Course : DNHY Clinical Practice 3
- Course Number
- Section Number
- Fall 2022
- Centennial Hall, 120
- Kelly Holcomb
- Days & Times
- Final Exam Day/Time
- Wednesday, November 30, 2022 8:00 am - 12:00 pm
Given the integration of didactic and clinical experiences (lab and patient experiences) and the prerequisite courses (Clinical Practice I-DNHY 3114 and Clinical Practice II -DNHY 3005) upon completion of this course the student should be able to:
1. Utilize information obtained from the health history in administering comprehensive patient care; determine the need for special precautions, modifications, and/or contraindications for treatment; manage emergency care, and make referrals to other health care providers, with limited instructor input.
2. Conduct a respectful cultural assessment of patients recognizing various beliefs and family dynamics that might have an effect on the dental hygiene care plan and treatment.
3. Observe and document patient vital signs, counsel patients on any irregularities, and make appropriate recommendations or referrals, with limited instructor input.
4. Perform an extra-oral inspection and accurately document the findings with appropriate detail.
5. Thoroughly examine all oral tissues for signs of pathologic changes, correctly document findings (using appropriate terminology) and make appropriate recommendations and/or referrals with instructor input.
6. 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.
7. Perform a periodontal evaluation and accurately document the findings; including recession, pocket depths, loss of attachment, mobility, furcation involvement, and bleeding sites within a reasonable time frame and with limited instructor input.
8. 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.
9. Position and expose intraoral x-ray films; process, mount, label, and critique technique.
10. Utilize available radiographs, assessment findings, etiologic factors, and clinical data in determining the dental hygiene diagnosis.
11. Utilize available radiographs, assessment findings, etiologic factors, and clinical data to develop individualized and comprehensive dental hygiene treatment plans for each patient.
12. Obtain the patient informed consent based on a thorough case presentation.
13. Assess the outcomes of dental hygiene interventions using indices, instruments, examination techniques, and patient self-report.
14. Position the dental chair, operatorâs stool, and dental light to insure patient/ operator comfort, communication, and effective delivery of dental hygiene services.
15. Utilize effective infection control techniques according to MSU Infection Control Protocol.
16. Apply principles of instrumentation and knowledge of tooth morphology in selecting appropriate instruments to remove deposits, root plane, and reduce/ eliminate amalgam overhangs within a reasonable time frame.
17. Control pain and anxiety during treatment through the use of accepted clinical and behavioral techniques.
18. Select and administer the most appropriate topical fluoride treatment based on patient need; and with appropriate patient preparation/education.
19. Select patients for which ultrasonic scaling is appropriate; demonstrate proper patient preparation/ education, equipment set-up, and utilization.
20. Utilize assessment findings to determine the need for pit and fissure sealant placement; demonstrate proper application (with assistant) of chemical and light-cured sealants with appropriate patient preparation/education.
21. Provide CPR Basic Life Support, as may be necessary for the clinic.
22. Properly take alginate impressions; pour and trim acceptable diagnostic casts.
23. Correctly and efficiently perform all clinical receptionist duties with a positive attitude and in a professional manner.
24. Correctly and efficiently perform all clinic assistant duties with a positive attitude and in a professional manner, utilizing correct technique and infection control protocol.
25. Demonstrate proper equipment maintenance and care.
26. Complete all clinic paperwork legibly and in a timely manner with appropriate detail in documentation, as required for this level of clinical practice.
27. Demonstrate professional conduct during all clinical sessions.
28. Identify candidates who would benefit from the placement of localized chemotherapeutic agents and make appropriate referrals. Demonstrate placement on typodonts to lab competency.
29. Electronically document patient assessment findings utilizing XLDent computer software.
30. Value patient confidentiality and patient rights according to HIPAA guidelines.
31. Follow all state and federal regulatory requirements when rendering patient care.
Final Course Grade will be computed by taking Quality Grade minus Quantity Point Deductions.
30% Data Collection/Treatment Management
5% Clinic Assistant/Receptionist
DENTAL HYGIENE DEPARTMENT GRADING SCALE
A = 92 - 100
B = 83 - 91
C = 75 - 82 Must earn 75 or above to advance into Clinical Practice 4 D = 65 - 74 Failure in Dental Hygiene
Clinic Assistant/Receptionist Grade: Students will start with 100 points in this area. Infractions will result in the deduction of points from the applicable â100â starting points. Each infraction will incur a five (5) point deduction from the initial 100 points. (See Assistant/Receptionist Forms, objectives & criteria â Student Handbook/Clinic Manual, Section 7.5 and 7.6).
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 FOUR (4) CLINICAL SESSIONS FOR ANY REASON WILL BE DROPPED FROM CLINICAL PRACTICE 3. YOU CAN NOT MATRICULATE INTO THE SPRING SEMESTER WITHOUT SUCCESSFULLY COMPLETING CLINICAL PRACTICE 3.
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, enter digital charts, or be 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)
DO NOT SIT IN THE RECEPTION ROOM OR AT THE RECEPTION DESK unless you are the scheduled receptionist. If an instructor and/or the department secretary have to ask you to leave the reception desk FIVE (5) points for Breach of Professionalism WILL BE DEDUCTED FROM your FINAL clinic grade. You may study in your clinic unit with the clinic instructor's permission. ALL STUDENTS MUST CHECK WITH AN INSTRUCTOR BEFORE LEAVING THE CLINIC AREA. (See Professionalism Criteria - Student Handbook)
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