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Evaluation Protocols

PRE/POST TREATMENT ROOM SET- UP AND DISINFECTION

Protocol: The learner must successfully demonstrate a complete pre and post treatment room set-up and disinfection. This procedure will be an evaluated component in all clinical evaluations under the heading “infection control”.

Criteria: Student completed procedure protocol accurately — Successful (S)

Student did not complete procedure protocol accurately — Unsuccessful (U)

                 Procedure Protocol

                 Procedure Protocol

Complete hand hygiene wearing safety glasses and face mask

Place utility gloves

Run evacuation solution through HVE and LVE hoses

Run all air lines for 30 seconds

Run all water lines with water for 30 seconds

Remove all disposable barriers and items

Gather all instruments and attachments and take tray to sterilization area

Wipe necessary surfaces with disinfectant

Repeat surface wipe and leave for recommended time

Disinfect dispose of utility gloves, remove gloves and perform a hand wash

Place all appropriate protective barriers

Completed in 30 minutes or less

Infection control guidelines followed

Safety measures followed

Demonstrates professionalism and appropriate communication skills

INSTRUMENT PROCESSING

Protocol: The learner must successfully demonstrate cleaning, disinfecting, preparing, packaging and sterilizing of dental instruments. This procedure will be an evaluated component in all clinical and laboratory evaluations under the heading” infection control”.

      Procedure Protocol

                 Procedure Protocol

Perform hand hygiene. Ensure that safety glasses, face mask and utility gloves are utilized.

Accurately label correct size and number of sterilization bags for instruments.

Place instruments into the ultrasonic basket except any handpieces, rinse under running water.

Place basket into ultrasonic and ensure solution level is adequate. Cover with lid and run for 10 minutes.

Clean instrument tray according to protocol.

Rinse ultrasonic basket of instruments under running water after ultrasonic cycle is completed.

Spill instruments from basket, ensure they are clean, and then pat dry.

Package all instruments and seal all sterilization bags, ensuring each bag contains monitoring integrator.

Wrap dry cassette, ensuring it contains a monitoring integrator, mirror is disassembled, and all hinged items are processed in the open position.

Place bagged instruments into the sterilizer chosen by instructor

Disinfect and remove utility gloves and wash hands.

Demonstrate how to start the cycle of the sterilizer chosen by instructor

Discuss the proper loading and cycle completion protocols for all other sterilizers

Completed within 25 minutes

Safety measures followed

Infection control protocol was followed

Demonstrates professionalism and appropriate communication skills

VITAL SIGNS

Protocol: The learner must successfully demonstrate accurate taking and recording of the temperature, pulse, respiration and blood pressure on a patient.

Criteria: Student completed procedure protocol accurately — Successful (S)

Student did not complete procedure protocol accurately — Unsuccessful (U)

Procedure Protocol 

Procedure Protocol 

Complete armamentarium assembled

Procedures explained to the patient

Asked if patient has smoked, drank or ate food, and waited appropriate time if necessary

              Temperature

Aimed thermometer at the patient’s forehead; maintained a distance of 3-5 cm

Kept in place until the display indicates the temperature

Recorded the final reading

              Pulse and Respirations

Identified and palpated the radial pulse

Counted the radial pulse for 30 seconds

Multiplied pulse count by two and recorded reading

Counted respirations for 30 seconds

Multiplied respirations count by two and recorded reading

              Blood pressure

Forearm supported at heart level with the palm up on a table or armrest

Assessed for proper cuff size

Observed the manometer at eye level

Placed stethoscope over the brachial artery

Inflated to a pressure not more than 40mmHg higher than point when radial pulse was no longer detected

Deflated the cuff slowly, watching the manometer

Read the systolic and diastolic pressures

Reading within +/- 5 mm HG of Instructor’s findings

Obtained accurate blood pressure reading with no more than 2 attempts (1 on each arm)

Documented all vital signs

Explained to the patient their vital sign readings

Safety measures followed

Infection control protocols followed

Demonstrates professionalism and appropriate communication skills

 

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Dental Skills Manual Copyright © by NSCC is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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