2.11 Application of Topical Fluoride
Protocol: The learner must successfully demonstrate accurate application of topical fluoride.
Criteria:
| Student completed procedure protocol accurately | Successful (S) |
| Student did not complete procedure protocol accurately | Unsuccessful (U) |
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Procedure Protocol |
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Complete armamentarium assembled |
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Patient is seated in upright position and procedure explained |
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Use mirror to inspect oral cavity |
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Appropriate sized fluoride trays used for patient |
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Appropriate type of fluoride used for patient |
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Appropriate amount of fluoride dispensed |
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Patient given LVE and instructed on use |
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All teeth dried and retraction maintained |
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Fluoride trays inserted with cotton roll(s) in place |
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Fluoride trays left in place for appropriate time |
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Excess fluoride removed |
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Complete post-operative instructions provided |
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Procedure accurately documented |
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Safety measures followed |
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Infection control protocols followed |
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Demonstrates professionalism and appropriate communication skills |
