete Denture/Fixed Detachable Oral Hygiene Products Needed: Ø Tapered end tuft brush (bent under hot water at the appropriate angle for the patient, set with cold water) Ø 2 row sulcus brush Ø Conventional toothbrush Ø Implant Superfloss -‐ use the single dose packet at chairside to ensure the patient has the motor skills to use this product and then dispense a take-‐home package. This product is now available at Walmart. Ø Denture brush Ø Toothpaste Optional Oral Hygiene Products: Ø Proxabrush (if the patient is unable to use the superfloss or merely prefers these over the superfloss) Ø Tongue cleaner (if the patient is unable to adequately clean their tongue with a toothbrush) Prophylaxis Instructions Ø Place the maxillary denture in the ultrasonic cleaner following the posted instructions. Ø Intraorally, debride any soft accretions first by brushing and flossing. Ø Use the tapered end tuft brush for the lingual aspect and the two-‐row sulcus brush for the facial aspect of the base of the fixed prosthesis and the posts. Use a very small amount of toothpaste and then rinse the brushes and re-‐brush with water only to remove any toothpaste residue. Ø Use a wet conventional toothbrush to clean the fixed prosthesis acrylic (NO toothpaste). Ø Floss all appropriate areas including underneath the distal extensions. Ø Scale any calculus found on metal structures with a titanium curette. Be sure to dry thoroughly with compressed air and effectively use light reflection and indirect vision during your assessment. Ø Re-‐toothbrush polish scaled areas. Ø Clean the maxillary denture as outlined in the posted instructions and store in the water/Crest Pro Health rinse in the denture cup until Mrs. Miller has completed her patient examination.

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DEPARTMENT OF ORAL IMPLANTOLOGY Implant Maintenance Prophylaxis/Oral Hygiene Instructions Complete Denture/Complete Denture with Bar and Clip(s) Oral Hygiene Products Needed: Ø Tapered end tuft brush (bent slightly under hot water at the appropriate angle for the patient, set with cold water) Ø Implant Superfloss -‐ use the single dose packet at chairside to ensure the patient has the motor skills to use this product and then dispense a take-‐home package. Ø Denture brush Ø Toothpaste Optional Oral Hygiene Products: Ø Proxabrush (if the patient is unable to use the superfloss or merely prefers these over the superfloss) Ø Tongue cleaner (if the patient is unable to adequately clean their tongue with a toothbrush) Prophylaxis Instructions Ø Place both dentures in the ultrasonic cleaner following the posted instructions. Ø Intraorally, debride any soft accretions first by brushing and flossing. Ø Use a very small amount of toothpaste and then rinse the brush and re-‐brush with water only to remove any toothpaste residue. Ø Floss under the bar and around the posts. Ø Scale any calculus found with a titanium curette. Be sure to dry thoroughly with compressed air and effectively use light reflection and indirect vision during your assessment. Ø Re-‐toothbrush polish scaled areas. Ø Clean the dentures as outlined in the posted instructions and store in the water/Crest Pro Health rinse in the denture cup until Mrs. Miller has completed her patient examination.

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• • •

•

• • • • • • • • • •

• • • • •

WORK FLOW FOR IMPLANT MAINTENANCE RECALL APPTS. Jana indicates on the schedule that the patient is present by selecting “pt checked in”. The student indicates that the pt. has been seated by right clicking on the appt. and selecting “Pt seated”. Student completes the MedHx ONLY in the EHR under the forms tab. The pt. should not sign the MedHx until after it has been reviewed by faculty. If updating an existing MedHx, use Control R to advance to each question with unchanged answers to (this enters the new date of review). Be sure to include all information on drugs being taken. Student completes the PTP template note in the EHR under the tx history tab. Select new note and select the PTP template note (continuing care) from the General Notes bundle. Be sure to select the location as Green Clinic 1/Implantology. Be sure to include the presence or absence of a chief concern in the comments on the PTP note and notify faculty if there is a potential need for a lab repair. Student enters the codes for the procedures for that appt.(i.e. D6080 for implant maintenance, D0330 for pano). The faculty approves the planned tx codes at ptp. If pano is needed, student should inform patient of the cost of this additional service. PTP is presented at chairside and faculty has the pt. sign the MedHx and approves the MedHx, the planned procedure codes, and the PTP note. Student fills out paper Radiology slip and takes patient to Radiology if a panoramic radiograph is needed. Student places any removable prostheses in the ultrasonic following the posted instructions. Student performs the Extra-Intraoral Examination (EIE) including evaluating the status of the implants, stability of the prosthesis(es), adequate closure of access holes, and the status of the health of the supporting tissues. Student records periodontal/perimplant findings and plaque on the perio chart as needed. Be sure to name the examination. Implant maintenance prophylaxis is completed (see reference laminate) and OHI delivered. Complete implant system/prosthesis adjustments as may be necessary. Perform fluoride tx for natural dentition if indicated. Student completes the clinical template note (attaching it to the procedure code). Select the Implant Maintenance procedure code (D6080) and right click; Near the top of the selection list is “add tx note”, select this option and select the Implant Maintenance note in the Implantology bundle in template notes. Student selects the procedures completed and right clicks on the procedure and indicates it as completed. When recall card appears, click on the plus sign and close the card. Faculty examines the patient; approves the note and completed procedure codes. Mrs. Miller schedules the next recall appt. Pt is checked out with Jana. Commonly used codes:

D6080

Implant Maintenance

D6078 Fixed Detachable Prosthesis D6053 Implant retained over-denture D5110 Conventional max. denture

D0330 Panoramic Film D5867 Replace Implant part

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PTP Pt presents as a

yr old

(ethnicity) female/male

Pt’s medical hx includes Date and nature of last visit with physician If Diabetic, has the pt. taken meds today? Yes Has pt eaten today? Yes (following pt’s normal regimen)

No No

Pt’s current meds are for

(condition)

Dental considerations with these meds are Pt’s vital signs are: BP

Resp

Pulse Pt does/does not have a chief complaint Pt’s last pano was taken Pt has no changes in address or phone / pt has changes in address or phone.

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RADIOLOGY ROTATION SOTC CLINIC GOALS To provide the dental hygiene student with the opportunity to: Expose radiographs on patients that have been accepted for dental treatment at the clinic. Purpose of radiology rotation: • Provide students with a diagnostic experience • Increase skill in radiograph exposure REQUIREMENTS Attend rotation as listed in the Clinic and Rotation Schedule. Dress in scrubs and bring your safety glasses. Comply with College of Dentistry Infection Control Policies. PROTOCOL Students are to report to clinic promptly at 8:30 a.m. for morning clinics and 12:30 p.m. for afternoon sessions. You will utilize this time to expose FMXs and BWXs as needed to use less general clinic time. Dental hygiene students assigned to clinics designated for screening patients applying for dental treatment at the clinic will perform the following: •

Prior to clinic: o Ensure both rooms are disinfected with barriers set up. o Ensure computers in both rooms are on, ready to log in to Eaglesoft. o Ensure panoramic machine and computer is on o Expose test image on skull with panoramic machine o Assist classmates as needed. • 9:00 or 1:00: o Seat patient and review health history. o If questions regarding pre med etc., contact faculty. o Take vital signs (blood pressure, pulse and respirations). o Ask faculty if they would like to briefly examine patient at that time o HHx reviewed by faculty, obtain PTP. o Request appropriate radiographs if not prescribed already. Expose and process radiographs as directed by faculty. o Review films and findings with faculty. o If time allows, films may be evaluated for retakes and exposed at that time. o Retakes MUST BE supervised with faculty. 95

Release patient to administrative assistant with routing form, indicating treatment the patient received that day. MISCELLANEOUS When the student is not with patients, he/she will: • Assist senior dental hygiene students as needed • Assist in sterilization area • Stock units and shelves • Assist faculty as needed Assist administration assistant as needed

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SCREENING ROTATION SOTC CLINIC GOALS To provide the dental hygiene student with the opportunity to: Perform oral examinations on patients applying for dental treatment at the clinic. Purpose of screenings: • Provide suitable patients for dental hygiene students • Provide students with a diagnostic experience • Increase awareness of oral conditions beyond patients assigned to you REQUIREMENTS Attend rotation as listed in the Clinic and Rotation Schedule. Dress in Scrubs, bring your safety glasses, and loupes with light (if you have them). Comply with College of Dentistry Infection Control Policies. PROTOCOL Students are to report to clinic promptly at 8:30 a.m. for morning clinics and 12:30 p.m. for afternoon sessions. You will screen 3-4 patients each clinic session. Dental hygiene students assigned to clinics designated for screening patients applying for dental treatment at the clinic will perform the following: • • • • • •

Seat patient and review health history Take vital signs (blood pressure, pulse, respirations, temperature) Ask faculty if they would like to briefly examine patient at that time HHx reviewed by faculty, obtain PTP Record recommended treatment in treatment notes Accept or Reject the patient o Provisionally accepted may NOT ever be assigned

If patient is accepted: • Tell patient they will be contacted by a student but there is no set time they will be called If patient is rejected: If they inquire, we can make copies of the screening films to either be sent to another dentist or taken with them Types of patients to reject: 97

• • • • •

Patients with unrealistic expectations Patients who do not have time to commit to OUCOD Patients with rampant caries Patients with severe periodontal disease Many other complex dental conditions

Take patient to administrative assistant who will give him/her the Patient Rights and Responsibilities. MISCELLANEOUS When the student is not screening patients, he/she will: • Assist senior dental hygiene students as needed • Assist in sterilization area • Stock units and shelves • Assist faculty as needed • Assist administrative assistant as needed

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TEACHING ASSISTANT in JUNIOR CLINIC Mrs. Christy McCullers, RDH, MS, SOTC Site Coordinator (580) 224-8268 (M) (580)504-9421 Mrs. Lindsey Hays, RDH, BS, SOTC Clinical Instructor (580) 224-8278 GOALS: To provide the student with the opportunity to apply the didactic principles and clinical skills learned in Clinical Dental Hygiene I, II, III, and IV in assisting and mentoring junior dental hygiene students. REQUIREMENTS: Review all class/lab/clinic material(s) prior to attending the rotation. Attend DH-I and DH-II lectures, as instructed to do so by faculty. Attend scheduled junior clinic rotations (see ‘Clinic Rotation Schedule’). Dress in appropriate clinic attire and bring your safety glasses. Write a summary of the clinic experience and upload to D2L at the end of the day. DUTIES: Fall 1. Assist and mentor junior students in lab and clinical exercises 2. Assist clinical faculty as requested Spring 1. Check instrument sharpening at the beginning of each clinic session. 2. Assist and mentor radiographic technique 3. Assist and mentor junior student in organization and treatment sequencing (Senior student is not allowed to record probing depths or hard tissue until notification by faculty) 4. Assist clinical faculty upon request by: a. Evaluating assessment and documenting results on evaluation form. b. Evaluating polishing and documenting results on evaluation form. c. Providing instrumentation technique feedback and documenting prn d. Providing individualized mentoring at chairside for students providing care for patients 5. Dental hygiene faculty must co-sign all record documentation entries 6. This rotation is for the duration of the academic year (fall and spring semesters) Write a one-‐page reflection regarding your clinical experience as a TA, including thoughts on professionalism, instrumentation, time management, patient communication, and clinician preparedness. Please do not include the names of the students you were assisting. Place reflection in dropbox on D2L by Friday of the same week you experienced this opportunity.

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DENTAL PRACTICE OBSERVATIONS Mrs. Christy McCullers, RDH, MS, SOTC Site Coordinator (580) 224-8268 (M) (580)504-9421 Mrs. Lindsey Hays, RDH, BS, SOTC Clinical Instructor (580) 224-8278 GOAL To provide the dental hygiene student with the opportunity to: Observe how practicing dentists, hygienists, and office staff work together in a dental office environment. Students will gain knowledge of dental hygiene practices and how they are applied in a general dentistry and public health setting by observing the dental hygienist. Students will gain knowledge about dental office procedures by observing sterilization, patient care, and staff interactions at the mentioned facility. REQUIREMENTS Attend rotation as listed in the Clinic and Rotation Schedule. Dress in scrubs, lab coat, and bring your safety glasses. Comply with College of Dentistry Infection Control Policies. PROTOCOL Students are to report to the site promptly at 8:30 a.m. for morning clinics and 12:30 p.m. for afternoon sessions. Students are to observe how dental hygienists work together with the dentist and office staff, including asking questions as needed.

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MERCY MOTHERS’ ORAL HEALTH INITIATIVE Mercy Hospital, Ardmore Christy McCullers, RDH, MS (580)224-8268 Lindsey Hays, RDH, BS (580)224-8278 Debrah Moyers, MMHC Labor & Delivery, [email protected] GOAL To provide the dental hygiene student with the opportunity to: Educate new parents on infant and early childhood oral health care needs and to provide information on access to care. In accordance with Healthy People 2020, the following Oral Health Goals will be addressed: OH-1: Reduce the proportion of children and adolescents who have dental caries experience in their primary teeth. ØØ By delivering oral health education to the target population, parents are more likely to be aware of oral health care needs and more likely to identify a need should it arise. OH-7: Increase the proportion of children, adolescents and adults who used the oral health care system in the past year. ØØ By providing the target population with options for access to care, parents and children of all ages are more likely to have an oral health examination or treatment. REQUIREMENTS/PROTOCOL • Project setting: Mercy Hospital, Ardmore, Oklahoma • Project focus: Parents of newborns or expecting mothers, as determined by the staff at Mercy Hospital Proposed times: o Tuesday mornings from 10:00-11:30 o February-April and September-November o Absences for school breaks Student information: o Two students will be present for each session o Clinical attire: Scrubs, clean shoes, lab coat, student ID badge o Arrive on time as scheduled, but may depart early after tasks are complete MATERIALS SOTC Dental Hygiene Students will provide each patient with an oral health kit, including an infant toothbrush, adult toothbrush and aids, educational materials, and Delta Dental’s “Resource for Care” Oral Health Guide.

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P&P Section XIII-‐ TCTC SITE CLINICAL ROTATIONS TCTC CLINICAL ROTATIONS BARTLESVILLE SITE CLINICAL ROTATIONS

CLINICAL REQUIREMENTS 1. Students will provide dental hygiene services to patients during the fall semester in clinical rotation sites as assigned. In each of these rotations, students will be under the direct supervision of dental, dental hygiene faculty and/or staff. 2. The Dental Hygiene Clinic Manual contains the goals, requirements and protocol for each rotation site. Students are advised to consult this manual prior to attending each rotation. Orientation to the rotations will be scheduled at the beginning of the semester prior to students' attendance in the rotation. 3. Student use of local anesthesia and nitrous oxide analgesia is prohibited until notification that the student has attained a passing grade in the didactic and clinical exams for the use of local anesthesia and nitrous oxide analgesia. •Note: Administration of local anesthesia must be documented on the Local Anesthesia Report Form to receive credit. TCTC SITE CLINICAL ROTATIONS Catholic Charities Catholic Charities Assistant Green Country Free Dental Clinic Implantology Screening & Sterilization Oral Surgery/General Dentistry Pediatric Dentistry Teaching Assistant Front Desk Assistant Rotation Observations: Dr. Jon Lindblom, Dr. David Stapleton, Green Country Dental Arts, Dr. Adam Pottorff, Dr. Heath Potter, Family Dental Care of Owasso

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CLINICAL ROTATION PROTOCOL Each student assigned to any rotation or completing any unassigned rotations are required to complete a Rotation Report Form or Clinical Evaluation Form if patient credit is to be documented. These forms are available in Clinic. Any adjunct service or rotation requirement completed on a rotation site should be marked by the dental hygiene student including the patient's name and signed by attending dental faculty/dental hygiene faculty/staff. Rotation Report Forms must be completely filled out, signed by faculty or supervisor as appropriate and turned in to the Department of Dental Hygiene by noon on Thursday of the week of the rotation. Credit will not be given for any forms that are not received in the department by the aforementioned time. Compliance with the College of Dentistry Infection Control Policy is mandatory at all rotations. Students are reminded that all guidelines for clinical appearance and behavior apply to all clinical rotations. Students are expected to assume responsibility for learning: ask appropriate questions, be on time, be courteous, be helpful, Do NOT leave early unless specifically directed by the faculty responsible for the rotation experience. Please remember that we are guests at the rotation sites. Few dental hygiene students are afforded similar opportunities for enhancement of their dental hygiene educational experience. In case of an emergency that prevents attendance, the student must contact the rotation, site coordinator and the Course Director. It is strongly recommended that every effort be made to attend the assigned rotation. Grade penalty may be imposed for absences.

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TEACHING ASSISTANT in JUNIOR CLINIC Lydia Snyder, RDH, MS; Site Coordinator; (M)918.277.6222 Tammie Golden, RDH, MHS; Clinical Instructor; (M) 316.250.0354 Abbie Gustafson, RDH, BS; Clinical Instructor; (M) 918.440.9998 GOALS To provide the student with the opportunity to apply the didactic principles and clinical skills learned in Clinical Dental Hygiene I, II, III, and IV in assisting and mentoring junior dental hygiene students. REQUIREMENTS Review all class/lab/clinic material(s) prior to attending the rotation. Attend DH-‐I & DH-‐II lectures, as instructed to do so by faculty Attend scheduled junior clinic rotations (see ‘Clinic Rotation Schedule’). Dress in appropriate clinic attire and bring your safety glasses/loupes.

Protocol Dental hygiene students should report to the clinic 30 minutes prior to the scheduled clinic time or be present in lecture 15 minutes prior to scheduled lecture.

Fall

1. Assist and mentor junior students in lab and clinical exercises 2. Assist clinical faculty as requested

Spring

1. Check instrument sharpening at the beginning of each clinic session. 2. Assist and mentor radiographic technique 3. Assist and mentor junior student in organization and treatment sequencing (Senior student is not allowed to record probing depths or hard tissue until notification by faculty) 4. Assist clinical faculty upon request by: a. evaluating work-‐ups and documenting results on evaluation form. b. evaluating polishing and documenting results on evaluation form. c. providing instrumentation technique feedback and documenting prn. d providing individualized mentoring at chairside for students providing care for more difficult patients. 5. Dental hygiene faculty must co-‐sign all record documentation entries This rotation is for the duration of the academic year (fall and spring semesters) Write a one-‐page reflection regarding your clinical experience as a TA, including thoughts on professionalism, instrumentation, time management, patient communication, and clinician preparedness. Please do not include the names of the students you were assisting. Place reflection in dropbox on D2L by Friday of the same week you experienced this opportunity.

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CATHOLIC CHARITIES Blessed Mother Teresa Dental Clinic

2450 North Harvard Ave Tulsa, OK 74158 (918) 585-‐8167

Lydia Snyder, RDH, MS, Site Coordinator (M) 918.277.6222 Tammie Golden, RDH, MHS (M) 316.250.0354 Abbie Gustafson, RDH, BS (M) 918.440.9998 Dr. Jennifer Cook, DDS, Supervising Dentist GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Clinical Dental Hygiene and Dental Hygiene Process of Care to providing dental hygiene services to patients from the community REQUIREMENTS Dress in appropriate clinic attire and bring your safety glasses/loupes. Bring all necessary forms. Bring 2 instrument kits PROTOCOL Students are to report to the Catholic Charities in Tulsa, OK. Students are expected to report to the dental clinic by 7:50 a.m. on the assigned day. During this rotation, the OU clinical faculty will oversee clinical procedures. Students will be required to provide the following services (but not exclusively) for adult periodontal patients during the scheduled clinic session: 1. Assess and/or update the medical history. 2. Charting as needed 3. Provide patient education and oral hygiene instruction. 4. Provide a prophylaxis, NSPT (non surgical periodontal therapy; scaling & root planing) fluoride treatment, chemotherapeutics and desensitzation as needed. 5. Expose and process radiographs as indicated by dental faculty. 6. Administer local anesthesia as needed, following successful completion of DH 4472 Anxiety and Pain Control. A Clinic Evaluation Form must be signed by supervising faculty and turned in by noon on Thursday of the week of the rotation for credit. Grading and credit will be the same as clinic at OUCOD.

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CATHOLIC CHARITIES Blessed Mother Teresa Dental Clinic

2450 North Harvard Ave Tulsa, OK 74158 (918) 585-‐8167

Lydia Snyder, RDH, MS, Site Coordinator (M) 918.277.6222 Tammie Golden, RDH, MHS (M) 316.250 Abbie Gustafson, RDH, BS (M) 918.440.9998 Dr. Jennifer Cook, DDS, Supervising Dentist GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Clinical Dental Hygiene and Dental Hygiene Process of Care to providing dental hygiene services to patients from the community in the capacity as a dental assistant. REQUIREMENTS Dress in appropriate clinic attire and bring your safety glasses. Bring all necessary forms. PROTOCOL Students are to report to the Catholic Charities in Tulsa, OK. Students are expected to report to the dental clinic by 7:50 a.m. on the assigned day. During this rotation, the OU clinical faculty will oversee clinical procedures Students will be required to assist in providing the following services (but not exclusively) for adult periodontal patients during the scheduled clinic session: 1. Assess and/or update the medical history. 2. Charting as needed 3. Provide patient education and oral hygiene instruction. 4. Assist your assigned partner when she is providing care to the patient. 5. Assist in disinfecting the unit between patients, escort the patient to the reception area. 6. Assist dental students as necessary. A Rotation Report Form must be signed by supervising faculty and turned in by noon on Thursday of the week of the rotation for credit. This rotation is experiential only.

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GREEN COUNTRY FREE DENTAL CLINIC 321 Delaware Ave. Bartlesville, OK 74003 (918)338-0198 Lydia Snyder, RDH, MS, Site Coordinator (M) 918.277.6222 Tammie Golden, RDH, MHS (M) 316.250.0354 Abbie Gustafson, RDH, BS (M) 918.440.9998 Dean Zervas, DDS & Bryson Read, DDS Supervising Dentist GOALS To provide the dental hygiene students with the opportunity to: Apply the didactic principles from the Clinical Dental Hygiene and Dental Hygiene Process of Care to providing dental hygiene services to patients from the community. REQUIREMENTS Dress in appropriate clinic attire and bring your safety glasses/loupes. Bring all necessary forms. Bring 1 instrument kit PROTOCOL Students are to report to the Green Country Free Dental Clinic (GCDC), which is located at 321 Delaware Bartlesville, OK 74003. Students are expected to report to the dental clinic by 1:00 p.m. on the assigned day. During this rotation, the OU faculty will oversee procedures. Students will be required to provide the following services (but not exclusively) for adult periodontal patients during the scheduled clinic session: 1. Assess and/or update the medical history. 2. Charting as needed on XLDent 3. Provide patient education and oral hygiene instruction. 4. Provide a prophylaxis, NSPT (non surgical periodontal therapy; scaling & root planing) fluoride treatment, chemotherapeutics and desensitzation as needed. 5. Expose and process radiographs as indicated by dental faculty. 6. Administer local anesthesia as needed, following successful completion of DH 4472 Anxiety and Pain Control. EVALUATION A Clinical Evaluation Form is to be turned in by noon on Thursday of the week of the rotation to receive credit. Grading and credit will be the same as clinic at OUCOD.

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OBSERVATIONS IN DENTAL OFFICES Lydia Snyder, RDH, MS; Site Coordinator; (M)918.277.6222

GOAL To provide the dental hygiene student with the opportunity to: Observe and understand how a dental office works in a private or corporate setting.

REQUIREMENTS Attend clinical observation rotations as listed in the Clinic and Rotation Schedule. Dress in appropriate clinic attire and bring safety glasses/loupes Comply with College of Dentistry Infection Control Policies. PROTOCOL Arrive to the assigned office at the time noted. Students will be required to observe the registered dental hygienist or dentist in their interaction with patients. Students will observe how the dental hygienist or dentist explain treatment plans to the patients; including but not limited to hygiene treatment. Dr. Jon Lindblom 8:30 – 11:30 (918) 331-0016 2359 Nowata Place Bartlesville, OK 74006 Dr. David Stapleton 8:30 – 11:00 (918) 376-2191 12/14 E 101st Pl N Owasso, OK 74055 Green Country Dental Arts 8:30 – 11:30 (918) 336-1030 1820 SE Washington Blvd. Bartlesville, OK 74006 Dr. Heath Potter 8:30 – 11:30 (918) 333-3694 4200 SE Adams Bartlesville, OK 74006 Dr. J. Reed Butler 9:00 – 11:30 (918) 333-0990 108

2419 SE Nowata Pl, Ste 101 Bartlesville, OK 74006 Green Country Dental Arts of Bartlesville 8:30 – 11:30 (918) 336-1030 Dr. Bulleigh & Dr. Lard 1820 Washington Blvd. Bartlesville, OK 74006 Family Dental Care of Owasso Dentistry 8:30 – 11:00 (918) 376-0523 13101 E 96th St N Owasso, OK 74055 EVALUATION A rotation report form must be completed and turned in to the site coordinator; this is experiential only.

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ORAL SURGERY & GENERAL DENTISTRY

TCTC-‐DELTA DENTAL CLINIC

Lydia Snyder, RDH, MS; Site Coordinator; (M)918.277.6222 Tammie Golden, RDH, MHS; Clinical Instructor; (M) 316.250.0354 Abbie Gustafson, RDH, BS; Clinical Instructor; (M) 918.440.9998 GOAL To provide the dental hygiene student with the opportunity to: Assist dentists in providing dental care to the underserved population and practice four-‐handed dentistry for extractions and restorations REQUIREMENTS Sign up with the site coordinator to assist in the TCTC-‐Delta Dental Clinic Dress in proper clinic attire and bring safety glasses/loupes Arrive 30 minutes prior to the clinic starting to assist setting up the units Comply with College of Dentistry Infection Control Policies. PROTOCOL Dental hygiene students are to report to the TCTC Dental Clinic. Students are expected to report 30 minutes prior to the start of clinic on the assigned day. 1. Assess and/or update the medical history. 2. Charting as needed. 3. Provide patient education and oral hygiene instruction. 4. Assist the dentist during restorative procedures or extractions. 5. Expose radiographs as indicated by dental faculty. 6. Administer local anesthesia as needed, following the successful completion of DH 4472 Anxiety and Pain Control.

EVALUATION A Rotation Report Form must be signed by supervising faculty and turned in by noon on Thursday of the week of the rotation.

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PEDIATRIC DENTISTRY TCTC Clinic Lydia Snyder, RDH, MS; Site Coordinator; (M)918.277.6222 Tammie Golden, RDH, MHS; Clinical Instructor; (M) 316.250.0354 Abbie Gustafson, RDH, BS; Clinical Instructor; (M) 918.440.9998 Dr. Frank Sommer & Dr. John Lindblom, Supervising Dentists GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Developmental Dentistry and Clinical Dental Hygiene to providing dental hygiene services to children; ages 3 – 12 years. REQUIREMENTS Attend scheduled pediatric dentistry rotations as listed on the Clinic and Rotation Schedule. Dress in appropriate clinic attire and bring safety glasses/loupes Comply with College of Dentistry Infection Control Policies. PROTOCOL Students should report to dental hygiene clinic 30 minutes prior to the Pedo rotation. Students will be required to provide the following services for pediatric dentistry patients during the scheduled clinic session: 1. Update the HHX with parent or guardian; update address & phone; discuss radiographs. 2. Chart deciduous and mixed dentition teeth. 3. Expose and process radiographs as indicated by the supervising dentist 4. Do a plaque score. 5. Provide patient education. 6. Provide a prophylaxis 7. Place sealants if indicated; CI must check prior to fluoride treatment 8. Provide appropriate fluoride treatment Protocol review for BWX: One year or longer since last BWX 1st permanent molars are present take panoramic radiographic (if not previously taken) and 2 BWX 1st permanent molars have not erupted; take 2 occlusals (if not previously taken) and 2 BWX unless there is adequate space to evaluate interproximal space. Caries history, Interproximal watch areas from last visit, Diagnostic integrity from previous BWX, No BWX if bands and brackets are in place. EVALUATION A Clinical Evaluation Form is to be turned in. Grading and credit will be the same as clinic at OUCOD. 111

SCREENING & STERILIZATION

TCTC Clinic Lydia Snyder, RDH, MS; Site Coordinator; (M)918.277.6222 Tammie Golden, RDH, MHS; Clinical Instructor; (M) 316.250.0354 Abbie Gustafson, RDH, BS; Clinical Instructor; (M) 918.440.9998 GOALS To provide the dental hygiene student with the opportunity to: 1. Perform oral examinations on patients applying for dental treatment at the TCTC Clinic. 2. Purpose of screenings: Provide suitable patients for dental hygiene students Provide students with a diagnostic experience Increase awareness of oral conditions beyond patients assigned to you 3. Perform sterilization and disinfection in the clinic REQUIREMENTS Attend screening rotations as listed in the Clinic and Rotation Schedule. Dress in appropriate clinic attire and bring safety glasses/loupes. Comply with College of Dentistry Infection Control Policies PROTOCOL Dental hygiene students assigned to the screening rotation will perform the following procedures: 1. Observe asepsis protocol in clinic. Properly sterilize, disinfect, and sanitize equipment, instruments, and counters. 2. Wear appropriate barrier equipment when working with patients or when handling contaminated materials. 3. Seat the patient at the scheduled time and review HHX with patient; obtain BP. Obtain PTP from clinic instructor. 4. Screen patient using Screening form and obtain consent from clinic instructor. 5. Discuss findings with patient and clinic instructor along with clinic hours, procedures and estimated fees. 6. The student should report to the clinic 30 minutes before the clinic begins and should remain on duty until the close of the clinic period when all students and patients have left the clinic area. 7. In the event there are no patients to be screened, students will serve as a clinic assistant. 8. The student will stock the clinic supplies as needed.

EVALUATION The clinic SSR should report to the Site Coordinator or faculty member to Receive specific duties. A rotation report form should be completed and turned in to the faculty member.

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FRONT DESK

TCTC Clinic Lydia Snyder, RDH, MS; Site Coordinator; (M)918.277.6222 Tammie Golden, RDH, MHS; Clinical Instructor; (M) 316.250.0354 Abbie Gustafson, RDH, BS; Clinical Instructor; (M) 918.440.9998 GOALS To provide the dental hygiene student with the opportunity to: Apply practice management skills while assisting the program assistant at the front desk REQUIREMENTS Attend screening rotations as listed in the Clinic and Rotation Schedule. Dress in appropriate clinic attire and bring safety glasses/loupes. Comply with College of Dentistry Infection Control Policies PROTOCOL Dental hygiene students assigned to the front desk rotation will perform the following procedures: 1. Student will assist in scheduling screening appointments. 2. Student will have the appropriate paperwork ready for the patient to complete when the patient checks in at the front desk. 3. Student will answer the TCTC Dental Clinic phone line and transfer the call to the appropriate person. 4. Student will scan documents and copy assigned documents. 5. Student will review the inventory list as assigned by the Dental Hygiene Program Assistant 6. Student will be available to assist the Dental Hygiene Program Assistant as deemed necessary.

EVALUATION The Front Desk assistant should report to the administrative assistant or faculty member to Receive specific duties. A rotation report form should be completed and turned in to the faculty

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IMPLANTOLOGY 4th floor, Green Clinic Mrs. Kathy Miller, R.D.H., M.Ed Professor and Assistant Dean For Quality Assurance And Compliance, Director of Patient Relations Clinical Faculty Department of Implantology (405) 271-8001 x 34143 GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Clinical Dental Hygiene to providing dental hygiene services to patients with dental implants. REQUIREMENTS Attend scheduled implantology rotations as listed on the Clinic and Rotation Schedule. Dress in appropriate clinic attire and bring your safety glasses. Specific implant instruments will be available in the clinic PROTOCOL Implantology Rotation Orientation for DH II’s ♦ Arrive at 8:30 a.m. to prepare for clinic. ♦ We are on the north side of the Green Clinic on the 4th floor. ♦ Oral hygiene products are in the red/black cabinet and in the upper cabinets. ♦ Bring your Midwest handpiece, personal safety eyewear (loupes w/light if you have them), and a watch with a second hand. ♦ Complete the PTP guide and see Mrs. Miller for PTP as you would in general clinic (follow laminated guide sheet). Have your PTP notes entered into axiUm. ♦ Radiographs are exposed and developed in Oral Radiology on the 2 floor. ♦ No dental charting; chart recall perio prn on perio chart; EIE findings are noted in the clinical notes. ♦ Follow appointment procedure guidelines on clinic laminate. ♦ Recall appointments are scheduled by Mrs. Miller at the end of the appointment. ♦ You will escort the patient to the Implantology front desk to pay for that day’s service. ♦ Be sure to complete a clinical performance assessment form (the same one you use in general clinic). ♦ A rotation form only needs to be completed if you did not provide any direct patient care. ♦ Distance students need to have parking cards validated in the Dean’s office. nd

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IMPLANT MAINTENANCE RECALL Department of Oral Implantology Implant Maintenance Prophylaxis/Oral Hygiene Instructions Complete Denture/Fixed Detachable Oral Hygiene Products Needed: Ø Tapered end tuft brush (bent under hot water at the appropriate angle for the patient, set with cold water) Ø 2 row sulcus brush Ø Conventional toothbrush Ø Implant Superfloss -‐ use the single dose packet at chairside to ensure the patient has the motor skills to use this product and then dispense a take-‐home package. This product is now available at Walmart. Ø Denture brush Ø Toothpaste Optional Oral Hygiene Products: Ø Proxabrush (if the patient is unable to use the superfloss or merely prefers these over the superfloss) Ø Tongue cleaner (if the patient is unable to adequately clean their tongue with a toothbrush) Prophylaxis Instructions Ø Place the maxillary denture in the ultrasonic cleaner following the posted instructions. Ø Intraorally, debride any soft accretions first by brushing and flossing. Ø Use the tapered end tuft brush for the lingual aspect and the two-‐row sulcus brush for the facial aspect of the base of the fixed prosthesis and the posts. Use a very small amount of toothpaste and then rinse the brushes and re-‐brush with water only to remove any toothpaste residue. Ø Use a wet conventional toothbrush to clean the fixed prosthesis acrylic (NO toothpaste). Ø Floss all appropriate areas including underneath the distal extensions. Ø Scale any calculus found on metal structures with a titanium curette. Be sure to dry thoroughly with compressed air and effectively use light reflection and indirect vision during your assessment. Ø Re-‐toothbrush polish scaled areas. Ø Clean the maxillary denture as outlined in the posted instructions and store in the water/Crest Pro Health rinse in the denture cup until Mrs. Miller has completed her patient examination.

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DEPARTMENT OF ORAL IMPLANTOLOGY Implant Maintenance Prophylaxis/Oral Hygiene Instructions Complete Denture/Complete Denture with Bar and Clip(s) Oral Hygiene Products Needed: Ø Tapered end tuft brush (bent slightly under hot water at the appropriate angle for the patient, set with cold water) Ø Implant Superfloss -‐ use the single dose packet at chairside to ensure the patient has the motor skills to use this product and then dispense a take-‐home package. Ø Denture brush Ø Toothpaste Optional Oral Hygiene Products: Ø Proxabrush (if the patient is unable to use the superfloss or merely prefers these over the superfloss) Ø Tongue cleaner (if the patient is unable to adequately clean their tongue with a toothbrush) Prophylaxis Instructions Ø Place both dentures in the ultrasonic cleaner following the posted instructions. Ø Intraorally, debride any soft accretions first by brushing and flossing. Ø Use a very small amount of toothpaste and then rinse the brush and re-‐brush with water only to remove any toothpaste residue. Ø Floss under the bar and around the posts. Ø Scale any calculus found with a titanium curette. Be sure to dry thoroughly with compressed air and effectively use light reflection and indirect vision during your assessment. Ø Re-‐toothbrush polish scaled areas. Ø Clean the dentures as outlined in the posted instructions and store in the water/Crest Pro Health rinse in the denture cup until Mrs. Miller has completed her patient examination.

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• • •

•

• • • • • • • • • •

• • • • •

WORK FLOW FOR IMPLANT MAINTENANCE RECALL APPTS. Jana indicates on the schedule that the patient is present by selecting “pt checked in”. The student indicates that the pt. has been seated by right clicking on the appt. and selecting “Pt seated”. Student completes the MedHx ONLY in the EHR under the forms tab. The pt. should not sign the MedHx until after it has been reviewed by faculty. If updating an existing MedHx, use Control R to advance to each question with unchanged answers to (this enters the new date of review). Be sure to include all information on drugs being taken. Student completes the PTP template note in the EHR under the tx history tab. Select new note and select the PTP template note (continuing care) from the General Notes bundle. Be sure to select the location as Green Clinic 1/Implantology. Be sure to include the presence or absence of a chief concern in the comments on the PTP note and notify faculty if there is a potential need for a lab repair. Student enters the codes for the procedures for that appt.(i.e. D6080 for implant maintenance, D0330 for pano). The faculty approves the planned tx codes at ptp. If pano is needed, student should inform patient of the cost of this additional service. PTP is presented at chairside and faculty has the pt. sign the MedHx and approves the MedHx, the planned procedure codes, and the PTP note. Student fills out paper Radiology slip and takes patient to Radiology if a panoramic radiograph is needed. Student places any removable prostheses in the ultrasonic following the posted instructions. Student performs the Extra-Intraoral Examination (EIE) including evaluating the status of the implants, stability of the prosthesis(es), adequate closure of access holes, and the status of the health of the supporting tissues. Student records periodontal/perimplant findings and plaque on the perio chart as needed. Be sure to name the examination. Implant maintenance prophylaxis is completed (see reference laminate) and OHI delivered. Complete implant system/prosthesis adjustments as may be necessary. Perform fluoride tx for natural dentition if indicated. Student completes the clinical template note (attaching it to the procedure code). Select the Implant Maintenance procedure code (D6080) and right click; Near the top of the selection list is “add tx note”, select this option and select the Implant Maintenance note in the Implantology bundle in template notes. Student selects the procedures completed and right clicks on the procedure and indicates it as completed. When recall card appears, click on the plus sign and close the card. Faculty examines the patient; approves the note and completed procedure codes. Mrs. Miller schedules the next recall appt. Pt is checked out with Jana. Commonly used codes:

D6080

Implant Maintenance

D6078 Fixed Detachable Prosthesis D6053 Implant retained over-denture D5110 Conventional max. denture

D0330 Panoramic Film D5867 Replace Implant part

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PTP Pt presents as a

yr old

(ethnicity) female/male

Pt’s medical hx includes Date and nature of last visit with physician If Diabetic, has the pt. taken meds today? Yes Has pt eaten today? Yes (following pt’s normal regimen)

No No

Pt’s current meds are for

(condition)

Dental considerations with these meds are Pt’s vital signs are: BP

Resp

Pulse Pt does/does not have a chief complaint Pt’s last pano was taken Pt has no changes in address or phone / pt has changes in address or phone number.

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P&P Section XIV-‐ WTC CLINICAL ROTATIONS

WTC CLINICAL ROTATIONS WEATHERFORD SITE CLINICAL ROTATIONS

CLINICAL REQUIREMENTS Students will provide dental hygiene services to patients during the fall semester in clinical rotation sites as assigned. In each of these rotations, students will be under the direct supervision of dental, dental hygiene aculty and/or staff. The Dental Hygiene Manual contains the goals, requirements and protocol for each rotation site. Students are advised to consult this manual prior to attending each rotation. Orientation to the rotations will be scheduled at the beginning of the semester prior to students' attendance in the rotation. Student use of local anesthesia and nitrous oxide analgesia is prohibited until notification by faculty that the student has attained a passing grade in the didactic and clinical exams for the use of local anesthesia and nitrous oxide analgesia. •Note: Administration of local anesthesia must be documented on the Local Anesthesia Report Form to receive credit. WTC SITE CLINICAL ROTATIONS Clinic Assistant Implantology Screening & Sterilization Hope Dental Clinic Teaching Assistant

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CLINIC ASSISTANT

Ms. Tina Tuck, RDH, MHR, Site Coordinator (580) 302-4246 Ms. Marla Holt, RDH, BS, Clinical Instructor (580) 772-0294 GOALS Apply didactic principles and clinical skills learned in Clinical Dental Hygiene I and II in assisting senior dental hygiene students. REQUIREMENTS Attend scheduled senior clinic rotations as listed on the Clinic Rotation Schedule. Dress in appropriate clinic attire and bring safety glasses. Assist a senior dental hygiene student during the assessment and treatment of a patient. (Principles of four-handed dentistry are to be followed during assisting.) Assist in care, sterilization, and disinfection of instruments and equipment. PROTOCOL Students are to report to the Clinical Coordinator and present a rotation report form. The Clinical Coordinator will instruct the student as to his/her specific duties for that clinic session. The dental hygiene student is expected to be present and participating as a dental team member throughout the entire clinic session.

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IMPLANTOLOGY 4th floor, Green Clinic Mrs. Kathy Miller, R.D.H., M.Ed Professor and Assistant Dean For Quality Assurance And Compliance, Director of Patient Relations Clinical Faculty Department of Implantology (405) 271-8001 x 34143 GOAL To provide the dental hygiene student with the opportunity to: Apply the didactic principles from Clinical Dental Hygiene to providing dental hygiene services to patients with dental implants. REQUIREMENTS Attend scheduled implantology rotations as listed on the Clinic and Rotation Schedule. Dress in appropriate clinic attire and bring your safety glasses. Specific implant instruments will be available in the clinic PROTOCOL Implantology Rotation Orientation for DH II’s ♦ Arrive at 8:30 a.m. to prepare for clinic. ♦ We are on the north side of the Green Clinic on the 4th floor. ♦ Oral hygiene products are in the red/black cabinet and in the upper cabinets. ♦ Bring your Midwest handpiece, personal safety eyewear (loupes w/light if you have them), and a watch with a second hand. ♦ Complete the PTP guide and see Mrs. Miller for PTP as you would in general clinic (follow laminated guide sheet). Have your PTP notes entered into axiUm. ♦ Radiographs are exposed and developed in Oral Radiology on the 2 floor. ♦ No dental charting; chart recall perio prn on perio chart; EIE findings are noted in the clinical notes. ♦ Follow appointment procedure guidelines on clinic laminate. ♦ Recall appointments are scheduled by Mrs. Miller at the end of the appointment. ♦ You will escort the patient to the Implantology front desk to pay for that day’s service. ♦ Be sure to complete a clinical performance assessment form (the same one you use in general clinic). ♦ A rotation form only needs to be completed if you did not provide any direct patient care. ♦ Distance students need to have parking cards validated in the Dean’s office. nd

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IMPLANT MAINTENANCE RECALL Department of Oral Implantology Implant Maintenance Prophylaxis/Oral Hygiene Instructions Complete Denture/Fixed Detachable Oral Hygiene Products Needed: Ø Tapered end tuft brush (bent under hot water at the appropriate angle for the patient, set with cold water) Ø 2 row sulcus brush Ø Conventional toothbrush Ø Implant Superfloss -‐ use the single dose packet at chairside to ensure the patient has the motor skills to use this product and then dispense a take-‐home package. This product is now available at Walmart. Ø Denture brush Ø Toothpaste Optional Oral Hygiene Products: Ø Proxabrush (if the patient is unable to use the superfloss or merely prefers these over the superfloss) Ø Tongue cleaner (if the patient is unable to adequately clean their tongue with a toothbrush) Prophylaxis Instructions Ø Place the maxillary denture in the ultrasonic cleaner following the posted instructions. Ø Intraorally, debride any soft accretions first by brushing and flossing. Ø Use the tapered end tuft brush for the lingual aspect and the two-‐row sulcus brush for the facial aspect of the base of the fixed prosthesis and the posts. Use a very small amount of toothpaste and then rinse the brushes and re-‐brush with water only to remove any toothpaste residue. Ø Use a wet conventional toothbrush to clean the fixed prosthesis acrylic (NO toothpaste). Ø Floss all appropriate areas including underneath the distal extensions. Ø Scale any calculus found on metal structures with a titanium curette. Be sure to dry thoroughly with compressed air and effectively use light reflection and indirect vision during your assessment. Ø Re-‐toothbrush polish scaled areas. Ø Clean the maxillary denture as outlined in the posted instructions and store in the water/Crest Pro Health rinse in the denture cup until Mrs. Miller has completed her patient examination.

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DEPARTMENT OF ORAL IMPLANTOLOGY Implant Maintenance Prophylaxis/Oral Hygiene Instructions Complete Denture/Complete Denture with Bar and Clip(s) Oral Hygiene Products Needed: Ø Tapered end tuft brush (bent slightly under hot water at the appropriate angle for the patient, set with cold water) Ø Implant Superfloss -‐ use the single dose packet at chairside to ensure the patient has the motor skills to use this product and then dispense a take-‐home package. Ø Denture brush Ø Toothpaste Optional Oral Hygiene Products: Ø Proxabrush (if the patient is unable to use the superfloss or merely prefers these over the superfloss) Ø Tongue cleaner (if the patient is unable to adequately clean their tongue with a toothbrush) Prophylaxis Instructions Ø Place both dentures in the ultrasonic cleaner following the posted instructions. Ø Intraorally, debride any soft accretions first by brushing and flossing. Ø Use a very small amount of toothpaste and then rinse the brush and re-‐brush with water only to remove any toothpaste residue. Ø Floss under the bar and around the posts. Ø Scale any calculus found with a titanium curette. Be sure to dry thoroughly with compressed air and effectively use light reflection and indirect vision during your assessment. Ø Re-‐toothbrush polish scaled areas. Ø Clean the dentures as outlined in the posted instructions and store in the water/Crest Pro Health rinse in the denture cup until Mrs. Miller has completed her patient examination.

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• • •

•

• • • • • • • • • •

• • • • •

WORK FLOW FOR IMPLANT MAINTENANCE RECALL APPTS. Jana indicates on the schedule that the patient is present by selecting “pt checked in”. The student indicates that the pt. has been seated by right clicking on the appt. and selecting “Pt seated”. Student completes the MedHx ONLY in the EHR under the forms tab. The pt. should not sign the MedHx until after it has been reviewed by faculty. If updating an existing MedHx, use Control R to advance to each question with unchanged answers to (this enters the new date of review). Be sure to include all information on drugs being taken. Student completes the PTP template note in the EHR under the tx history tab. Select new note and select the PTP template note (continuing care) from the General Notes bundle. Be sure to select the location as Green Clinic 1/Implantology. Be sure to include the presence or absence of a chief concern in the comments on the PTP note and notify faculty if there is a potential need for a lab repair. Student enters the codes for the procedures for that appt.(i.e. D6080 for implant maintenance, D0330 for pano). The faculty approves the planned tx codes at ptp. If pano is needed, student should inform patient of the cost of this additional service. PTP is presented at chairside and faculty has the pt. sign the MedHx and approves the MedHx, the planned procedure codes, and the PTP note. Student fills out paper Radiology slip and takes patient to Radiology if a panoramic radiograph is needed. Student places any removable prostheses in the ultrasonic following the posted instructions. Student performs the Extra-Intraoral Examination (EIE) including evaluating the status of the implants, stability of the prosthesis(es), adequate closure of access holes, and the status of the health of the supporting tissues. Student records periodontal/perimplant findings and plaque on the perio chart as needed. Be sure to name the examination. Implant maintenance prophylaxis is completed (see reference laminate) and OHI delivered. Complete implant system/prosthesis adjustments as may be necessary. Perform fluoride tx for natural dentition if indicated. Student completes the clinical template note (attaching it to the procedure code). Select the Implant Maintenance procedure code (D6080) and right click; Near the top of the selection list is “add tx note”, select this option and select the Implant Maintenance note in the Implantology bundle in template notes. Student selects the procedures completed and right clicks on the procedure and indicates it as completed. When recall card appears, click on the plus sign and close the card. Faculty examines the patient; approves the note and completed procedure codes. Mrs. Miller schedules the next recall appt. Pt is checked out with Jana. Commonly used codes:

D6080

Implant Maintenance

D6078 Fixed Detachable Prosthesis D6053 Implant retained over-denture D5110 Conventional max. denture

D0330 Panoramic Film D5867 Replace Implant part

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PTP Pt presents as a

yr old

(ethnicity) female/male

Pt’s medical hx includes Date and nature of last visit with physician If Diabetic, has the pt. taken meds today? Yes Has pt eaten today? Yes (following pt’s normal regimen)

No No

Pt’s current meds are for

(condition)

Dental considerations with these meds are Pt’s vital signs are: BP

Resp

Pulse Pt does/does not have a chief complaint Pt’s last pano was taken Pt has no changes in address or phone / pt has changes in address or phone number.

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STERILIZATION/SCREENING Ms. Tina Tuck, RDH, MHR, Site Coordinator (580) 302-4246 Ms. Marla Holt, RDH, BS, Clinical Instructor (580) 772-0294 GOAL To provide dental hygiene students with: 1) the opportunity to experience sterilization and maintenance of the dental clinic and 2) become proficient in screening patients for dental hygiene treatment. REQUIREMENTS/DUTIES Dispensing instruments and supplies to dental hygiene student’s prn. Perform necessary steps for sterilization of instruments in the sterilization area of the WTC clinic. Included are: instruments in the “red” cabinet, running the ultrasonic and autoclave prn. Restock or dispense materials/supplies in the clinic prn. Screen dental hygiene patients as appointed, following the same protocol as for the “Screening” rotation. (Set up and properly clean/shut-down the dental cubical used for screening patients) Properly sterilize, disinfect, and sanitize equipment, instruments and counters. PROTOCOL Wear appropriate barrier equipment when handling contaminated, caustic or otherwise dangerous substances or materials. These materials will be labeled. Students assigned to be the sterilization/screener for the clinic session should report to the clinic 30 minutes prior to the clinic session and should remain on duty until the close of the clinic period to ensure that all “end of clinic” duties have been completed. “Beginning of Clinic” duties include but are not limited to: turning on all of the equipment, turning on the computers in radiology, filling and running the statim or autoclave with any bagged instruments left to be sterilized. “End of Clinic” duties include turning off all electrical devices (ultrasonic scalers, dental units, lights, suction, N2O units, etc.) See Central Sterilization Rotation Check List in the WTC Dental Clinic. Assisting fellow students is encouraged if patients are not scheduled for screenings

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WESTERN OKLAHOMA FAMILY CARE CENTER HOPE CLINIC Ms. Tina Tuck, RDH, MHR, Site Coordinator (580) 302-4246 Ms. Marla Holt, RDH, BS, Clinical Instructor (580) 772-0294

GOAL To provide the students with an opportunity to: Provide preventive dental services to patients in a public health setting. Experience a clinic setting similar to private practice dental settings. Learn public health dentistry procedures as they relate to medically compromised patients, children, and elderly patients. REQUIREMENTS Attend scheduled rotations as listed on the clinic rotation schedule. Dress in appropriate clinic attire and bring your safety glasses. Bring instrument cassettes, sterilization bags, pens, assessment and rotation report forms, drug reference book, and appointment book with the rotations list. Be respectful of the employees, hygienists and dentists at the Hope Clinic. Maintain proper asepsis protocol throughout the rotation. PROCEDURES Obtain the patient chart, review the most recent health history and medications list. Assess vitals for the patient according to OUCOD clinic guidelines. Review recent dental visit forms in the patient chart to determine if the patient is a candidate for radiographs and to verify the treatment recommended by the clinic dentist. Obtain PTP following the protocol for the OUCOD clinic. Assessment will be completed using the OUCOD assessment forms. Oral Hygiene Instructions should be performed prior to beginning scaling at each appointment. Students should not expect to complete a quadrant or a patient on each rotation.

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TEACHING ASSISTANT in JUNIOR CLINIC Ms. Tina Tuck, RDH, MHR, Site Coordinator (580) 302-4246 Ms. Marla Holt, RDH, BS, Clinical Instructor (580) 772-0294

GOAL To provide the student with the opportunity to apply the didactic principles and clinical skills learned in Clinical Dental Hygiene I, II, III, and IV in assisting and mentoring junior dental hygiene students. REQUIREMENTS Review all class/lab/clinic material(s) prior to attending the rotation. Attend DH-‐I & DH-‐II lectures, as instructed to do so by faculty. Attend scheduled junior clinic rotations (see ‘Clinic Rotation Schedule’). Dress in appropriate clinic attire and bring safety glasses. Write a summary of the clinic experience and upload to D2L at the end of the day. DUTIES: Fall Assist and mentor DH I students in lab and clinical exercises Assist clinical faculty as requested Spring Check instrument sharpening at the beginning of each clinic session. Assist and mentor radiographic technique Assist and mentor DH I student in organization and treatment sequencing (DH II student is not allowed to record probing depths or hard tissue until notification by faculty) Assist clinical faculty upon request by: • • • •

evaluating work-‐ups and documenting results on evaluation form. evaluating polishing and documenting results on evaluation form. providing instrumentation technique feedback and documenting prn providing individualized mentoring at chairside for students

Dental hygiene faculty must co-‐sign all record documentation entries This rotation is for the duration of the academic year (fall and spring semesters) Write a one-‐page reflection regarding your clinical experience as a TA, including thoughts on professionalism, instrumentation, time management, patient communication, and clinician preparedness. Please do not include the names of the students you were assisting. Place reflection in dropbox on D2L by Friday of the same week you experienced this opportunity.

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Clinical Operations DH I Competencies & Clinical Evaluation Forms

130

_________________________Student

Start time:_________________

DISINFECTION AND SET-‐UP OF THE DENTAL UNIT AREA TASK COMPONENTS/PROCEDURES EVAL Obtain supplies (protective eyewear & bib clip) from student supply box. Place on paper towel. 2 Perform short scrub (15 seconds)-‐ gather PPE (excluding isolation gown) & cup to flush evacuation system 2 Put on mask and glasses. Perform thorough scrub, lathering once and rinsing in 40-‐60 seconds 2 Put on gloves and overgloves; position patient, operator and assistant chairs, light (position light pole to 2 opposite side of operator), carts, & rheostat Fill water bottle with properly treated water (DO NOT touch tubing when reattaching water bottle to unit) 2 Flush evacuation system for 2 minutes (cup in sink with running water) -‐Does not include HVE* (*unless you plan to utilize the HVE) 2 Flush water lines for 30 seconds 2 Remove overgloves and discard into round opening next to sink 2 PRECLEAN Wipe -‐ Discard -‐ Wipe Repeat PRECLEAN procedure to DISINFECT Dental light switch and handles 3 Operators and assistant’s levers 3 Discard disinfecting towelette 2 Dental chair, operator's and assistant's stools (soap & water) 3 Discard paper towel 2 Bracket table and accessories (A/W syringe, connectors, holders and hoses) 3 Discard disinfecting towelette 2 Assistant's cart, swivel arm and accessories (A/W syringe, connectors, holders and hoses) 3 Discard disinfecting towelette 2 Use disinfecting towelette to wipe paper towel dispenser, soap dispenser, faucet handle, countertops & sink 3 rim Discard disinfecting towelette; Remove gloves, discard into round opening next to sink 2 Wash hands -‐ gather supplies (including isolation gown) 3 Cover chair back and place barrier film on switches, controls/levers, and arm rests—includes the hydraulic 3 lever Cover bracket table and assistant’s cart with dental bibs; place instrument cassette on bracket table (Retain bag for instrument return to central sterilization area) 3 Insert saliva ejector and A/W syringe tip; cover with plastic sleeves 3 Hang white bag from unit; Tape overgloves to unit below bracket table/tray; place isolation gown on countertop 2 Barrier computer monitor/keyboard/mouse 2 VERBALIZE BREAKDOWN PROCEDURE (Following Patient Tx and Patient Dismissal) Reglove, remask, and put on protective eyewear 3 Close instrument cassette securely; place in retained autoclave bag or inverted headrest cover for transport to central sterilization area 3 Place contaminated disposables in white bag; place bag into general trash receptacle/container (and/or regulated trash placed into a designated biohazard 3 container) Remove contaminated gloves into trash container, wash hands and dry thoroughly. Reglove 3 Disinfect unit using modified wipe-‐discard-‐wipe technique. 3 Flush water and evacuation lines for 30 seconds 3 Return equipment to its original position; rheostat on dental chair (on paper towel) 2 Remove protective eye wear and disinfect (operator and patient); remove mask 3 Remove gloves into round opening next to sink 3 Wash hands and dry thoroughly 3 OTHER *Maintains asepsis 3 Thoroughness of disinfection process 2 Leaves surface area wet after disinfection process 2 Performed in appropriate time frame (20 minutes) 2 *Failure to maintain asepsis in any manner 131 will result in an automatic failure of this competency.

Rev. 5/15

_________________________Student

Start time:_________________

Professional appearance/Clinical Dress Code Compliance Instructor:

2 100

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

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132

Student___________________________________

MOUTH MIRROR Process Competency Examination STUDENT MUST UTILIZE NON-‐DOMINANT HAND TO HOLD MIRROR TASK COMPONENTS MIRROR TECHNIQUE Demonstrates (using NON-‐DOMINANT hand) and explains uses of mouth mirror: a. Illumination b. Transillumination c. Retraction d. Indirect Vision Thumb and index finger pads positioned opposite one another on handle; fingers not touching or overlapping Index finger and thumb near handle/shank junction Upper inside corner of middle finger rests lightly on shank; touches the ring finger Fulcrum appropriate for area Light position appropriate for area Provides for patient comfort with insertion and placement of mirror Pt/Op position appropriate for area Recognizes tooth number *Maintains asepsis INSTRUCTOR:

AREA

EVAL

8 8 8 8 7 7 7 7 7 7 8 8 10 100

COMMENTS:

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency. Rev. 5/15

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Student___________________________________

11/12 & SHEPHERD’S HOOK EXPLORERS Process Competency Examination

TASK COMPONENTS OPERATOR POSITIONING Correct height of operator's stool Back in neutral position Wrist in neutral position Correct seating area for instrumentation (Clock positions) PATIENT POSITIONING Back of patient chair adjusted for appropriate arch Height of patient chair adjusted to level of operator's elbow Patient's head adjusted for treatment area (ex. toward/away, chin-‐up / down) Light positioned appropriately for treatment area MOUTH MIRROR Appropriate for area (retracts when appropriate, indirect vision when appropriate) GRASP Thumb and index finger pads positioned opposite one another on handle; fingers not touching or overlapped Index finger and thumb near handle/shank junction with thumb flexed outward Upper inside corner of middle finger rests lightly on shank Handle rests between second and third knuckle of index finger All fingers contact instrument as unit (NO “SPLITTING”) using a stacked fulcrum Grasp is relaxed but secure (no blanching of fingers) FULCRUM Tip of ring finger standing as tall as possible Fulcrum on incisal/occlusal surface or embrasure As close as possible to instrumentation area (1-‐2 teeth away) Appropriate palm direction ADAPTATION, INSERTION Correct working end chosen Point of insertion appropriate Adapts 1-‐2 mm of tip to tooth ACTIVATION/STROKE Activates with appropriate wrist-‐forearm motion Pivots stroke from fulcrum Rolls instrument in fingers around line angles Appropriate stroke direction (oblique on facial and lingual; vertical into proximal) Light, exploratory stroke pressure Slow, feeling stroke speed OTHER Recognizes tooth number *Maintains asepsis SHEPHERD’S HOOK EXPLORER Demonstrates vertical stroke with appropriate pressure into occlusal surface COMMENTS/INSTRUCTOR INITIALS

AREA

AREA

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

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EVAL 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 10 100

_________________Student

EXTRA/INTRA ORAL EXAM Process Competency Examination TASK COMPONENTS PREPARATION Assembles correct armamentarium Patient seated upright in dental chair Removes glasses of patient Operator standing SEQUENCE OF EXTRA ORAL EXAM Uses appropriate technique, pressure, stroke while palpating the following:

Size Color Location Shape Symptoms Lesion Duration Consistency Surface texture EVAL 2 2 2 2

Visual assessment of patient looking for anomalies of head and neck area 3 Frontal and supraorbital region 3 Infraorbital and zygomatic process region 3 Maxillary sinus region 3 Mandible and parotid gland region 3 Temporal region (pre-‐auricular) 3 TMJ and masseter 3 Submental, submandibular and sublingual regions 3 Trachea and thyroid 3 Sternocleidomastoid muscle (Anterior cervical lymph chain) 3 Supraclavicular region 3 Trapezius muscle and occipital region (Posterior cervical node chain) 3 Back and lateral portions of neck posterior to Sternocleidomastoid muscle 3 SEQUENCE OF INTRA ORAL EXAM Uses appropriate technique, pressure, stroke while palpating and/or evaluating the following: Visual assessment of lips and commissures 3 Labial mucosa 3 Buccal mucosa 3 Vestibule and frenulas 3 Floor of mouth 3 Tongue 3 Hard and soft palate 3 Uvula, tonsillar pillars, oropharynx 3 Alveolar mucosa 3 Edentulous gingiva if indicated 2 Assess salivary flow by stimulating Stenson’s Duct 3 GINGIVAL ASSESSMENT (VERBALIZE TO FACULTY) Color 3 Form 3 Density 3 OTHER Utilizes ‘SCSCMLSD’ to describe intra/extra oral findings 2 Utilizes mirror where appropriate 2 Correct pt/op positioning for area 2 Light placement appropriate for area 2 Describes self-‐exam techniques to patient 2 *Maintains asepsis 2 INSTRUCTOR: 100 COMMENTS: *Failure to maintain asepsis in any manner will result in an automatic failure of this competency. Rev. 5/15

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Student_________________________________

PERIODONTAL PROBE

Process Competency Examination TASK COMPONENTS OPERATOR POSITIONING Correct height of operator's stool Back in neutral position Wrist in neutral position PATIENT POSITIONING Back of patient chair adjusted for appropriate arch Height of patient chair adjusted to level of operator's elbow Patient's head adjusted for treatment area Light positioned appropriately for treatment area MOUTH MIRROR Appropriate for area (retracts when appropriate, indirect vision when appropriate) GRASP Thumb and index finger pads positioned opposite one another on handle; fingers not touching or overlapping Index finger and thumb near handle/shank junction with thumb flexed outward Upper inside corner of middle finger rests lightly on shank Handle rests between second and third knuckle of index finger All fingers contact as a unit (NO “SPLITTING) using a stacked fulcrum Grasp is secure and relaxed (no blanching of fingers) FULCRUM Tip of ring finger standing as tall as possible Fulcrum on incisal/occlusal edge or embrasure As close as possible to instrumentation area Appropriate palm direction ADAPTATION/INSERTION Initial insertion at line angle Tip remains in contact with tooth surface Maintains parallelism to long axis of tooth/root morphology Insertion to junctional epithelium ACTIVATION/STROKE Activates with left to right wrist/forearm motion Pivots stroke from fulcrum to maintain parallelism Controlled stroke remaining in sulcus Vertical stroke direction Walking, short stroke covers circumference of tooth Walks to proximal contact Maintains contact with tooth while readjusting angulation to enter col Light pressure against junctional epithelium OTHER *Maintains asepsis Recognizes tooth number INSTRUCTOR:

EVAL 4 4 4 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 3 100

COMMENTS: *Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

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Student______________________________

SICKLE SCALERS Process Competency Examination TASK COMPONENTS OPERATOR POSITIONING Correct height of operator's stool Back in neutral position Wrist in neutral position Correct seating area for instrumentation (Clock positions) PATIENT POSITIONING Back of patient chair adjusted for appropriate arch Height of patient chair adjusted to level of operator's elbow Patient's head adjusted for treatment area Light positioned appropriately for treatment area MOUTH MIRROR Appropriate for area (retracts when appropriate, indirect when appropriate) GRASP Thumb and index finger pads positioned opposite one another on handle; fingers not touching or overlapped Index finger and thumb near handle/shank junction with thumb flexed outward Upper inside corner of middle finger rests lightly on shank Handle rests between second and third knuckle of index finger All fingers contact as a unit (NO “SPLITTING”) using a stacked fulcrum FULCRUM Tip of ring finger standing as tall as possible Fulcrum on incisal/occlusal edge or embrasure As close as possible to instrumentation area Appropriate palm direction ADAPTATION Correct working end chosen Adapts terminal 2 mm of working end Establishes working angulation of 70-‐80 degrees Tip directed appropriately Uses overlapping strokes ACTIVATION/STROKE Activates with left to right wrist/forearm motion Pivots stroke from fulcrum Rolls instrument in fingers around line angles Appropriate stroke direction Covers circumference of tooth by channel scaling Short, controlled stroke (2-‐3mm in length) Appropriate speed OTHER Recognizes tooth number *Maintains asepsis INSTRUCTOR:

Anterior Posterior

EVAL 3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 6 100

COMMENTS: *Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

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Student____________________________________

BARNHART 5/6

Process Competency Examination TASK COMPONENTS OPERATOR POSITIONING Correct height of operator's stool Back in neutral position Wrist in neutral position Correct seating area for instrumentation (Clock positions) PATIENT POSITIONING Back of patient chair adjusted for appropriate arch Height of patient chair adjusted to level of operator's elbow Patient's head adjusted for treatment area Light positioned appropriately for treatment area MOUTH MIRROR Appropriate for area (retracts when appropriate, indirect when appropriate) GRASP Thumb and index finger pads positioned opposite one another on handle; fingers not touching or overlapping Index finger and thumb near handle/shank junction with thumb flexed outward Upper inside corner of middle finger rests lightly on shank Handle rests between second and third knuckle of index finger All fingers contact as a unit (NO SPLITTING) using a stacked fulcrum FULCRUM Tip of ring finger standing as tall as possible Fulcrum on incisal/occlusal edge or embrasure As close as possible to instrumentation area Appropriate palm direction ADAPTATION/INSERTION Correct working end chosen Adapts terminal 1-‐2 mm of working end Point of insertion appropriate Inserts as close to 0-‐degrees angulation as possible (terminal shank tipped toward the midline of tooth) Demonstrates insertion into col (half-‐way facial to lingual) Establishes working angulation of 70-‐80 degrees ACTIVATION/STROKE (DEMONSTRATED SUPRAGINGIVALLY) Activates with appropriate wrist/forearm motion Pivots stroke from fulcrum Rolls instrument in fingers around line angles Appropriate stroke direction Covers circumference of tooth by channel scaling Toe directed obliquely toward junctional epithelium Short, controlled strokes Appropriate speed OTHER Recognizes tooth number *Maintains asepsis INSTRUCTOR: Comments:

AREA 1 AREA 2 PTS.

EVAL

3 3 3 3 3 3 3 3 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 100

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency. Rev. 5/15

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138

__________________Student

GRACEY 1/2 Process Competency Examination TASK COMPONENTS OPERATOR POSITIONING Correct height of operator's stool Back in neutral position Wrist in neutral position Correct seating area for instrumentation (Clock positions) PATIENT POSITIONING Back of patient chair adjusted for appropriate arch Height of patient chair adjusted to level of operator's elbow Patient's head adjusted for treatment area Light positioned appropriately for treatment area MOUTH MIRROR Appropriate for area (retracts when appropriate, indirect when appropriate) GRASP Thumb and index finger pads positioned opposite one another on handle; fingers not touching or overlapping Index finger and thumb near handle/shank junction with thumb flexed outward Upper inside corner of middle finger rests lightly on shank Handle rests between second and third knuckle of index finger All fingers contact as a unit (NO “SPLITTING”) using a stacked fulcrum FULCRUM Tip of ring finger standing as tall as possible Fulcrum on incisal/occlusal edge or embrasure As close as possible to instrumentation area Appropriate palm direction ADAPTATION/VERBALIZATION OF INSERTION Correct working end chosen Point of insertion appropriate (overlaps midline) Adapts terminal 1-‐2 mm of working end Verbalizes insertion (slight closure of instrument face to tooth) Establishes working angulation of 60-‐70 degrees (demonstrate supra) ACTIVATION/STROKE Activates with appropriate wrist/forearm motion Pivots stroke from fulcrum Rolls instrument in fingers around line angles Appropriate stroke direction Covers circumference of tooth by channel scaling Toe directed obliquely toward junctional epithelium Short, controlled stroke Appropriate speed OTHER Recognizes tooth number *Maintains asepsis INSTRUCTOR: COMMENTS:

AREA 1 AREA 2

PTS 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 100

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency. Rev. 5/15

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EVAL

__________________Student

GRACEY 11/12

Process Competency Examination TASK COMPONENTS

AREA 1 AREA 2

OPERATOR POSITIONING Correct height of operator's stool Back in neutral position Wrist in neutral position Correct seating area for instrumentation (Clock positions) PATIENT POSITIONING Back of patient chair adjusted for appropriate arch Height of patient chair adjusted to level of operator's elbow Patient's head adjusted for treatment area Light positioned appropriately for treatment area MOUTH MIRROR Appropriate for area (retracts when appropriate, indirect when appropriate) GRASP Thumb and index finger pads positioned opposite one another on handle; fingers not touching or overlapped Index finger and thumb near handle/shank junction with thumb flexed outward Upper inside corner of middle finger rests lightly on shank Handle rests between second and third knuckle of index finger All fingers contact as a unit (NO “SPLITTING) using a stacked fulcrum FULCRUM Tip of ring finger standing as tall as possible Fulcrum on incisal/occlusal edge or embrasure As close as possible to instrumentation area Appropriate palm direction ADAPTATION/VERBALIZATION OF INSERTION Correct working end chosen Point of insertion appropriate (distal line angle) Adapts terminal 2 mm of working end Verbalizes insertion (slight closure of instrument face to tooth) Establishes working angulation of 60-‐70 degrees (demonstrate supra) ACTIVATION/STROKE (DEMONSTRATED SUPRAGINGIVALLY) Activates with appropriate wrist/forearm motion Pivots stroke from fulcrum Rolls instrument in fingers around line angles Appropriate stroke direction Covers facial to mesial tooth surface by channel scaling Toe directed obliquely toward junctional epithelium Short, controlled stroke Appropriate speed OTHER Recognizes tooth number *Maintains asepsis INSTRUCTOR: COMMENTS:

EVAL 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 100

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency. Rev. 5/15

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_________________Student

GRACEY 13/14

Process Competency Examination TASK COMPONENTS OPERATOR POSITIONING Correct height of operator's stool Back in neutral position Wrist in neutral position Correct seating area for instrumentation (Clock positions) PATIENT POSITIONING Back of patient chair adjusted for appropriate arch Height of patient chair adjusted to level of operator's elbow Patient's head adjusted for treatment area Light positioned appropriately for treatment area MOUTH MIRROR Appropriate for area (retracts when appropriate, indirect when appropriate) GRASP Thumb and index finger pads positioned opposite one another on handle; fingers not touching or overlapped Index finger and thumb near handle/shank junction with thumb flexed outward Upper inside corner of middle finger rests lightly on shank Handle rests between second and third knuckle of index finger All fingers contact as a unit (NO “SPLITTING”) using a stacked fulcrum FULCRUM Tip of ring finger standing as tall as possible (handle parallel w/long axis of tooth) Fulcrum on incisal/occlusal edge or embrasure As close as possible to instrumentation area Appropriate palm direction ADAPTATION/DEMONSTRATION OF INSERTION Correct working end chosen Point of insertion appropriate (distal line angle) Adapts terminal 1-‐2 mm of working end Demonstrates insertion (slight closure of instrument face to tooth) Establishes working angulation of 60-‐70 degrees (demonstrate supra) ACTIVATION/STROKE (DEMONSTRATED SUPRAGINGIVALLY) Activates with appropriate wrist/forearm motion Pivots stroke from fulcrum Rolls instrument in fingers around line angles Appropriate stroke direction Covers distal tooth surface by channel scaling Toe directed obliquely toward junctional epithelium Short, controlled stroke Appropriate speed OTHER Recognizes tooth number *Maintains asepsis INSTRUCTOR:

AREA 1

AREA 2

COMMENTS: *Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

Rev. 5/15

141

EVAL 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 100

Student________________________________

PROPHY CUP POLISHING Process Competency Examination TASK COMPONENTS OPERATOR POSITIONING Correct height of operator's stool Back in neutral position Wrist in neutral position Correct seating area for instrumentation PATIENT POSITIONING Back of patient chair adjusted for appropriate arch Height of patient chair adjusted to level of operator's elbow Patient's head adjusted for treatment area Light positioned appropriately for treatment area MOUTH MIRROR Appropriate for area (retracts when appropriate, indirect when appropriate) GRASP Uses modified pen grasp Holds as near working end as possible FULCRUM Appropriate for working area (intraoral when appropriate and extraoral when appropriate) ADAPTATION/INSERTION Angles prophy cup to flare apical half Appropriate cup direction Turns handpiece to adapt to proximal surface-‐ wraps around line angles Places cup near or slightly below gingival margin ACTIVATION/STROKE Begins stroke at distal/mesial cervical margin Uses intermittent, overlapping strokes Strokes across facial and lingual covering entire surface into proximal Pivots stroke from fulcrum Uses light but secure/controlled stroke Covers occlusal surface with brush Slow, even speed with handpiece OTHER Flosses, rinses and evacuates patient’s mouth Recognizes tooth number *Maintains asepsis INSTRUCTOR:

AREA 1 AREA 2

PTS 4 4 4 4 4 4 4 4 4

4 4 4

4 4 4 4 4 4 4 4 4 3 4 3 3 3 100

COMMENTS:

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

Rev. 5/15

Rev. 5/15

142

EVAL

Student________________________________

SCORE SEALANT APPLICATION ASSESSMENT

PROCEDURE

TOTAL POSSIBLE POINTS

1. 2. 3. 4. 5.

No prior fluoride treatment Utilizes correct cleaning method on tooth Successfully isolates and dries tooth Etches tooth for correct time according to product information Thoroughly rinses etchant from tooth according to product information 6. Dries tooth until “chalky” 7. Ultradent Light Cure: PrimaDry 5 seconds and air dries 8. Sealant material placed correctly 9. Curing time and technique appropriate for product 10. Light cure: Uses safety shield and colored eyewear for patient 11. Checks for voids while isolated/ reseals prn 12. Maintains dry field 13. Uses explorer to test retention/ margins 14. Uses floss to check interproximals 15. Sealant not over-‐/underfilled 16. Sealant covers all pits and fissures 17. Sealant has smooth margins 18. Removes non-‐polymerized surface 19. Checks occlusion 20. *Maintains asepsis INSTRUCTOR:

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 100

COMMENTS:

STUDENT SELF – ASSESSMENT:

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency. Rev. 5/15

Rev. 5/15

143

EVAL

Student__________________________________

TOPICAL FLUORIDE (TRAYS) PTS. TASK COMPONENTS PREPARATION 2 Assembles complete armamentarium 2 Correct patient positioning (upright) 3 Selects correct tray size 3 Selects appropriate type of fluoride and states rationale PROCEDURE 4 Thin band of fluoride dispensed in tray 4 Thoroughly dries maxillary, then mandibular teeth 4 Instructs patient not to swallow fluoride 4 Correctly places mandibular, then maxillary tray Instructs patient to chew/tap into tray to disperse fluoride to gingival margin 4 thoroughly 4 Places saliva ejector between trays for continuous suction 4 Times procedure correctly 4 Removes trays and excess fluoride 4 Gives appropriate post-‐treatment instruction OTHER *Maintains asepsis

EVAL

4

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

50

TOPICAL FLUORIDE (VARNISH) PREPARATION Assembles complete armamentarium Correct patient positioning (supine) States the rationale and consideration for use of varnish PROCEDURE Dry teeth, either with air or gauze as appropriate Dip applicator brush in varnish and mix well Paint a thin layer on mandibular tooth surfaces Continue with maxillary tooth surfaces Application takes approximately 1-‐3 minutes COMPLETION Verbalizes appropriate post-‐treatment instructions OTHER *Maintains asepsis *Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

INSTRUCTOR: COMMENTS: 144 Rev. 05/15

PTS 5 5 5 5 5 5 5 5 5 5 50

Eval

Student_________________________________

INSTRUMENT SHARPENING -‐ MANUAL Process Competency Examination

H6/H7 Gr 13/14

TASK COMPONENTS

BH 5/6

PTS.

PREPARATION Assembles complete armamentarium Provides illumination directly above work area Correctly identifies instrument to be sharpened Verbalizes objective of sharpening Identifies terminal shank

3 3 3 4 3

PROCEDURE (Moving Stone Technique) Orients instrument correctly (palm grasp) Stabilizes instrument Positions face of instrument parallel with floor Establishes correct angle of stone (105-‐110) to cutting edge of heel 1/3, making 2-‐3 strokes. Establishes correct angle of stone to the cutting edge of middle 1/3, making 2-‐3 strokes. Establishes correct angle of stone to the cutting edge of toe/tip 1/3, making 2-‐3 strokes. Pressure is applied on down stroke Utilizes upward stroke to reposition with no pressure Completes with a downward stroke Utilizes light-‐to-‐moderate pressure Utilizes rhythmic up and down strokes Correctly evaluates instrument sharpness with test stick by establishing the correct fulcrum, pressure, and angulation SHARPENING FACE Turns toe/tip toward operator Places face of instrument parallel with stone Places back of terminal 1/3 of instrument against stone Rolls stone away from her/himself while pulling stone toward toe/tip OTHER Preserves original design characteristics Identifies lower cutting edge to faculty *Maintains asepsis Verbalizes advantages of utilizing sharp instruments

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 9 9 9 9

100 INSTRUCTOR: Comments: *Failure to maintain asepsis in any manner will result in an automatic failure of this competency. Rev. 5/15

145 Rev. 05/15

EVAL

Student____________________________________________

SIDEKICK SHARPENING Process Competency Examination H6/H7

TASK COMPONENTS

Gr 13/14

BH PTS. EVAL 5/6

PREPARATION Assembles armamentarium Provides illumination directly above work area Verbalizes objective of sharpening Identifies terminal shank

3 3 4 3

Identifies the Gracey Curette Guide Channel Identifies the Sickle/Universal Guide Channel Identifies the Toe Guide Identifies the Terminal Shank Guide

3 3 3 3

PROCEDURE Turns on the Sidekick Establishes a fulcrum near the top of the Sidekick Stabilizes the Sidekick with the non-‐dominant hand Places the middle of the back on the instrument blade on the vertical backstop of the appropriate Guideplate Maintains contact with the vertical backstop and places the terminal shank onto the angled terminal shank guide. Moves the lateral surface of the blade against the stone with light pressure. Maintains contact with both the vertical backstop and terminal shank guide. Repeat the back and forward motion across the stone 2/3 times or until instrument is sharp. Reposition the instrument to sharpen the other side of the blade Cutting edge wiped with gauze to remove excess metal prior to evaluating sharpness Correctly evaluates instrument sharpness with test stick by establishing the correct fulcrum, pressure, and angulation SHARPENING TOE Direct the toe into the Toe Guide on the guideplate Keep the back of the toe against the side of the hole. Move the blade side to side 2-‐3 times OTHER Preserves original design characteristics Identifies lower cutting edge to faculty *Maintains asepsis Verbalizes advantages of utilizing sharp instruments

3 3 3 3 3 3 3 3 3 3 3 3 3 3 9 9 9 6

100 INSTRUCTOR: Comments: *Failure to maintain asepsis in any manner will result in an automatic failure of this competency. Rev. 5/15

146 Rev. 05/15

Student____________________________________________

CARE OF REMOVABLE PROSTHESIS COMPETENCY EXAMINATION TASK COMPONENTS RELATES TO PATIENT HOME CARE TECHNIQUES 1. Rinse after meals 2. Brushing: technique and frequency 3 Chemical immersion: individualize the type of solution, technique and frequency 4 Underlying mucosal care: reasons and procedure 5. Correctly identifies the impression surface of the prosthesis PROFESSIONAL CARE 6. Patient removes prosthesis prior to EIE and clinician examines for plaque and stain 7. Insert into plastic, labeled zip-‐loc bag 8. Pour tartar and stain remover into bag to cover prosthesis 9. Place bag in basket or beaker in ultrasonic and agitate 10 minutes 10. Remove prosthesis and pour solution down drain being careful not to splatter 11. Dispose of bag into regular trash. 12. Line with paper towels and fill with one inch of water. 13. Brush prosthesis and rinse with water 14. Place in denture cup and cover with mouthrinse/water mixture 15. *Maintain asepsis 16. Rinse prosthesis and return to pt., prior to dismissal 17. Consult DDS if indicated for pathologic area INSTRUCTOR'S INITIALS/COMMENTS SCORE

PTS 5 5 5 5 5 5 5 5 5 5 5 5 5 5 10 10 10 100

*Failure to maintain asepsis in any manner will result in an automatic failure of this competency.

Rev. 5/15

147

EVAL

UNIVERSITY of OKLAHOMA COLLEGE of DENTISTRY Department of Dental Hygiene

SCALING COMPETENCY I Completed during CDHII-‐Spring Objective: Student will complete scaling on a qualifying patient using the following criteria with 75% accuracy. Remediation required if necessary; initial grade stands even after remediation. CRITERIA & PROCEDURE for SCALING COMPETENCY I Ø Student must have completed two “periodontal maintenance” or prophylaxis patients prior to contracting for competency. (*May be amended by CDH II course director or site coordinator) Ø Patient must present with localized or generalized gingivitis. Ø Patient must have both anterior and posterior dentition with 10 areas of demonstrable calculus. Ø Perio maintenance patient may utilize 1-‐2 quads upon instructor

discretion due to increased difficulty of patient. Student: ♦ Inform the instructor that a competency exam is to be performed. This should be done as soon as the student determines that the patient is an acceptable candidate for a scaling competency. ♦ CI will identify and record calculus deposits onto NCR form. Student must not be present while charting is being completed. ♦ Student will proceed with appointment as usual but with no guidance from CI. ♦ Student remains chairside while the product evaluation (final check out) is graded by the CI. Student will then be allowed to attempt deposit removal. ♦ Student will complete a COMPETENCY SELF-‐ASSESSMENT WORKSHEET on any identified remaining deposits.

6. After faculty review of the self-‐assessment worksheet, faculty and student will discuss outcome. Faculty: 1. 2. 3.

Verify that the patient is an acceptable competency patient CI to verify deposits using Calculus Deposits Check in Sheet at determination of eligibility. (Deposits preferably supragingival) CI will check end product (product evaluation). Document on Calculus Deposits Check in Sheet.

Evaluation/Scoring: THE SCALING COMPETENCY I IS CALCULATED AS FOLLOWS: Number of removed deposits Total number of deposits charted + SELF-‐ASSESSMENT POINTS (UP TO 5 BONUS POINTS) 8 = 80 + 2 = 82 10 *6 point deduction for each area of tissue trauma

148 Rev. 5/15

POLISHING COMPETENCY CRITERIA: Student must have completed two patients prior to contracting for the competency. (*May be amended by course director). Polishing competency may be done on scaling competency patient. Patient must: • Have 10 natural teeth free from crown and bridge (6 posterior & 4 anterior). • Have a minimum of 25% plaque index (O’Leary’s) on day of exam on the 10 selected teeth. PROCEDURE: One CI will confirm patient suitability and check plaque removal competency. 1. Inform the CI at PTP that a potential plaque removal competency exam is to be performed. (Patients must meet above criteria) 2. Calculate O’Leary’s Plaque Index on entire dentition and document on calculus charting form. (Note: CI will select the TEN competency teeth) 3. CI will verify that the patient is an acceptable competency patient and verify plaque index. 4. Student performs plaque removal procedure. 5. CI checks competency. 6. Student removes residual plaque (if remaining). 7. Fill out self-assessment worksheet. 8. CI checks residual plaque removal. 9. Self-assessment worksheet completed and returned to the CI (may place in CI mailbox). 10. After CI review of the self-assessment worksheet, CI and student will discuss outcome and compute grade-using formula below. Grading as Follows: Light Plaque = 25-40% plaque index, allowed 0 areas of plaque remaining. Deduct 12 points per site remaining. Moderate Plaque = 41-55% plaque index, allowed 1 area of plaque remaining. Greater than 1, deduct 12 points per error. Heavy Plaque > 56% plaque index, allowed 2 areas of plaque remaining. Greater than 2, deduct 12 points per error. Tissue trauma No allowable errors. Trauma designates automatic failure of competency; no additional points will be added. Self-Assessment- Points added for removal of error(s) and correct assessment of error(s). Maximum allowed +5.

149 Rev. 5/15

STUDENT NAME_____________________________________________ PATIENT NAME ________________________________

P or PM_____

CLINIC INSTRUCTOR_________________________________________ DATE________________________

POLISHING PRODUCT COMPETENCY Plaque index (PI)

Total errors

Allowable errors

Excessive errors

25 – 40% 0 (10-16) areas 41 – 55% 1 (17-22) areas > 56% 2 (>22) areas Total errors – allowable errors = excessive errors X 12 for plaque Self Assessment Trauma

Points from 100 X 12= X 12= X 12= 100 -

Maximum of 5 points added + Automatic Failure

Zero allowable errors

GRADE

=

% Rev. 5/15

150 Rev. 5/15

DH3313-‐ CDHI POST COMPETENCY SELF-‐ASSESSMENT

1. Prior to reviewing your ____________________ competency, discuss your perceived performance regarding your strengths and weaknesses. 2. After reviewing your competency, what were your strengths and weaknesses?

3. How do you plan to master the areas that were identified as needing improvement?

151 Rev. 5/15

DEPARTMENT of DENTAL HYGIENE

ALGINATE IMPRESSIONS LABORATORY EVALUATION STUDENT: ____________________ PATIENT: INSTRUCTOR INITIALS: FINAL GRADE: DATE: ________ Objective: Student will create a maxillary and mandibular impression with 75% accuracy for a satisfactory grade in Applied Dental Materials. Procedure: Set up unit, Take impression, Remove, disinfect and store impression in accordance with CDC guidelines. Student will be evaluated on maxillary and mandibular impression. I. EQUIPMENT SET UP & PREPARATION Mand Max

Pts. 2pts.

Pts 2pts.

2pts.

2pts.

4. Explain procedure to patient, gain verbal consent

2 pts. 2 pts.

2pts. 2pts.

5. Lubricate patient’s lips and provide antimicorbial mouthrinse.

2 pts.

2pts.

6 Inspect patient’s mouth for correct tray size and try in tray. Make adjustments to tray. (At least 1/4” between tray and dentition, covers retro molar pads/max. tuberosity) 7. Place tray adhesive on plastic tray and wait to dry

2 pts.

2pts.

1 pt.

1pts.

8. Pour alginate powder into bowl and fill graduated cylinder with water at room temperature to top line and pour into bowl

1 pt.

1pts.

9. Pour water onto powder and lightly incorporate until powder is wet; then spatulate alginate onto sides of bowl to express air bubbles

2 pts

2pts.

10. Spatulate vigorously for 1 minute until smooth and creamy

2 pts. 2 pts.

2pts. 2pts.

2 pt.

2pts.

14. Seat tray from posterior to anterior and ensure tray is centered over teeth with handle centered over midline of mouth

2 pt. 2 pts.

2pts. 2pts.

15. Use middle fingers on each side of the tray and thumbs to support the jaw

2 pts.

2pts.

16. Instruct patient to lift tongue and breath through nose

2 pt.

2pts.

17. Impression material should remain in patient’s mouth for 1 minute after initial set

2 pts.

2pts.

20. Grasp handle of tray and lift tray from teeth with one snapping motion

2 pt. 3 pts.

2pts. 3pts.

21. Inspect impression for voids and over seating (voids over 1mm and parts of tray showing)

5 pts.

5pts.

22. Disinfect impression and place in plastic bag with patients name and date

5 pts.

5pts.

1. Gather mixing bowl, spatula, alginate impression material, graduated cylinder, maxillary and mandibular trays, tray adhesive, ziplock plastic bag with patient’s name and beading wax (if needed) 2. Disinfect mixing bowl and spatula II. PROCEDURE 3. Recognize indications and contraindications

11. Load mandibular tray first using large increments of alginate material and loading from the lingual side just below the rim of the tray 12. Right handed operator should be at the 8 o’clock position (4 o’clock for left handed) for the mandibular impression and retract the opposite cheek with the non-‐dominate hand 13. HOLD OUT LIP while seating anterior teeth being careful not to remove alginate from vestibule while moving your fingers anteriorly

18. Repeat steps 8-‐16 for maxillary arch except right handed operator should be at the 11 o’clock position (1 o’clock for left handed) for the maxillary Impression. Adjust pt chair height as needed to cradle patients head with non-‐dominant arm III. REMOVAL OF IMPRESSION 10 points for maxillary impression and 10 points for mandibular impression 19. Place non dominant index finger under posterior facial portion of the tray (also pulling cheek out a bit) to break the seal between the teeth and the impression

IV. OVERALL TECHNIQUE 23. Impression shows buccal roll, sublingual area, uniform thickness and did not trap lip in the anterior portion

10 pts

24. Tray is parallel with occusal plane and midline is centered with tray handle

5 pts.

Total Pts. Earned

DEPARTMENT of DENTAL HYGIENE

DIAGNOSTIC CASTS

LABORATORY EVALUATION STUDENT: PATIENT: __________ DATE: _____ INSTRUCTOR: _____________________________________________________ FINAL GRADE: Objective: Student will construct a maxillary and mandibular cast for whitening trays with 75% accuracy for a satisfactory grade in Applied Dental Materials. Procedure: Prepare laboratory area, disinfect area/equipment before and after use and store casts for whitening tray fabrication. Student will be evaluated on fabrication of maxillary and mandibular casts. Evaluation: Minimum 75 % accuracy. (75/100) I. EQUIPMENT SET UP & PREPARATION Poss. Pts Pts. Earned 1. Clinic attire, safety glasses, gloves, tile/paper for casts to set 4 pts. 2. Disinfect laboratory mixing bowl and spatula

4 pts.

II. PROCEDURE-‐ Do not spit points up. Equal points given for EACH cast where columns are split

3. Rinse impression and shake off or air dry excess water

2 pts.

4. Spray surface surfactant on impression to reduce air bubbles 5. Place 40 ml of water at room temperature in mixing bowl

2 pts. 1 pt.

6 Pour 140 g of stone (if using pre-‐packaged) into water in steady increments

2 pt.

7. Lightly spatulate mixture

2 pts.

8. Mix stone either manually or with the vacuum mixing system for 20-‐30 seconds or until mixture has a uniform consistency

2 pts.

9. Rinse blades of vacuum mixer immediately

2 pts.

10. Cover vibrator with protective paper or plastic barrier

2 pts. 6 pts.

11. Turn on vibrator and press handle of impression on finger resting on vibrator and let small amount of mixture pour over all occusal surfaces of impression 12. Change angle of tray to allow mixture to flow slowly into recessions around impression 13. Turn impression over on vibrator to allow most of material to flow out

6 pts. 6 pts.

14. Add small amounts of stone to impression until impression is full

10 pts.

15. Make sure impression tray does not touch stone material and impression tray is level with floor and does not slump

4 pts.

16. Set impression in a safe place to dry for manufacturer’s recommendation and not more than 24 hours

2 pts.

III. SEPARATED CASTS

17. Cast does not have voids 18. Cast surface is not rough or grainy

10 pts. 4 pts.

19. Cast surface is smooth and free of stone “bubbles”

8 pts.

20. Cast shows all teeth and gingival margins clearly

12 pts.

21. Cast has adequate vestibule for fabrication of whitening trays

12 pts.

22. Automatic failure if cast is broken

23. Twenty-‐five points will be automatically deducted from the overall grade if working area is not cleaned and disinfected

200 pts.

24. Repeat step 3-‐18 for fabrication of an opposite arch cast

TOTAL POINTS POSSIBLE: 144

153

TOTAL POINTS EARNED:

MAX

MAND

__

CLINICAL OPERATIONS SECTION II-‐ DH II Competencies and Clinical Evaluation

154

UNIVERSITY of OKLAHOMA COLLEGE of DENTISTRY Department of Dental Hygiene AIR POLISHING EVALUATION STUDENT:

CI:

DATE:

SCORE:___/10

Objective: Using an air polisher (Prophy Jet ®, Prophy Mate® etc), and an appropriate patient with light to moderate stain, the student will air polish a minimum of one quadrant using disclosant and following the guidelines with 75% accuracy.

Contraindications -Restricted sodium diet (use sodium free powder) - Respiratory risk - Difficulty swallowing - Communicable diseases - Restorative materials - Exposed root surface - Soft spongy gingiva - Immunosuppressed

Procedure: Student requests permission from CI to verify qualifying patient. CI may provide guidance & direction in patient selection. CI observes procedure and marks “S” if step is satisfactory or “U” if unsatisfactory. (1 point each) Criteria: C (Competent) =1 point, A (Needs Attention) = .5 point, N= (Needs development) = (-1) point Evaluation: 75% accuracy (7.5/10 points) GUIDELINES 1.

Recognizes indications and contraindications.

2.

Properly assembles equipment according to manufacturer’s instructions.

3.

Properly adjusts controls; applies water based lubricant to patient’s lips; applies disclosant

4.

Demonstrates proper grasp and fulcrum.

5.

Demonstrates proper patient/operator positioning.

6.

Demonstrates proper angulation of tip.

7.

Controls aerosols, uses correct evacuation.

8.

Uses water to rinse periodically.

9.

Manages patient to minimize anxiety, discomfort.

10. Properly disassembles unit, disinfects, bags tip, COMMENTS

C

A

N

TOTAL TECHNICAL COMPETENCY Student Evaluator Date

Area 1 Area 2 Area 3 Area 4

Objective: Student will demonstrate proper instrumentation technique with each of the following instruments on student- partne using criteria stated below with 75% accuracy. Remediation required with minimum of 75% accuracy. Initial grade stands. DIRECTIONS FOR EVALUATOR: S (satisfactory) U (unsatisfactory) Each “S”=1 point, each “U” = 0 points

CRITERIA: Position: 1. Positioned correctly on operator chair, feet flat, elbow at level of patient's mouth 2. Positioned correctly with relation to patient, equipment and tx area 3. Establishes correct supine patient positioning Dental Mirror/Non Dominant Hand: 4. Uses correct grasp and establishes secure rest with mirror 5. Uses the mirror correctly for retraction and/or indirect vision Modified Pen Grasp with Dominant Hand: 6. Thumb and index finger positioned opposite one another on instrument handle; fingers not touching or overlapped; no splitting 7. Side of middle finger rests lightly on shank; fingers work as a unit 8. Handle rests between 2nd and 3rd knuckles of the index finger. 9. Thumb flexed, not collapsed Intraoral Fulcrum: 10. Ring finger straight and supports weight of hand 11. Fulcrum on same arch of tooth being instrumented 12. Handle straight up from occlusal/incisal surfaces; doesn’t cross over occlusal plane of B/Li surface being instrumented Extraoral Fulcrum: 13. Demonstrates appropriate fulcrum with fingers folded back/under 14. Demonstrates activation with wrist/forearm motion 15. Demonstrates chin cup 16. Handle straight up from occlusal/incisal surfaces; doesn’t cross over occlusal plane of B/Li surface Technique: 17. Activates wrist/forearm with rock or roll motion 18. Establishes and maintains correct angulation (°) 19. Maintains correct adaptation (mm); Rolls handle when needed for adaptation 20. Uses controlled stroke; blade on tooth with up and down stroke 21. Applies appropriate lateral stroke pressure 22. Uses correct sequence; overlap midline anterior; distal line angle posterior TOTAL S’s in each column Total S’s divided by Total Points Possible (88) = 156

ODU 11/ 12

S

U

X

H 6/7

Gr 13/14

S

S

U

X

BH 5/

U S

X %

Box for sketches pertaining to written comments EVALUATOR COMMENTS

157

UNIVERSITY of OKLAHOMA COLLEGE of DENTISTRY Department of Dental Hygiene PLACEMENT OF CHEMOTHERAPEUTIC AGENT EVALUATION STUDENT:

CI:

DATE:

SCORE:

/ 7

Objective: With an appropriate patient, the student will properly place chemotherapeutic agent using the following the guidelines with 75% accuracy. Procedure: Student requests permission from CI to verify qualifying patient. CI may provide guidance & direction in patient selection. CI observes procedure and marks “S” if step is satisfactory or “U” if unsatisfactory. (1 point each) Criteria: C (Competent) =1 point, A (Needs Attention) = .5 point, N= (Needs development) = (0) point Evaluation: 75% accuracy (5.25/7 points) GUIDELINES

C

A

N

1. Recognizes indications and contraindications.

2. Gathers and properly assembles armamentarium according to manufacturer’s instructions.

3. Uses mirror handle to gently flatten end of carpule, avoiding excess pressure

4. Properly inserts and dispenses agent to the depth of the pocket

5. Provides verbal and written post op instructions

6. Manages patient to minimize anxiety, discomfort.

7. Properly documents procedure and post op instructions in patient chart

TOTAL

COMMENTS

UNIVERSITY of OKLAHOMA COLLEGE of13DENTISTRY 22 14 Department of Dental Hygiene13

of

CALCULUS DETECTION COMPETENCY

NGUAL

STUDENT: CI:

KEY:

SCORE: DATE:

Objective: Using the ODU 11/12 explorer and mirror, direct vision, transillumination, radiographs and compressed air, the student will chart one quadrant of a qualifying patient on the chart below using the criteria in the key with 75% accuracy, remediation required if necessary. Procedure: • • • • • • 1

2

Student requests permission from CI to verify qualifying patient. CI may provide guidance & direction in patient selection. CI assigns one quadrant with a minimum of 10 clicks of calculus. There must be a minimum of 1 surface that includes ledge, ring or heavy calculus. CI will calibrate with student on 4 surfaces (1 tooth) in a quadrant not being tested. Student records amount of calculus present on each of 4 surfaces (M, D, F, L) using key with a black or blue pen. Student must complete the charting within 15-minutes. CI evaluates while student holds the test paper up to CI. CI instructs student to mark out incorrect values in RED. CI calculates score. Divide total correct by total possible. 3

4

5

6

7

8

FACIAL

9

10 AN

24

23

11

12

13

14

15

21

20

19

18

16

LINGUAL

32

31

30

29

28

27

26

25

FACIAL

22

17

UNIVERSITY of OKLAHOMA COLLEGE of DENTISTRY Department of Dental Hygiene

SCALING COMPETENCY II Completed after week 7 of Fall Semester Objective: Student will complete scaling and root planing prn on a qualifying patient using the following criteria with 75% accuracy. Remediation required if necessary; initial grade stands even after reme CRITERIA & PROCEDURE for SCALING COMPETENCY II Ø Ø Ø Ø

Previously completed a minimum of 2 “periodontal maintenance” patients (may be amended by CI) Generalized calculus 10 clicks of sub-‐gingival calculus charted by CI in 1-‐2 qu ads Student self-‐assessment if needed

Process of Competency: 1. 2. 3. 4. 5. 6.

Inform the instructor that a competency exam is to be performed. This should be done as soon as the determines that the patient is an acceptable candidate for competency. All paper work must be filled for use. CI will identify and record calculus deposits onto NCR form. Student must not be present while charti completed. Charting is taken to faculty area. Student will proceed with appointment as usual but with no guidance from CI. Request check out at 11:15 or 3:15. Polishing and fluoride are to be completed following final check. Student remains chairside while the product evaluation (final check out) is graded by the CI. Student where the remaining deposits are and will then be allowed to attempt deposit removal. Student will complete a COMPETENCY SELF-‐ASSESSMENT WORKSHEET on any identified remaining

Evaluation/Scoring: THE SCALING COMPETENCY II IS CALCULATED AS FOLLOWS: Number of removed deposits Total number of deposits charted + SELF-‐ASSESSMENT POINTS (UP TO 5 BONUS POINTS) 8 = 80 + 2 = 82 10 *6 point deduction for each area of tissue trauma

160

COMPETENCY SELF-‐ASSESSMENT WORKSHEET Student Name ________________________ Date/ Faculty Signature________________ Scaling: Comp. I Error

Self-assessment of Error (.25)

Comp. II

Mock WREB Comp

Polishing

Correction Method (.25)

Probe Error Value Removed (.5)

UNIVERSITY of OKLAHOMA COLLEGE of DENTISTRY Student

CI

Department of Dental Hygiene Date

Total Points

/75

ULTRASONIC INSTRUMENTATION COMPETENCY Objective: Student will demonstrate use of the ultrasonic scaler on a patient following the check sheet with 75% accuracy. Criteria: Using a clinic patient with demonstrative calculus, demonstrate use of ultrasonic in one quadrant. Criteria: C (Competent) =1 point, A (Needs Attention) = .5 point, N= (Needs development) = (0) point Evaluation: Total possible points: 75; 75% accuracy = 56/75. Remediation required. CRITERIA

C

I. Prepares Unit = 4 points 1. Equipment is set up prior to appointment 2. Unit and handpiece are disinfected/sterilized & barriers are used 3. Line is flushed 4. Places insert into handpiece filled with water II. Patient Selection and Preparation = 6 points 1. Informed consent is gained 2. Rationale for use recognized 3. Procedure is explained (purpose, noice, evac) 4. Preprocedural mouthrinse is used for 30 seconds 5. Barrier techniques are used 6. Patient and clinician positioning are appropriate III. Instrumentation 1 point each = 60 points

1000 Standard C A N

1000 Slim C A N

10 Slim C A N

Right C A N

Sub Total

/4

Sub Total

/6

Left C A

N

1. Evacuation is adequate 2. Explores to locate deposit 3. Power setting is correct 4. Approach is systematic 5. A gentle pen grasp is used 6. Uses appropriate fulcrum 7. Handpiece is balanced 8. Cord is properly managed 9. Insert adapted appropriately to tooth surface 10. Insert is in motion at all times; adequate water flow 11. Strokes are multi-directional, brush like, tapping, or probe like 12. Light, lateral pressure is used prn Sub Total

162

/60

A

N

IV. Patient Management etc = 5 points 1. 2. 3. 4. 5.

Manages patient appropriately; efficiency is demonstrated Stops periodically to allow complete evacuation Evaluates progress with explorer Identifies endpoint Demonstrates proper use of ‘efficiency indicator’ Sub Total

TOTAL

163

/75

University of Oklahoma College of Dentistry Department Of Dental Hygiene

LOCAL ANESTHESIA WORKSHEET Student Name Patient Name Date Procedure Area Type of Injection Nerve(s) Anesthetized Type of Anesthetic Volume of Anesthetic Medical History Considerations Evaluation of Technique: C (competent); A (needs attention); N (needs development) Comments:

Number of Injections PSA MSA ASA Nasopalatine Greater Palatine Infraorbital Inferior Alveolar & LB Infiltration Incisive/Mental

Tooth Number(s) or Quadrants

Faculty Signature Date

164

UNIVERSITY of OKLAHOMA COLLEGE OF DENTISTRY LOCAL ANESTHESIA LAB COMPETENCY STUDENT: PATIENT: DATE:

PTP: BP:

TOTAL POINTS POSSIBLE : TOTAL POINTS EARNED: FINAL GRADE:

80 CI:

Objective: Student will administer local anesthesia (PSA, MSA, ASA, IO, GP, NP, IANB injections on classmate following the checklist with 75% accuracy. Procedure: Update HHx, BP, PTP. CI evaluates by placing a “check mark” in appropriate box & totals points for each. Total points for entire competency should be placed at top of form. CI to initial. Criteria: C (Competent) =1 point, A (Needs Attention) = .5 point, N= (Needs development) = (0) point Evaluation: Minimum 75 % accuracy. (60/80) ARMAMENTARIUM & SYRINGE PREPARATION Disposable mouth mirror, 2 aspirating syringes, 2 each: long & short 27 gauge needles, 1 ProTector Sheath Prop, (27 gauge), 8 cotton tipped applicators, 10 gauze 2x2s, 2-3 carpules of 3% Polocaine (mepivacaine), 20% benzocaine topical anesthetic. SYRINGE PREPARATION 1. Secures thumb ring, if applicable. 2. Places needle on syringe, making certain it is straight. 3. Retracts piston & inserts rubber stopper end of cartridge first. Looking down on needle, slides cartridge to perforate diaphragm. (allow it to click) 4. Covers glass and engages harpoon. 5. Holding syringe in palm, gently loosens sheath & allows it to fall off. 6. Expels a few drops of solution to determine proper flow. (DO NOT tap on napkin!) 7. Determines if bevel is toward bone. If not, re-sheaths using scoop technique & firmly replaces it. Turns white part of needle hub 90°(or prn) using white raised line as reference point. Loosens & allows sheath to fall off. 8. Re-sheaths using scoop technique. 9. Releases harpoon from rubber stopper by pulling back on thumb ring, removes carpule, removes needle, disposes of properly in sharps container etc. TOTAL POINTS POSSIBLE:

9

TOTAL POINTS EARNED:

C

A

N

INJECTION TECHNIQUES I. ANTERIOR SUPERIOR ALVEOLAR (use yellow 25/27 gauge short needle) . 1. Identifies landmarks (MB between canine and lateral incisor; canine fossa). 2. Gently dries area with gauze. 3. Applies topical anesthetic for minimum 1 minute. 4. With palm up, window facing operator, grasps syringe and allows sheath to fall off; tests solution flow. 5. Orients bevel toward bone. 6. Retracts patient’s cheek with gauze, pull tissues taut. 7. Using syringe etiquette, inserts needle 1-2 mm at height of MB fold. DOES NOT ADVANCE when adding solution. 8. Aspirates and deposits 1/4 carpule of solution; aspirates once, states ‘positive or negative’(aspirate). 9. Withdraws and re-sheaths using scoop technique. 10. Rinses patient. TOTAL POINTS POSSIBLE:

10

A

N

C

A

N

TOTAL POINTS EARNED:

II. MIDDLE SUPERIOR ALVEOLAR (use yellow 25/27 gauge short needle) 1. Identifies landmarks (MB fold 2nd pre molar). 2. Gently dries area with gauze. 3. Applies topical anesthetic for minimum 1 minute. 4. With palm up, window facing operator, grasps syringe, loosens sheath from behind and allows sheath to fall off; tests solution flow. 5. Orients bevel toward bone. 6. Retract patient’s cheek with gauze, pull tissues taut. 7. Using syringe etiquette, inserts needle 1-2 mm at height of MB fold. DOES NOT ADVANCE when adding solution. 8. Aspirates and deposits 1/4 carpule of solution; aspirates once; states ‘positive or negative’(aspirate). 9. Withdraws and re-sheaths using scoop technique. 10. Rinses patient. TOTAL POINTS POSSIBLE:

C

10

TOTAL POINTS EARNED:

166

III. POSTERIOR SUPERIOR ALVEOLAR (use yellow 25/27 gauge short needle) 1. Identifies landmarks (MB fold 2nd mx molar, maxillary tuberosity, zygomatic process). 2. Gently dries area with gauze. 3. Applies topical anesthetic for minimum 1 minute. 4. With palm up, window facing operator, grasps syringe and allows sheath to fall off; tests solution flow. 5. Orients bevel toward bone. 6. Retract patient’s cheek with gauze, pull tissues taut. 7. Using syringe etiquette, inserts needle to ¾ depth, in upward, inward, backward direction (in one motion). 8. Aspirates and deposits ½ carpule of solution; aspirates at least once more ; states ‘positive or negative’(aspirate). 9. Withdraws and re-sheaths using scoop technique. 10. Rinses patient. TOTAL POINTS POSSIBLE: 10 TOTAL POINTS EARNED:

C

A

N

IV. GREATER PALATINE (use yellow 27 gauge short needle) 1. Identifies landmarks (jct hard & soft palate, anterior to palatal foramen). 2. Gently dries area with gauze. 3. With palm up, window facing operator, grasps syringe and allows sheath to fall off; tests solution flow. 4. Orients bevel toward bone . 5. With syringe in dominant hand (using syringe etiquette), and cotton tipped applicator in non-dominant hand, establishes fulcrum & uses gentle pressure, applying topical anesthetic for minimum 1 minute , increasing pressure incrementally. 6. Moves cotton tipped applicator aside, establishes fulcrum & inserts needle 1-2 mm under mucosa. 7. Aspirates and states ‘positive or negative’ aspirate; if positive, repositions, aspirates and continues deposition deposits ¼ to 1/3 carpule of solution; observes blanching tissue. 8. Withdraws and re-sheaths using scoop technique. 9. Rinses patient.

C

A

N

TOTAL POINTS POSSIBLE:

9

TOTAL POINTS EARNED:

167

V. NASOPALATINE (use yellow 27 gauge short needle) 1. Identifies landmarks (lateral to incisive papilla). 2. Gently dries area with gauze. 3. With palm up, window facing operator, grasps syringe and allows sheath to fall off ; tests solution flow. 4. Orients bevel toward bone. 5. With syringe in dominant hand (using syringe etiquette), and cotton tipped applicator in non-dominant hand, establishes fulcrum & uses gentle pressure, applying topical anesthetic for minimum 1 minute, increasing pressure incrementally. 6. Moves cotton tipped applicator aside, inserts needle 1-2 mm under mucosa, depositing small volume of anesthetic. Continues applying pressure & slowly advances needle until osseous contact. 7. Aspirates and states ‘positive or negative’ aspirate; if positive, repositions, aspirates and continues deposition. Deposits 1/4 or less carpule of solution; observes blanching tissue. 8. Withdraws and re-sheaths using scoop technique. 9. Rinses patient. TOTAL POINTS POSSIBLE:

9

A

N

C

A

N

TOTAL POINTS EARNED:

VI. INFRAORBITAL (use yellow 25/27 gauge long needle) 1. Identifies landmarks (infraorbital foramen, MB fold 1st premolar, needle parallel with long axis of tooth). 2. Gently dries area with gauze. 3. Applies topical anesthetic for minimum 1 minute. 4. With palm up, window facing operator, grasps syringe and allows sheath to fall off; tests solution flow. 5. Orients bevel toward bone. 6. Retracts patient’s cheek with gauze, pulls tissues taut. 7. Using syringe etiquette, establishes fulcrum,inserts needle to approx ½ depth, contacting bone; states osseous contact. 8. Aspirates and deposits ½ carpule of solution; aspirates at least once more ; states ‘positive or negative’ aspirate. 9. Withdraws and re-sheaths using scoop technique. 10. Rinses patient and maintain firm pressure on foramen for 1 minute. TOTAL POINTS POSSIBLE:

C

10

TOTAL POINTS EARNED:

168

VII. INFERIOR ALVEOLAR NERVE BLOCK, LINGUAL and LONG BUCCAL NERVE BLOCK (use yellow 25/27 gauge long needle) 1. Identifies landmarks, 6-10 mm above occlusal plane, distal to coronoid notch, ¾ distance from notch to pterygomandibular raphe, using long needle; for LB, distal to 2nd molar. 2. Gently dries area with gauze. 3. Applies topical anesthetic for minimum 1 minute. 4. With palm up, window facing operator, grasps syringe and allows sheath to fall off; tests solution flow. 5. Orients bevel toward bone . 6. Retracts patient’s cheek with gauze, pulls tissues taut, establishes fulcrum. 7. Using syringe etiquette, places barrel of syringe in commissure on contralateral side & inserts needle to ¾ depth. 8. Aspirates and deposits 3/4 carpule of solution ; re aspirates throughout procedure; states ‘positive or negative’ aspirate; if positive, repositions, aspirates and continues deposition; for lingual, retracts needle halfway, aspirates, states positive or negative and deposits 1/8 carpule . Removes needle and gives LB distal & buccal to 2nd molar. 9. Withdraws and re-sheaths using scoop technique. 10. Rinses patient. TOTAL POINTS POSSIBLE:

10

A

N

TOTAL POINTS EARNED:

OVERALL TECHNIQUE 1. Maintains proper infection control and manages sharps throughout procedure. 2. Communicates with patient throughout procedure; minimizes anxiety, reassures, avoids unnecessary relocation of needle, etc 3. Accurately records procedure in patient’s chart, including type of anesthetic, amount, and concentration, any adverse reactions. Ex: Administered 1.8 cc lidocaine 2%, 1:100,000 epi., no complications. TOTAL POINTS POSSIBLE:

C

3

TOTAL POINTS EARNED:

169

C

A

N

Department of Dental Hygiene

TRANSITIONAL DENTITION CHARTING EXERCISE

STUDENT:____________________________________________________ CI:_____________________________________________________________ DATE:_________________________________________________________

Total Correct:_____________/48 POSSIBLE

Objective: Using an assigned study model, the student will chart the transitional (mixed) dentition on the chart below with 75% accuracy. Procedure: Student is given assigned study model. Circle the model number in box at top of form. Using a BLACK OR BLUE pen, student clearly marks each box with “P” for Present tooth, or “A” for Absent tooth. If box is left blank, no credit will be awarded. Illegible, unclear, or marked-‐out answers will be given no credit. Evaluation: A A Divide total correct by total possible. Remediation required if 75% accuracy not achieved. Initial grade stands. *ALL sheets (including Aany scratch paper used) MUST be stapled together with final submission on top Awhen turning in Exercise form for grading. A

B C D E F G H I J

1 2 3 4 5 6 7 32 31

30 29 28 27

26

8 9 10 11 12 13 14 15 16

25

24

23

22

21 20 19 18 17

T S R Q P O N M L K 170

UNIVERSITY of OKLAHOMA COLLEGE OF DENTISTRY DEPARTMENT of DENTAL HYGIENE

ALGINATE IMPRESSIONS CLINICAL COMPETENCY STUDENT:

PATIENT:

DATE:

CI

FINAL GRADE:

Objective: Student will obtain a maxillary and mandibular impression on student partner or clinic patient. Procedure: Set up unit, review HHx, BP, PTP. Obtain impressions of both maxillary and mandibular arches. CI approval required for adequate impression prior to pouring up in stone. Student is allowed one retake per arch if first impression is not acceptable. Automatic failure if anatomic is form is distorted or missing and work area is not cleaned and disinfected. Criteria: C (Competent) =1 point, A (Needs attention) =.5 point, N (Needs Development) = 0 point. Evaluation: Total points possible = 10; Minimum of 75% accuracy = 7.5/12. Remediation required.

C

OVERALL TECHNIQUE

A

N

1. Student gathers appropriate supplies and armamentarium for maxillary and mandibular impressions 2. Student confirms with instructor that patient is a appropriate candidate for alginate impressions 3 Student obtains permission to proceed from clinic instructor 4. Student informs patient of procedure 5. Student maintain proper infection control and manages patient throughout procedure 6. Student communicates with patient throughout procedure; minimizes anxiety 7. Student assesses maxillary and mandibular impressions for accuracy 8. Student presents impressions to clinic instructor for approval 9. Students disinfects impressions and places in plastic baggie with patient’s name on the outside 10. Students pours up cast within one hour of taking the impression to minimize distortion

COMMENTS:

________________________________________________________________________________________________________ ________________________________________________________________________________________________________

171

UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY DEPARTMENT of DENTAL HYGIENE

DIAGNOSTIC CASTS CLINICAL EVALUATION STUDENT:

PATIENT:

DATE:

CI

FINAL GRADE:

Objective: Student will construct a maxillary and mandibular cast for whitening trays or patient education. Criteria: C (Competent) =1 point, A (Needs attention) =.5 point, N (Needs Development) = 0 point. Automatic failure if casts are broken or working area is not cleaned and disinfected. Evaluation: Total points possible = 14; Minimum of 75% accuracy =10.5/14. Remediation required.

C

A

N

FINAL CASTS 1.

Maxillary cast does not exhibit broken teeth

2.

Maxillary cast surface is smooth and free of stone “bubbles”

3.

Maxillary cast shows all teeth and gingival margins clearly

4.

Maxillary cast does not exhibit voids

5.

Maxillary cast has adequate vestibule for fabrication of whitening trays

6.

Maxillary cast is adequate for chairside presentation

7.

Maxillary cast has been trimmed of all excess stone

8.

Mandibular cast does not exhibit broken teeth

9.

Mandibular cast surface is smooth and free of stone “bubbles”

10. Mandibular cast shows all teeth and gingival margins clearly 11. Mandibular cast does not exhibit voids 12. Mandibular cast has adequate vestibule for fabrication of whitening trays 13. Mandibular cast has been trimmed of all excess stone 14. Mandibular cast is adequate for chairside presentation

Comments:

_______________________________________________________________________________________________________________

172

UNIVERSITY of OKLAHOMA COLLEGE of DENTISTRY Department of Dental Hygiene

MOCK WREB Spring Objective: Student will select an appropriate patient to qualify for the competency, prepare al necessary forms, administer local anesthetic, complete scaling and root planing, and record probe depths and recession on a NSPT patient within 2 hours using the following criteria with 75% accuracy. (simulation of the WREB clinical exam) Forms and items needed: • NCR Calculus Chart • WREB Candidate Assignment Form in plastic sheet protector • WREB Medication/Anesthesia Dosage Form in plastic sheet protector • WREB Patient Submission/Alternate Submission Sheet (Blue Card) • Competency Self-Assessment Worksheet • Blue or black pen Criteria: • recommended that student complete 8 quads of NSPT prior to competency. (includes fall semester; may be amended by CC or CI) • patient should have generalized, heavy subgingival calculus in ONE quadrant • a minimum of 12 clicks in one quad (may add up to 4 additional teeth from any other quads to get 12 clicks) • minimum of 3 (three) surfaces must be on molars • no more than 4 (four) surfaces on mandibular anterior teeth • you may have more than 4 (four) qualifying surfaces on maxillary anterior teeth • must have one molar contact; explorer does not pass through contact Procedure: • Student requests patient submission qualification from CI. • CI does cursory exam to determine qualification. Student dismissed while CI charts 12 surfaces of qualifying calculus on calculus chart. • CI fills out “Candidate Assignment Form” including start and stop time and places in plast sleeve. • Student administers local anesthetic prn and removes deposits from submission area. • Student probes and records 6 probe depths on each tooth and recession on facial and lingua only on the “Candidate Assignment Form” and places in plastic sleeve. • Student fills out “Anesthesia Dosage Form” and places in plastic sleeve and informs CI rea for check out. • Check-out/evaluation by CI. CI instructs student to chart any remaining deposits and/or areas of trauma on calculus chart. CI instructs student to chart any discrepancies in probe depths or recession greater than 1 mm difference. • Student completes self-assessment, turns in with WREB Calculus Chart. • 2 hours total time using time clock (may be divided into 2 separate appointments prn) 173

UNIVERSITY of OKLAHOMA COLLEGE OF DENTISTRY DEPARTMENT of DENTAL HYGIENE NITROUS OXIDE/OXYGEN SEDATION ADMINISTRATION COMPETENCY STUDENT: PATIENT: DATE: FINAL GRADE:

/22

CI:

Objective: Student will administer N2O-O2 for appropriate patient with 75% accuracy. Procedure: Set up unit. Update HHx, measure vital signs, obtain PTP. Administer N2O O2 sedation. Provide for patient’s recovery. Record administration. Properly manage equipment. CI evaluates by placing a “check mark” in the appropriate box. CI signs and stamps top of form. Criteria: C (Competent) =1 point, A (Needs Attention) = .5 points, N= (needs development) = (0) point Evaluation: Minimum 75 % accuracy. (16.5/22) I. EQUIPMENT SET UP & PREPARATION

C

1. Tanks set up, ensure hoses are properly in place, reservoir bag press-fitted on bottom of tee 2. Place sterilized inner mask inside outer mask and connect to hoses (coaxial tubing) 3. Place scavenger hose with vacuum control block into high volume evacuator and press the on button 4. Press the on button of the flowmeter into the on position 5. Using wrench, slowly loosen one each N2O and O2 tank valves II. PROCEDURE 6. Review Health History, recognize contraindications, measure vital signs 7. Explain procedure to patient and obtain consent 8. Obtain PTP 9. Initiate flow of O2 at 6-7 L/min (for adults) 10. Turn on the HVE and adjust the vacuum control block lever for scavenging so that the ball floats in the green bar 11. Press the flush button to fill the bag 2/3 full and place nasal hood/mask over patient’s nose and adjust appropriately 12. Adjust flow to maintain bag 2/3 full upon patient exhalation (use O2 flush to refill bag if it deflates excessively); establish flow rate and maintain this rate throughout the procedure 13. Introduce 1liter of N2O and increase by .5-1 liter every 60 seconds (while reducing the O2 accordingly to maintain flow rate) until sedation is apparent; N2O should then be added every 3 minutes until proper sedation is achieved 14. Observe patient throughout procedure III. TERMINATION of PROCEDURE 15. Decrease the N2O and increase the O2 to maintain the flow rate and administer 100% O2 16. 100% O2 administered a minimum of 5 minutes until patient is fully recovered; establish recovery and remove mask 17. Bleed the remaining gas from the lines (close the valve on the N2O tank and once the N2O has bled off, close the valve on the O2 tank; both gauges should be at zero), rotate the flowmeter levers to the off position 18. Turn the HVE off, press the button on the vacuum control to the off position, press the flowmeter button to the off position 19. Properly document administration record (concentration, flow rate, administration time, recovery) 20. Properly disassemble & disinfect unit, place nasal hoods/masks and connectors in sterilizing bags. Return equipment to the dispensary. IV. OVERALL TECHNIQUE 21. Maintain proper infection control and manage patient throughout procedure 22. Communicate with patient throughout procedure; minimize anxiety, reassure, adjust flow as necessary

174

A

N

CHECKLIST FOR ADMINISTRATION OF NITROUS OXIDE/OXYGEN SEDATION ü ü ü ü ü ü ü ü ü ü ü ü ü ü

ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü

Press-fit the reservoir bag onto the bag tee Place the inner mask inside the outer mask Connect the mask to the coaxial tubing Insert the vacuum control block into the HVE and press the button on the vacuum control block to the on position Press the flowmeter “on” button into the on position (located on the side at the base of the flowmeter; this is not the flush button) Using the black metal wrench (should be attached to a chain hanging on the N2O O2 unit), open the valves of one each nitrous tank and oxygen tank by turning the wrench slowly ¼ turn counter-clockwise (to your left); the gauge should register a reading; open “partial tanks” if available to use remaining gas before using “full tanks” Review pt’s HHx, recognize contraindications, measure vital signs, and obtain informed consent Administer the pre-op Trieger test Obtain PTP Rotate the lever on the flowmeter on the oxygen side to 6-7 liters for adults (4-5 liters for children) Turn on the HVE and adjust the lever on the vacuum control block so that the ball is floating in the green bar Press the flush button until the reservoir bag is 2/3 full Secure the mask over the patient’s nose ensuring a good seal (remind the patient to breathe deeply in and out through his/her nose not mouth) Monitor the reservoir bag o If the bag fills over 2/3, reduce the flow of oxygen by a liter until the bag fills to 2/3 upon patient exhalation o If the bag collapses, press the flush button to refill the bag to 2/3 full and increase the flow of oxygen by a liter until the bag fills to 2/3 upon patient exhalation Once the flow rate (L/min) has been established, be sure to maintain this flow rate throughout the procedure Rotate the nitrous lever on the flowmeter to 1 liter (remember to decrease the oxygen by 1 liter to maintain the flow rate) Continue to increase nitrous oxide by .5-1 liter every 60 seconds (while reducing the oxygen accordingly). Once sedation is becoming apparent, nitrous should be added every 3 minutes until proper sedation is achieved. Decrease the nitrous oxide and increase the oxygen toward the end of the procedure until 100 % oxygen is being administered (be sure to maintain the established flow rate) Administer 100% oxygen for a minimum of 5 minutes before assessing the patient’s full recovery Once full recovery has been established, remove the mask from the patient’s nose Rotate the lever for the oxygen down to zero Close the valve on the nitrous oxide tank by using the wrench and turning clockwise (to your right) until tight. Leave the valve on the oxygen tank open at this time. Rotate the levers on both the nitrous oxide and the oxygen simultaneously as far as they will go to bleed the remaining gases out of the lines. Once the nitrous oxide ball falls to zero, close the valve on the oxygen tank and turn the flowmeter levers to the off position when the oxygen ball falls to zero. Turn the HVE off Press the button on the vacuum control block to the off position Press the flowmeter button to the off position Administer the post-op Trieger test Complete the administration documentation stamp in the treatment progress notes (use poor, fair or good for condition of pt; document that the pre and post-op Trieger tests were completed successfully) After patient is dismissed, unassemble the equipment. Wipe any debris off the mask with a wet (water) paper towel. Separate the inner mask from the outer mask and the connectors from the coaxial tubing and place all in a sterilizing bag. The reservoir bag should be removed by rocking back and forth or twisting while gently pulling on the rim and then placed in a sterilizing bag (if it is a blue disposable reservoir bag, it should be disposed of in the regular trash). Disinfect the flowmeter, levers, hoses, vacuum control block and any other parts touched with contaminated gloves. Ensure that the tank content tags accurately reflect the tank contents. Return unit and sterilizing bags to the dispensary.

175

CLINICAL EVALUATION FORM Supragingival Calculus

Subgingival Calculus

❑ None ❑ Veneer only, lower anterior only, veneer is visible, but thin (1mm) ❑ Ant & post crustaceous   

❑ None ❑ Isolated spicules-anterior or posterior(definite click when explored) ❑ Generalized spicules ❑ Generalized spicules with isolated random ledge(s) or rings ❑ Generalized ledges/rings

Recall Interval:______ Clinic:________ Start date:_________

Department of Dental Hygiene CLINICAL EVALUATION FORM

Tx comp date:_________ CI:___________

STUDENT PTP (1)

PTP (2)

APPT TYPE ❑ New ❑ Recall ❑ Prophylaxis ❑ NSPT ❑ PM ❑ Re-evaluation ❑ Special Needs ❑ Experiential

AGE ❑ Pedo (4-12) ❑ Adolesc. (13-18) ❑ Adult (19-64) ❑ Geriatric (65+)

I. ASSESS HHx/ Meds/Vitals PTP CC EIE Odontogram Perio Assessment Indices (BI, PI) Caries Risk Assess *Radiographs Impressions Diagnostic Casts

C C C C C C C C C C C

II. DIAGNOSE DH Dx DH Px

C A N C A N

UR/Q1 CI Date Errors C A N LR/Q4 CI Date Errors C A N

A A A A A A A A A A A

PATIENT PTP (4)

PTP (3) ASA ❑I ❑ II ❑ III ❑ IV

III. PLAN DHPS Care Plan DH Case Pres.

N N N N N N N N N N N

ADL ❑0 ❑1 ❑2 ❑3

CASE TYPE ❑ Healthy ❑ Type I ❑ Type II ❑ Type III ❑ Type IV

A A A A A A A A A A

N N N N N N N N N N

*

C C C C C C C C C

A A A A A A A A A

2

3

4

5

6

7

8

9

10

11

32

31

30

29

28

27

26

25

24

23

22

D=Definite Sub

T=Trauma

AGE

V. EVALUATE   (Based on Goals & Outcomes) Oral Health Outcomes C Re-Eval/Results of Therapy C Retreat, Refer, Maintain C Continuing Care Interval C Patient Satisfaction C Subsequent Tx Needs C

N N N N N N N N N

P=Plaque

A A A A A A

N N N N N N

VI. DOCUMENTATION Documentation C A N Time Mgmt ` C A N Ergonomics C A N

HBW:_____ PANO:____ VBW:_____ FMS:_____ PA: _____

1

S=Supra

PTP (6)

CLINICAL DIAGNOSIS ❑ Loc ❑ Gen ❑ Active ❑ Stable ❑ Gingival Diseases ❑ Chronic Periodontitis ❑ Aggressive Periodontal Disease ❑ Periodontal Manifestations of Systemic Diseases ❑ Necrotizing Periodontal Diseases (NUP/NUG) ❑ Abscesses of Periodontium ❑ Periodontitis Associated with Endodontic Lesions ❑ Developmental or Acquired Deformities & Conditions

IV. IMPLEMENT B. Treatment Anxiety/Pain Ctrl Instrumentation Instrument Care Powered Instrument Chemotherapeutics Desensitization Fluoride Air Polishing Patient Mgmt

C A N C A N

IV. IMPLEMENT A. Prevention Infection Control C Caries Mgmt C Oral Self Care C Orthodontic Care C Coronal Polishing C Care of Prosthesis C Implant Care C Tobacco Counseling C Nutrition CounselingC Sealants # C

PTP (5)

COMPETENCIES Scaling Comp I _____________ Polish Comp Total Technical Comp________ Transitional Dentition Calculus Charting___________ Ultrasonic Scaling Comp II Mock WREB Comp__________ Local Anes Comp N2O/O2

C=Competent A=Needs Attention N=Needs Development

12

21

13

14

15

20

19

18

UL/Q2 CI Date Errors C A N

16

LL/Q3 CI Date Errors C A N

17

Z=Stain

Refer to Clinical Evaluation Criteria

FACULTY COMMENTS:

PROFESSIONALISM CONCERNS ❑ Prof appearance ❑ ❑ Receptive to feedback ❑ ❑ Positive attitude ❑ ❑ Ethical judgment ❑ ❑ Respectful to others ❑ ❑ ❑ Critical thinking/ problem solving ❑

SELF ASSESSMENT:

A

176

Punctual Prepared Confidentiality Teamwork Protocol adherence Communication Other

N

CLINICAL OPERATIONS SECTION III-‐ Clinical Evaluation Criteria DH1 and DH2 Clinical Evaluation Criteria The DH1 and DH2 Clinical Evaluation Criteria documents are utilized to measure clinical performance when providing patient care. The established criteria categorize the student performance utilizing a C (Competent), A (Needs Attention), and N (Needs Development). Those students receiving a determined number of N’s in the same category, will be assigned to their mentor for remediation and will also receive a 2 point deduction in their overall course grade. DH1s – 3 Ns in same category = Mentor remediation/2 point overall grade deduction DH2s – 2 Ns in same category = Mentor remediation/2 point overall grade deduction

177

DH I CLINICAL EVALUATION This document is intended to provide guidance to students and faculty on criteria utilized to measure clinical performance when providing patient care. The established degree of skill is based on C-‐Competent, A-‐Needs Attention, or N-‐Needs Development. Students who receive 3 N's in any category will be required to complete remediation with their mentor and two points will be deducted from their overall course grade.

STEP

C (Competent)

A (Needs Attention)

N (Needs Development)

ASSESSMENT HHx/Meds/Vitals

PTP

CC EIE

Odontogram/ Hard Tissue Charting

Perio Assessment

Comprehensively collects >Collects all appropriate > Lack of documentation or and synthesizes all data but does not differentiation between appropriate data synthesize information significant and insignificant >Unorganized or doesn't findings adhere to protocol >Presents all appropriate >Collects all appropriate >Lack of documentation or data data but does not differentiation between >Identifies areas of synthesize information significant and insignificant concern >Fails to recognized findings >Uses descriptive necessary adaptations in terminology care Identifies patient's Uncertain of patient's Fails to ascertain patient's subjective statement of reason for DH visit oral concern reason for appt Identifies relevant normal >Fails to identify 1-‐2 >Fails to identify >2 normal and possible abnormal normal and possible and possible abnormal findings abnormal findings findings >Use of incorrect terms >Failure to perform EIE >Failure to seek consult >Correctly charts existing >Failure to identify Failure to chart DDS and DDS recommended existing restorations treatment treatment >Failure to identify Recognizes possible need areas possible decay or >Failure to identify >3 for treatment faulty restorations existing restorations >Seeks consultation prn >Incorrect classification of >Failure to recognize >3 occlusion areas possible decay or faulty restorations >Failure to obtain dental exam >Failure to classify occlusion >Performs periodontal >Inaccurate assessment >Omits portions of charting charting and assessment >Inaccurate description of (i.e. furcation, mobility) with minimal errors gingival tissue >Performs periodontal >Identifies need for >Failure to seek consult charting and assessment consult prn with multiple errors >Comprehensively collects >Has to rechart assessment and synthesizes all appropriate data 178

Indices (BI, PI) Caries Risk Assess

Radiographs

Impressions Diagnostic Casts

Performs accurate Inaccurate assessment bleeding and plaque indices Determines accurate CRA >Inaccurate assessment

Omits one or both indices

>Omits CRA >Failure to inform patient of oral conditions >Failure to display >Radiographs are non-‐ radiographs or utilize for diagnostic assessment and treatment >Failure to follow radiation >Radiographs diagnostic safety protocol but have exposure errors >Failure to obtain PTP for retakes

>Utilizes radiographs for assessment data >Ascertain DDS prescription to expose radiographs >Consults faculty regarding appropriate radiographs to expose >Identifies anatomical landmarks >Identifies existing restorations and possible disease >Obtains PTP for retakes N/A N/A N/A N/A

N/A N/A

DIAGOSE DH Dx

DH Dx is accurate

DH Px

Utilizes the data from assessment and tx outcomes to determine the patient's oral health prognosis (i.e. favorable, questionable, unfavorable, or hopeless)

>DH Dx case type or DH Dx both case type and clinical dx is inaccurate clinical dx inaccurate >Requires faculty input to determine DH Dx DH Px is slightly inaccurate Fails to make a DH Px

PLAN

179

DHPS Care Plan

>Enters all pertinent pt >Omits 2-‐3 pertinent information and identifies information and/or associated risks associated risks >Correctly identifies DH Dx >Omits or incorrectly with factors and related identifies 2-‐3 factors and risks related risks >Plans appropriate and >Omits 2-‐3 appropriate comprehensive DH DH interventions in plan interventions >Slightly incorrect >Determines expected statement of expected outcomes outcomes >Proposes appropriate >Slightly incorrect and correct plan for appointment sequences appointments proposed >Determines appropriate >Slightly incorrect re-‐ Re-‐evaluation evaluation determined >Reviews Care Plan with >Omits sections of care the patient and obtains plan when reviewing with informed consent as pt needed DH Case Presentation >Comprehensively collects >Collects all appropriate and synthesizes all data but does not appropriate data synthesize information >Presents all appropriate >Uses limited dialogue data to CI and patient >Presents limited >Uses appropriate information communication skills to present case >Exhibits professional, intellectual, ethical, behavioral and attitudinal attributes necessary to perform as a health care provider

>Omits >3 pertinent information and/or associated risks >Omits or incorrectly identifies >3 factors and related risks >Omits >3 appropriate DH interventions in plan >Incorrect or omitted statement of expected outcomes > Incorrect appointment sequences proposed or omitted >Slightly incorrect re-‐ evaluation determined >Omits sections of care plan when reviewing with pt >Failure to obtain informed consent >Lack of documentation or differentiation between significant and insignificant findings >Failure to recognize necessary adaptations in care >Failure to inform patient of DH Dx

IMPLEMENT Prevention Infection Control Caries Management

Follows infection control protocol throughout clinical period >Recognizes caries risk >Involves patient in appropriate caries prevention therapy (remineralization, antimicrobial, biofilm removal)

Does not follow adequate infection control guidelines >Requires faculty input in determining appropriate therapy >Does not include all the appropriate therapy

180

>Breaks aseptic chain >Contamination or cross contamination occurs >Does not involve pt in determining appropriate therapy >Requires faculty input in determining appropriate therapy >Fails to follow faculty recommendations

Oral Self Care

Orthodontic Care

Coronal Polishing

Care of Prosthesis

Implant Care

Tobacco Cessation

>Provides at appropriate >Provides at inappropriate >Does not involve patient in time time during appointment planning p rocess >Provides hand mirror >Involves patient in >Omits patient self-‐care >Involves patient in process but chooses >Provides at end of planning process illogical s equence appointment >Integrates and logically >Clinician dominates >Does not utilize sequences patient self-‐ dialogue motivational interviewing care >Failure to monitor >Assesses patient progress progress of attainment of at each appointment; goals modifies prn >Answers to questions >Utilizes motivational indicate inadequate interviewing >Sets knowledge appropriate patient goals >Recognizes appropriate >Omits two of the C >Omits more than two of clinical intervention criteria the C criteria >Determines appropriate self-‐care intervention w/pt >Educates the pt on risks associated w/orthodontic therapy >Selects appropriate >Fails to properly adapt >Selects inappropriate polishing agent cup to effectively remove polishing agent >Effectively removes all plaque >Inappropriate technique plaque and stain >Uses various speeds >Fails to remove dental >Fails to use proper biofilm fulcrum Procedure completed Inadequate care >Omits care of prosthesis according to guidelines >Failure to return the prosthesis to pt >Recognizes need for >Does not recognize need >Omits care procedure >Ineffective >Utilizes incorrect >Follows prescribed instrumentation instruments technique >Fails to document proper >Fails to provide specific >Uses correct instrument home care instructions in home care instructions >Documents proper home PSDHCP >Omits implant care instructions in maintenance on PSDHCP PSDHCP >Recognizes need, >Patient's well-‐being not >Faculty identifies need provides proper first priority >Limited >Needs moderate faculty counseling attention to risk factors assistance >Offers referral >Limited counseling >Does not address 1-‐800-‐ information >Fails to utilize all aspects QUIT NOW >Utilizes and Implements of a tobacco cessation >Does not offer information the "5 A's" program about a tobacco cessation program

181

Nutritional Counseling Recognizes need & provides proper counseling Sealants

Treatment Anxiety/Pain Control

Instrumentation

Instrument Care Powered Instrument

Chemotherapeutics Desensitization

>Patient's well being not >Faculty identifies need first priority >Needs moderate faculty >Limited attention to risk assistance factors >Does not address >Limited counseling >Recognizes need for >Does not recognize need >Faculty identifies need treatment >Fails to explain rationale >Failure to gain informed >Appropriately applies to p atient >Fails to consent prior to placement >Explains rationale to provide post op >Seals incorrect tooth patient instructions >Provides post op instructions >Informed consent prior to placement >Recognizes the need for >Faculty identifies need >Does not recognize need faculty assistance for for anxiety/pain Control for faculty assistance for anxiety/pain control anxiety/pain Control >Demonstrates safe 1-‐2 of the following 3 or more of the "A" criteria instrument control >Inappropriate adaptation >Activates with >inappropriate angulation appropriate adaptation >inappropriate stroke and stroke pressure direction or length >Inappropriate grasp >Inappropriate fulcrum >Inappropriate insertion Selects correct Sharpness of 2 instrument >Sharpness of 3 or more instruments and maintains inadequate instruments inadequate sharpness >Re-‐shaping of instrument >Effectively utilizes >Water or power settings >Ineffective or inappropriate powered device inadequate use of US scaler >Selects appropriate >Technique incorrect >Trauma i s evident inserts and evacuation >Insert selection >Uses when contraindicated method inappropriate >Inappropriate patient >Appropriate equipment >Disregards indications for preparation setup of powered device use >Determines considerations for use >Proper patient preparation N/A N/A N/A >Recognizes need for >Does not recognize need >Faculty identifies need procedure >Fails to explain rationale >Appropriately applies to p atient >Explains rationale to patient >Informed consent prior to medicament placement

182

Fluoride

Air Polishing Patient Management

>Appropriate product >Applies fluoride but fails >Selects inappropriate selection to observe throughout product >Appropriate application procedure >Application inappropriate >Appropriate post op >Fails to provide post op instructions instructions >Informed consent prior to application N/A N/A N/A >Establishes and maintains >Patient controls or >Lack of rapport rapport dominates conversation >Lack o f c oncern for >Demonstrates concern >Does not attempt to patient's well-‐being for patient's well-‐being establish r apport w ith >Failure to demonstrate >Serves as an advocate for patient confidence/assertiveness the welfare of patient (patient dominates >Demonstrates appointment) confidence/assertiveness

EVALUATE

Oral Health Outcomes Re-‐Eval/Results of Therapy Retreat, Refer, Maintain

N/A NA

N/A NA

N/A NA

>Refers patient for further care >Provides resources for care Continuing Care Advises patient of Interval appropriate recall interval Patient Satisfaction Survey given to patient for completion Subsequent Tx Needs Correctly informs patient of subsequent tx needs

Refers for care but fails to Fails to refer as needed provide resources for care

DOCUMENTATION Documentation

Inappropriate recall interval N/A

Omits recall interval

N/A

Fails to inform patient of subsequent tx needs

>Documentation is >Documentation accurate and complete inadequate o r i ncomplete >Uses professional (lacks detail) terminology >Uses inappropriate terminology >Failure to use appropriate abbreviation

183

Omits survey

>Frequent typographical errors >Documentation is inaccurate or incomplete >Failure to consider patient's needs assessment in treatment options

Time Management

Ergonomics

PROFESSIONAL CONCERNS Professional appearance

>Prepared prior to clinical session so treatment moves smoothly >Uses time efficiently and effectively >Seats patient at appropriate time >Follows pt dismissal protocol

>Demonstrates lack of >Demonstrates lack of clinic clinical preparation preparation resulting in resulting in minor clinic major clinic interruptions interruptions >Does n ot c omplete >Tardy seating patient procedures in a timely >Requires CI prompting to fashion follow pt dismissal >Tardy for clinic session protocol >Pt dismissal protocol not followed >Late for clinic session resulting in major clinic interruptions >Seats patient unnecessarily late Neutral positions attained, Neutral positions not Neutral positions not efficient ergonomics for attained, posture of pt considered for either operator & pt and/or clinician affected patient/clinician creating negatively unsafe conditions potentially causing harm

Maintains exemplary personal appearance and hygiene in accordance with professional appearance policy Receptive to feedback >Communicates with faculty, peers and patients in a respectful manner

>Inappropriate clinic attire >Unprofessional appearance >Personal appearance & >Inappropriate personal hygiene are somewhat appearance and/or hygiene inadequate >Fails to communicate effectively

Positive attitude

>Displays positive attitude >Exhibits somewhat >Exhibits self-‐discipline negative attitude >Self discipline somewhat lacking Ethical judgment/Legal >Acts consistently with the Lack of ethical judgment considerations ethics of the dental hygiene profession and state regulations >Promotes ethical behavior and high standards of care

184

>Inattentive to faculty or patient's needs >Does not follow suggestions/instructions >Displays negative attitude >Lack of self-‐discipline

>Demonstrates unethical behavior >Performs an illegal act >Care below standards

Respectful of others

Critical thinking/problem solving Punctual Prepared

Confidentiality

Teamwork

Protocol Adherence Communication

>Displays respect to >Professional >Disrespectful to faculty, faculty, peers, & patients relationships w ith f aculty, peers, or patients >Serves all patients peers, and/or patients is >Clinical activities lack without discrimination lacking honesty & responsibility and avoids action that may >Discriminates against be interpreted as faculty, peers, or patients discriminatory >Inappropriate >Conducts clinical conversations in clinic activities and develops sessions (whether patients relationships with are present or not) colleagues that are honest and responsible Makes evidence based >Attempts to make >Makes decisions that are decisions appropriate for decisions without potentially harmful to optimal pt. care evidence to support patient >Proceeds inappropriately >Inappropriate problem solving Shows respect and Tardy for clinic session consideration for others by being punctual >Appropriately prepared >Missing 1-‐3 components >Missing >3 components of for clinic sessions of a rmamentarium armamentarium >Exhibits organizational >Lack of organization >Lack of organization ability resulting in minor clinic resulting in major clinic interruption interruption >Holds professional Breaches some aspect of >Violates patient's patient relationships patient confidentiality confidentiality confidential >Loud and disruptive; >Avoids loud, disruptive inappropriate conversation and inappropriate conversation >Collaborates with others >Somewhat lacking in Failure to participate in to create a clinic areas of teamwork teamwork approach environment that Breaches some aspect of minimizes risk to the patient confidentiality patient and allows for >Inconsistent effective & efficient care collaboration w/peers >Manages conflicts >Lacks intiative in helping constructively others >Interacts in a collegial professional manner with peers, faculty and patients Adheres to clinical Violates protocol protocol Communicates with peers, Communication is Communicates with peers, faculty, and patients in an ineffective and needs faculty, or patients in effective, respectful, and improvement disrespectful or professional manner unprofessional manner

185

Instrumentation/Polish 0-‐2 areas supra calculus 3 areas supra calculus 4 or more supra calculus ing Product deposits remain deposits r emain deposits l eft 0-‐2 areas of sub calculus 3-‐4 areas of sub calculus 5 or more areas sub calculus remain after prophy remain a fter p rophy deposits l eft a fter p rophy 0-‐4 areas of sub calculus 5-‐6 areas of sub calculus 7 or more areas of sub remain after PM remain a fter P M calculus d eposits l eft a fter 0-‐2 areas of plaque or 3-‐4 areas of plaque or PM stain remain stain r emain 5 o r m ore areas of 0-‐ trauma 1-‐2 areas of trauma plaque/stain remain 3 or more areas of trauma Self-‐Assessment Reflection: Reflection: Reflection: >indicative of critical >does not indicate use of >is omitted thinking that promotes critical thinking >lacks d epth o r use of clinical development >fails t o r ecognize critical thinking >identifies opportunities need/opportunity for for self improvement improvement >initiates a goal, initiative, >fails to recognize or strategy to achieve goal/strategy for clinical objectives for more improvement efficient patient care

186

DH II CLINICAL EVALUATION CRITERIA

This document is intended to provide guidance to students and faculty on criteria utilized to measure clinical performance when providing patient care. The established degree of skill is based on C-‐ Competent, A-‐Needs Attention, or N-‐Needs Development. Students who receive 2 N's in any category will be required to complete remediation with their mentor and two points will be deducted from their overall course grade. STEP

C (Competent)

A (Needs Attention)

N (Needs Development)

ASSESSMENT HHx/Meds/Vitals

Comprehensively collects Collects all appropriate and synthesizes all data but does not appropriate data synthesize information

> Lack of documentation or differentiation between significant and insignificant findings >Unorganized or doesn’t adhere to protocol PTP >Presents all appropriate Collects all appropriate >Lack of documentation or data data but does not differentiation between >Identifies areas of synthesize information significant and insignificant concern findings >Uses descriptive >Fails to recognize terminology necessary adaptations in care CC >Identifies patient's Uncertain of patient's >Fails to ascertain patient's subjective statement of reason for DH visit oral concern reason for appt >Fails to identify >Identifies appropriate appropriate intervention intervention for CC for CC EIE >Recognizes need for >Uses descriptive terms >Failure to seek consult consult and adaptations inadequately >Failure to perform EIE in care >Does not distinguish >Failure to identify >Able to identify normal significant from significant findings and possible abnormal insignificant findings >Use of incorrect terms findings Odontogram/ >Correctly charts existing >Failure to identify Failure to chart DDS Hard Tissue Charting and DDS recommended existing restorations treatment treatment >Failure to identify Recognizes possible areas of possible decay or >Failure to identify >2 need for treatment faulty r estorations existing restorations >Seeks consultation prn >Failure to recognize >2 areas possible decay or faulty restorations >Failure to seek dental exam >Incorrect classification of occlusion

187

Perio Assessment

>Performs periodontal charting and assessment without errors >Identifies need for consult prn >Comprehensively collects and synthesize all appropriate data Performs accurate bleeding and plaque indices Determines accurate CRA

>Inaccurate charting of probing depth and assessment >Inaccurate description of tissue appearance

>Incorrect assessment >Incomplete charting (furcations, mobility, MGJ, CAL etc.) >Failure to obtain consult

Inaccurate assessment

Omits one or both indices

DH Dx

DH Dx is accurate

N/A

DH Px

Utilizes the data from DH Px is slightly assessment and tx inaccurate outcomes to determine the patient's oral health prognosis (i.e. favorable, questionable, unfavorable, or hopeless)

Indices (BI, PI) Caries Risk Assess Radiographs

Impressions

Diagnostic Casts

>Inaccurate assessment >Omits CRA >Failure to inform patient of oral conditions >Utilizes radiographs for >Radiographs are >Failure to display assessment data diagnostic b ut h ave radiographs or utilize for >Ascertain DDS exposure errors assessment and treatment prescription to expose >Radiographs are non-‐ radiographs diagnostic >Consults faculty >Failure to follow radiation regarding appropriate safety protocol radiographs to expose >Failure to obtain PTP for >Identifies anatomical retakes landmarks >Identifies existing restorations and possible disease >Obtains PTP for retakes >Performs impressions >Performs impressions >Failure to review and/or without errors with minimal errors follow manufacturer's and/or requires faculty instructions assistance >Casts are of diagnostic >Casts are diagnostic but >Casts are undiagnostic quality have minimal errors >Failure to follow lab safety protocols

DIAGNOSE

PLAN

188

>DH Dx case type or clinical dx is inaccurate Fails to make a DH Px

DHPS Care Plan

DH Case Presentation

>Enters all pertinent pt >Omits 1 pertinent >Omits 2 or more pertinent information and information and/or information and/or identifies associated risks associated risks associated risks >Correctly identifies DH >Omits or incorrectly >Omits or incorrectly Dx with factors and identifies 1 factors and identifies 2 or more factors related risks related risks and r elated risks >Plans appropriate and >Omits 1 appropriate DH >Omits 2 or more comprehensive DH intervention in plan appropriate DH interventions >Slightly incorrect interventions in plan >Determines expected statement of expected >Incorrect or omitted outcomes >Proposes outcomes statement of expected appropriate and correct >Slightly incorrect outcomes plan for appointments appointment sequences > Incorrect appointment >Determines appropriate proposed sequence proposed or Re-‐evaluation >Slightly incorrect re-‐ omitted > >Reviews Care Plan with evaluation determined Incorrect r e-‐evaluation the patient and obtains >Omits sections of care determined informed consent as plan when reviewing >Omits sections of care needed with pt plan when reviewing with pt >Failure to obtain informed consent >Comprehensively >Collects all appropriate >Lack of documentation or collects and synthesizes data but does not differentiation between all appropriate data synthesize information significant and insignificant >Presents all appropriate >Uses limited dialogue findings information >Presents limited >Failure to recognize >Uses appropriate information necessary adaptations in communication skills to care present case >Fails to communicate with >Exhibits professional, instructor intellectual, ethical, >Instructor has to prompt behavioral and the case presentation attitudinal attributes necessary to perform as a health care provider

IMPLEMENT Prevention Infection Control Caries Management

Follows infection control Does not follow adequate protocol throughout infection control clinical period guidelines >Recognizes caries risk >Does not include all the >Involves patient in appropriate therapy appropriate caries prevention therapy (remineralization, antimicrobial, biofilm removal)

189

>Breaks aseptic chain >Contamination or cross contamination occurs >Does not involve pt in determining appropriate therapy

Oral Self Care

Orthodontic Care

Coronal Polishing

Care of Prosthesis Implant Care

Tobacco Cessation

>Provides at beginning of >Provides at >Does not involve patient appointment inappropriate time in planning process >Provides hand mirror during appointment >Answers to questions >Involves patient in >Involves patient in indicate inadequate planning process process b ut c hooses knowledge >Integrates and logically illogical sequence >Omits patient self-‐care sequences patient self-‐ >Clinician dominates >Provides at end of care dialogue appointment >Assesses patient >Does not utilize progress at each motivational interviewing appointment; modifies prn >Utilizes motivational interviewing >Recognizes appropriate >Omits one of the criteria >Omits more than one of clinical intervention the C criteria >Determines appropriate self-‐care intervention w/pt >Educates the pt on risks associated w/orthodontic therapy >Selects appropriate >Fails to properly adapt >Selects inappropriate polishing agent cup to effectively remove polishing agent >Effectively removes all plaque >Inappropriate technique plaque and stain >Uses various speeds >Fails to remove dental >Fails to use proper biofilm fulcrum Procedure completed Inadequate care >Omits care of prosthesis according to guidelines >Failure to return the prosthesis to pt >Recognizes need for >Does not recognize need >Omits care procedure >Ineffective >Utilizes incorrect >Follows prescribed instrumentation instruments technique >Fails to document >Fails to provide specific >Uses correct instrument proper home care home care instructions >Documents proper instructions in PSDHCP >Omits implant home care instructions in maintenance on PSDHCP PSDHCP >Recognizes need, >Patient's well-‐being not >Faculty identifies need provides proper first priority >Needs moderate faculty counseling >Limited attention to risk assistance >Offers referral factors >Does not address 1-‐800-‐ information >Limited counseling QUIT NOW >Utilizes and Implements >Fails to utilize all >Does not offer information the "5 A's" aspects of a tobacco about a tobacco cessation >Recognizes pt's cessation program program readiness to change

190

Nutritional Counseling

Sealants

Treatment Anxiety/Pain Control

Instrumentation

Instrument Care

Powered Instrument

>Recognizes risk and >Patient's well being not need for intervention first p riority >Utilizes patient's needs >Limited attention to risk assessment to determine factors counseling and treatment >Limited counseling options

>Failure to recognize need for intervention and counseling >Faculty identifies need >Needs moderate faculty assistance >Does not address >Recognizes need >Minor technique error >Finished product is not >Quality of final product >Final product needs clinically acceptable acceptable attention >Failure to gain informed >Procedure completed consent prior to placement according to guidelines >Seals incorrect tooth >Informed consent prior to placement >Recognizes the need for >Does not recognize need >Faculty identifies need for faculty assistance for for faculty assistance for Anxiety/Pain Control anxiety/pain control anxiety/pain control >Incorrect technique in >Determines appropriate >Requires faculty consult administration of LA LA for pt for appropriate LA for pt >Administration of LA >Follows correct >Requires faculty results in potential harm to administration technique prompting during the patient administration of LA >Demonstrates safe 1 of the following 2 or more of the "A" criteria instrument control >Inappropriate >Activates with adaptation appropriate adaptation >inappropriate and stroke pressure angulation >inappropriate stroke direction or length >Inappropriate grasp >Inappropriate insertion Selects correct Sharpness of 1 >Sharpness of 2 or more instruments and instrument is inadequate instruments inadequate maintains sharpness >Faculty assists in instrument selection; sharpness not maintained >Re-‐shaping of instrument >Effectively utilizes >Inadequate water or >Ineffective or powered device and power settings inappropriate use of US selects appropriate >Incorrect technique scaler inserts >Insert selection >Trauma is evident >Selects appropriate inappropriate >Uses when inserts and evacuation >Disregards indications contraindicated method for use >Inappropriate patient >Appropriate equipment preparation setup of powered device >States considerations and indications for use >Proper patient preparation 191

Chemotherapeutics

Desensitization

Fluoride

Air Polishing

Patient Management

>Recognizes need for >Does not recognize need >Faculty identifies need treatment and >Fails to explain >Failure to obtain informed considerations of use rationale to pt consent >Appropriately applies >Fails to provide post op >Failure to provide pt post >Explains rationale to instructions op instructions patient >Provides post op instructions >Informed consent prior to placement >Recognizes need for >Does not recognize need >Faculty identifies need procedure and prepares >Fails to explain >Fails to obtain informed accordingly rationale to patient consent prior to >Appropriately applies medicament placement >Explains rationale to patient >Informed consent prior to medicament placement >Appropriate product >Selects inappropriate selection product >Justifies >Application inappropriate recommendations for pt >Fails to provide post op >Appropriate application instructions >Does not >Appropriate post op explain rationale for instructions application and does not >Informed consent prior encourage treatment to application >Applies fluoride but fails to observe throughout procedure >Failure to obtain informed consent >States considerations >Unable to explain >Selects inappropriate and indications for use rationale f or appropriate agent >Informed consent prior agent >Failure to obtain informed to use consent >Selects appropriate >Does not explain rationale agent & explain rationale for use of air polishing > Appropriate technique >Trauma occurs and evacuation >Did not observe contraindications >Failure to provide appropriate technique or evacuation >Establishes and >Patient controls or >Lack of rapport maintains rapport dominates conversation >Lack o f c oncern for >Demonstrates concern >Does not attempt to patients for patient's well-‐being gain r apport w ith the >Failure to demonstrate >Serves as an advocate patient confidence/assertiveness for the welfare of patient (patient dominates >Demonstrates appointment) confidence/assertiveness

EVALUATE 192

Oral Health Outcomes

Re-‐Eval/Results of Therapy

Retreat, Refer, Maintain

Continuing Care Interval Patient Satisfaction Subsequent Tx Needs

>Discussion of attainment of goals related to self care (BI, PI)

>Lack of supporting evidence provided to patient regarding treatment outcomes

>Failure to discuss goal attainment w/pt >Failure to address outcomes of recommendations >Appropriate course of >Incomplete assessment >Failure to communicate treatment provided to of patient patient specific patient needs/outcomes needs/appropriate course of action >Failure to recognize outcome of patient therapy >Refers patient for Refers for care but fails Fails to refer as needed further care to provide resources for >Provides resources for care care Advises patient of Inappropriate recall Omits recall interval appropriate recall interval interval Survey completed N/A Omits survey Correctly informs patient N/A Fails to inform patient of of subsequent tx needs subsequent tx needs

DOCUMENTATION Documentation

Time Management

Ergonomics

>Documentation accurate, complete >Uses professional terminology

>Documentation >Frequent typographical inadequate or lacks detail errors >Uses inappropriate >Documentation is terminology inaccurate or incomplete >Failure to consider patient's needs assessment in treatment options >Failure to use appropriate abbreviation >Prepared prior to >Demonstrates lack of >Demonstrates lack of clinical session so clinical preparation clinic preparation resulting treatment moves resulting in minor clinic in major clinic smoothly interruptions interruptions >Uses time efficiently and >Tardy seating patient >Does not complete effectively procedures in a timely >Seats patient at fashion appropriate time >Tardy for clinic session >Follows pt dismissal >Pt dismissal protocol not protocol followed >Late for clinic session resulting in major clinic interruptions >Seats patient unnecessarily late Neutral positions Neutral positions not Neutral positions not attained, pt and operator attained, posture of pt considered for either efficient ergonomics and clinician affected patient/clinician creating negatively unsafe conditions potentially causing harm 193

PROFESSIONAL CONCERNS Professional appearance

Receptive to feedback

Positive attitude

Ethical judgment/Legal considerations

Maintains exemplary personal appearance and hygiene in accordance with professional appearance policy >Communicates with faculty, peers and patients in a respectful manner >Displays positive attitude >Exhibits self-‐discipline

> Inappropriate clinic attire >Personal appearance & hygiene are somewhat inadequate >Fails to communicate effectively >Exhibits somewhat negative attitude >Self discipline somewhat lacking Lack of ethical judgment

>Unprofessional appearance >Inappropriate personal appearance and/or hygiene

>Inattentive to faculty or patient's needs >Does not follow suggestions/instructions >Displays negative attitude >Lack of self-‐discipline

>Acts consistently with >Demonstrates unethical the ethics of the dental behavior hygiene profession and >Performs an illegal act state regulations >Care below standards >Promotes ethical behavior and high standards of care Respectful of others >Displays respect to >Professional >Disrespectful to faculty, faculty, peers, & patients relationships w ith peers, or patients >Serves all patients faculty, peers, and/or >Clinical activities lack without discrimination patients is lacking honesty & r esponsibility and avoids action that >Discriminates against may be interpreted as faculty, peers, or patients discriminatory >Inappropriate >Conducts clinical conversations in clinic activities and develops sessions (whether patients relationships with are present or not) colleagues that are honest and responsible Critical thinking/problem Makes evidence based >Attempts to make >Makes decisions that are solving decisions appropriate for decisions without potentially harmful to optimal pt care evidence to support patient >Proceeds >Inappropriate problem inappropriately solving Punctual Shows respect and Tardy for clinic session consideration for others by being punctual Prepared >Appropriately prepared >Missing 1-‐2 components >Missing >2 components of for clinic sessions of a rmamentarium armamentarium >Exhibits organizational >Lack of organization >Lack of organization ability resulting in minor clinic resulting in major clinic interruption interruption Confidentiality >Holds professional Breaches some aspect of >Violates patient's patient relationships patient confidentiality confidentiality confidential >Loud and disruptive; >Avoids loud, disruptive inappropriate conversation and inappropriate conversation 194

Teamwork

Protocol Adherence Communication

Instrumentation/Polishin g Product

Self-‐Assessment

>Collaborates with others >Inconsistent >Lacks initiative in helping to create a clinic collaboration w/peers others environment that minimizes risk to the patient and allows for effective & efficient care >Manages conflicts constructively >Interacts in a collegial professional manner with peers, faculty and patients Adheres to clinical Violates protocol protocol Communicates with Communication is Communicates with peers, peers, faculty, and ineffective and needs faculty, or patients in patients in an effective, improvement disrespectful or respectful, and unprofessional manner professional manner 0-‐1 areas supra calculus 2 areas supra calculus 3 or more supra calculus deposits remain deposit r emain deposits r emain 0-‐1 sub calculus remain 2 areas of sub calculus 3 or more areas sub after prophy remain a fter prophy calculus d eposits r emain 0-‐2 area of sub calculus 3 areas of sub calculus after prophy remain after PM remain a fter P M 4 o r m ore a reas o f sub 0-‐1 areas calculus remain 2 areas sub calculus calculus deposits left (PM) per quad on NSPT remain p er q uad o n NSPT 3 a reas/quad s ub c alculus 0-‐2 areas of plaque or 3-‐4 areas of plaque or deposits remain on NSPT stain remain stain remain 5 o r m ore areas of 0 areas of trauma 1-‐2 areas of trauma plaque/stain remain 3 or more areas of trauma Reflection: Reflection: Reflection: >indicative of critical >does not indicate use of >is omitted thinking that promotes critical thinking >lacks d epth or use of clinical development >fails t o r ecognize critical thinking >identifies opportunities need/opportunity for for self improvement improvement >initiates a goal, >fails to recognize initiative, or strategy to goal/strategy for achieve clinical objectives improvement for more efficient patient care

195

DH I & DH II CLINICAL PRODUCT EVALUATION TABLE

DH1$and$DH2$Clinical$Product$Evaluation$ DH1$ C$$$$$$$$$$$$$$$$PRO$$$$$$$$$$$$$$$$$$$$0*2$supra$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$0*2$sub$ $$$$$$$$$$$$$$$$$$$PM$$$$$$$$$$$$$$$$$$$$$$0*4$sub$ $ $$$$$$$$$$$$$$$$$$$Plaque/stain$$$0*2$ $$$$$$$$$$$$$$$$$$$Trauma$$$$$$$$$$$$$0$ $ A$$$$$$$$$$$$$$$PRO$$$$$$$$$$$$$$$$$$$$3$supra$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$3*4$sub$ $$$$$$$$$$$$$$$$$$$PM$$$$$$$$$$$$$$$$$$$$$$5*6$sub$ $ $$$$$$$$$$$$$$$$$$$Plaque/stain$$$3*4$ $$$$$$$$$$$$$$$$$$$Trauma$$$$$$$$$$$$$1*2$ $ N$$$$$$$$$$$$$$$PRO$$$$$$$$$$$$$$$$$$$$$4+$supra$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$5+$sub$ $$$$$$$$$$$$$$$$$$$PM$$$$$$$$$$$$$$$$$$$$$$7+$sub$ $ $$$$$$$$$$$$$$$$$$$Plaque/stain$$$5+$ $$$$$$$$$$$$$$$$$$$Trauma$$$$$$$$$$$$$3+$

DH2$ C$$$$$$$$$$$$$$$$PRO$$$$$$$$$$$$$$$$$$$$0*1$supra$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$0*1$sub$ $$$$$$$$$$$$$$$$$$$PM$$$$$$$$$$$$$$$$$$$$$$0*2$sub$ $$$$$$$$$$$$$$$$$$$NSPT$$$$$$$$$$$$$$$$$$2$sub/quad$ $$$$$$$$$$$$$$$$$$$Plaque/stain$$$0*2$ $$$$$$$$$$$$$$$$$$$Trauma$$$$$$$$$$$$$0$ $ A$$$$$$$$$$$$$$$$PRO$$$$$$$$$$$$$$$$$$$$2$supra$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$2$sub$ $$$$$$$$$$$$$$$$$$$PM$$$$$$$$$$$$$$$$$$$$$$3$sub$ $$$$$$$$$$$$$$$$$$$NSPT$$$$$$$$$$$$$$$$$$2$sub/quad$ $$$$$$$$$$$$$$$$$$$Plaque/stain$$$3*4$ $$$$$$$$$$$$$$$$$$$Trauma$$$$$$$$$$$$$1*2$ $ N$$$$$$$$$$$$$$$$PRO$$$$$$$$$$$$$$$$$$$$3+$supra$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$3+$sub$ $$$$$$$$$$$$$$$$$$$PM$$$$$$$$$$$$$$$$$$$$$$4+$sub$ $$$$$$$$$$$$$$$$$$$NSPT$$$$$$$$$$$$$$$$$3+$sub/quad$ $$$$$$$$$$$$$$$$$$$Plaque/stain$$$5+$ $$$$$$$$$$$$$$$$$$$Trauma$$$$$$$$$$$$$3+$

DH1s – 3 Ns in same category = Mentor remediation/2 point overall grade deduction DH2s – 2 Ns in same category = Mentor remediation/2 point overall grade deduction

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CLINICAL OPERATIONS SECTION IV-‐ Clinic Reference Documents

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ABBREVIATIONS Anes approx. appt ASA ASAP -‐ b.i.d. bilat. BP BWX BX CC C/C C/P Ca Cau. CBC CHD CHF CNS cont. COPD -‐ CP CVA CVD DC DH DOB DX EBV EKG or ECG EEG Endo ENT Eval Ext. FMX FPD HBV HHx IDDM -‐ IM mand. -‐ max. meds. MI MVP OP OS prn PCN

-‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐

Anesthetic approximate appointment aspirin as soon as possible twice a day bilateral blood pressure bitewing radiographs biopsy chief complaint complete dentures complete maxillary denture/mandibular partial cancer Caucasian Complete blood count Congestive heart disease Congestive heart failure Central nervous system continued Chronic obstructive pulmonary disease Cerebral palsy Cerebral vascular attack Cardiovascular disease discontinue dental hygiene date of birth diagnosis Epstein Barr Virus Electrocardiogram Electroencephalogram Endodontics Ear, nose and throat evaluation extract Full Mouth survey Fixed Prosthodontics Hepatitis B Virus health history Insulin Dependent Diabetes Mellitus Intramuscular mandibular maxillary medications myocardial infarction Mitral Valve Prolapse Operative Oral Surgery as needed Penicillin 198

POI Pt. PTPW q. q.i.d. RCT Rec. RHD R/O RPD RXN SBE t.i.d. TMJ w/ -‐ w/o or s WNL -‐

-‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐ -‐

Post-‐operative instructions patient patient tolerated procedure well every four times a day root canal treatment recommend Rheumatic Heart Disease Rule Out Removable Partial Denture or Removable Prosthodontics Department reaction Subacute Bacterial Endocarditis three times a day temporal mandibular joint with without within normal limits

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ASA PHYSICAL STATUS CLASSIFICATION

American Society of Anesthesiologists - ASA Physical Status C...

http://www.asahq.org/resources/clinical-information/asa-physica...

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ASA Physical Status Classification System ASA PHYSICAL STATUS CLASSIFICATION SYSTEM Last approved by the ASA House of Delegates on October 15, 2014 Current definitions (NO CHANGE) and Examples (NEW) ASA PS Classification

Examples, including, but not limited to:

Definition

ASA I

A normal healthy patient

Healthy, non-smoking, no or minimal alcohol use

ASA II

A patient with mild systemic disease

Mild diseases only without substantive functional limitations. Examples include (but not limited to): current smoker, social alcohol drinker, pregnancy, obesity (30 < BM < 40), wellcontrolled DM/HTN, mild lung disease

ASA III

A patient with severe systemic disease

Substantive functional limitations; One or more moderate to severe diseases. Examples include (but not limited to): poorly controlled DM or HTN, COPD, morbid obesity (BMI !40), active hepatitis, alcohol dependence or abuse, implanted pacemaker, moderate reduction of ejection fraction, ESRD undergoing regularly scheduled dialysis, premature infant PCA < 60 weeks, history (>3 months) of MI, CVA, TIA, or CAD/stents.

ASA IV

A patient with severe systemic disease that is a constant threat to life

Examples include (but not limited to): recent ( < 3 months) MI, CVA, TIA, or CAD/stents, ongoing cardiac ischemia or severe valve dysfunction, severe reduction of ejection fraction, sepsis, DIC, ARD or ESRD not undergoing regularly scheduled dialysis

ASA V

A moribund patient who is not expected to survive without the operation

Examples include (but not limited to): ruptured abdominal/thoracic aneurysm, massive trauma, intracranial bleed with mass effect, ischemic bowel in the face of significant cardiac pathology or multiple organ/system dysfunction

ASA VI

A declared brain-dead patient whose organs are being removed for donor purposes

*The addition of “E” denotes Emergency surgery: (An emergency is defined as existing when delay in treatment of the patient would lead to a significant increase in the threat to life or body part) These definitions appear in each annual edition of the ASA Relative Value Guide®. There is no additional information that will help you further define these categories.

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axiUm CHARTING LEGEND

axiUm Charting Legend CARIES/ LOSS TOOTH STRUCTURE/ CONDITIONS:

Diastema between 6 and 7

RESTORATIONS: Sealant

Amalgam

D1351

PRR

Sedative Filling

Temporary Crown

Porcelain to Metal Crown

D2970

D2752

Class V Composite*

All Ceramic Crown

D1352

Implantretained Porcelain to Metal Crown D6010 D2752""

Porcelain Labial Veneer

D2740

Full gold Crown with Endo

Composite Filling

Porcelain to Metal FPD D6242 Pontic D6752 Retainer

D3330 RCT D2792 FGC

Lingual Bar

Full Cast Gold FPD

D8220

D6212 Pontic D6792 Retainer

D2962

*"Add the composite to the buccal surface then select the tooth, right click and choose “Tooth Details” uncheck the paint radio button and remove as much of the composite as is necessary and click “OK”.

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TREATMENT NOTE EXAMPLES

Prophylaxis Note Prophylaxis: SRP prn all quads Instruments Utilized: US prn with slimline insert, Gracey ½, H6/7 Scaler, 5/6 Barnhart curette Polishing technique: Selective PCP with fine paste, Shimmer used on all crowns Oral Hygiene Instructions: Re-evaluated OH from last apt since PI was 80%. Disclosing indicated new PI is 40%, mostly interproximal. Tell-Show-Do flossing technique, stressed holding TB with pencil grasp instead of fist grasp to reduce pressure Product(s) dispensed: Toothbrush, floss, Listerine Zero Fluoride administered: 5% sodium fluoride varnish with verbal and written POI Recall Interval: 6 mrc Additional notes: Pt. prefers treatment in semi-supine position due to vertigo. Asked pt if interested in tobacco cessation; she reports she is not ready to quit her 1.5 pk/day habit but may consider “cutting back.” Distributed 1-800-QUITNOW pamphlet; she understands how smoking affects her periodontal health Next Visit: 6 MR Student Provider: Student Name Supervising Faculty: Clinic Instructor

Periodontal Maintenance Note

Perio Maintenance: SRP prn UL and LL quads Instruments Utilized: US slimline and FSI 100 inserts, all Gracey curettes, H6/7 scaler and 5/6 Barnhart curette Polishing technique: none today, will do upon completion OHI: Positive reinforcement for increased brushing time and frequency, PI has dropped from 80% to 30%. Demo’d Superfloss under bridge Product(s) dispensed: Soft TB, Oral B Superfloss, Listerine Fluoride administered: none Recall Interval: 4 MRC Additional notes: Consider using Oraqix for pain control if inflammation still present Next visit: Assess itssue response on Left side—moderate marginal edema and erythema today. Complete SRP LR and UR quads; pcp fine paste, fl tx Student provider: Student Name Supervising Faculty: Clinic Instructor

Assessment Note Example (Assessment in Process)

Chief Concern: “My lower left back tooth hurts when I eat crunchy things.” Extra-Oral Findings: See Dx findings form Intra-Oral Findings: See Dx findings form Dental charting: see Odontogram Perio charting: see periodontal charting in “Perio” tab Distribution and Quantity of Biofilm: * Distribution and Quantity of Calculus: * Distribution and Quantity of Stain: * RISK FACTORS: (refer to “Risk Factor” tab in Diagnostic Findings form) Type of Radiographs Taken: None, None PAs, BWX taken for which teeth and why?: * Radiographic findings: * Periodontal Classification: * 202

Additional Periodontal Condition Description: * Current State of Disease: * Patient Informed of Perio Saatus: No, If not then reason: Assessment not complete OHI: Will complete at next apt upon completion and check of assessment Product(s) Dispensed: * Exam: Will be done at next apt Next visit: Complete assessment: finish gingival margins, CRA, care plan, assessment check by CI, then disclose and record PI, OHI, SRP prn all quads, prophy cup polish, Flt x Student provider: Assessment in Process, Student Name Supervising Faculty: Clinic Instructor

Assessment Note Example (Assessment complete and checked by CI)

Chief Concern: “My lower left back tooth hurts when I eat crunchy things.” Extra-Oral Findings: See Dx findings form Intra-Oral Findings: See Dx findings form Dental charting: see Odontogram Perio charting: see periodontal charting in “Perio” tab Distribution and Quantity of Biofilm: Generalized moderate Interproximal, PI 80% Distribution and Quantity of Calculus: Moderate veneer supragingival in LA and generalized sub-g spicules Distribution and Quantity of Stain: Slight generalized cervical RISK FACTORS: (refer to “Risk Factor” tab in Diagnostic Findings form) Type of Radiographs Taken: 4 HBWX, 1 PA PAs, BWX taken for which teeth and why?: BWX for diagnostic purposes and PA #19 for biting sensitivity reported by patient Radiographic findings: Moderate generalized bone loss on BWX and slight periapical radiolucency on #19 Periodontal Classification: Generalized moderate periodontitis Additional Periodontal Condition Description: Chronic Periodontitis Current State of Disease: Active Patient Informed of Perio Status: YES OHI: Cleaned C/ in US bath; Demo’d mod Bass technique and small proxabrush. Set goal with pt to increase brushing to bid and use proxabrush at least every other day to decrease PI from 80% to 40%. Discussed C/ care and positive reinforcement for taking out C/ while sleeping; discussed moderate to severe inflammation and the OSL. Set goal of 25% BI to 10% Product(s) Dispensed: Soft TB, floss, Listerine, small green proxabrush Exam: Completed by Dr. Miller; pt signed limited tx form for recurrent decay #27-D Next visit: Disclose to evaluate PI reduction; OHI as needed; SRP prn all quads, prophy cup polish Fl varnish Student provider: Assessment Completed, Student Name Supervising Faculty: Clinic Instructor

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CARE PLAN EXAMPLE CARE PLAN RISK FACTORS Medical History At Risk For SYSTEMIC DISEASES (a factor that results or is influenced by a physical or mental disease or condition) Diabetes PD, increased gingival inflammation, susceptibility to periodontal infections, candidiasis, angular cheilitis, xerostomia, caries, edematous tissues, burning tongue syndrome, hypogeusia, increase susceptibility to MI and stroke HTN MI, stoke, CVD, atherosclerosis, Pulmonary COPD: PD, cancers, nicotine stomatitis, halitosis, extrinsic tooth stains CVD/CHF PD, type I diabetes, atherosclerosis, clots Osteoporosis PD, loss of alveolar bone results from osteopenia, greater attachment loss RA PD, impaired motor function and self-‐care ability HIV/AIDS PD, Kaposi’s sarcoma, candidiasis Asthma xerostomia, caries, gingivitis, GERD, oral candidiasis OTHER CONDITIONS Allergies (PCN) List reaction: Type I hypersensitivity reaction Psychiatric Dis. xerostomia (meds), lost of taste perception (meds), caries, PD Special Needs self-‐care inability Pregnancy acid erosion, gingival enlargement due to hormonal changes, pregnancy gingivitis, pyogenic granuloma Epilepsy/Seizures gingival enlargement (meds), PD, fractures Anorexia/Bulimia perimyloysis, xerostomia, hypersensitivity, taste impairment, bruxism, caries, nutritional deficiencies MEDICATIONS xerostomia, orthostatic hypertension, anxiety, bitter taste, gingival enlargement, taste disorder ASA ADL/IADL Social & Dental History At Risk For DENTAL TX/HX Missing teeth supraeruption, malocclusion, TMD Deep pit/fissures caries,

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Exp. root surfaces hypersensitivity, root caries Rotated/mal pos caries risk, premature wear, food impaction Open contacts caries, food impaction Ortho TX (past) demineralization, caries, PD, acquired deficiencies, recession DENTAL HX/KNOWLEDGE FLUORIDE USE None to low caries, demineralization High Fluorosis LOCAL FACTORS (a factor in the immediate environment to the oral cavity) (PAST HX) Biofilm gingivitis, PD, CAL, halitosis, eventual tooth loss Oral piercing abrasion, tooth fracture Xerostomia caries risk, debris accumulation, demineralization, problems of denture wearing, dietary changes Recession gingival/root caries, hypersensitivity Leukoplakia oral cancer, changes in oral tissues Faulty rests recurrent caries Overhangs recurrent caries, PD, root caries Ortho TX (present) demineralization, caries, PD, acquired deficiencies, recession Fluorosis HEALTH BEHAVIORS Smoking cancers, pulmonary diseases, HTN, CVD, PD, atherosclerosis, bone loss, attachment loss, calculus, stain, Implant failures, osteoporosis Smokeless oral cancer, root exposure, severe recession, periodontal lesions, CAL Sun exposure cancers, premature aging Alcohol use cancers, xerostomia, liver disease, diminished immune response, nutritional deficiencies, CVD, Male: testicular atrophy, suppression of testosterone Female: menstrual disturbances, failure to ovulate, early menopause, children with Fetal Alcohol Syndrome Dietary caries, enamel erosion,

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HERED. Early tooth loss, PD Diabetes PD Osteoporosis PD CULTURAL BEHAVIORS Pipe smoking cancers, PD Non-‐Modifiable Risks At Risk For AGE Older xerostomia, gingival changes, attrition, PD, functional disabilities Young caries GENDER Female hormonal Changes, oral tissue changes, chronic periodontitis with increasing age Male HTN, CVD, chronic periodontitis ETHIN. Caucasian HTN, osteoporosis African Am HTN Asian osteoporosis, diet Hispanic diabetes Amer. Indian diabetes, PD DENTAL HYGIENE DIAGNOSIS Problem Related to (Risk Factors and Etiology) EXTRAORAL EXAMINATION Suspicious lesion sun exposure INTRAORAL EXAMINATION Hairy tongue poor oral hygiene, medications containing bismuth, tobacco use, mouthwashes containing oxidizing agents such as peroxide, witch hazel, or menthol Recession ortho TX/HX, mechanical abrasion caused by-‐-‐-‐, periodontal status, malocclusion, bruxism Xerostomia pharmacologically induced, H&N radiation, surgical removal of glands, Sjogrens Syndrome, dehydration, fever, diabetes, alcohol products Halitosis PD infections, faulty restorations, unclean dentures, oral path lesions, tongue coating microorganisms, throat infection, cleft palate, upper respiratory infection, inadequate home-‐care, diet Demineralization ortho TX/HX, poor oral hygiene, inadequate biofilm removal Hypersensitivity exposed cementum/gingival recession, attrition with dentinal exposure Oral Candidiasis depressed immune system, antibiotic use, HX of H&N radiation, trauma or continuous wear from removable partial

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or denture, lack of partial/denture cleanliness (denture stomatitis) Tramatic lesion oral piercing, removable partial denture, denture Attrition psychological, tension, occlusal interferences, bruxism Erosion lingual surfaces due to: chronic vomiting, eating disorder, pregnancy Facial surfaces due to: dietary (carbonated beverages, citrus), industrial (atmospheric acids) Abrasion(mech.) occupational (toothpick, nails, needles), abrasive agents biofilm accum. Inadequate removal of biofilm, xerostomia caused by meds, poor oral hygiene OCCLUSION, OVERBITE, OVERJET, OTHER Thumbsucking habit LOCAL FACTORS (NOW) Biofilm inadequate home care Fractured tooth oral piercing, bruxism, active caries, malocclusion Xerostomia medications, pharmacy induced Recession scrubbing method (brushing), acquired habits Overhang inadequate restoration Demineralization ortho tx, inadequate home care Fluorosis Candidiasis Erosion acidic foods, pregnancy, GERD RESTORATIVE/CARIES RISK Recurrent decay faulty restorations, xerostomia, cariogenic foods/beverages Incipient caries inadequate interproximal care (flossing), cariogenic foods/beverages Occlusal caries deep pits/fissures, inadequate home-‐care, cariogenic foods/beverages Root caries previous history of root caries, exposed root surfaces, diet, xerostomia, medication side effects, H&N radiation, salivary gland dysfunction, smokeless tobacco, inadequate removal of biofilm, overhanging margin, open contact, biofilm traps, low fluoride exposure Abfraction malocclusion, bruxism, mechanical PERIODONTAL STATUS/RISK Gingivitis inadequate removal of biofilm, insufficient home care, poor oral hygiene 207

Periodontitis (type) heredity, poor oral hygiene, tobacco use, diabetes, older age, decrease immunity, HIV/AIDS, chemotherapy, poor nutrition, medications, hormonal changes such as pregnancy or menopause, substance abuse, ill-‐fitting restorations, malocclusion SYSTEMIC HEALTH Periodontitis diabetes, pharmacologically induced?, NUTRITION Alcohol effects blood glucose levels, increases oral cancer risk Well-‐balanced -‐-‐-‐-‐ Enamel Erosion acidic foods, soda SELF-‐CARE BEHAVIORS Interprox. Plaque does not floss Biofilm (high/low) inadequate home care Infrequent brushing PD, Caries risk, halitosis Does not floss PD, interproximal caries PHYSICAL LIMITATIONS Decrease mobility decreased self-‐care ability, arthritis, stroke, special needs Limited arthritic condition, carpal tunnel, vision loss, Parkinson’s Disease, tremors, depression, special needs, stroke PLANNED INTERVENTIONS CLINICAL (Planned Procedures/discussions for the patient) Scale prn, SRP prn ,NSPT with LA, Fluoride application (varnish, gel) Occlusal guard fabrication, sealant placement, hairy tongue, xerostomia, local delivery of antimicrobials (LAA), nutritional counseling, tobacco counseling, preprocedural rinse EDUCATION/COUNSELING (what you are going to talk about during treatment) Discuss risks and etiology of____, Discuss elimination of risk factors, Dispense samples of_____ with directions for use, Recommend____, Provide instruction for____, ____TB method, Flossing instructions Tobacco cessation 1800-‐QUIT NOW, nutritional counseling, discuss OSL between PD and COPD/diabetes/CVD, Discuss OSL 208

OHI/HOME CARE (the instructions you are sending them home with) Recommend the use of Biotene, occlusal.guard, prevident, MI paste, Sonicare, electric toothbrush, Peridex, interdental aids, elimination of alcohol containing products, tongue brushing, positive reinforcement, Xylitol, warm saltwater rinses, oral irrigation with Hydrofloss or WaterPik, Rinse with water after inhaler use avoid candidiasis EXPECTED OUTCOMES GOALS (at least 1 goal per each oral health problem identified in the dental hygiene diagnosis) Maintain, restore, or regenerate gingival health, reduce symptoms of xerostomia, arrest or control disease, arrest or eliminate tobacco related problems/lesions, tobacco cessation, reduce occlusal/incisal wear, reduce symptoms of bruxism, reduce biofilm, resolution of erythematous tissue, elimination of Iatrogenic factors, to establish ging health through elimination of etiologic factors, to preserve health, comfort, and function, reduce biofilm, Arrest caries, lower caries risk EVALUATION METHODS (how are you going to measure improvement or decline) Clinical observation, Patient Discussion, PI, BI TIME FRAME (a realistic time frame for measuring success) 4-‐6 weeks (if diabetic you put 6 weeks because they take longer to heal), 3MRC, 4MRC, 6MRC APPOINTMENT PLAN PLAN FOR TREATMENT AND SERVICES (what you will do at each appointment) Assessment, radiographs, 4 VBWX, 4HBWX, DDS exam, DSIV exam, OHI, Prophylaxis , Periodontal Maintenance, NSPT with anesthetic, LAA with Arestin, chemotherapeutics, desensitization prn, Tobacco Cessation, Nutritional Counseling PLAN FOR EDUCATION, COUNSELING, AND OHI Discuss risks and etiology of____, Discuss elimination of risk factors, Dispense samples of_____ with directions for use, Recommend____, Provide instruction for____, tobacco cessation 1800-‐QUIT NOW, nutritional counseling, ____TB method, Flossing instr., discuss OSL between PD and COPD/diabetes/CVD, Discuss OSL, Rinse with water after inhaler use to avoid candidiasis, Evaluate and reinforce TB and flossing 209

DENTAL CARIES CHARTING

210

S=SIZE C=COLOR S=SHAPE L=LESION

C=CONSISTENCY S=SURFACE TEXTURE

L=LOCATION S=SYMPTOMS D=DURATION

EXTRA ORAL-‐INTRA ORAL EXAM TERMINOLOGY

SCSL CS LSD SIZE

measure in mm or cm length width height single multiple coalescing COLOR erythemic erythematic pallor gray brown black pink coral salmon red magenta Color combinations: bluish-‐gray blue white etc SHAPE round oval elevated depressed

flat linear circular regular

irregular rectangular

SURFACE TEXTURE

LESION macule patch erosion ulcer wheal scar fissure sinus papule plaque nodule tumor vesicle pustule bulla cyst

Attached how? pedunculated sessile

described as 'when rubbed on, not when pressed on' smooth rough papillary verrucous corrugated crusted fissured folded LOCATION

localized generalized lateral border of tongue floor of mouth buccal mucosa tonsillar pillar vermilion border CONSISTENCY described as 'when pressed on, not when rubbed on' SYMPTOMS soft asymptomatic spongy painful resilient burning indurated throbbing fluctuant (fluid filled) dull ache usually can't be seen sharp pain

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oozing seeping numbness tingling DURATION hours days weeks months years

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INFECTION CONTROL TERMINOLOGY ANTISEPTIC Chemical agent that is used to inhibit or kill microorganisms on tissue surfaces. (Ex: handwash agent) ASEPSIS Removal or destruction of disease or infected material. Includes sterile condition obtained by removing or killing organisms. ASEPTIC TECHNIQUE (ASEPSIS) The use of procedures that break the cycle of infection and ideally eliminate cross contamination AUTOGENOUS INFECTION Self-Produced infection Ex: Candidiasis (Yeast) BACTEREMIA Presence of bacteria in the blood. Demonstrated by blood culture. Antibiotic treatment is specific to the organism found and appropriate to the location of infection BACTERIOCIDAL A chemical agent which is capable of directly killing target microorganisms BACTERIOSTATIC A chemical that is capable of inhibiting the growth and metabolism of a target microorganism but does NOT directly kill the microbe CLEANING Physical removal of debris and reduction of microorganisms present. First step in decontamination CROSS-CONTAMINATION Passage of microorganisms from one person or inanimate object to another CROSS INFECTION Passage of microorganisms from one person to another DISINFECTION The use of chemical agents to accomplish the destruction of disease-causing microorganisms, but not necessarily all pathogens or resistant spores on inanimate objects 213

or surfaces IATROGENIC INFECTION Infection caused by treatment or diagnostic procedures NOSOCOMIAL INFECTION Infection acquired during hospitalization OPPORTUNISITIC INFECTION Infection caused by normally non-pathogenic microorganism in a host whose resistance has been decreased or compromised PATHOGEN Any microorganism capable of producing disease SEPTICEMIA Systemic infection in which pathogens are present in the circulating bloodstream having spread from an infection in any part of the body. Diagnosed by blood culture and vigorously treated with antibiotics. Also called "blood poisoning". STERILIZA TION Destruction or removal of all forms of life, with particular reference to microbial organisms. The limiting requirement is destruction of heat resistant bacterial spores SEPSIS Infection, contamination

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MEDICATION DOCUMENTATION EXAMPLE DRUG NAME:

Lisinopril

DOSAGE:

10mg once per day

PRESCRIBED FOR:

hypertension

PHARMACOLOGIC CLASS: ACE inhibitor DRUG INTERACTIONS:

Allopurinol, NSAIDs

ADVERSE REACTIONS:

orthostatic effects, headaches, fatigue, rash,

hyperkalemia

CONTRAINDICATIONS:

hypersensitivity to Lisinopril, hypotension

DRUG NAME:

Ortho Tri-‐Cyclen

DOSAGE:

1 tablet per day

PRESCRIBED FOR:

Prevention of pregnancy

PHARMACOLOGIC CLASS: Oral contraceptive DRUG INTERACTIONS:

antibiotics reduce effectiveness; patient must be

warned to use additional form of birth control

ADVERSE REACTIONS:

increased varicose veins, migraines, edema, venous

thrombosis, MI

CONTRAINDICATIONS:

hypersensitivity to Ortho Tri-‐Cyclen; should not be used

by women who have past hx of MI or stroke

DRUG NAME:

Amlodipine

DOSAGE:

5mg once per day

PRESCRIBED FOR:

hypertension

PHARMACOLOGIC CLASS: Calcium channel blocker DRUG INTERACTIONS:

MAOI’s may enhance effects

ADVERSE REACTIONS:

gingival enlargement, peripheral edema

CONTRAINDICATIONS:

hypersensitivity to amlodipine

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OCCLUSION

To Access Pt Odontogram:

ODONTOGRAM 101

1. Select pt in Rolodex 2. Select Electronic Health Record on left side of screen 3. Odontogram is the picture representation of dentition on top ½ of screen

To Add “FINDING” to odontogram: 1. Select “Tx History” tab, found on bottom half of page 2. Select icon of file folder with green + 3. A new tab “Chart Add” will appear 4. Under “Quick List” 3 options are available: “Findings” “Dental Tx” and “Medical Tx” ***Here you can see different EXPANDABLE categories that will appear once you select one of the option above 5. After locating the condition or disease/abnormality that needs to be charted, select the appropria 6. Click on Tooth # or Surface the finding or treatment refers to on the odontogram ***If the OUCOD did not perform this treatment, it is a “Finding” 7. After selecting tooth or tooth surface, click icon of Tooth with various colored arrows on all corner chart the finding or condition as a “Finding” in this patient’s mouth

To Add “PLANNED TREATMENT” to odontogram: 1. Repeat Steps 1-‐6 above 2. Once tooth or surface is selected, click on icon of Tooth with a YELLOW “P” 3. This will chart the planned treatment for selected tooth or surface

To DELETE findings or planned treatment from odontogram: 1. Select “Tx History” tab, found on bottom half of page of Electronic Health Record 2. Locate and choose correct category on right side (“Condition” is any previous treatment not comp COD, or any condition charted; Planned; Completed; etc.) 3. Click File Folder with RED X 4. Confirm you want to delete this finding or planned treatment 5. Entry has been deleted

***NOTES*** If finding or treatment needed is not listed under “Quick List” tab, locate “Full List” or “Search” ta more options Example: Adding attrition as a finding: Chart Add-‐> Findings (Under Quick List) -‐> Disease/Abnormalities -‐> Incisal/Occlusal At Select tooth/teeth surfaces on odontogram -‐> Tooth icon with multiple colored arrows (F icon) _________________________________________________________________________________________________ ODONTOGRAM 101 part II To chart MISSING tooth: 1. Select appropriate tooth on odontogram (Click on Tooth #)

217

2. Right click, scroll and select “Missing” 3. A RED “M” will appear in place of the tooth figure

To UNDO charting of MISSING tooth 1. Select appropriate tooth on odontogram (Click on Tooth #) 2. Right click, scroll and select “Undo Missing” 3. The tooth figure will return in place of the RED “M”

To Change PRIMARY/PERMANENT 1. Select appropriate tooth on odontogram (Click on Tooth #) 2. Right click, scroll and select “Age Change” 3. Tooth will change to Letter for primary, # for permanent and figure will correspond

* EXACT SAME PROCEDURE TO CHANGE AGAIN/UNDO CHANGE* To Quickly access all important “TOOTH HISTORY” 1. 2. 3. 4.

Select appropriate tooth on odontogram (Click on Tooth #) Right click, scroll and select “Show tx history” Look at bottom part of listed tx history Under current clinician’s name, the appropriate tooth # selected will display the most current tx history or tooth finding

To see the most current “PERIO CHART” with odontogram:

1. On same row as “Tx History” tab, select “PERIO” tab 2. Current perio chart will appear along with odontogram figures

* Facial surfaces appear on TOP ROW with lingual surfaces on BOTTOM ROW for MAXILLARY arch; this is OPPOSITE for mandibular arch.

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PAPER PERIODONTAL CHARTING EXAMPLE

219

PATIENT SEQUENCE CHECK LIST [ ] Right Click “Seat Patient” on Patient Schedule [ ] Treatment codes (Tx tab à add form à Dx à select category à select Tx à click form with “+” or “plan” tooth) or simply type code in search DH Assessment/ Work-‐ Up: D0180H Oral Hygiene Instructions: D1330.1 DDS Exam: D0120 (with 4BWX: D0274.1 -‐-‐ 2BWX: D0272.1) DS4 Exam: D0120.1 (Under Details)(DDS or DS4’s plan exam codes) Adult Prophylaxis: D1110/Perio Maintenance: D4910 Fluoride Varnish: D1206 Fluoride Trays: D1208 [ ] Complete/Update health history (5-‐10 min) (Select forms tab à select appropriate form) If changes, update all dates [ ] Vitals (5 min) (Only do on subsequent appointments if pt. has hypertension) other time à add in PTP note or keep blank [ ] PTP template complete (5 min) (TX History à add new note à temp. note à click “…” à select DH à select appropriate note) Verbally tell CI you are ready for PTP (This occurs at the beginning of each appointment.) [ ] X-‐rays if necessary (Anytime after PTP) (10 min) [ ] EIE (Diagnostic Findings Form) (5-‐10 min) (Only do this with a new pt. à in forms) arrow in upper right expands the form [ ] Odontogram (5-‐10 min) Sign up for CI Assessment Check 1 [ ] Perio charting (10-‐15 min/quad) (Select perio chart icon à select type of TX in upper left drop down box à select “add new form” à resume or begin new form) Probe depths Gingival margins Bleeding points Furcations Mobility Supra and Subgingival Calculus on Clinc Eval Form [ ] Complete PSDHCP (care plan) and present to patient including Dx and Px. (10-‐15 min)(Create new with each recall appt.) [ ] Disclose and complete plaque index (5 min) Sign up for CI Assessment Check 2 220

INSTRUCTOR DOES NOT COMPLETE PERIO CHART UNTIL AFTER PLAQUE INDEX HAS BEEN COMPLETED! [ ] Informed Consent Form (5 min) Patient signs Treatment Consent Form if none are present in chart or consent has not been given to DH treatment. (Pt attachments icon à “prophy” DH consent à change drop down to “yes” à DO NOT SELECT “OK” BEFORE SIGNATURE PAD IS PLUGGED IN) [ ] Treatment Estimate ( Tx History à right side click paper with money icon à select appropriate treatment estimate is needed for à click “ok” on drop down à select estimate_accepted_st. à click “ok” à ensure you’re on “st. clinic” in drop down à select “ok” [ ] Disclose and OHI (5 min) [ ] Scaling (Depends on quantity, tenacity, and depth of calc) Sign up for CI Assessment Check Per Quad Scaling [ ] Polish (10 min) Sign up for CI Assessment Check [ ] Fluoride application (5 min) [ ] Complete codes (5 min) (Tx tab à select appropriate “view” on right side à double click status of code à click appropriate status box) CI approves code Dismiss patient [ ] Complete final assessment and/or prophy note (10 min) CI approval necessary before leaving Additional Info: • • • • • • • • • •

•

axiUm help: dial extension #5548 Amail: envelope at bottom of EHR screen Communication Center: to schedule a “personal” patient – Rm 321 Green = pt. not confirmed Blue = pt confirmed appointment Red = pt. checked in Black = pt. seated in chair Grey = completed pt. Red “Alert” = medical considerations from medical history (Mx) Green “Alert” = payment considerations o Call Billing office Ext. 12622 – Billing Office – Rm. 321 o For treatment adjustments and questions concerning fees DH PSC Desk: 271.8135 – don’t press one to reach the desk

221

PTP MONOLOGUE

st

INITIAL VISIT PTP MONOLOGUE (1 Student States:

visit of series)

Patient presents as a ________________________________(age, race, sex) in apparent! poor, fair, good health with a (no chief complaint/chief complaint) of "________________________________".! This patient is _____________________(new, recall, DH Only) at the COD.! The patient’s last radiographs were: FMX ____________ BWX________________! Patient is currently taking: _______________________________________(meds) for _____________________________________________________(reason for meds).! Dental/medical considerations related to medication________________________________________________________ ________________________________________________________________ __________________________________________________________________ Patient states _____________________________________(drug allergies/sensitivity/NKDA) to the following meds: _________________________________________ with a reaction of ___________________________________________________.! Patient reports a history of: (pertinent personal health history!information) ______________________________________________________________ __________________________________________________________________ __________________________________________________________________ Patient reports a family history of: (pertinent immediate family health history information). __________________________________________________________________ Patient reports a personal dental history of: __________________________________________________________________ __________________________________________________________________ ________________________________________________________________ Patient’s vitals are: BP ____________, Pulse___________BPM, Respirations_________RPM. 222

SUBSEQUENT VISIT PTP MONOLOGUE (2nd....etc visit of series)

Student states:

This is appointment no. _________________ with patient (state name)! There have been no changes in health history from the last appointment and/or there have been changes since the last appointment. If so, what changes?____________________________________ The patient’s significant health information includes: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ The patient currently takes _________________________________________(state meds) for __________________________________________________________________ with dental/medical considerations of: ______________________________________________________ __________________________________________________________________ During ‘assessment’ I documented: (Chief Complaint, EIE, and any significant dental and perio findings of last appointment) __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Discuss risk factors and treatment plan: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ ________________________________________________________________ Today I plan to accomplish: __________________________________________________________________ __________________________________________________________________

223

PERIODONTAL CLASSIFICATION Classification What does this mean?

Case Type Indicators

Healthy

Gingivitis

Slight Periodontitis

Moderate Periodontitis

Severe Periodontitis

Congrats! Great job!

Caution! Important to reverse and maintain

Treatment Needed Let’s stop the disease from progressing

Treatment Needed Extremely important to stop disease from progressing

Referral to Periodontist

Referral to Periodontist

Type IV • >7 mm pd • >5mm CAL • BOP • Grade II/III furcations • > 33% bone loss • Inflammation • Host modulation? • Pathogen Testing • Genetic testing •NSPT 4341 • OHI 1330 • Chemo 4381 Or refer to Periodontist

Type V • >7 mm pd • BOP • > 33% bone loss • < age 30 • Host modulation? • Pathogen Testing • Genetic testing

3 months • Perio Maint 4910 • Chemo 4381

Referral to Periodontist Tx and Maintenance q 2-‐3 months

Type 0 • 1-‐3 mm pd • No CAL • No BOP • No bone loss • No calculus

• Prophy • OHI

Type I • 1-‐4 mm pd • No CAL • BOP • No bone loss • Gingival Inflammation

1110 • Prophy 1110 1330 • OHI 1330

6 months 6 months • Prophy 1110 • Prophy 1110 • OHI 1330 • OHI 1330 6 months • Prophy • OHI

6 months

1110 • Prophy 1110 1330 • OHI 1330

Type II • 4-‐5 mm pd • 1-‐2 mm CAL • BOP • No furcations • < 10% bone loss • Inflammation • Pathogen Testing

Type III • 5-‐6 mm pd • 3-‐4 mm CAL • BOP • Grade I/II furcations • < 33% bone loss • Inflammation • Host modulation? • Pathogen Testing • Genetic testing

•NSPT 4341 or 4342 • Prophy 1110 (remaining teeth) • OHI 1330 • Chemo 4381 3/4/6 months • Perio Maint 4910 • Chemo 4381

•NSPT 4341 or 4342 • OHI 1330 • Chemo 4381

3/4/6 months

3 months

• Perio Maint 4910 • Chemo 4381

Referral to Periodontist and Treatment?

• Perio Maint 4910 • Chemo 4381

3 months • Perio Maint 4910 • Chemo 4381

Aggressive Refractory Periodontitis

VITAL SIGN PROTOCOL

225

GUIDELINES FOR PRESCRIBING DENTAL RADIOGRAPHS Guidelines For Prescribing Dental Radiographs Patient Category

Child

Adolescent

Adult Dentulous

Primary Dentition (prior to eruption of first permanent tooth)

Transitional Dentition (following eruption of first permanent tooth)

Permanent Dentition (prior to eruption of third molars)

Posterior bitewing examination if proximal surfaces of primary teeth cannot be visualized or probed

Individualized radiographic examination consisting of periapical/ occlusal views and posterior bitewings or panoramic examination and posterior bitewings

Individualized radiographic examination consisting of posterior bitewings and selected periapicals. A full mouth intraoral radiographic examination is appropriate when the patient presents with clinical evidence of generalized dental disease or a history of extensive dental treatment

Full mouth intraoral radiographic examination or panoramic examination

Posterior bitewing examinations at 6-month intervals or until no carious lesions are evident

Posterior bitewing examination at 6- to 12month intervals or until no carious lesions are evident

Posterior bitewing examination at 12- to 18month intervals

Not applicable

No clinical caries and no high-risk factors for caries**

Posterior bitewing examination at 12- to 24-month intervals if proximal surfaces of primary teeth cannot be visualized or probed

Posterior bitewing examination at 18- to 36month intervals

Posterior bitewing examination at 24- to 36month intervals

Not applicable

Periodontal disease or a history of periodontal treatment

Individualized radiographic examination consisting of selected periapical and/or bitewing radiographs for areas where periodontal disease (other than nonspecific gingivitis) can be demonstrated clinically

Individualized radiographic examination consisting of selected periapical and/or bitewing radiographs for areas where periodontal disease (other than nonspecific gingivitis) can be demonstrated clinically

Not applicable

Growth and development assessment

Usually not indicated

Periapical or panoramic examination to assess developing third molars

Usually not indicated

New Patient* All new patients to assess dental diseases and growth and development

Recall Patient* Clinical caries or highrisk factors for caries**

Posterior bitewing examination at 12- to 24-month intervals

Individualized radiographic examination consisting of a periapical/occlusal or panoramic examination

Usually not indicated

Edentulous

PATIENTS WITH SPECIAL NEEDS “Patients with specific oral and general systemic conditions” -‐Wilkins, 2013 Wilkins, 11th Edition presents the following as some conditions which indicate a patient has special needs: Pregnancy Cleft Lip and/or Palate Endocrine Disorder Older Adult Patient Edentulous Patient Oral and Maxillofacial Surgery Patient Cancer Disability Physical Impairment Sensory Impairment Developmental or Behavioral Disorder Seizure Disorder Psychiatric Disorder Substance-‐Related Disorder Respiratory Disease Cardiovascular Disease Blood Disorder Diabetes Mellitus

227

A1C LEVEL CONVERSION CHART

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228

CLINICAL OPERATIONS SECTION V-‐ Patient Documents

229

ARESTIN POST OP INSTRUCTIONS: ARESTIN POST OP INSTRUCTIONS: §

Avoid eating hard, crunchy, or sticky foods for 1 week

§

Postpone brushing for a 12-hour period

§

Avoid touching treated areas

§

Postpone the use of interproximal cleaning devices (ex. Floss) for 10 days after administration of Arestin

§

Some mild to moderate sensitivity is expected during the first week after administration of Arestin

§

Notify the dentist promptly if pain, swelling, or other problems occur

230

University of Oklahoma College of Dentistry Department of Dental Hygiene

WHITENING PROCEDURE INFORMATION AND CONSENT •

Tooth whitening can, in many cases, restore the youthful color of your teeth.

•

As in all cosmetic enhancement procedures, there are variables and no results are guaranteed. This procedure does not add color to your smile, but rather returns your teeth to their natural youthful appearance. The type of discoloration affecting your teeth, your dietary habits and maintenance, and the overall condition of your teeth may affect the outcome of the treatment and the length of your results. Additional charges may be incurred for special cases.

•

Tooth sensitivity may occur during tooth whitening and persist for several days. You may experience “zingers” (shooting sensations that last for a few seconds). The sensitivity is temporary and will resolve with time. The sensitivity may be relieved by a mild analgesic such as Advil or Tylenol. A desensitizing agent may also be used in the bleaching tray overnight until sensitivity subsides.

•

Exposed root surfaces are grooves, notches or depressions where the teeth meet the gums. These will be isolated from the whitening gel, yet may be sensitive during and/or shortly following the treatment. Exposed root surfaces will not whiten.

•

Dental restorations such as bridges, crowns (caps), veneers and fillings WILL NOT lighten evenly with other teeth and may need partial or complete replacement. The College of Dentistry DOES NOT replace functional restorations based on color.

I understand the nature and purpose of the tooth whitening procedure and I understand the risks, benefits, possibility of complications as well as the expected results of the tooth whitening procedure. I have been given an opportunity to ask and have my questions answered. I further acknowledge that no guarantees have been given to me regarding the results of this procedure and that I may refuse this procedure without jeopardizing any current or future dental treatment with the College of Dentistry.

Patient Signature

Date

231

University of Oklahoma College of Dentistry Department of Dental Hygiene

IN-‐OFFICE WHITENING INSTRUCTIONS FOR PATIENT

Ø No red wine, grape juice, blackberries, blueberries for 3 days. Ø Drink colas through a straw. Ø If you must drink coffee, brush your teeth immediately. Ø If you are happy with the shade change, whiten once at home with custom bleaching trays. Ø If you desire a lighter shade, you may continue whitening with custom bleaching trays. Ø If at any time you experience sensitivity, apply desensitizing gel in trays and wear them for several hours or at night. This may need to be done a several days in a row prior to applying bleach again.

Ø If discomfort persists for more than a few days, contact your dental hygiene student at and s/he will schedule a consultation appointment.

232

The University of Oklahoma

College of Dentistry

AUTHORIZATION FOR VERBAL RELEASE OF PROTECTED HEALTH INFORMATION or Treatment/Education Records Last Name: Other Names Used: Address: Home Phone: (

I

First:

Middle:

SS#:

Date of Birth:

)

Work Phone:

(

)

give my permission to: Name of Physician, Provider, and/or Department/Clinic

To release information regarding appointment dates/times and my protected health information (or, if I am a student, my treatment/education record), including but not limited to, insurance, address, phone number, test results, health care information, and treatment to the following: Name of Person:

Name of Person:

Entity:

Entity:

Relationship to Patient:

Relationship to Patient:

Exceptions:

Exceptions:

*Psychotherapy notes may not be released using this form. The Authorization to Release form must be used. I understand that: •

• •

I may revoke this Authorization at any time, in writing. My revocation will not apply to information already retained, used or disclosed in response to this Authorization. Unless revoked, the automatic expiration date will be 12 months from the date of the signature. Unless the purpose of this Authorization is to determine payment of a claim or benefits, the provision of treatment or payment for my care may not be conditioned upon my signing of this Authorization. For non-students, Information used or disclosed under this Authorization may be subject to re-disclosure by the recipient and no longer protected by federal privacy regulations. Student records may contain continuing privacy protections in accordance with 34 CFR Part 99.

•

THE INFORMATION AUTHORIZED FOR RELEASE MAY INCLUDE INFORMATION WHICH MAY INDICATE THE PRESENCE OF A COMMUNICABLE DISEASE OR A NONCOMMUNICABLE DISEASE.

•

The information authorized for verbal release may include protected health information related to mental health. Release of mental health records or psychotherapy notes may require consent of the treating provider or a court order. The information authorized for verbal release may include drug/alcohol abuse treatment records. This category of medical information/records is protected by Federal confidentiality rules (42 CFR Part 2). The Federal rules proh bit anyone receiving this information or records from making further release unless further release is expressly permitted by the written authorization of the person to whom it pertains or as otherwise permitted by 42 CFR Part 2. A general authorization for the release of medical or other information is not sufficient for this purpose. The Federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient. As a result, by signing below I specifically authorize any such records included in my health information to be released.

•

283

PATIENT SURVEY DENTAL HYGIENE PATIENT SURVEY The University of Oklahoma College of Dentistry Department of Dental Hygiene Clinical Site: HOW ARE WE DOING? The Oklahoma University College of Dentistry (OUCOD) Dental Hygiene Department is dedicated to providing highest quality oral health care to our patients. What you think of our services is very important to us in meeting our goal of quality care. Individual answers are confidential. Please take a few minutes to complete this survey and drop it in the box as you exit the clinic. Thank you for helping us make the OUCOD a better place to receive dental hygiene care. Please check the box that best describes your opinion using the following key: 4 = Strongly agree 3 = Agree 2 = No opinion 1 = Disagree 0 = Strongly Disagree

4 1.

I received professional and competent care by the dental hygiene student. Student name ______________________________________________________

2.

School policies were made clear to me.

3.

The student seemed organized and efficient.

4.

The student thoroughly informed me of the status of my oral health.

5.

I was able to contact my dental hygiene student if needed

6.

The student explained what was going to happen before each procedure.

7.

3

2

1

The student made me feel protected from catching a disease or infection.

8.

The student discussed treatment costs with me.

9.

The student kept discomfort to a minimum.

10.

At the completion of treatment, the student informed me of when I needed to return for continuing care.

11. The instructor treated me with courtesy and respect. Instructor name_______________________________________________________ 12.

I will refer my friends and/or family to this clinic.

The following questions are optional and individual answers will be kept confidential. Age:_________

Gender:

Race/Ethnic Background: a. White/Caucasian b. Black c. Native American

Male

Female d. f.

Hispanic e. Oriental Other

Please circle the letter that includes your family income level: a. less than $16, 000 per year b. between $16, 001 and $49, 999 per year c. $50,000 or more per year E.

Please circle the letter that indicates the highest level of education you have completed? 1. less than high school 4. Associate degree 2. high school 5. Baccalaureate degree 3. some college or trade school coursework 6. Graduate degree

Thank you very much for your time and assistance! 12 Section 12 Forms.doc HSC 5066 Rev 6/07

284

0

INSTRUCTIONS FOLLOWING ROOT PLANING PROCEDURE:

Root planing is a procedure whereby the roots of the teeth are cleaned and smoothed, even below the gumline, to remove deposits of plaque, calculus (tartar) and other irritants which contribute to your periodontal disease. Root planing combined with your daily effective plaque control should improve your periodontal condition.

MOUTHRINSES:

Following the appointment, you may rinse with warm water, or warm salt water (1 tsp. to 8 oz of warm water). You may rinse as often as you feel is necessary. Rinsing will help keep your mouth clean and promote healing. Use any prescribed mouthrinse as directed.

ORAL HYGIENE:

Brush very thoroughly, but gently, as you have been directed. Follow any additional plaque control measures that you have been shown. A clean mouth heals faster.

BLEEDING:

You may notice some blood clots or minor oozing of blood immediately following the appointment. Do not attempt to wipe the clots away. Continue to clean your mouth as instructed. The gums may even bleed slightly for a few days but this is normal and should gradually decrease over time. If heavy bleeding occurs, please call.

DISCOMFORT:

There may be some discomfort following root planing for a day or two. If necessary, you make take a mild pain medication that you normally take for a headache (such as Tylenol). If pain is persistent, please call. Occasionally, an abscess will occur. You may also notice sensitivity to cold, heat and certain foods (such as sweets) but this should gradually diminish. Good plaque control will help, but please advise us if the sensitivity persists.

ANESTHETIC:

If a local anesthetic was used during your appointment, be careful that you do not bite your lips or tongue if they are numb. The numbness will last approximately 1-4 hours.

ADDITIONAL INSTRUCTIONS: PHONE NUMBER: 285

Do You Need To Have Your Teeth Cleaned? Dental hygiene students at OU College of Dentistry will clean your teeth at a reduced cost. To determine if you qualify, a 1- hour screening appointment at a cost of $14 is required

CLEANINGS range from $29 to $260 Call 271-7744 to schedule a 1 hour screening appointment to see if you qualify today! (insurance accepted)

286

DIRECTIONS FOR CARE AFTER TREATMENT WITH FLUORIDE VARNISH

After the application you will feel a coating and may notice a difference in color while the varnish remains on your teeth. To obtain the maximum benefit during the 4-6 hour treatment period, we ask that you take the following care after you leave our clinic: § Do not remove the varnish by brushing or flossing for at least 4-6 hours. § If possible, wait until tomorrow morning to resume normal oral hygiene. § Eat a soft food diet during the treatment period. § Avoid hot drinks and products containing alcohol (i.e.: beverages, oral rinses, etc.) during the treatment period. A thorough brushing and flossing will easily remove any remaining varnish. Your teeth will return to the same shine and brightness as before the treatment.

Directions For Care After Treatment With Fluoride Varnish After the application you will feel a coating and may notice a difference in color while the varnish remains on your teeth. To obtain the maximum benefit during the 4-6 hour treatment period, we ask that you take the following care after you leave our clinic: § Do not remove the varnish by brushing or flossing for at least 4-6 hours. § If possible, wait until tomorrow morning to resume normal oral hygiene. § Eat a soft food diet during the treatment period. § Avoid hot drinks and products containing alcohol (i.e.: beverages, oral rinses, etc.) during the treatment period. A thorough brushing and flossing will easily remove any remaining varnish. Your teeth will return to the same shine and brightness as before the treatment.

287

University of Oklahoma College of Dentistry

PATIENT RIGHTS AND RESPONSIBILITIES The University of Oklahoma College of Dentistry recognizes the importance of developing a relationship of mutual trust between the patient, the student, and the teaching faculty as dental care providers. As such the College of Dentistry offers it’s patients the following guidelines to form a structure within which successful, timely, and satisfying dental care may be given and received.

Patient’s Rights The patient has the right to receive treatment from students, faculty, and staff that is considerate of the patient’s dental needs, respectful of their dignity, and mindful of the confidentiality that rightfully exists between the patient and the College of Dentistry. The patient has the right to expect reasonable continuity of care and completion of treatment in a timely manner upon acceptance and assignment to a student. The patient has the right to emergency care in accordance with the conditions of their acceptance as a patient. The patient has the right to be given a clear and understandable explanation of the treatment recommended sufficient to obtain an informed consent including alternatives to treatment, benefits and risks (if any) of recommended and alternative treatment, and the consequences of refusing treatment. The patient has the right to refuse treatment however upon rejection, the College reserves the right to discontinue the patient’s treatment in the program if such alternative care is inconsistent or incompatible with the College’s mission or treatment philosophy. The patient has the right to be fully advised in advance, of the expected cost (estimated) of the total treatment planned and of the treatment to be rendered at each scheduled appointment. The patient has the right to know the rules of the College of Dentistry and the regulations that apply to his or her conduct as a patient. The patient has the right to receive treatment that always meets or exceeds the profession’s standard of care.

Patient Responsibilities The patient shall provide, to the best of their knowledge, accurate and complete information about present conditions, past illnesses, hospitalizations, medications, and other matters pertaining to the patient’s health. It is also the patient’s responsibility to report any changes in the condition of their health to the student and supervising faculty. The patient is responsible for following any recommended post treatment instructions given by the student, on behalf of the supervising faculty including follow-up visits. The patient is responsible for the consequences of their actions in refusing treatment or in failing to follow post treatment instructions provided by the student on behalf of the supervising faculty. The patient is responsible for keeping scheduled appointments, and when unable to do so for any reason, to notify the student of the need to reschedule. The patient (or legally responsible party) is responsible for assuming the financial obligation is fulfilled promptly. The patient is responsible for being considerate of the rights of other patients, staff, students, and faculty of the College of Dentistry. The patient should expect the College of Dentistry to provide only that treatment which supervising faculty deems to be appropriate given the information provided and circumstances observed.

288

COPY SHOULD BE SECURED WITH PATIENT’S OTHER SCREENING DOCUMENTS Dear Dental Hygiene Program Applicant, Thank you for your interest in the Dental Hygiene Program at the University of Oklahoma College of Dentistry. Prospective patients are selected for our dental hygiene program according to the educational needs of the students. Based on your screening, we regret to inform you that we will be unable to provide dental hygiene treatment for you for the following reason(s): Treatment expectations are not within the scope of the student clinic Dental Hygiene needs are too complex Dental Hygiene needs are not difficult enough to be considered a good teaching

case

Patient availability is not compatible with clinic scheduling Financial difficulties Health complications Other

Patient Name _______________________________________________ Patient Signature

__________________ Date _______________________________

Parent/Guardian Signature if patient is a minor or disabled

Date

Patient’s signature verifies his/her receipt of this information.

_____________________________

Supervising Faculty Signature and Stamp

Date

Copy to be scanned into patient’s electronic chart

289

CLINICAL OPERATIONS SECTION VI-‐ Technology Failure Back-‐Up Documents, Miscellaneous, Fees, etc.

290

CONSENT FOR DENTAL HYGIENE PROCEDURES University of Oklahoma College of Dentistry Department of Dental Hygiene This information is provided to help you understand your recommended dental hygiene treatment before treatment begins and to be certain you understand treatment procedures, expected benefits and risks, alternatives, consequences of no treatment, and cost so that you are well informed and confident that you wish to proceed. The dental hygiene student treating you will discuss this information with you and answer your questions. PLEASE BE SURE TO ASK ANY QUESTIONS YOU WISH. Based on information of your medical and dental history, x-rays (if taken), assessment of your teeth and gums, reported dental habits, and information you have given about your needs and wants, it has been determined that the following treatment procedure(s) is/are recommended for you: Preventive Oral Prophylaxis (Routine Dental Cleaning) Scaling and polishing to remove plaque, calculus (tartar), and stains in order to maintain health and prevent disease. Nonsurgical Periodontal Therapy (Disease Treatment) With Local Anesthesia With Nitrous Oxide Analgesia Periodontal Maintenance Maintenance appointments after completion of non-surgical or surgical periodontal therapy, to prevent recurrence of disease. Procedures consist of removing plaque and calculus (tartar) from above and below the gumline, root planing, polishing as needed, and fluoride therapy. Additional Procedures: *********************************************************************************** *** Nonsurgical Periodontal Therapy is a procedure whereby the teeth are scaled and smoothed, above and below the gumline, to remove deposits of plaque, calculus (tartar), infectious fluids, and other irritants that contribute to periodontal (gum) disease. Local anesthesia and/or nitrous oxide may be used to prevent discomfort during the procedure. Benefits of treatment: • Regain health of periodontium (gums, ligaments and bone supporting the teeth) • Arrest the progression of periodontal disease and inflammation, and create an environment that allows gingival (gum) tissues to heal. Risks may include: • Sensitivity to heat and cold. This is usually temporary and improves over days or weeks. • Rarely, an abscess may form in an area of infection. • In areas of significant gum disease with inflammation, the gums may recede after scaling and the tooth may appear slightly longer. • Tissue trauma and tenderness following instrumentation. Alternatives: • No treatment • • Consequences of no treatment: • If treatment is not administered, the condition may lead to advanced periodontal disease, including gum recession, bone loss, loose teeth, and eventual tooth loss. Muscle soreness • Allergy (extremely rare) or adverse reaction (rare) • Interaction with prescription or non-prescription drugs (please inform the student dental hygienist of any you are taking)

291

Alternatives • No anesthetic • Oraqix, a topical anesthetic gel

•

Consequences of no treatment: Discomfort of varying degrees during treatment Nitrous Oxide Analgesia, a method of conscious inhalation sedation, increases patient relaxation and comfort during dental procedures. Benefits: • Potential for increased comfort and relaxation during treatment • Risks may include: • Should not be administered with recent heart attack, emphysema, chronic bronchitis, middle ear problems, pregnancy, nasal obstruction, or chemical dependency recovery. (please inform the student dental hygienist of any of these conditions) Alternatives • No nitrous oxide • Consequences of no treatment:

Nitrous oxide is used to reduce anxiety and promote relaxation during treatment. Most patients do not require nitrous oxide analgesia; however, patients with high dental anxiety may have decreased ability to tolerate non-surgical periodontal therapy.

292

******************************************************************************************* I confirm that I have read and fully understand the treatment that has been recommended, as well as the risks, benefits, alternatives, and consequences of no treatment. I have been given the opportunity to ask questions regarding treatment and my questions have been answered fully and satisfactorily. I understand that during the course of the procedure(s), unforeseen conditions may arise that necessitate procedures different from those contemplated. I, therefore, consent to the performance of additional procedures(s) that the student dental hygienist or his/her instructors may consider necessary. I acknowledge that no guarantees or assurances have been made to me concerning the results of the procedure(s). My signature verifies my consent to the treatment recommended. Patient Name Patient/Relative or Guardian Signature

Date

(if patient is a minor/otherwise incompetent to sign) Relationship (if signed by person other than patient)

Certification: I hereby certify that I have explained the nature, purpose, benefits, risks of, and alternatives to (including no treatment and attendant risks), the proposed procedure(s). I have offered to answer any questions and have fully answered all such questions.

Student Dental Hygienist Signature ____________________________ Faculty Signature _________________________________________

293

O’LEARY’S PLAQUE INDEX FORM

294

OKC DENTAL HYGIENE FEES 2015-‐2016

D0191H – Hygiene Screening $14.00 D0180H -‐ DH Assessment N/C D0120 – periodic oral eval (DDS) $29.00 Includes Bitewings (use N/C codes D0272.1/D0274.1) D0120.1 – periodic oral eval (DS4) N/C If bitewings are exposed on a day other than the day of exam, use code D0272.1 (2 BWX) or D0274.1 (4 BWX) so that no charge is assessed to the patient **all x-‐rays must be recorded & coded in the EHR** D0210 – intraoral complete series $43.00 D0220 – PA, first film $11.00 D0230 – PA, each additional film $11.00 D0272 – BW 2 films $20.00 D0274 – BW 4 films $30.00 D1330.1 – oral hygiene instructions N/C D1110 – prophylaxis, adult $29.00 D11101 Prophylaxis – adult 8-‐14 teeth $24.00 D11102 Prophylaxis – adult