Clinical - Dental Hygienist IV Syllabus for 2014-2015
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Instructor Information

Course Information

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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

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Course

DHYG-2361-001 Clinical - Dental Hygienist IV

Prerequisites

Prerequisites: DHYG 2360

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

The following are required for Clinic IV:

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1. Current copy of the 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;  Lippincottt,  Williams & Wilkins

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3.  Online Registration for HESI Assessments for Dental Hygiene.  Assessments will be administered in the Amarillo College West Campus Computer Lab.

Supplies

\ Each student will supply his/her own instruments and disposable products.

Student Performance

End-of-Course Outcomes

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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. 

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As outlined in the learning plan: DHYG 2361 is designed to allow the student to utilize critical thinking and problem-solving strategies to provide comprehensive proficient dental hygiene care for clients possessing a wide range of oral conditions.  Upon successful completion of Clinic IV, the student will  be able to competently provide dental hygiene care for all types of classifications of periodntal disease including patients who exhibit moderate to severe periodontal disease. The instructor's primary role will be to function as a facilitator to aid the student through functional assessment and quality patient-centered treatment of clients.

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Course Meeting Days and Times

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Clinic:

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• Monday and Wednesday
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• 8:30 a.m - 4:00 p.m.
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• Friday
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• 8:30 a.m. -  12:00 p.m.
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• Jones Hall, Dental Clinic Room 112
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Morning Report:

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• Tuesday
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• 9:00am - 12:00pm
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• Jones Hall, Room 111
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Course Instructor

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Name:  Amanda Lester Chisum, RDH, M.Ed.

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Office Location: Jones Hall, Room 127

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Office Phone:  (806) 354-6062

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Campus E-mail:  ajlester21@actx.edu

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Office Hours:  Monday 9:00 am – 5:00 pm

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Friday by appointment

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Additional Faculty

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• Wendy Bolton, RDH
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• Madeline Borecki, DMD
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• Melissa Bain, RDH
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• Amanda Lester-Chisum, RDH, M.Ed.
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• Donna Cleere, RDH, M.Ed.
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• Monica Cryer, RDH
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• Jack Fong, DDS
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• Lynette Hayhurst, RDH,BS
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• Greg Harrison, DDS
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• Mike Henderson, DDS
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• Karen Lester, RDH,BS
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• Krista Lutonsky, RDH
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• Janet Ramos, RDH
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Method of Instruction

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In the clinic setting the ratio of faculty to students never exceeds 1:5.  Individual feedback will be provided for the students verbally and in written form.  Direct observation will be utilized through process performance evaluations, while indirect observation will be used in end-product evaluations.

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Morning Report will be held each week to allow discussion of clinical issues, present additional clinical procedures and or materials  as well as, review previously presented procedures/materials.  Discussion of online Dental Hygiene HESI assigned assessments will also occur.    The forum setting is mandatory.  Students will be counted absent for the entire day if he/she does not attend clinic forums.  A student will be counted absent if he/she is not present when the roll is called.  Student input is encouraged.

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Clinical Dental Hygiene

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Clinical Dental Hygiene is that portion of the dental hygiene curriculum focused on developing the cognitive, affective, and psychomotor skills necessary for delivery of preventive, educational, and therapeutic services to the public.  The delivery of patient - centered  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.  The patient care experiences are required for all students in order to attain clinical competence and complete the dental hygiene program.  This education is provided in the program's clinical facilities as defined in the Accreditation Standards and is supervised and evaluated by program faculty according to predetermined criteria.

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Definitions:

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• Preventive Services:  Clinical methods employed by the clinician and/or patient to promote and maintain oral health.
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• Educational Services:  Strategies developed for an individual or for groups to elicit behaviors directed toward health.
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• Therapeutic Services:  Clinical treatment designed to arrest or manage disease and maintain oral tissues in health.
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• 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 evidence-based decision making.
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• Dental Hygiene Diagnosis:  A statement of potential or actual patient need that can be addressed by dental hygiene intervention services or strategies.
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• 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.
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• 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.
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• 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 are legal in most states.
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Clinical Dental Hygiene:  Primary Educational Goals

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Clinical dental hygiene experience provides preventive and therapeutic care according to the process of care: 

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• assessment 
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• dental hygiene diagnosis
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• planning
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• implementation 
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• evaluation
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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:

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• Apply the process of care to preventive and therapeutic oral health management to a diverse patient population.
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• Assess and analyze objective and subjective patient findings to formulate an evidence-based, patient-centered dental hygiene diagnosis.
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• Plan, implement and evaluate intervention strategies that will promote and maintain oral health including oral self care behaviors.
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• Demonstrate knowledge of and skill in applying dental hygiene methodology of care.
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• Apply the principles of professional and ethical behavior in providing care to individuals of all populations.
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Special Learning Objectives

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• Comprehensive collection of data to identify the physical and oral heath status; record and assess a comprehensive health history, including social history.
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• Recognize those patients whose medical, physical, psychological, or social situations make it necessary to modify normal dental routines in order to provide dental treatment for that individual.  These individuals include, but are not limited to, people with developmental disabilities, complex medical problems, and significant physical limitations.
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• Recognize conditions that necessitate special consideration prior to or during treatment.
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• Perform and record extraoral and intraoral examinations, clinical and radiographic assessment of the periodontium and dentition, and assessment of occlusion.  
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• Analysis of assessment findings and use of critical thinking in order to address the patient's dental hygiene treatment needs. 
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• Assess the need for, expose, develop, evaluate and interpret dental radiographs to support the clinical examination.
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• Employ radiation safety principles and procedures requiring exposure to ionizing radiation.
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• Expose and implement intraoral photography.
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• Formulate a dental hygiene diagnosis with the provision of patient-centered and evidence-based care in a manner minimizing risk and optimizing oral health in the dental hygiene treatment plan.
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• Obtain informed consent by discussing with the patient his/her oral health findings, goals and comprehensive treatment needs.  Patients that are accepted for dental hygiene care must be advised of the scope of dental hygiene care available in the Amarillo College Dental Hygiene Clinic.
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• Value the importance of patient - centered care and concepts of health promotion.
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• Establish a dental hygiene care plan that reflects the realistic goals and treatment strategies to facilitate optimal oral health.
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• Assess the need for and perform initial and supportive periodontal therapies.
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• Assess the need for and perform therapeutic hand and ultrasonic periodontal debridement therapies.
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• Perform care and maintenance of procedures for dental implants.
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• Assess the need for and perform extrinsic stain removal procedures.
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• Assess the need for and apply adjunctive topical chemotherapeutic and controlled released agents.
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• Assess the need for and apply pain and anxiety management strategies.
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• Assess the need for and plan professional topical fluoride and/or self applied fluoride;  apply professional topical fluoride.
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• Apply principles of nutritional and/or tobacco cessation counseling to the management of oral health.
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• Assess the need for and place pit and fissure sealants.
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• Assess, plan and perform patient oral self care education.
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• Apply standard precautions for the prevention of disease transmission.
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• Follow all state and federal regulatory requirements when rendering patient care.
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• Apply principles of comprehensive record keeping to ensure patient-centered and comprehensive care are in written format.
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• If necessary the student is prepared to provide appropriate life support measures for medical emergencies that may be encountered in the dental hygiene clinic.
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• Demonstrate critical thinking and problem solving skills when providing patient care.
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• Demonstrate professional communication, ethical reasoning, ethical decision making and professional responsibility as they pertain to all aspects of patient care.
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• Demonstrate concern and understanding of a variety of patient needs based on overall health, oral health, cultural, social and economic circumstances.
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• Recommend a recare schedule for continued supportive care.
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• Recommend referral for additional assessment and/or treatment.
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• Demonstrate competence in interpersonal and communication skills to effectively interact with diverse population groups and other members of the oral health team.
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• Value the importance of evaluation and monitor patient oral health.
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• Assess overall patient satisfaction with care provided.
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• Value the need for maintenance of thorough and accurate records.
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• Review of a representative sample of patients; records will be reviewed to assess the appropriateness, necessity and quality of the care provided.
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• Apply the principles for maintaining comprehensive and accurate records of all information and services offered to and provided to the patient.
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• Self-assess ability to perform dental hygiene services at a high standard of care.
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• Value patient confidentiality and patient rights according to HIPAA guidelines.
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• Complete HESI online assessments in the Amarillo College Computer lab.
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Critical Thinking Objectives

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Dental hygiene students must be competent in the application of self-assessment skills to prepare them for life-long learning.  Students must be competent in problem solving strategies related to comprehensive patient care and management of patients.

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Emergency Management

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In the Amarillo College Dental Hygiene Clinic we have medical emergency management procedures and safety policies.  Please refer to the program manual for further detail regarding these procedures and policies.

Students Rights and Responsibilities

Student Rights and Responsibilities

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Expected Student Behavior

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.

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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 guide the actions of each member of the college community both in and out of the classroom.    Integrity and common sense will guide the actions of each member of 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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Students must be competent in the application of the principles of ethical reasoning, ethical decision making and professional responsibility as they pertain to patient care. Dental hygienists should understand and practice ethical behavior consistent with the professional code of ethics throughout their educational experiences. The following are examples which are considered professional standards.   These are representative examples and may not be all inclusive.  For maximum learning to occur, the student is expected to demonstrate professional conduct and judgment at all times.

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• Student is prompt to Clinic/Rotation Assignments both in the morning and afternoon sessions.
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• Student is prepared for Clinic/Rotation Assignment.
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• Student assumes responsibility for his/her own learning.
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• Student is concerned with excellence in learning rather than just meeting minimal criteria.
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• Student applies lecture material in the clinical setting.  The student utilizes references in the clinic to look up various diseases and/or medical conditions in which dental treatment may be altered.
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• Student maintains his/her composure, dealing with conflict in a constructive way.
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• Student exhibits an attitude of respect for classmates, faculty, and staff.  If a student has a conflict with a grade given by the instructor, the student must follow the outlined grievance procedure.  Faculty will not change a grade given to a student from another faculty member.
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• In order for maximum learning to occur, students should  not be disruptive in Clinic or Class.    Should this occur, the student will be asked to leave and will receive an absence for the day.  Disciplinary action may also be taken.
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• Student should not visit with other classmates during patient care.   Patients need your dedicated attention while receiving care.
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• Student will use the light system in the Clinic as well as the " instant messenger" system to summon clinical instructors and assistants.
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• Student will accept alternate assignments as needed and have an attitude of team spirit.  Teamwork is an essential component of the dental profession.
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• Student will be responsible for broken or damaged equipment in the Clinic. 
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• Student will not leave the clinic before 12:00 noon or 5:00 p.m. 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, class and/or clinic assignments.  Remember:  all students must correctly log in and out of the computer each day for an accurate record of attendance.  Failure to do so will result in an absence for the day. 
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• 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 within two days of the scheduled 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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• A critical error will be assessed if a student re-appoints or dismisses a patient without the approval of a faculty member.  
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• A critical error will be assessed if a student fills his/her appointment book with fictitious patient name(s)  or phone number(s).
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• A critical error will be assessed if a student cancels or moves a patient appointment without prior approval of the patient and/or faculty member. 
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• A critical error will be assessed for both students if a student clocks in or out for another student while in the clinic and/or lab.  EACH student must be individually responsible for clocking in and out of the clinic/lab. 
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Professional Behavior Around Patients

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First and foremost confidentiality and compassion are at the cornerstone of patient - centered care.  Students are not to discuss private information regarding his/her patient with classmates.  Patient information related to patient care is only to be discussed with the supervising faculty and/or 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 his/her 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 kept to a minimum during patient care.  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 demonstrate insecurity in front of the patient.  Students should speak with the  faculty discreetly away from the chair.

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Quality Assurance of Patient Care

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Mechanisms utilized to assure quality of patient-centered dental hygiene care include:

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1)  Check in/out, evaluations and periodontal re-evaluations

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a.  Patient Confirmation -  Patients are confirmed the day before the appointment.  Students should ask the patient about premedication needs and current medications.  Patients should be instructed to bring a list of the actual medications he/she is taking to the appointment with them.  This should include any prescribed,  OTC or herbal remedies.  The list should include the name, dosage and amount of medication he/she is taking at the present time.

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b.  Attendance and Tardiness - All students are required to log in to the computer in  clinic  no later than 8:45 a.m  for the morning clinic and 12:45 p.m.  for the afternoon clinic.  Patients may be seated as soon as they are checked in by the front office.  Students' tardiness and/or absenteeism for clinic assignments, rotation assignments  and morning report will be monitored and recorded and will count toward the final grade.

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c.  Medical History - Students must have faculty approval prior to beginning any treatment.  All medications must be referenced.  A Mosby's drug reference text or a current PDR may be utilized.  Students must be able to report to the clinical faculty what drug(s) the patient is taking, what it is utilized for, any oral manifestations as a result of taking the drug,  and contraindications to dental treatment if applicable.

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d.   An Intra-oral and Extra-oral Exam will be performed on all patients with documentation of the findings in the patient record.

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e.  Assessment - All patients will receive a full-mouth probing (with the exception of children under 18 unless indicated).  At the conclusion of the assessment interval, the student should determine a dental hygiene diagnosis and a patient-centered treatment plan to present to the faculty during the assessment phase of check-in (process evaluation).

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f.  Scaling - Students are expected to scale all teeth, debride, and remove all calculus and plaque.  Sharpening instruments before and/or during scaling is encouraged.  Extra-oral fulcrums may be utilized in Clinic III and Clinic IV.    End-product evaluations are utilized to assess calculus and plaque removal.

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g.  Stain Removal - Students are expected to assess each patient's need for stain removal.  Air polishing can be employed in any circumstance when polishing is indicated, not just for heavy stain.  Make sure no contraindications exist for air polishing such as hypertension, low sodium diet, kidney disorders etc.

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h.  Fluoride - Students should provide fluoride therapy at the end of each appointment as indicated.  Students should first dry the teeth with air, place tray in the mouth, and evacuate excess saliva and fluoride with a saliva ejector.  Patients should never be left unattended during the fluoride treatment ( especially young children).  Patients should be instructed to not eat, drink or rinse for 30 minutes.

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2.   Conclusion of the Appointment - Students must conclude patient treatment no later than 11:30a.m. and 3:30 p.m. unless given special permission by clinical faculty. 

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a.  Progress notes should be completed.   Progress notes should be detailed utilizing correct grammar and spelling.    A recall interval for a patient is established at the conclusion of the appointment with consultation from the faculty and student input. 

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b.  Recall intervals and appropriate referrals as needed  are established according to the individual needs of the patient.  The patient is informed of his/her recall interval. 

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c.  Patients must complete a Patient Survey before he/she is dismissed from the clinic.   

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3.  Patient Bill of Rights are reviewed with all new patients and are posted in the Reception area.

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4.  Documentation of an ongoing review of a representative sample of patients and patient records to assess the appropriateness, necessity and quality of care provided.

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5.  Tracking and Student Progress -  Student progress is tracked by the Clinic Coordinator through Amarillo College Blackboard.

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Amarillo College Dental Hygiene Mentoring Program

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The student has a very important role in the mentoring process.  Each student will be assigned a mentor at the beginning of the semester.  The mentor/mentee list will be posted in the locker room and emailed to each student.  As partners in the mentoring relationship, students have responsibilities to:

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1. Contact mentors and arrange for a mentoring appointment one in Febuary and one in April.
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2. Be aware of their mentoring needs and discuss these needs with mentors
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3. Maintain regular communication with their assigned mentors
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4. Prepare for mentoring meetings by:
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• Setting daily and weekly goals for program progression
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• Assessing attainment of goals
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• Identifying impediments to achieving goals
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It is the student’s responsibility to contact mentors and arrange appointments.  Failure to arrange and /or keep appointments will result in a two-point deduction from the final clinical course grade for each occurrence in the semester.

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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 devices such as cell phones are prohibited in this course.  If a student is caught with a cell phone in hand or in a uniform pocket, 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.   Please note this policy does include Office Assistant, Sterilization, and Wyatt Rotation.   Those students who have children or who anticipate an emergency situation,  should give caregivers and family members the Office Supervisor's 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 the student is alerted from the Office Supervisor regarding an emergency.  Your children will not be allowed in the clinic.  No exceptions.

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TalEval

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Students can communicate with clinical faculty and check there progress in clinic through this web based system.

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Mailboxes

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Each student is assigned a mailbox located inside the student dressing room.  Students are required to check  his/her mailbox daily for various communication from the faculty. Faculty will also correspond via email and announcements on Amarillo College Blackboard.

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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 inside the student dressing 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 a student in case of an  emergency are as follows:

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Dental Clinic 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 or she is enrolled is directed to appeal in the following order to the:  (1)  Instructor  (2)  Clinic Coordinator   (3)  Department Chair/Program Director  (4)  Dean of Health Sciences  (5) Vice President of Academic Affairs (6) College President.

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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 also be required to select a patient who meets the criteria for WREB and/or CRDTS or another regional clinical board in order to pursue licensure to practice dental hygiene.

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3.  It is important that each student understands the necessity for taking a proactive 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 requirements/competencies in order to graduate from the Dental Hygiene Program at Amarillo College.

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4.  It is important for each student to seek faculty input regarding his/her performance so the student may:

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a.  Correct techniques as necessary

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b.  Determine problem areas and methods for improving those areas

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c.  Gain confidence that his/her performance is correct and competent

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d.  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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Clinic I, II, III, IV - Students will be required to meet minimum requirements/competencies outlined in the course syllabus for individual clinics.

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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:   Sealant placement will be graded as satisfactory or unsatisfactory.  Radiographs will be graded as outlined in the Program Manual.  Clinic requirements must be completed by the final clinic day of the semester.  A student who does not complete clinic requirements in Clinic IV by the final day of clinic will not graduate in the spring semester.  A numerical grade will be assessed for each quiz and online assignment. 

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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.   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 

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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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Each error in Clinic IV will count as minus 10 point deduction per error on the competency evaluations.  Sealant placement will be graded as either satisfactory or unsatisfactory.  Radiographs will be graded as outlined in the Program  Manual, and must be critiqued at the time of the appointment and turned in at the end of the appointment. Half of the required radiographs, (2) must be completed by March 27, 2015, or 1 point (s)  will be deducted from your final clinic grade.  One point will be deducted per radiographic (set) not turned in and passed on time (March).   All evaluations must be graded by an instructor.  Clinic requirements must be completed by the final clinic day of the semester.  A student who does not complete all clinic requirements in Clinic IV by the final clinic day will not be allowed to graduate in the spring semester.

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Minimum Number of Successful (75% or greater) Learning Experiences Required for Clinic IV Calculus Deposit Skill/Periodontal Skill Levels: 

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3  Perio I

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2  Perio II

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2  Case Type C/Perio III

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2  Case Type D/Perio IV

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Adjunct Procedures and Assignments:

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8 Sealants

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1 Tobacco Cessation Assessment (Please refer to Program Manual for rubric pg 52) Due Date:  April 9, 2015

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2 Accelerated Hygiene Competencies.   

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1 Desensitizing

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2 Applications of Chemotherapeutic Agent

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1 Continuing Care (Recare)

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1 Periodontal Maintenance (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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1  Calculus Detection  (On one quadrant of "C" and "D" patients)

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1  Mock Board Patient Experience with  WREB and/or CRDTS Exam Criteria.    (Grade will count toward competencies if 75% or higher).  The Mock Board Exam Grade will be recorded and count toward the final clinic average. /l/l./kl./kl

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Complete all assigned online HESI  assessments in the  AC Computer Lab by the scheduled deadline.   All HESI Assessment grades will be count as quiz grade.  A grade of 75% or higher will need to be achieved in order to meet the competency on the Final Hesi Test.

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Radiographs:

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4 FMX (adult)

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1 FMX (child)

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1 FMX (mixed dentition)

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5 BWX

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5 Pano

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Minimum Number of Patient Care Experiences:

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1  Child Patient (age 11 and under)

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1  Adolescent Patient (age 12 through 18)

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1  Adult Patient (age 19 and up)

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1  Geriatric Patient (age 65 and up)

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1  Special Needs Patient

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In addition to treating patients at the Amarillo College Dental Hygiene Clinic , students must participate in the following  enrichment rotations:

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• Dental Office Observation
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• Office Assistant
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• Sterilization
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• Dental Assistant  
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• Screening
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• Wyatt Dental Clinic
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• Veteran's Hospital
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• Chair Side Rotation
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Additional Assignments and Examinations

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The course will also consist of quizzes and  other online/computer assignments.  Quizzes may or may not be announced in advance.  Quiz and online/computer assignment grades will be a part of the end-product evaluation.  All grades will be counted and will not be dropped.

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Clinic Requirements and Grading Criteria

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Please see the Grading Criteria Addendum that has been added to the Amarillo College Dental Hygiene Clinic Manual Regarding TalEval Grading System.  You may also refer to https://taleval.com/signin/aspx for more information.

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

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Patient Treatment/TalEval IIA                                                 40%

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Patient Treatment/TalEval IIB                                                 40%

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Radiographs                                                                          10%

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Mock Board/Tobacco Cessation                                              5%

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Competencies/Quizzes/Rotations                                            5%

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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, dismissing or re-appointing a patient without faculty approval, unprofessional conduct toward a patient, student, or faculty/staff member, a breach of confidentiality, scheduling a fictitious patient(s) or phone number (s), cancelling or moving a patient without the patient's permission and or faculty member, failure to accept a patient assignment from the front office supervisor and/or faculty, clocking in or out of the clinic/lab for a classmate.  

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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.  All HESI assignments MUST be completed in order to graduate from the Amarillo College Dental Hygiene Program. 

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If a student fails to attain the required minimum requirements for Clinic IV, he/she must enroll in summer Clinic and will not graduate from the Program in May.

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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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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)

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Due to the tremendous amount of information contained in this course, the student who plans to succeed should also plan to attend all clinic sessions regulary and promptly.  Without question, the clinical faculty expects each student to be present at each clinic/rotation session.  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 rotations must be reported to the Clinic Coordinator first and the Office supervisor second.  The office number is 354-6050.  If you are scheduled for a clinical enrichment rotation at the VA, you must also call them at 355-9703 ext 7888.  Students are required to complete a minimum number of clinic hours and requirements in order to graduate from the dental hygiene program.  Each student MUST log in and out each day on the computer to demonstrate a record of his/her attendance.  Failure to do so will result in an absence for the day.  Rotation Assignments in the Office or Sterilization will be required to attend one half hour before clinic begins.

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The Office Supervisor and the Clinical Coordinator are responsible for all clinic schedule changes for patients and students.  Also, please alert both the office supervisor and the Clinic Coordinator of the need for rotation change.  The application for rotation change must be filled out by the student and submitted for a signature from the clinic coordinator.  Students are required to treat all patients assigned to  them regardless of the situtation.  Refusing to treat a patient assigned by the front office supervisor or faculty  will result in dismissal from the clinic and disciplinary action will be taken. 

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In order to be successful in Clinic IV,   efficient and productive use of clinic time is a MUST.  Absences will be monitored and may be evaluated on an individual basis to determine a student's final 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 IV.  In order to pass the course a student must achieve a final grade of 75% and meet the minimum required competencies set for Clinic IV.  In clinic, students will log in to the computer  no later than 8:45 a.m.  and log out at 12:00 p.m.  After lunch the student must log back in no later than 12:45 p.m.  and log out at 4:00 p.m. 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 Clinic Coordinator.   A student will receive 2 bonus points to the final clinic grade for perfect attendance.

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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, classes and rotations on time.

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Final Clinic Grade = 93% = A

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Calendar

Additional Information

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

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This website was created to assist Amarillo 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.

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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.

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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.

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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 Herrera, LMSW, Coordinator of Social Services, 806-371-5439, http://jordan@actx.edu.