COURSE OBJECTIVES:

Given the integration of didactic and clinical experience as applied on patients and peers, the prerequisite course Clinical Practice I (DNHY 3114), treatment and consistent student – instructor collaboration, upon completion of this course the student should be able to:

1. Position the dental chair, clinicians stool, and dental light to insure patient/clinical comfort, communication and effective delivery of dental hygiene services.

1. Organize dental hygiene instruments and supplies in a manner that enhances clinical efficiency and insures effective delivery of patient treatment and services.

1. Apply accepted standards of infection control at all times in the clinical setting.

1. Maintain a patient care delivery area that is organized, safe and follows proper infection control protocols.

1. Sharpen and maintain instruments to insure effective instrumentation and preservation of instrument.

1. Utilize information obtained from the health history to determine possible modifications and/or contraindications to treatment.

1.  Accurately assess and document patient’s vital signs, making referrals to other health care

            Providers as appropriate.  

1. Perform an extra-oral and intraoral inspection and accurately record significant findings.

1. Examine all oral tissues for signs of health or pathological changes and record the findings.

1. Perform and accurately document a periodontal evaluation for Class 2/2+/3 level patients: including

            recession, pocket depths, loss of attachment, mobility, furcation involvement and bleeding sites.

1. Graphically represent a patient's teeth with regard to caries, missing teeth or tooth structure, types

             and locations of restorations, fixed and removable appliances and developmental anomalies.

1. Apply principles of instrumentation and knowledge of tooth morphology in selecting appropriate

            instruments to detect and remove deposits.

1. Develop treatment plan and present to Class 2/2+/3 level patients.

1. Obtain the patient informed consent based on a thorough case presentation.

1. Present appropriate oral health prevention programs based on patients individual needs

1. Select and administer appropriate topical fluoride treatment including varnish, tray, rinse &

            Brush-on.

1. Complete all clinic paperwork legibly and in a timely manner with appropriate detail in

            documentation, as is required for this level of clinical practice.

1. Demonstrate proper equipment maintenance.

1. Provide CPR Basic Life support as may be necessary in clinic.

1. Perform all Clinic Assistant duties utilizing correct techniques and infection control protocol.

1. Correctly and efficiently perform all Clinic Receptionist duties.

1. Properly take alginate impressions; pour and trim acceptable diagnostic casts.

1. Determine need for radiographs based on evaluation of specific areas and/or entire dentition and make appropriate recommendations for such surveys based on patient history and assessment.

1. Electronically document two (2) patient assessment finding utilizing Ascend computer software.

COMPETENCY (PROCESS) EVALUATIONS 

Six competency evaluations will be given in Clinical Practice 2. These grades will figure into the overall Quality instrumentation component.

1.Topical Fluoride Application

• Evaluation scheduled by instructor and conducted on fellow students

2.Coronal Polishing  

• Evaluation scheduled by instructor and conducted on fellow students

1. Instrumentation

• Evaluation scheduled by instructor and conducted on fellow students

4.Medical History Review

• Evaluation scheduled by instructor and conducted on fellow students

5.Cleaning of Dental Prostheses

• Evaluation scheduled by instructor and conducted on fellow students

6.Management of Class 2, 2+ level patient treatment

• Evaluation scheduled by instructor and conducted on clinic patients

COMPETENCY (PROCESS) EVALUATIONS 

Six competency evaluations will be given in Clinical Practice 2. These grades will figure into the overall Quality instrumentation component.

GRADING RATIONALE 

The grade for this course is based on QUALITY AND QUANTITY requirements. Both play a significant role in the development of student competencies in patient care.

The Quality Grade is comprised of:

1. Competency evaluations (Process Evals) which ensure that students can perform procedures at the minimum level of expertise determined necessary for this point in time in their education. Upon successful completion of the competency evaluations students can then work on improving their abilities with instructor assistance on patients in the Gaines Dental Hygiene Clinic. 
2. Grades from the Clinic Grade Sheet which include:

• Quadrant Instrumentation,
• Data Collection and Treatment Management
• Radiographs
• Clinic Assistant and Receptionist

Due to the substantial instructor-student collaboration during patient treatment QUALITY grades alone (via Clinic Grade Sheets) are NOT true indicators of student competency.

The Quantity (patient experiences) requirements:

Are set to ensure that each student has appropriate experiences to develop entry level competencies in patient care. QUANTITY also reflects the student’s competency level as time management abilities are ultimately reflected in the number and type of patients upon which treatment is completed. Therefore, the number/type of patients treated and the number/type of procedures performed have a significant bearing on the student’s final course grade for Clinical Practice 2.

COURSE GRADING:

Final Course Grade will be computed by taking Quality Grade minus Quantity Point deductions.

Quality Course Grading Scale

NA

Instrumentation

55%

Assessment/Documentation

40%

Assistant and Receptionist Rotations

 .5%

Total

100%

Example of Computation of Clinical Practice 2 Final Course Grade

NA

Quality Course Grade equals

96

Minus Deductions for Quantity Requirement Shortages

8

Equals Final Clinical Practice 2 Course Grade of

88

Dental Hygiene Grading Scale

NA

NA

92 to 100

A

NA

83 to 91

B

NA

75 to 82

C

NA

65 to 74

D

Failure to continue in the DH program

Clinic Assistant/Receptionist Grade: Students will start with 100 points in this area. Infractions will result in deduction of points from the applicable “100” starting points. Each infraction will incur a five (5) point deduction from the initial 100 points. (See Assistant/Receptionist Forms, objectives & criteria – Student Handbook/Clinic Manual, Section 6.5).

Attendance:

The Dental Hygiene Faculty feel very strongly that maximum participation in all clinical and laboratory exercises is critical to the development of clinical competencies. Therefore, more than two absences for any reason will result in a loss of 5 points from the final course grade for each absence over 2.

ANYONE MISSING MORE THAN (4) CLINICAL SESSIONS FOR ANY REASON WILL BE DROPPED FROM CLINICAL PRACTICE 2.  YOU CANNOT MATRICULATE INTO THE SECOND YEAR WITHOUT SUCCESSFULLY COMPLETING CLINICAL PRACTICE 2. A student on Probationary Status will not be permitted absences for any reason until he/she is taken off of probationary status by the Dental Hygiene Admissions Committee.

When the student has an open appointment time due to a No-show, cancellation, or no scheduled patient the student will be expected to work on impression requirements, help the clinic assistant or receptionist as needed, or assigned a specific skill to practice.  YOU MUST REMAIN IN THE CLINIC AREA.  THE dressing/locker room is not considered a clinical area (See Professionalism Criteria - Student Handbook)

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

All instructors in the Department have voicemail in their offices and MSUTexas e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Obligation to Report Sex Discrimination under State and Federal Law

Midwestern State University is committed to providing and strengthening an educational, working, and living environment where students, faculty, staff, and visitors are free from sex discrimination of any kind. State and federal law require University employees to report sex discrimination and sexual misconduct to the University’s Office of Title IX. As a faculty member, I am required to report to the Title IX Coordinator any allegations, personally observed behavior, or other direct or indirect knowledge of conduct that reasonably may constitute sex discrimination or sexual misconduct, which includes sexual assault, sexual harassment, dating violence, or stalking, involving a student or employee. After a report is made, the office of Title IX will reach out to the affected student or employee in an effort to connect such person(s) with resources and options in addressing the allegations made in the report. You are also encouraged to report any incidents to the office of Title IX. You may do so by contacting:

Laura Hetrick

Title IX Coordinator
Sunwatcher Village Clubhouse
940-397-4213

laura.hetrick@msutexas.edu

You may also file an online report 24/7 at Maxient 

Should you wish to visit with someone about your experience in confidence, you may contact the MSU Counseling Center at 940-397-4618. For more information on the University’s policy on Title IX or sexual misconduct, please visit MSU Texas Title IX

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at https://msutexas.edu/campus-carry/rules-policies.

If you have questions or concerns, please contact MSU Chief of Police at police@msutexas.edu.