Clinical - Dental Hygienist III Syllabus for 2013-2014
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Instructor Information

Course Information

Recording Policy

Disability Statement

Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements should contact disAbility Services (Student Service Center room 119, phone 371-5436) as soon as possible.

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As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc

Amarillo College Tutoring for Success Policy:

Administrative Drop Policy

N/A

Student Withdrawal Procedures

N/A

Privacy Statement

The Amarillo College Privacy Policy is found at https://www.actx.edu/-amarillo-college-privacy-notice , and applies to all Amarillo College students.  If you have questions about this privacy statement or you believe that your personal information has been released without your consent, send email to humanresources@actx.edu .

Course

DHYG-2360-001 Clinical - Dental Hygienist III

Prerequisites

Prerequisites: DHYG 1261

Course Description

A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills and concepts. Direct supervision is provided by the clinical professional.

Student Resources Student Resources Website

Department Expectations

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Occupational License Disclaimer

Hours

(3 sem hrs; 18 clinic)

Class Type

On Campus Course

Syllabus Information

Textbooks

\ 1.  Current copy of Amarillo College Dental Hygiene Program Manual

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\ 2.  Patient Assessment Tutorials:  A Step By Step Guide for the Dental Hygienist, 2nd edition, Jill Neild-Gehrig; Lippincott, Williams & Wilkins

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Supplies

\ Each student will furnish his/her own instruments and disposable supplies.

Student Performance

 

Course Prerequisites

DHYG  1261

Course Description

A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills and concepts.  Direct supervision is provided by the clinical professional.  (3 sem hrs; 18 clinic)

End-of-Course Outcomes

As outlined in the learning plan; Apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

Course Meeting Days and Times

Clinic: Jones Hall, Dental Clinic Room 112   

• Monday & Wednesday 8:30-5:00 pm
• Thursday & Friday 8:30-12:00pm

Morning Report,  Jones Hall, Room 111

• Tuesday 8:30 - 12:00 pm

Course Instructor

Name:  Amanda Lester Chisum RDH, M.Ed

Office Location:  Jones Hall, Room 127

Office Phone:  (806) 354-6062

Campus E-Mail: ajlester21@actx.edu

Office Hours:  Wednesday 9:00- 5:00pm

Additional Faculty

• Nikki Darrah, RDH
• Madeline Borecki, DMD
• Melissa Bain, RDH
• Donna Cleere, RDH, M.Ed.
• Jnita Collins, RDH, B.S.
• Jack Fong, DDS
• Gregory Harrison, DDS
• Lynette Hayhurst, RDH, B.S.
• Mike Henderson, DDS
• Karen Lester, RDH, B.S.
• Jane McFarland, RDH, B.S.
• Wendy Bolton, RDH  
• Krista Lutonsky, RDH

 Method of Instruction

Direct observation by faculy is utilized in the clincal setting with a ratio of faculty to students never exceeding 1:5.  Individual feedback will be provided for students verbally and though talEval software.  

Morning Report will be held each week to allow discussion of clinical issues, present additional clinical procedures, as well as, review previously presented procedures.  The forum setting is mandatory.  Students will be counted absent for the entire day if he/she does not attend Morning Report.  Students will also be counted absent if he/she is late or leaves early during an Morning Report.  

 Clinical Dental Hygiene 

Clinical Dental Hygiene is that portion of the dental hygiene curriculum focused on developing the cognitive, affective, and psychomotor skills necessary for the delivery of preventive, educational, and therapeutic services to the public.  The delivery of comprehensive care is accomplished through adherence to the process of care: assessment of patient needs, formulation of a dental hygiene diagnosis, planning for the prevention and treatment of oral disease, implementation of various dental hygiene interventions (services) and evaluation of both the patient and practitioner efforts and oral health outcomes.

Definitions

• Preventive Services:  Clinical methods employed by the clinician and/or patient to promote and maintain oral health.
• Educational Services:  Strategies developed for an individual or for groups to elicit behaviors directed toward health.
• Therapeutic Services:  Clinical treatment designed to arrest or manage disease and maintain oral tissues in health.
• Process of Care:  Systematic approach to the delivery of dental hygiene care that supports comprehensive services to meet the individual needs of all patients.  The process of care requires defined problem solving and critical thinking skills and supports evidenced-based decision-making.
• Dental Hygiene Diagnosis:  A statement of potential or actual patient need that can be addressed by dental hygiene intervention services or strategies.
• Pre-Clinic:  That portion of clinical education during which the student does not have direct and primary responsibility for providing comprehensive dental hygiene care to a patient.  The student performs selected services on a patient, a partner or a laboratory manikin, but does not necessarily provide a full range of services.
• Clinical Dental Hygiene:  The major portion of clinical education.  As primary provider, the dental hygiene student integrates preventive, educational, and therapeutic care in treating the patient.
• Fundamental Clinical Dental Hygiene Skills:  Skills routinely performed by the dental hygienist and/or taught to clinical competency in most dental hygiene programs and/or legal in most states.

Clinical Dental Hygiene:  Primary Educational Goals

Clinical Dental Hygiene experience provides preventive and therapeutic care according to the process of care;  assessment, dental hygiene diagnosis, planning, implementation and evaluation.  This requires critical thinking and evidenced-based decision making skills that guide the provision of dental hygiene care within a focused scope of practice.  Upon the completion of the clinical curriculum, the student will be able to:

A.     Apply the process of care to preventive and therapeutic oral health management to a diverse patient population.

B.     Assess and analyze objective and subjective patient findings to formulate an evidence-based, patient-centered dental hygiene diagnosis.

C.     Plan, implement and evaluate intervention strategies that will promote and maintain oral health including oral self care behaviors.

D.     Demonstrate knowledge of and skill in applying dental hygiene methodology of care.

E.     Apply the principles of professional and ethical behavior in providing care to individuals of all populations.

Course Goals

Upon successful completion of Clinic III, the student will be able to:

1. Improve efficiency and maintain quality when collecting and analyzing data and selecting, performing, and evaluating oral health procedures for clinical patients, based on the concept from DHYG 1261.
2. Improve efficiency and competency in performing the additional clinical skills introduced in DHYG 2360-001

Specific Learning Objectives

1.     Collect data, record and assess a comprehensive health history, including social history.

2.     Recognize conditions that necessitate special consideration prior to or during treatment.

3.     Perform and record extraoral and intraoral examinations, clinical and radiographic assessment of the periodontium and dentition, and assessment of occlusion.

4.     Assess the need for, expose, develop, evaluate and interpret dental radiographs to support the clinical examination.

5.     Employ radiation safety principles and procedures requiring exposure to ionizing radiation.

6.     Expose and implement intraoral photography.

7.     Formulate a dental hygiene diagnosis and supportive, patient-centered dental hygiene treatment plan and case presentation.

8.    Obtain informed consent by discussing with the patient his/her oral health findings, goals and treatment strategies.

9.     Value the importance of patient -centered care and concepts of health promotion.

10.    Assess, plan, implement and evaluate a dental hygiene treatment plan for the prevention and/or treatment of oral diseases.

11.    Assess the need for and perform initial and supportive periodontal therapies.

12.    Assess the need for and perform therapeutic hand and ultrasonic/sonic periodontal debridement therapies.

13.    Perform care and maintenance of procedures for dental implants.

14.    Assess the need for and perform extrinsic stain removal procedures.

15.    Assess the need for and apply adjunctive topical chemotherapeutic and controlled released agents.

16.    Assess the need for and apply pain and anxiety management strategies.

17.    Assess the need for and plan professional topical fluoride and/or self applied fluoride; apply professional topical fluoride.

18.    Apply principles of nutritional and/or tobacco cessation counseling to the management of oral health.

19.    Take impressions for, pour, and trim study models.

20.    Assess the need for and place pit and fissure sealants.

21.    Assess, plan and perform patient oral self care education.

22.    Apply standard precautions for the prevention of disease transmission.

23.    Follow all state and federal regulatory requirements when rendering patient care.

24.    Apply principles of comprehensive record keeping.

25.    Apply principles of professional and ethical behavior when providing patient care.

26.    Apply principles of evidence-based decision making.

27.    Demonstrate critical thinking and problem solving skills when providing patient care.

28.    Demonstrate professional communication skills in all aspects of patient care.

29.    Demonstrate concern and understanding of a variety of patient needs based on overall health, oral health, cultural, social and economic circumstances.

30.    Recommend a recare schedule for continued supportive care.

31.    Recommend referral for additional assessment and/or treatment.

32.    Value the importance of evaluation and monitor patient oral health.

33.    Assess overall patient satisfaction with care provided.

34.    Value the need for maintenance of thorough and accurate records.

35.    Apply the principles for maintaining comprehensive and accurate records of all information and services offered to and provided to the patient.

36.    Self-assess ability to perform dental hygiene services at a high standard of care.

37.    Value patient confidentiality and patient rights according to HIPAA guidelines.

 

Students Rights and Responsibilities

Student Rights and Responsibilities

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Expected Student Behavior

\ Student Conduct and Responsibilities

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\ A high standard of conduct is expected of all Amarillo College students.  The Student Code of Conduct is defined in the Amarillo College Student Rights and Responsibilities publication.  The document may be located at www.actx.edu under the student tab.

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\ "Amarillo College expects a high standard of conduct from its students.  Students are expected to comply with the law, respect proper constitutional authority, and obey College policies, rules and regulations.  Unacceptable conduct is defined as an action or behavior that is contrary to the best interest of a fellow student or students, the faculty or staff, the College, or the teaching/learning process.  Students failing to perform according to established standards may be subject to disciplinary action.  Policies, standards, rules and regulations apply to students attending College activities whether the activity takes place on or off campus.  Each student shall be responsible for becoming knowledgeable of the contents and provisions of College policies, rules, and regulations concerning student conduct.  In some cases, individual programs may have approved policies for student conduct which also apply to student conduct in those programs.  Integrity and common sense will guide the actions of each member of the college community both in and out of the classroom.  Any student who fails to perform according to expected standards may be disciplined."

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\ The Amarillo College Dental Hygiene Program has specific policies which apply to student conduct within the program.  These policies may be implied or written.  The course syllabus and the program manual are sources for specific student conduct policies for dental hygiene students at Amarillo College.

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\ Professional Standards

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\ The following are some factors which will be considered under professionalism.  Representative examples are given, but will not necessarily be limited to these examples.  In order for maximum learning to occur, the student is expected to demonstrate professional conduct and judgment.  Examples of positive professional conduct include:

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1. \  Student is prompt to Clinic/Rotation, both in the morning session and the afternoon session.  The student will logg  into the computer correctly and honestly.
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2. \  Student is prepared for Clinic/Rotation Assignment in proper clinic attire. 
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3. \ Student assumes responsibility for his/her own learning. 
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4. \ Student is concerned with excellence in learning rather than just meeting minimal criteria.  All patient assignments are received readily and professionally.  This includes patients who may be late to the clinic and/or alternate assignments made by the office supervisor or faculty. 
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5. \ Student applies lecture material in the clinical setting.  The student will utilize the computer in the clinic to look up various diseases and medical conditions in which dental treatment may be altered.  Drug reference texts may also be utilized.
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6. \ Student maintains his/her composure dealing with conflict in a constructive way.
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7. \ Student exhibits an attitude of respect for classmates, faculty,  office supervisor and staff.  If a student has a conflict with a grade given by  his/her instructor, the student must follow the grievance procedure as outlined in this course syllabus.   Faculty will not change a grade given to a student from another faculty member.
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8. \ In order for maximum learning to occur, students should not be disruptive in the Clinic or Class.  Should this occur, the student will be asked to leave the Clinic  or Class  and  will receive an absence for the day and a grade of 0 for missed work. 
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9. \ Student will not visit with other classmates during patient care.  Patients need your dedicated attention while receiving care. 
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10. \ Student will use the light system as well as Instant Messenger  in the Clinic to summon clinical instructors and assistants.  Faculty will assist the student as quickly as possible.  However; a student may have to wait on a faculty member or supervising dentist.  Please be patient.  Each patient deserves the best possible evaluation from our licensed dentists and hygienists.  Faculty have several patients and students to take care of at one time  and must be allowed the time to properly make a good assessment. The faculty will respond to your check in and check out  and answer your questions as soon as they can.    Once you become a licensed dental hygienist, it is very likely  that you may have to "wait" on your dentist to come check  your patient.  Please take  the time you may be "waiting" on an instructor/dentist  to be proactive and productive. 
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11. \ Student will be responsible for broken or damaged equipment in the Clinic.  Faculty will check each bay at the end of each clinic session.  This also includes Sensors for X-rays.
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12. \ Student will not leave the clinic before 12:00 noon or 5:00 pm without special permission from the clinical faculty.  Failure to receive faculty permission will result in an absence for the day and a 0 for the rotation.
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13. \ If a student has placed a "hold" on his/her clinic schedule, the Office Supervisor will schedule a patient if the "hold" is not filled two days prior to the appointment.  As in any dental practice, the office supervisor is responsible for keeping the appointment book filled.  Amarillo College is no exception.
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14. \ Students will address faculty by either Dr. or Mrs. or Ms.     Please do not call faculty by his/her first name while in the clinic.    Students will also address patients by Mr. or Mrs. or Ms. or Dr. 
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15. \ Students must abide by the use of cell phone policy.  NO cell phone use while in clinic , rotation assignments and labs.   This includes texting and checking phone messages.  Students who bring his/her cell phone into the clinic, on rotation(s) (including  office rotation and sterilization rotation)   or  labs will be given a 0 for the day or assignment.    Do not keep your cell phone in your scrub pocket or in your bay.   Patients deserve your uninterrupted care and devotion. 
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\ Professional Behavior Around Patients

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\ First and foremost confidentially and compassion are at the cornerstone of care.  Students are not to discuss private information regarding his/her patient (s) with classmates.  Patient information relevant to patient care is only to be discussed with the supervising faculty and/or the attending dentist.  All patients should be treated with the utmost professional respect.  In turn, any inappropriate behavior demonstrated by patients should be immediately brought to the supervising faculty's attention. 

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\ As a matter of courtesy, patients should be addressed by their last name.  Students must be professional in his/her choice of language around patients.  Students must be professional and courteous at all times with patients, fellow students, staff and faculty.  Personal conversations with classmates must be keep to a minimum.  Students should avoid comments such as, "I've never seen this much calculus!" and "I've never used the air polisher".  If a student is unsure about a procedure, students should not discuss insecurity in front of the patient.  Students should discreetly speak with their faculty away from the chair.

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\ Statement of Confidentiality

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\ Confidentiality is the duty owed by dental hygiene professionals, including students enrolled in Dental Hygiene accredited programs, to protect the privacy of all patient information.   Dental Hygiene professionals clearly have an obligation to keep MEDICAL and PERSONAL information about patients in the strictest confidence at all times.  Unless disclosure is mandated by patient consent, statute, a duty to inform third parties, or special circumstances, dental hygiene professionals have a clear duty to maintain confidentiality of all patient information.

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\ Breach of the duty to hold such information in the strictest confidence, may cause liability for the individual student such as fines, imprisonment, and dismissal from the program.  In the professional "Code of Ethics," the American Dental Hygienists' Association Code of Ethics for Dental Hygienists has published the following statement which all dental hygiene professionals (including students) must always follow:

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\                         “We respect the confidentiality of client information and relationships as a demonstration of the value we place on  individual autonomy.  We acknowledge our obligation to  justify any violation of   confidence.”

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\ Electronic and Recording Devices

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\ In order to maximize learning, all electronic recording devices and cell phones are prohibited in this course. If a student is caught with a cell phone in hand,  in a uniform pocket or in the clinic bay , or actively texting, talking, or surfing the internet during a clinic session, the student will immediately be dismissed from the Clinic and will receive a grade of “0” for the patient session or rotation, as well as an absence for the day. Those students who have children or who anticipate an emergency situation should give caretakers and family members the Office Supervisor’s phone number (806-354-6050) and have calls directed to her first. She will then act accordingly to inform the student.  Patient care should not be interrupted unless a student is alerted from the Office Supervisor regarding an emergency.  Your children will not be allowed in the clinic.  Please, no exceptions.

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\ Mailboxes

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\ Each student is assigned a mailbox located inside the student locker room.  Students are required to check their mailbox daily for various communication from faculty.

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\ Bulletin Board

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\ First and second year dental hygiene students have designated areas on a common bulletin board in the student locker room where various announcements may be posted.

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\ Emergency Contacts

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\ Phone numbers that family members may use to reach students only in case of emergencies are as follows:

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\ Dental Hygiene Office Supervisor:    354-6050

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\ Amarillo College Police:                     371-5163

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\  Academic Grievance Procedure

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\ A student who has a grievance concerning an academic course in which he/she is enrolled in is directed to appeal in the following order to the:  (1) Instructor  (2) Department Chair/Program Director  (3) Dean of Health Sciences  (4)   Vice President of Academic Affairs  (5) College President ( In that order). 

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\ Clinic issues will be directed in the following manner:  (1)  Instructor,  (2)  Clinic Coordinator,  (3) Department Chair/Program Director,  (4) Dean of Health Sciences,  (5) Vice President of Academic Affairs,  (6) College President.

Grading Criteria

\ General Clinic Guidelines

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1. \ Certain standards of care apply to each patient (i.e.:  asepsis, patient management, professionalism, patient confidentiality, patient education, etc.) and are considered part of all aspects of patient treatment.
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2. \ Although the Department of Dental Hygiene maintains a system for recalling patients and providing maintenance oral hygiene care, students will be responsible for recruiting new patients to the Dental Hygiene Clinic who will meet the student's needs for various dental hygiene requirements.  Additionally students will be expected to recruit and maintain a list of potential patients, who are available and willing to make an appointment on short notice. Students will be required to select a patient who will qualify for Mock Boards.  Students will also be required to select a patient which meets the criteria for the WREB and /or CRDTS or other regional clinical board in order to gain licensure to practice dental hygiene.  
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3. \ It is important that each student understands the necessity in taking a pro-active and responsible role in obtaining his/her education.  Your signature on the "syllabus documentation form" is evidence of the fact that you understand your responsibility in recruiting the type(s) of patients you will need to complete your requirements in the Dental Hygiene Program at Amarillo College.
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4. \ It is important for the student to seek faculty input regarding his/her performance so the student may:
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• \ correct techniques as necessary
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• \ determine problem areas and methods for improving those areas
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• \ gain confidence that his/her performance is correct and competent
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• \ attain competence in clinical skills
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\ All students are considered mature enough to seek faculty assistance and to monitor his/her own progress in meeting course requirements.  Students who continually fall below the recommended competency level in any area should seek remediation skills from the clinical faculty.

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\ Preclinical 

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\ The student will be required to satisfactorily complete and demonstrate basic dental hygiene skills on a typodont and/or student partner in Preclinical Dental Hygiene Laboratory for advancement to Clinic I. 

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\ Clinic I, II, III, IV 

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\ Students will be required to meet minimum requirements outlined on the STUDENT COMPETENCY RECORD for each individual clinic.

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\ Definitions

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1. \ Objective - given at the beginning of each procedure to define the procedure which must be mastered by the student.
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2. \ Performance Criteria - derived directly from the Objective given for each procedure or from criteria outlined in the applicable PROCESS EVALUATION.
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3. \ Evaluation Criteria - student will be evaluated as follows:  7 point deduction per error.  Sealant placement will be graded as satisfactory or unsatisfactory.    Panoramic radiographs will be 10 point deduction per error from categories I - IV and 1 point each for anatomical landmark not correctly identified and critiqued.  All evaluations must be graded by a clinical instructor.
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4. \ Clinic Requirements - clinic requirements project the minimum number of learning experiences needed to obtain competency/proficiency in the performance of a procedure.  The clinic requirements increase in number (for some procedures) and patient difficulty as students progress from Clinic I to Clinic IV.  Each clinic requires both process and end- product evaluations.  Students must successfully complete (75%) of a procedure for it to count as one of the required minimums.  Clinic requirements must be completed by the final day of the semester.
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5. \ Performance Levels - in addition to the minimum requirements, each procedure has been assigned a minimal level.  Performance levels are listed on the STUDENT EVALUATION RECORDS.
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\ Guidelines

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\ To determine the evaluation criteria, minimum clinical requirements and performance levels for each procedure, see the appropriate forms:

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1. \ Evaluation =STUDENT EVALUATION CRITERIA (on Process and End- Product Evaluations)
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2. \ Minimum Clinical Requirements + STUDENT EVALUATION RECORDS FOR CLINICS I, II, III, AND IV
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3. \ Performance Level = STUDENT EVALUATION RECORDS FOR CLINICS I, II, III, and IV. 
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\ Clinical competency is obtained successfully by completing procedures in the following categories:

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\ Evaluation Criteria

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\ A student will be evaluated as follows:  7 point deduction per error on the process and end -product evaluations.  Sealant placement will be graded as either satisfactory  or unsatisfactory.  Radiographs will be evaluated as outlined in the Program Manual, and must be critiqued and turned in to be graded within 1 week.  If not graded within 1 week of being exposed, a 0 will be added to your average radiographic grade.  Half of the required radiographs of each category, (2) must be completed by the last clinic day in October or points will be deducted from your final clinic grade.  One point will be deducted per radiographic (set) not turned in and passed on time.  (October)  A radiographic audit will be completed each semester.  If a student fails to turn in a set of radiographs, disciplinary action may be taken for unprofessional and dishonest conduct.  A grade of 0 will be given for the set(s) of radiographs that were not turned in.  A 2 page typed paper on lack of professionalism/dishonesty  will also be required of the student.   This paper will become a part of the student's permanent dental hygiene record. 

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\ Clinical competency is obtained successfully by completing procedures in the following categories:

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\ Process Evaluation  (50% points earned) to include:

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\ Assessment

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\ Diagnosis

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\ Planning

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\ End Product Evaluation (50% points earned) to include:

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\ Implementation

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\ Evaluation

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\ Adjunct Procedures

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\ 8 Sealants

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\ 4 FMX (Competency Level of 75% or above)

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\ 4 Horozontal BWX (Set of 4 at a Competency Level of 75% or above)

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\ 1 Desensitization

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\ 1 Competency of Application of Chemotherapeutic Agents

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\ 1 Application of Chemotherapeutic Agents

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\ 1 Competency of Application of Topical Anesthetic/Oraqix

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\ 1 Application of Topical Anesthetic/Oraqix

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\ 4 Periodontal Assessment

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\ 1 Periodontal Re-evaluation of Oral and Perio Status

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\ 1 Case Presentation ( This will be a scored activity  and the student must achieve a minimum of 75% in order to meet the course requirement)

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\ 4 Calculus Detection

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\ 1 Mock Board Patient Experience (Patient must qualify for either WREB or CRDTS criteria  to count toward competency)

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\ Entrance Exam

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\ Exit Exam

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\ Patient Photos/Intra-Oral Videos

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\ Rotations

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\ Ethics Modules 7 & 8

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\ Course Goals

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\ Upon successful completion of Clinic III, the student will be able to:

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1. \ Improve efficiency and maintain quality when collecting and analyzing data and selecting, performing, and evaluating oral health procedures for clinical patients, based on the concept from DHYG 1261.
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2. \ Improve efficiency and competency in performing the additional clinical skills introduced in DHYG 1260.
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\  Clinic Requirements and Grading Criteria

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\ Both process and end -product procedures are graded in all clinics.  The grading is graduated and based upon a specified numerical deduction, points per error, as a student progresses from Clinic I to Clinic IV.  Additionally, the daily grade percentage (or weight point) favors process in Clinic I and increases to favor end -product in Clinic IV.  Each error in Clinic III will count as a minus 7points on the Clinic III grade sheet.

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\  The following are the Minimum Number of Successful (75% or greater) Learning Experiences Required for Clinic III:

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\ 10    Patients with Case Difficulty Index Case A

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\        (10 Process Grades and 10 End - Product Grades)

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\  8     Patients with Case Difficulty Index Case B

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\        (8 Process Grades and 16 End -Product Grades, will be graded by the arch or half-mouth)

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\  2     Patients with Case Difficulty Index Case C

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\        (2 Process Grades and 8 End - Product Grades; 8 quadrants)

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\  2     Patients with Case Difficulty Index Case D

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\        ( 2 Process Grades and 8 End - Product Grades; 8 quadrants)

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\  1     Child Patient  ( age 11 and under)

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\        ( 1 Process Grade and 1 End - Product Grade)

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\  1     Adolescent Patient ( age 12 through 18)

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\        ( 1 Process Grade and 1 End - Product Grade)

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\  1     Adult Patient ( age 19 and up)

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\        ( 1 Process Grade and 1 End - Product Grade)

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\  1     Special Needs Patient

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\        ( 1 Process Grade and 1 End - Product Grade)

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\ Adjunct Procedures

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\  4     Periodontal Assessment ( Must be on a Case Difficulty Index Case C or D).    Complete the Perio Exam in Eaglesoft which includes noting all periodontal readings, bleeding, suppuration, furcation involvement, mobility, clinical attachment loss (CAL), clinical descriptors, and periodontal diagnosis.  Faculty will evaluate each periodontal probe reading to help student assess probing accuracy.

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\  1     Periodontal Re-evaluation of Oral and Perio Status Patient  ( must be a moderate or severe periodontal classification.  You must have completed the scaling and root planing of at least two quadrants within the last month.)  Complete the Perio Exam in Eagle Soft which includes noting all periodontal readings, bleeding, suppuration, furcation involvement, mobility, clinical attachment loss (CAL), clinical descriptors, and periodontal diagnosis.

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\  4     Calculus Detection  (one quadrant)

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\  1     Case Presentation  (2 weeks after the completion of the Periodontal Re-evaluation of Oral and Perio Status of a patient.  Student must make a minimum grade of 75% on the case presentation to meet competency requirement. (The due date is November 15, 2013) 

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\  1     Mock Board Patient Experience.  In order for the student to count the Mock Board Patient Experience as a competency, the patient MUST meet Board Criteria and the student must achieve a minimum of 75% on the skill evaluation.  If a student fails the Mock Board Exam, he/she will be required to remediate on a typodont and/or clinical patient by the end of the semester with his/her clinical advisor.   Remember:  The student will fail the Mock Board if the patient does not meet Board Criteria.   Remediation must be completed and documented in order to pass Clinic III.  (The due date is December 4, 2013) 

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\ Rotations-

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• \ Numerical Grade will be given and will be counted as part of the Process Evaluation.  
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• \ DA rotations will be evaluated both by faculty and your peers. 
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\ Entrance Exam (If competency level of 75% is not achieved, a student must complete mandatory remediation with faculty)

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\ Exit Examination (If competency level of 75% is not achieved a student must complete mandatory remediation with faculty)

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\ Intraoral Video Exam - All C and D patients must have an Intraoral Video exam completed.  No credit will be given for a C or D patient if the intraoral video is not completed. 

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\ Patient Photos:  All new patients must have the patient series of 4 photos found under the Patient Record completed.  No credit will be given for a new patient check-in if the photographs are not taken. 

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\ Modules 7 and 8 in the Work Ethics Section of the Program Manual will be completed during Clinic III.  Turn in the Activities Assignments.   Ethic Modules will be graded as either satisfactory or unsatisfactory.  This assignment needs to be hole punched and handed in by November 15, 2013.  A student who does not complete and turn in the required Ethic Modules will be given a grade of 0.  The Work Ethics Modules are geared toward self-responsibility and taking a proactive role in your own learning.                

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\ In addition to treating patients at the Amarillo College Dental Hygiene Clinic, the students must participate in the following enrichment rotations:  All guidelines set forth in the Program Manual will apply to rotation assignments.  Absences and tardies will be recorded for each rotation assignment.  Any missed rotation will be recorded as a 0  for the rotation and will also be counted as an absence for the day.  

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\ Office Assistant

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\ Sterilization Assistant

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\ Dental Assistant (Faculty and Peer Reviewed)

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\ Screening Rotation

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\ Chair Side Observation Rotation

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\ Wyatt Dental Clinic, On Site Clinical Enrichment Rotation

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\ Veteran's Hospital, Clinical Enrichment Rotation

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\ To determine the clinic grade; average of all process grade sheets (to include Rotation Assignments), end-product grade sheets (to include radiographs, quizzes, entrance and exit exams, and online quizzes)  Grades will be multiplied by the point weight for each clinic.  Add up the percentage points for both clinical areas  ( process and end-product grade sheets) to determine the final clinic grade for the semester.  Minimum requirements must be at a 75% level or above.

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\ Critical Errors may drop a student's grade.  Examples of critical  errors may include:  breach of infection control, critical Medical History error, unprofessional conduct toward a patient, student, or faculty/staff member, dishonesty, a breach of confidentiality, arguing with faculty or the front office supervisor  over whether or not to treat a patient because you already have "met your competency"  or the patient was late etc.  The result of performing a critical error will result in a 0 percent credit for the patient  and dismissal from the clinic or rotation(s) and an absence for the day will be recorded.

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\ The final course grade will be computed as follows:

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\ A = 93-100%

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\ B = 83-92%

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\ C = 75-82%

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\ F = Below 75%

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\ Note: A grade of "D" is not possible in this course

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\ Course  Remediation Policy

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\ If a student fails to attain the required minimum requirements for Clinic III and has less than 3 absences during the semester, an "I (incomplete) may be given.  The "I" (Incomplete) will be removed and a grade of "C" will be given for the course after the student completes the required work.

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\ If an "I" is received in the first (spring) semester, it must be removed by the end of the first four weeks of the following second (summer) semester.  If an "I" (incomplete) is received in the summer session, it must be removed during the fall session before the student can register for the subsequent academic year.  If a student fails to remove the "I" grade from his/her record in the allotted time, a grade of "F" will be posted automatically.  No "I"s can be given the final semester before graduation.

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\ Entrance and Exit Examinations

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\ All students are required to complete both an Entrance and Exit Examination with a competency level of 75% level or above.

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\ The Examinations will include the demonstration of the following instrumentation skills:

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• \ Explorer 11/12
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• \ Periodontal Probe
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• \ Nevi 1 H5
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• \ Nevi 4
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• \ H6/H7
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• \ 204S
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• \ Columbia 13/14
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• \ YG 7/8
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• \ Barnhart 1/2
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• \ Mini Gracey 1/2
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• \ Gracey 1/2
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• \ Gracey 7/8
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• \ Gracey 11/12
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• \ Gracey 13/14
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• \ Gracey 17/18
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\ A student who does not achieve 75% competency on the Entrance and/or Exit Examination must complete mandatory remediation and an opportunity to retest until 75% competency is achieved.  However, the original exam score will be counted in computation of the final grade.

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\ Assignments and Examinations

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\ The course will consist of clinic requirements, quizzes, online assignments, and an entrance and exit examination.  The quizzes that will be given may or may not be announced in advance.  All online assignments, quiz grades, entrance and exit exams will be added to your end-product evaluation.  All grades count and none will be dropped.   The competency level is 75% or above.

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\ Make Up Policy

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• \ A student will not be allowed to make up quizzes or online assignments.  A zero will be given for each missed quiz or online assignment.
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• \ All students are required to complete both an Entrance and Exit Examination with a competency level of 75% level or above.
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\ Course Remediation Policy

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\ If a student fails to attain the required competency or minimum requirements for clinic I, II, III, or IV, and has less than 3 absences during the semester, an “I” (incomplete) may be given.  The “I” (incomplete) will be removed and a grade of “C” will be given for the course after the student completes the required work.

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\ If an “I” is received in the first (spring) semester, it must be removed by the end of the first four weeks of the following second (summer) semester.  When a grade of “I” is received in the second (summer) semester, it must be removed during the fall session, before the student can register for the subsequent academic year.  When an “I” is received in the third (fall) semester, it must be removed during the first six weeks of the spring semester.

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\ Evaluation The final course grade will be computed as follows:

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\ Process Evaluation (50%)

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\ End - Product Evaluation (50%)

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• \ A= 93-100 %
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• \ B= 83-92%
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• \ C= 75-82%
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• \ F= Below 75%
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• \ Note:  A grade of “D” is not possible in this course.
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Attendance

\ Attendance Policy

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\ "Regular attendance is necessary for satisfactory achievement.  Therefore, it is the responsibility of the student to attend class in accordance with the requirements of the course as established by the instructor."  (Amarillo College Student's Rights and Responsibilities Publication)  Due to the tremendous amount of information contained in this course, the student who plans to succeed should also plan to attend all course sessions regularly and promptly.  Without question, the clinical faculty expects each student to be present at each clinic/rotation assignment.  Unfortunately, no one has ever developed a short cut which will replace hours of actual experience needed to master a new skill;  therefore, students must be present to acquire the specific knowledge in this subject.  Attendance records will be kept on a daily basis during the semester.  Any absence from the clinic or scheduled rotation(s) must be reported to the Office Supervisor first, and then the Clinic Coordinator.  The office number is 354-6050.   Each student is  required to complete a minimum number of clinic hours and requirements in order to graduate from the dental hygiene program.  If a student does not report an absence ,  the student will be required to type a two page report on professionalism and turn in to the Clinic Coordinator.   A grade of 0 will be given for each day the paper is late.   The deadline for submission of the paper is no later than 24 hours after the absenteeism.

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\ The Office Supervisor is responsible for all clinic schedule changes for patients and students.  Students are required to treat all patients assigned to them regardless of whether competencies have been met or not.  As health care providers, our moral and ethical  obligation is to treat all patients assigned to us and not base treatment on whether a competency has been met or not.  Students will  be required to treat patients who may be late getting to the clinic.  At the very least, the student  can start the process of care.  Refusing to treat a patient (for any reason)  or arguing with the office supervisor/faculty who make the alternate assignment,  will result in student dismissal from the clinic and a grade of O (s) recorded for the missed appointments/work for the day.  The clinic experience is to prepare the student for the"real world" of work.  In a private office, a dental hygienist would never be allowed to tell a dentist he/she does not want to see a patient.  As a student, your clinic experience and requirements are non negotiable.    The clinic faculty and office supervisor work very hard to make sure the clinic is running smoothly and  students stay busy in developing his/her clinical skills.  Clinic is not the time to be idle or to be used for study time.  It is scheduled time to treat patients and complete rotation assignments.    In order for maximum learning to occur, faculty and/or the office supervisor have the right to make alternate assignments if and when needed.  Please, no exceptions.

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\ Absences will be monitored and evaluated to determine a student's  final clinic grade.  A student may have no more than 1 absence in this course without affecting his/her final grade.  Beginning with the 2nd absence, 2 points will be deducted from the final grade; after the 3rd absence, 3 points will be deducted; after the 4th absence, 4 points will be deducted.  On the occurrence of the 5th absence, the student will be required to repeat Clinic III.  Attendance will be taken at the beginning of each clinic and rotation session.   Students who are not present when attendance is taken will be counted as absent.  A student will receive 2 bonus points to the final clinic grade for perfect attendance.  Leaving clinic/rotation early will result in an absence.  In clinic, students must log in to the computer no later than 8:45 am and log out no earlier than 12:00 pm.  After lunch the student must log back in no later than 12:45 pm and log out no earlier than 5:00 pm as a record of his/her attendance.  Students who do not log in to the computer correctly in the morning or afternoon will be counted absent.   Also, students who leave early without special permission from a faculty member will be counted as absent.  The office supervisor will monitor student time logged in at the computers in the clinic and  will report this information to the faculty.  Students will also receive a record of his/her tardies and/or absences. 

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\ Example for Bonus Points:

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\ Student has a final clinic average of 91% = B

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\ Student attends all scheduled clinics and rotations on time

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\ Final Clinic Grade = 93% = A

Calendar

Additional Information

 

http://www.actx.edu/resources/

This website was created to assist Amarillo College employees and students.  Many times, students come to us with individual concerns/situations that need to be addressed in order for the student to be successful in school.

This website can be used to find those needed resources for our students and their families.  Feel free to copy any of this information for a student and to refer students as needed.

Our goal is to provide as much information as possible for employees and students to be able to access campus and community resources when needed.  There are many more resources in this community that are not listed on these pages.  Some of these agencies and programs will change; so if you call and cannot get assistance or cannot access a broken link, please contact me for more updated information.

This website will be updated as often as possible; therefore, most will be current.  If the resources listed do not serve the needs you have or if you have any questions concerning this website, please call or email:  Jordan Fajardo, LMSW,  Coordinator of Social Services, 806-371-5439, or email http://jo333462@actx.edu.

 

Criteria for Case Presentation
 

(A student must achieve a grade of 75% or higher to fulfill clinic requirement)

Purpose

The purpose of this periodontal case development and documentation is to provide upper level dental hygiene students the opportunity to select a periodontally involved patient and complete the case documentation, treatment, and post-therapy evaluation for discussion and learning purposes.

Audience

The audience for the case presentation will be a student's peers and faculty.  All case presentations will be presented two weeks after the completion of the Post-therapy Assessment appointment.

Goal or Expected Outcome

This exercise will provide students with the opportunity to work through a difficult periodontal case, actually implementing treatment and evaluating the efforts of their treatment.  The exercise provides students with the opportunity to share their case, strategies, and ideas with classmates.  As a result of this exercise, the overall goal is to provide valuable learning experiences and increase understanding of the variety and complexity of treating periodontal cases.  Ideally this exercise benefits the student developing the case and the students who view the case presentation.

Patient Selection Guidelines

The patient selected must present with active periodontal disease and a plan for periodontal therapy.  Ideally, the patient should present with some unique case feature(s), treatment, or outcome aspect that provides learning opportunities.  Students need to complete the assessment, planned treatment, and post-therapy evaluation on the patient to complete case documentation and presentation requirements for this course.

Case Documentation Guidelines

Section 1:  Patient information

This section is intended to introduce the patient to the audience.  Thorough summaries of each of these components provide relevant background information that may affect oral health outcomes.

Demographics and Health History Assessment

     a.     Patient profile:  summary of basic information about the patient

     b.     Patient's chief concern (cc): summary of primary purpose of the dental visit

     c.     Health History:  comprehensive summary of health related findings

     d.     Dental History:  comprehensive summary of dental related findings

     e.     Diet History:  comprehensive summary of diet-related findings

     f.     Health beliefs and behaviors: summary of behavioral characteristics noted during discussion and treatment

Section II:  Clinical Assessment

Thorough summaries of each of these components provide descriptive information about the case.

     a.     Extraoral exam:  summary of findings

     b.     Intraoral exam:  summary of findings

     c.     Current dental conditions:  summary of existing restorations, occlusal classification, dental caries risk assessment, or edentulous conditions

     d.     Radiographic exam:  summary of periodontal, restorative, and pathologic findings

     e.     Periodontal exam:  general summary of periodontal status including probing depths, furcation involvement, mobility, clinical attachment loss, gingival description, American Academy of Periodontology (AAP) classification and bleeding index

Specific guidelines for clinical evidence:

Clinical evidence is intended to provide visual or tangible representation of the patient's clinical findings.  Clinical accuracy and thoroughness provide visual information and clinical data relating directly to the case.

     a.     Intraoral photographs.  Includes all photos necessary to adequately provide documentation and visualization of patient's existing gingival and periodontal condition.

     b.     Intraoral radiographs.  Based on diagnostic need of patient; must be of diagnostic quality and mounted correctly.

             1.     Current or previous complete radiographic series.  Include all radiographs necessary to adequately assess the patient's oral health status

             2.      Current bite-wing series (vertical or horizontal).  Includes radiographs that appropriately assess the proximal status of all teeth

     c.     Complete an accurate dental and periodontal chart.

             1.     Existing restorations

             2.     Existing pathologic condition

             3.     Probe depths (PD).  Initial visit, post therapy follow-up visit

             4.     Clinical attachment levels

             5.     Gingival recession.  Clinician should draw in gingival margin and identify mucogingival discrepancies when applicable

             6.     Furcations.  Presence, location, and extent properly identified

             7.     Mobility.  Classified as I, II, or III

             8.     Bleeding.  Noted on chart and summarized as a percentage score

             9.     Exudate.  Presence and types determined

            10.    Presence and distribution of plaque biofilm and calculus.  Plaque index (PI) summarized as a percentage score

            11.    Gingival description.  Color, contour, consistency, location, and extent of involvement (mild, moderate, or severe)

     d.      Oral health management by risk assessment.  Completed and assessed according to oral risk assessment guidelines;  identifies systemic and oral behavioral risk factors that may contribute to periodontal condition or may influence periodontal therapy.

Section III:  Planning Phase

Thorough summaries of each of these components provide insight strategies in therapy and patient instruction.

     a.     Rationale for case selection:  summary

     b.     Treatment goals and desired outcome:  summary

     c.     Initial therapeutic strategy:  must accurately reflect patient's chief complaint, treatment needs, psychosocial needs, and/or pain management.

     d.     Prevention education strategy:  oral healthcare aids to be introduced (when and why)

     e.     Instrumentation strategy:  must accurately reflect patient's needs and operator skill level.

     f.     Discussion points with patient:  possible therapeutic alternatives, potential complications, expected results, patient's responsibility in treatment outcomes, and consequence of no treatment

     g.    Consent:  informed and/or written consent of treatment strategies

 

Section IV:  Implementation Phase

Thorough summaries of each of these components provide descriptive information about the actual therapeutic and preventive care of the patient during the implementation phase:

     a.     Date of appointment and number of appointments in series:  necessary to provide information on spacing interval of treatment and  timeline of therapy

     b.     Actual service completed or treatment performed:  what was actually accomplished on this date and appointment number

     c.     Treatment revisions with rationale:  identifies changes in treatment plan and discusses reasons why changes to original therapeutic strategies were implemented

     d.     Patient care:  identifies how the patient is responding to care and answer questions such as the following:  Is the patient more or less motivated?  Is the patient evaluating or noticing his/her own progress and healing?  Is the patient having postoperative pain or sensitivity, and is that concern being addressed during the appointment?

     e.     Self care:  summarizes patient's progress with a preventive education plan and discusses rationale for home care aids being introduced or changed to meet therapeutic and psychosocial goals

Section V:  Post treatment assessment  (4 to 6 weeks)

The clinician should thoroughly describe the patient's post therapy clinical evaluation findings.  Summaries of each of these components provide descriptive information about the therapeutic and preventive outcomes and identify future needs of the patient, as follows:

     a.     Intraoral photographs:  as indicated

     b.     Review of chief complaint, health history, and extraoral/intraoral exam, summary of health history update, and changes in extraoral/intraoral exam.  Whether completed care addressed goals, risks, and patient concerns; summary of health history update; and changes in extraoral/intraoral exam noted

     c.     Periodontal examination.  Summary of PDs, bleeding on probing (BOP), PI, and gingival description

     d.     Oral home care outcomes.  Summary of patient's understanding and effectiveness of oral hygiene, current recommendations based on caries management by risk assessment, biological indicators (Bls), PI, PDs and gingival description

     e.     Therapeutic outcomes.  Summary of effectiveness of previously performed periodontal therapy and assessment of patient's response

     f.     Discussion points with patient.  Based on results of examination, status of patient's disease, therapeutic alternatives, potential complications, expected results, and patient's responsibilities regarding treatment; explanation of consequences of no treatment

     g.     Future care recommendations.

             1.    Indications for referrals.  Clinician should specify referral protocol

             2.    Active therapy continued.  Possible need for further active therapy, in which dental caries or periodontal management might include antimicrobial therapy (site-specific or systemic) or further therapeutic strategy for continued active therapy

             3.    Dental caries management and periodontal maintenance therapy, maintenance of a healthy periodontium

 Section VI:  Student Evaluation of Therapeutic and Preventive Outcomes

This section is intended to provide the student an opportunity to discuss planning, implementation, and evaluation of the therapeutic and preventive strategies as applied to the case.  Supporting documentation from current scientific literature may be introduced at this time to validate the therapeutic strategies.  Thorough summaries of each of these components provide self evaluation opportunities and appraisal of lessons learned, as follows;

      a.    What we learned from treating this case?   (summary)

     b.     Which modifications would enhance treatment outcomes?   (summary)

Section VII:  Study Questions and Answers

A minimum of three study questions will need to be included in every section.  This exercise is intended to identify discussion topics and items of clinical interest that may be addressed with the case.  Evidence-based support for therapeutic strategies may be considered to encourage decision-making skills based on current scientific literature.  ( Three questions  from each of the three sections are developed that can be drawn from the case as a learning or discussion point.)