Lake Washington Institute of Technology

Dental Assisting Program

DENT 211 Dental Clinic III Summer 2012 Class Meets: Monday-Thursday 8:00 am -12:00 pm Wednesday and Thursday 1:00 pm 5:00 pm Room: E-107 Class Begins: July 2nd 2012 Class Ends: July 26th 2012

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DENT 211 Summer 2012

Instructor Phone E-mail Office Office Hours Seema Jain, M.A., CDA, RDA 425-739-8368 seema.jain@lwtech.edu A306 G By appointment

PREQUISITES DENT 111, DENT 112, DENT 113, DENT 114, DENT 115,DENT 117, DENT 121, DENT 124, DENT 126, DENT 127. DESCRIPTION A clinical experience under the supervision of a dentist(s), clinical staff and faculty that will allow the student to function as a dental assistant; could include extramural clinics and private practices. PURPOSE The Dental Clinic course provides the Dental Assistant student an opportunity to apply skills and knowledge acquired in the previous quarters. Skill performance will be expected at competency levels achieved in prior dental assisting courses. ASSIGNMENTS EXTRA-MURAL CLINIC: 1) Maintain a daily tally of procedures completed and turn it in at the end of your clinical experience. 2) Complete the University Log and have supervisor sign attendance sheet. 3) Complete a daily grade sheet with procedure appropriate sheet, which is given to your Instructor before morning meetings. OBJECTIVES I. Upon completion of the Dental Clinic course, the student will have demonstrated the following at the identified levels: All previous learned skills at 90%. Sterilization technique, anesthesia transfer and patient safety at 100%

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The processes of applying skills, developing smooth movement and speed at 90%.

A. 1)

ORAL HYGIENE-EXAMINATION SKILLS: Health history is recorded accurately and neatly with correct spelling and signed. 2) Blood pressure is recorded accurately. 3) Radiographs are exposed correctly, in an efficient manner (within scheduled time frames). All related information is written on the patient's chart. 4) Radiographs are mounted and self assessed per criteria. 5) Existing restorations are accurately recorded on the patient's chart. 6) New caries, when dictated by the operator, are recorded accurately and timely. 7) Services performed are recorded on the patient's chart accurately. 8) Oral hygiene instructions are thorough and adapted to the needs of the patient. 9) Coronal polish is completed without any plaque left on the teeth within the scheduled time frame. 10) Fluoride treatments are administered correctly with correct post-operative instructions. 11) All skills are performed within the scheduled time frame. RESTORATIVE SKILLS: Review H.H., take and record B.P & Vitals Apply topical anesthetic if applicable. Anesthetic syringe assembled correctly. Correct anesthetic in the syringe. Anesthetic syringe transferred and retrieved with maximum safety and sterility. 6) Rubber dam clamp placed quickly and stable with minimum trauma to the patient. 7) Rubber dam centered, inverted with adequate isolation. 8) Correct, safe placement and control of oral evacuation tip. 9) Correct use of the air water syringe. 10) Maintain a dry, clear field of operation. 11) Know the sequence of burs to be used. 12) Insert bur into hand-pieces quickly and with ease.

B. 1) 2) 3) 4) 5)

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13) Instrument transfer is completed in the transfer zone - instruments NEVER passed over the patient's face. 14) Instrument transfer is FIRM, SMOOTH, and with increased speed. 15) Instrument is in position of use when transferred. 16) Prompt retrieval of instruments with the next instrument ready for transfer. 17) Restorative materials are mixed correctly, according to manufacturer's instructions. 18) Correct amounts of restorative materials are mixed. 19) Restorative materials are transferred in the correct manner. 20) Place matrix and wedge accurately, when requested. 21) Impression materials are manipulated correctly and accurately. 22) Impression materials are transferred in the correct manner. 23) Temporary crowns are fabricated and cemented when requested. 24) Procedure continuity is maintained. 25) Set-up tray and immediate work area is maintained in an organized manner. 26) All skills are performed within the scheduled time frames. C. 1) 2) 3) 4) 5) 6) 7) 8) 9) II. COORDINATING AND INFECTION CONTROL SKILLS: Trays are sterile, complete and ready on schedule. Radiographs are safely processed and mounted. Sterilization routine is accurate and systematic. Sterilization area is maintained in an orderly and clean manner. All instruments are labeled correctly and stored in the appropriate areas. Darkroom is maintained in the correct manner. Automatic processor is maintained correctly. Consistently aware of appointment schedule, patient flow, needs of the chair side assistants while completing sterilization on schedule. All universal precautions are followed.

Upon completion of the Dental Clinic Course, the student will have demonstrated the following behavioral objectives at a consistent level - 90 to 99% of the time. A. 1) PERSONAL PERFORMANCE: Compliance with the Dental Assistant Program Student Policies.

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2) 3) 4) 5) B. 1) 2) 3) 4) 5) 6) 7) C. 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13)

Ethical and legally responsible behavior. Completion of assessment forms on schedule. Initiative to complete assignments on schedule and maintain an appropriate level of clinic activity. Follow directions accurately. INTERACTION WITH CLINIC PERSONNEL AND PATIENTS: Puts the patients at ease and listens to them. Uses appropriate terminology. Gives proper pre and postoperative instructions. Chooses appropriate topics for conversation. Utilizes proper self-expression. Demonstrates appropriate teamwork. Accepts and uses feedback. CLINIC PERFORMANCE: Provides safe care for the patients. Adapts care to meet the needs of the patient. All records are written ACCURATELY, NEATLY and completed on schedule. Reports relevant data to appropriate clinic staff/faculty. Assigned areas completely and thoroughly set up on schedule. Organizes procedure/routine to provide organized patient care within scheduled time frames. Aware of patient flow and anticipates next procedure. Consistently utilizes correct posture at the dental chair. Follows assignments. Demonstrates ability to coordinate activities with team members. Demonstrates the ability to work independently. Demonstrates an appropriate level of ethics by not cutting corners and sacrificing quality or sterility. Demonstrates an appropriate level of ethics by not discussing other team members or patients with others.

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PROGRAM POLICIES PERTINENT TO CLINIC EXPERIENCE Insurance: 1. Accident Accident insurance is required of all students enrolled in Health

Occupation Programs. An accident only or accident plus illness insurance are available through the College at reasonable cost. Insurance for school hours includes assigned clinical experience rotation and is payable at registration time. An accident occurring in campus clinic or community agency must be reported as soon as possible to the instructor. Students should report to their own physician for care. An Accident/Incident Report must be filed Richelle Stauch, the clinic assistant. 2. Liability Liability/malpractice insurance is required of all students enrolled in the Dental Assistant Program. Information on liability insurance is distributed by the College.

Dental Assisting Student Uniform & Campus Attire 1. Students will wear an official uniform as follows: anytime/anywhere there is contact with patients: a. Scrub pants and jackets; uniform information will be distributed. The college clinic will provide a lab coat. However, the uniform (scrub pants and top) is the responsibility of the student to maintain, clean and replace. b. White shoes. Shoes and laces must always be clean. Neutral or white hose. c. Hair--must be off the collar and out of the face and neatly arranged. d. Makeup--to be used with discretion when in uniform. e. Fingernails--to be manicured and kept at a short length; only clear nail polish is acceptable. f. Jewelry--a watch, small stud earrings and a plain wedding band is acceptable. g. Safety glasses--required. h. Name tag (purchased with uniform). Clinical Performance: 1. Clinical instruction is provided within the program in conjunction with the current curriculum in theory. This instruction is provided on campus in the dental facilities. Students are held responsible for

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knowing and adhering to the rules and regulations of the College, the Dental Assisting Program and all Clinical Facilities. 2. Attendance is required for all activities related to a clinic course. The clinical setting provides the environment to formulate good work habits related to punctuality, demeanor and overall sense of responsibility. Absences must be reported to Seema Jain & block instructor PRIOR (by 8:00am) to the beginning of the shift. An absence will result in a 0 grade for the day. In order to receive a passing grade in this class, you cannot miss more than 1 clinic session. (A one-clinic session equals four hours) If you arrive later than 1/2 hour your daily grade will start at a 3.0. If you are more than 1 hour late, you will be counted as absent and your grade will be 0.1. In the event you miss more than 1 clinic session, you will need to meet with the program director, Scarlet Kendrick. Reasonable efforts will be made to reschedule missed clinic days. Days missed will delay program completion. 3. A student is judged to be safe if he/she is able to perform critical behaviors and demonstrates evidence to maintain these behaviors for assigned skills and the listed terminal competencies of the quarter. In addition, each student's performance in clinic is assessed on criteria listed on a separate handout. A student, who fails to maintain a minimum of 70% achievement or a Pass grade in all clinical courses each quarter, will be dismissed from the Program. Probationary Contracts: When an instructor identifies significant deficits in a student's performance, the student will be counseled and placed on a probationary contract. If the student is placed on contract, the instructor will list, in writing, specific written objectives to be met by the student in a satisfactory manner within the prescribed period. Failure by the student to accomplish satisfactorily the objectives of the contract by the prescribed date will result in dismissal from the program. Page

Criteria for Probationary Contract/Dismissal Consideration: 1. Jeopardy of patient safety. 2. Noncompliance with assigned responsibilities. 3. Serious physical or mental illness. 4. Inappropriate professional behavior. 5. Lack of progress. 6. Inability to demonstrate expected clinical or laboratory judgment. Program Dismissal: Dismissal will occur if a student fails to accomplish satisfactorily the objectives of probationary contract. The final decision to dismiss a student is based on faculty group review of the student's record. The student has the option to be present and discuss his/her view to the faculty. Theory/Laboratory/Clinical Assignments: It is the responsibility of the student to complete all the assignments/checkoffs prior to externship. For each missing check-off, you will receive 1% deduction from your final grade. E.g. if you had 94% and have three missing check-offs then your grade will go down to 91%. You are still advised to complete all the check-offs at your externship. It is your responsibility to check your grades online BEFORE you leave for externship otherwise missing grade/s will be replaced by a 0.1 Grading Weight: 100% of the total grade consists of the daily clinic grades received. Each day is worth 4 points. There are a total of 22 clinic sessions or 88 points.

Course Calendar
In order to receive a passing grade, you cannot miss more than 1 clinic session. July 2 July 4 July 26 Clinic /Classes begin Holiday No conferences this quarter. Begin to see patients Last day to see patients

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Best of luck for your externship!

SUMMER QUARTER ROTATION Mark your calendar! SUMMER quarter starts on MONDAY, JULY 2ND, 2012. You will start seeing patients on Monday itself. Attendance is taken at 8:00 am, Morning huddle will begin at 8:15 am and patient in chair at 8:30 am. 1st lecture class will be held as scheduled. This quarter you can switch with anyone (any block) anyday. (if you switch): Take your grade-sheet with you (to the switched op) for that block instructor to grade you. Write down original & switched op # on daily evaluation sheet (A-7). If you are done with your check-offs then GIVE it to someone who needs it (find out from the check-off log sheet) YOU are ultimately responsible for your procedure or making arrangement. Applies to absentees too. Absentee student must call someone preferably one day prior to make arrangements. If you do not call then your grade for the day being absent is zero but following day grade will start from 3.0 Even if you are done with your check-offs you still need to assist DHS/ DAS. HAs: browse TC/PC power-point online in Angel clinic course shell (DENT 211). DAS who took procedure for the absent student, fills absent sheet for the day, request & huddle sheet for the next day. Please call your block instructor only. 425-739- + 4 digit extension. You can also call one of your block student.
Thursday Thursday CUMLEY 4257398221 MORNING AFTERNOON PEYTON 4257398221 4257398368 JAIN JAIN JAIN 4257398386 DAVIS DAVIS DAVIS BEATTY BEATTY BEATTY 4257398221 4257398221 CRAM CRAM CRAM STAUCH STAUCH STAUCH 4257398220 DARRAH DARRAH DARRAH 4257398130

OP# RA,HA,B3 E1,E2,F1,F2,F3 R1-R4 R5-R8 ST OA

Monday JAIN CUMLEY BEATTY PEYTON STAUCH DARRAH

Tuesday JAIN CRAM BEATTY CUMLEY STAUCH DARRAH

Wednesday MORNING JAIN CRAM BEATTY CUMLEY STAUCH DARRAH

Wednesday AFTERNOON JAIN DAVIS BEATTY CUMLEY STAUCH DARRAH

DENT 211

WEEK 1 WED 4-Jul X X X X X H O L I D A Y X X X X X X X X THUR 5-Jul R3 R4 R5 R6 R7 R8 E1 E2 F1 F2 F3 R2 CA HA HA B3 RA ST CA ST OA R1

WEEK 2 MON-THUR July 9-12 R7 F1 E1 OA R8 F2 F3 R6 CA HA HA B3 RA ST ST CA E2 R1 R2 R3 R4 R5

WEEK 3 MON-THUR July 16-19 F1 F2 F3 CA HA HA B3 OA RA ST ST CA E2 R1 R2 R3 R4 R5 R6 R7 R8 E1

WEEK 4 MON-THUR July 23-26 CA HA OA B3 RA ST ST R5 HA R1 R2 R3 R4 E1 R6 R7 R8 CA E2 F1 F2 F3

SUMMER 2012 MON-TUE July 2-3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Nelly Nicole Krystin Martha Jessica Jayne Caitlin Megan Erika Madison Shelby Taylor Jesse Diane Leah Krystal Angela Kassie Stephanie Breanna Jeanne Yegor R3 R4 R5 R6 R7 R8 E1 E2 F1 F2 F3 R2 CA HA HA B3 RA ST CA ST OA R1

CODES: ST=Sterilization; RA=Radiology Assistant; OA=Office Assistant; HA=Hygiene Assistant ; CA=Clinic assistant

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