Course : Clinical Practice IV
- Course Number
- Section Number
- Spring 2021
- Centennial Hall, 103B & Gaines Dental Hygiene Clinic
- Barbara J DeBois RDH, MS
- Days & Times
- Final Exam Day/Time
COURSE GOALS and OBJECTIVES:
Given the integration of didactic and clinical experiences, the prerequisite courses, Clinical Practice I (DNHY 3114), Clinical Practice II (DNHY 3005), and Clinical Practice III (DNHY 4018) upon completion of this course the student should be able to:
- Utilize information obtained from the Med History in providing comprehensive patient care; determining need for special precautions, modifications and/or contradictions for treatment; manage emergency situations, and make appropriate referrals to other health care providers.
- Conduct a respectful cultural assessment of patients recognizing various dynamics that might have an effect on the dental hygiene care plan and treatment.
- Assess and document patient vital signs, counsel patients on any irregularities, and make appropriate commendations or referrals.
- Perform an extraoral inspection and accurately document the findings with appropriate detail.
- Thoroughly examine all oral tissues for signs of pathological changes, correctly document findings, and make appropriate recommendations and/or referrals.
- Perform a periodontal assessment & accurately document findings including: AAP Classification, pocket depths, loss of attachment, mobility, furcation involvement, and bleeding sites within a reasonable time frame.
- 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 abnormalities within a reasonable time frame
- Determine need for radiographic evaluation of specific areas and/or entire dentitions and make appropriate recommendations for such surveys based on patient assessment/need.
- Position and expose intraoral x-ray films; process, mount, label, and critique radiographic surveys according to radiological standards.
10. Analyze data collected to assess patient's needs, abilities, resources and attitudes as a basis for developing and prioritizing the Dental Hygiene Care Plan.
- Revise treatment plans in accordance with the progress of clinical treatment.
- Obtain the patient’s informed consent based on effective case presentations of dental hygiene care plans.
- Determine the outcomes of dental hygiene interventions using indices, instruments, examination techniques and patient self-report.
- Utilize effective infection control techniques in accordance with the M.S.U. Dental Hygiene Program's Standard Protocol; identifying any breach of protocol and remedying accordingly.
- Apply principles of instrumentation and knowledge of tooth morphology in selecting hand and/or powered instruments to remove deposits, root plane, and reduce/ eliminate amalgam overhangs, in a timely manner.
- Maintain tissue integrity while performing all intraoral instrumentation.
- Select appropriate candidates for air powdered polishing and demonstrate adequate patient preparation as well as proper set-up, utilization, and break-down of air powered polishing unit.
- Control pain and anxiety during treatment through the use of accepted clinical and behavioral management techniques which are within the scope of dental hygiene practice in Texas.
- Demonstrate adequate patient preparation, as well as proper set-up, utilization, and break-down of various powered scalers.
- Select and administer topical fluoride treatments, based on the needs of the individual patient; with appropriate patient preparation and education.
- Accurately complete all patient records and charting forms with appropriate detail and in a timely manner.
- Demonstrate correct techniques in administering CPR Basic Life Support, as may be necessary.
- Select appropriate candidates for pit and fissure sealant placement and demonstrate proper un-assisted application of sealants on clinical patients; with adequate patient education and preparation.
- Properly take alginate impressions; pour and trim acceptable diagnostic casts.
- Correctly and efficiently perform all clinic receptionist duties in a professional manner, with a positive attitude.
- Correctly and efficiently perform all clinic assistant duties with a positive attitude and in a professional manner, utilizing correct technique and infection control protocol.
- Schedule patient appointments (procedures and time frame) in a manner that is both time efficient and meets the needs of the patient.
- Demonstrate proper equipment maintenance in the lab, clinical, radiology and sterilization areas.
- Select applicable candidates for placement of chemotherapeutic agents and demonstrate placement with appropriate patient education to clinical competency.
- Electronically document patient assessment findings utilizing Dentrix computer software.
- Demonstrate an appreciation for patient confidentiality and patient rights according to HIPAA guidelines.
32. Follow all state and federal regulatory requirements when rendering patient care.
COURSE REQUIREMENTS AND EVALUATION:
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:
- 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.
- Grades from the Clinic Grade Sheet which include:
- Quadrant Instrumentation,
- Data Collection and Patient Management,
- 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 3 and 4.
Final Course Grade will be computed by taking Quality Grade minus Quantity Point deductions.
Quality Course Grading Scale
Date Collection and Treatment Management
Assistant and Receptionist Rotations
Example of Computation of Clinical Practice 4 Final Course Grade
Quality Course Grade equals
Minus Deductions for Quantity Requirement Shortages
Equals Final Clinical Practice 3 Course Grade of
Dental Hygiene Grading Scale
92 to 100
83 to 91
75 to 82
65 to 74
Failure. Student cannot graduate in May
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).
Breach of Professionalism Protocol –During a clinical session a breach of the professionalism protocol not directly related to the treatment of a patient: will result in:
1st Infraction -Formal warning
2nd Infraction- Five point deduction from the FINAL clinic QUALITY grade
COMPETENCY (PROCESS) EVALUATIONS
Two competency evaluations will be given in Clinical Practice 4. These grades will figure into the overall Quality instrumentation component.
1.Air Powdered Polishing Evaluation
- Evaluation scheduled by instructor and conducted on fellow students
- Pass or Fail Grading: Must be repeated until competency met.
- Evaluation Form in Clinic Manual Number 7.19
- Students not meeting competency will not be permitted to perform procedure on patients in clinic sessions. Students will be required to retest according to the retesting protocol below until competency is achieved. This could have an effect on the student meeting quantity requirements
- Management of Class 3+ to 4 Level Patient Treatment
- Evaluation Form in Clinic Manual Number 8.8
- Management of Patient Treatment Competency Evaluations incorporate Competency Evals Numbers 8.1-8.4 and 8.6 in the Clinic Handbook
- Students are responsible for appointing patients meeting criteria which includes: Recall patients needing paperwork updated, Class 3 or 3+ calculus patients requiring ultrasonic and hand instrumentation.
COMPETENCY EVALUATION PROTOCOL
Management of Class 3+ to 4 Level Patient Treatment
If a student is unsuccessful in demonstrating the specified competency on the first attempt the following will apply:
1st Remediation Session
Prior to treating another patient in the Gaines Dental Hygiene Clinic student MUST remediate one-on-one with instructor outside of regular clinic sessions (On typodont).
2nd Remediation Session
Remediate on the eval patient or equivalent classification patient with instructor assistance during a regularly scheduled clinic session. No quantity points and/or grades are earned for treatment provided during this session.
Re-Eval on equivalent classification patient during a regularly scheduled clinic session.
No quantity points and/or grades are earned for treatment provided during this session.
Each unsuccessful demonstration of competency could have an effect on the final course grade as clinic sessions available to accumulate quantity points would be reduced, thus resulting in reductions of the quality grade
FAILURE OF COMPETENCY RE-EVALUATION
If a student is unsuccessful on 1st Competency Re-eval he/she can repeat the series of steps listed above one (1) more time. If competency is not demonstrated at the 2nd Competency Re-Eval (= 3rd testing attempt) student will be given a grade of “D” (failure in Dental Hygiene), dropped from Clinical Practice 4 and not be permitted to graduate in May 2021. In this situation the following will apply:
- A student who successfully completes (B or better) ALL 4th semester didactic courses may return in fall 2021 to retake a full semester of Clinical Practice 4 (running concurrently with Clinical Practice 3) for graduation in December 2021.
- A student who DOES NOT successfully complete ALL 4th semester didactic courses with a B or better will be dropped from the Dental Hygiene Program. If the Dental Hygiene Admissions Committee approves readmission the student will be required to return in fall 2021 to formally audit ALL 3rd semester courses (clinical and didactic) and then retake the 4th semester courses (clinical and didactic) in spring 2022.
The dental hygiene department reserves the right to make arrangements on an individual basis for students failing to maintain a passing grade in any course. Whatever arrangements made will be based upon an examination of the individual student’s overall dental hygiene scholastic record. This will be decided by the Department Chair and at least two other Dental Hygiene faculty members. Readmission is not automatic.
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 4. 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.
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