Dent 131 Syllabus

Lake Washington Technical College

Dental Assisting Program

DENT 131
Dental Clinic II Spring 2012 Class Meets: Monday - Thursday 8:00 am-12:00 pm & Wednesday 1:00 pm-5:00 pm Room: E107 Class Begins: 04-02-12 Class Ends: 05-31-12 Instructor: Phone: E-mail: Office: Office Hours: Seema Jain, CDA, MA 425-739-8368 seema.jain@lwtech.edu A 306 G (Allied Health Building) By appointment

Page

Dent 131 Syllabus

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) 2) 3) Maintain a daily tally of procedures completed and turn it in at the end of your clinical experience. Complete the University Log and have supervisor sign attendance sheet. 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: A. 1) 2) 3) All previous learned skills at 90% Sterilization technique, anesthesia transfer and patient safety at 100% The processes of applying skills, developing smooth movement and speed at 90% ORAL HYGIENE-EXAMINATION SKILLS Health history is recorded accurately and neatly with correct spelling and signed. Blood pressure is recorded accurately. X-rays are exposed correctly, in an efficient manner (within scheduled

Page

Dent 131 Syllabus

time frames). All related information is written on the patient's chart. 4) X-rays 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. B. 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17) 18) 19) 20) 21) 22) 23) 24) 25) 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. Rubber dam clamp placed quickly and stable with minimum trauma to the patient. Rubber dam centered, inverted with adequate isolation. Correct, safe placement and control of oral evacuation tip. Correct use of the air-water syringe. Maintain a dry, clear field of operation. Know the sequence of burs to be used. Insert burs into handpieces quickly and with ease. Instrument transfer is completed in the transfer zone - instruments NEVER passed over the patient's face. Instrument transfer is FIRM, SMOOTH, and with increased speed. Instrument is in position of use when transferred. Prompt retrieval of instruments with the next instrument ready for transfer. Restorative materials are mixed correctly, according to manufacturer's instructions. Correct amounts of restorative materials are mixed. Restorative materials are transferred in the correct manner. Place matrix and wedge accurately, when requested. Impression materials are manipulated correctly and accurately. Impression materials are transferred in the correct manner. Temporary crowns are fabricated and cemented when requested. Procedure continuity is maintained. Set-up tray and immediate work area is maintained in an organized

Page

Dent 131 Syllabus

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. X-rays 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 & 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 chairside 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) 2) 3) 4) 5) B. 1) 2) 3) 4) 5) 6) 7) C. PERSONAL PERFORMANCE Compliance with the Dental Assistant Program Student Policies. 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

Page

1) Provides safe care for the patients. 2) Adapts care to meet the needs of the patient. 3) All records are written ACCURATELY, NEATLY and completed on schedule. 4) Reports relevant data to appropriate clinic staff/faculty. 5) Assigned areas completely and thoroughly set up on schedule.

Dent 131 Syllabus

6) 7) 8) 9) 10) 11) 12) 13)

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.

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. White shoes. Shoes and laces must always be clean. Neutral or white hose. Hair--must be off the collar and out of the face and neatly arranged. Makeup--to be used with discretion when in uniform. Fingernails--to be manicured and kept at a short length; only clear nail

b. c. d. e.

Page

Dent 131 Syllabus

f. g. h.

polish is acceptable. Jewelry-- a watch, small stud earrings and a plain wedding band is acceptable. Safety glasses--required. 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 knowing and adhering to the rules and regulations of the College, the Dental Assisting Program and all Clinical Facilities. 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 or Scarlet Kendrick 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 3 clinic sessions. (A one-clinic session equals four hours) If you arrive later than 15 minutes your daily grade will start at a 3.0, later than 1/2 hour your daily grade will start at a 2.5. If you are more than 1 hour late, you will be counted as absent. In the event you miss more than 3 clinic sessions, you will need to meet with the program director, Scarlet Kendrick. Reasonable efforts will be made to reschedule missed clinic days during the following quarter. 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. Theory/Laboratory/Clinical Assignments It is the responsibility of the student to complete all assignments and projects within the designated time limits. Failure to do so will result in an "O" grade for assignment or project. Page

2.

Dent 131 Syllabus

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. Criteria for Probationary Contract/Dismissal Consideration: 1. 2. 3. 4. 5. 6. Jeopardy of patient safety. Noncompliance with assigned responsibilities. Serious physical or mental illness. Inappropriate professional behavior. Lack of progress. Inability to demonstrate expected clinical or laboratory judgment.

Program Dismissal Dismissal will occur if a student fails to accomplish satisfactorily the objectives of a 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 or her view to the faculty. 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 40 days = 160 points.

COURSE CALENDAR
All Morning clinic sessions begin at 8:00, Morning huddle at 8:15, patients in the chair at 8:30. Wednesday afternoon clinic session begins at 1:00, Afternoon huddle at 1:15, patients in the chair at 1:30. Mon Tues Wed Thurs Tues Mon Wed Thurs APRIL 2 APRIL 3 MAY 2 MAY 3 MAY 8 MAY 28 MAY 30 MAY 31 Orientation in E-109 at 9 AM Begin to see patients No clinic sessions (AM and PM) (Hygiene Mock Boards) No clinic session (Hygiene Mock Boards) No classes - ADVISING DAY Holiday Last day to see patients (AM and PM) Conferences - See Schedule

Page

Dent 131 Syllabus

CONFERENCE SCHEDULE MAY 31ST 2012

READ THE CONFERENCE INSTRUCTION SHEET BEFORE YOU COME FOR CONFERENCES. Wear the scrubs on conference day.
IF YOU ARE MISSING GRADE ONLINE FOR ANY DAY AND YOU HAVE A HARDCOPY FOR THAT MISSING GRADE DAY, THEN GIVE THAT HARDCOPY TO YOUR INSTRUCTOR AND LET HER ENTER YOUR GRADE ONLINE WHILE YOU ARE CONFERENCING.

Time

MS. JAIN Pano Room Taylor Jesse Diane Leah Breanna *Tabulation

MS. BEATTY E-109 Krystin Martha Jessica Jayne Stephanie Z Nelly

MS. CRAM Dental Lab Caitlin Megan Erika Madison Shelby Angela

MS. TONER Any RH op Nicole Krystal Kassie Stephanie S Jeanne Yegor

9:15 - 9:45 9:45 - 10:00 10:00 - 10:15 10:15 - 10:30 10:30 - 10:45 10:45 - 11:00 11:00 - 11:15

Orientation in 109: ENTIRE CLASS

****PLEASE NOTE: SPRING QUARTER**** Mark your calendar! SPRING quarter starts on MONDAY, APRIL 2ND, 2012. Orientation will be held in E-109 at 9 am. Wear scrubs on this day. YOU WILL START SEEING PATIENTS ON TUESDAY, APRIL 3RD . 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.

Dent 131 Syllabus