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Application: NEBDN Oral Health Education Qualification Dental Nurse Network Suite LP 26617, 20-22 Wenlock Road,

London, N17 GU Tel: 020 7193 0584 Email: [email protected]

Application

Please fax this application to 020 7197 8117 Or Post to: Dental Nurse Network, 20-22 Wenlock Road, London, N1 7GU

Please send this application with a copy of the following documents:

● Your GDC Registration;● Your main supervisor’s GDC Registration;● CPD Certificate (no older than twelve months) – Medical Emergencies;● CPD Certificate (no older than twelve months) – Disinfection and Decontamination;● CPD Certificate (no older than twelve months) – Radiation Protection;● CPD Certificate (no older than twelve months) – Safeguarding;● CPD Certificate (no older than twelve months) – Legal and Ethical Issues.● Signed Terms and Conditions;● Signed Service Level Agreement;● Signed Training Practice Monitoring Form.

Personal Details

Full Name

GDC Number

Email Address

Mobile Telephone

Home Address

Please list the courses you have completed. Do not include CPD hours.

Special Learning Requirements. Do you have any special learning needs? Will you require extra time for examinations?

Employment Details



Employer Name

Employer Address

Work Telephone

Please confirm you are employed: Part - time Full - time

Supervisor Details

Main Supervisor Name

Main Supervisor GDC

Please confirm your supervisor is dedicated to your learning and will ensure they guide and supervise you throughout your training.

Please underline. Yes, I confirm No, I do not confirm

Please confirm your supervisor is aware of the number of case studies you are required to complete?


Commitment to the course

What is your main reason for applying for the Oral Health Education Course?

What times are you available for live online classrooms/webinars? Please underline.

Monday - Friday 18:00 - 19:00 Monday - Friday 19:00 - 20:00 Saturday - 10:00 - 11:00, 11:00 - 12:00, 12:00-13:00

Please confirm you are aware you must have access to a computer and internet access to view the online tutorials/video recordings.


Please confirm which exam venue location you can attend. Please underline.

London Birmingham

As this course is online, do you believe you are capable of



self-directed learning?

Please confirm you are aware you are required to watch online video tutorials


Out of 10 what rating would you give your motivation to learn online?

1 - Unmotivated 5 - Moderately motivated 10 - Extremely motivated

Have you considered how you will meet the online learning requirements and make time to complete your record of experience?

I.e When will you see your patients? When will you maketime to study online?Do you have printing facilities?

To complete your Record of Competence you require access to range of patient groups. Please tick which patient groups you will have access. Please underline.

Pregnant / nursing mothers Parents of preschool children (4 and under) Parents of primary school children (5 – 11) Adolescent (12 – 15) Adult (16 – 64) Seniors (65 and older) Special Needs / Medically compromised

Learning Preferences

What is your most preferred learning style? Please underline.

Please tick appropriate options: Visual (spatial):You prefer using pictures, images, and spatial understanding. Aural (auditory-musical): You prefer using sound and music. Verbal (linguistic): You prefer using words, both in speech and writing. Physical (kinesthetic): You prefer using your body, hands and sense of touch.

What is your least preferred learning style? Please underline.

Visual (spatial):You prefer using pictures, images, and spatial understanding. Aural (auditory-musical): You prefer using sound and music. Verbal (linguistic): You prefer using words, both in speech and writing. Physical (kinesthetic): You prefer using your body, hands and sense of touch.



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Terms and Conditions

NEBDN Oral Health Education Qualification

1) The course, course material and resources are available from the course start date specified inthe course information once enrolment and payment have been processed. All course due datesand end dates are specified in the course information. After the course end date, access toinformation and resources for the course will no longer be available.

2) If, for some reason, you have not completed the qualification or have failed to pass the final exam, the following are available:

a) A six (6)-month extended access pass to the online course, materials and resources with tutor support for £300.00.

b) A six (6)-month extended access pass to the online course, materials and resources with no tutor support for £150.00. (Please note: this cannot be granted if any of the internal assessments have not been completed.)

3) In the unlikely circumstance that you repeatedly fail to meet internal assessment deadlines, Dental Nurse Network reserves the right to unenrol you from the course. No refund of fees will be granted.

4) If you wish to unenrol for any reason, the following policies apply at the discretion of Dental Nurse Network:

a) Over 30 days before the course start date, a refund of the fees paid, minus the non-refundable deposit, will be granted.

b) 15-30 days before the course start date, a refund amounting to half the course fees paid, minusthe non-refundable deposit, will be granted.

c) 14 days or less before the course start date, no refund of any fees will be granted.

(If you feel you have an exceptional circumstance leading to a need to unenrol during this time, the policy may not apply; please contact [email protected].)

5) A non-refundable deposit of £225.00 is required to be paid within five days of acceptance ontothe NEBDN Oral Health Education Qualification. The remaining course fees must be paid 14 daysbefore the start date as specified in the course information.

6) Examination resit/amendment fees. Please see the NEBDN website here for up-to-dateexamination resit fees.

7) If you have any concerns over the course material, have a complaint, or feel improvements canbe made to the NEBDN Oral Health Education Qualification, please feel free to [email protected].

Full Name: ___________________________ Date_________________Signature____________________

http://nebdn.org/sites/default/files/NEBDN%20Fees%20Schedule%202017_0.pdf

©NEBDN December 2015

NATIONAL EXAMINING BOARD FOR DENTAL NURSES

NEBDN Oral Health Education Service Level Agreement

PURPOSE

The purpose of the Service Level Agreement (SLA) is to formalise the roles and responsibilities of all partners in the delivery of training and assessment for Dental Nurses working towards a NEBDN Post Registration qualification.

The agreement should ensure effective provision of training and assessment as provided by Employers and Course Providers. It must be signed by all partners and / or their representatives prior to acceptance of a student on a course of training.

The SLA sets out the guiding principles necessary for the establishment of an effective training and working environment consistent with health and safety legislation, NEBDN Quality Assurance policies and current GDC guidelines.

The SLA must be completed prior to the course provider accepting a student on to the training programme. Failure of the Employer to complete and sign the SLA will result in the student not being accepted into an NEBDN accredited programme.

PARTNERS

Course Provider Employer

Named Representative Address Contact Number

Dental Nurse Network

20-22 Wenlock Road, N1 7GU

020 7193 0584


Services and Requests to be provided under this agreement by the involved parties are outlined below.

COURSE PROVIDER

………………………………………. (insert Course Provider name) are committed to providing the following services for as long as training towards a NEBDN Post Registration qualification is being provided on behalf of the employer.

………………………………………. (insert Course Provider name) will;

Deliver a course which meets the requirements of the NEBDN Accreditationprocess.

Provide all necessary training and educational support necessary in order to allowany individual student the opportunity to complete the programme of training,providing that the individual meets all academic and disciplinary requirements andremains compliant with the aforementioned throughout the duration of theprogramme.

Provide written constructive feedback on the student’s performance in assessmentsand the Record of Competence (RoC).

Have a named GDC registrant in charge of quality assurance, content delivery andprogramme design.

Provide occupationally competent tutors to deliver training which meets therequirements of the NEBDN Curricula.

Provide Internal Moderators to quality assure the completion of the RoC who holdcurrent GDC registration.

Keep records of professional qualifications, training / assessment qualifications andGDC registration of all staff.

Provide clear factual information in regard to the course requirements including thefollowing: duration, fees, assessments, course content, Student Fitness to Practisearrangements, coursework submission dates and the roles and responsibilities of theCourse Provider, employer and student.

Have in place a course provider Student Fitness to Practise policy which clearlydefines the role, responsibility, procedure and support in dealing with student fitnessto practice issues.

Will inform NEBDN of any student fitness to practice issues All course providers must provide each student with the following information at the

beginning of their programmeo GDC Standards for the Dental Teamo GDC Student Fitness to Practise guidanceo The Course Providers Student Fitness to Practice policy, procedures and

support available Have a clear recruitment policy.




Complete a formal initial assessment for Literacy during induction. Monitor compliance with the requirement for all witnesses to complete the witness

feedback within the specified sign off period. Sample the RoC using the NEBDN Mandatory Sampling Strategy and recording

system. Conduct assessments which adequately prepare the students for the requirements

of the final examination. Monitor student attendance and behaviour and report to the employer if there are

any concerns. Meet the requirements of NEBDN when entering students for the final examination. Quality assure the programme at regular intervals making improvements as

necessary. Provide all the above services in line with the Equality Act 2010 and all relevant

Health and Safety legislation.

I agree to provide the services outlined above for the defined period.

Signed Date Print Name

On behalf of ……………………… (insert name of course provider)

EMPLOYER

………………………………………. (insert Employer/ placement name) are committed to providing the following services for as long as training towards a NEBDN Post Registration qualification is being provided by the course provider.

………………………………………. (insert Employer /placement name) will;

Allow the student to attend the training programme according to a pre-notifiedtimetable.

Ensure that the student will receive appropriate workplace training and supervision. Ensure that all Patients are made aware that they are being treated by students

and give consento Patients must be provided with information about the student’s and

supervisor’s roles, what standards they can expect from dentalprofessional student, what they should do if they wish to provide feedbackand/or are unhappy with the care they have been given.

Ensure the student has access to all the procedures required in the RoC (SeeAppendix A).

Liaise with the Course Provider if they have any concerns with a student’sprogression and / or performance

Marama Millar

Monday 16 October2017

Marama Millar


Appoint a named mentor who is GDC registered and has the appropriate knowledgeand skills to support and provide guidance to the student. The appointed mentor willbe allowed adequate time to carry out their duties.

Accept responsibility for ensuring that witness feedback on the individualPractical Competence Assessment Sheets (PCAS) are completed fully and isconstructive

Accept responsibility for ensuring witnesses comply with the agreed fourteencalendar day sign off period for completion of witness statements.

The employer shall allow Course Provider’s staff and or representative reasonableaccess to students in order to enable them to monitor and assess the student’sprogress.

If and when a member of the Course Providers staff is required to work from anemployer’s workplace, the employer will afford them all necessary support andfacilities to assist them in fulfilling their role. This includes ensuring through aprocess of induction that Training Provider personnel remain compliant with Healthand Safety Legislation and are aware of the employers procedures.

Notify the course provider if there is an incident that could have an impact on thestudent fitness to practice.

Provide all the above services in line with the Equality Act 2010 and all relevantHealth & Safety legislation.


I agree to provide the services outlined above for the defined period.

Signed Date Print Name

On behalf of ……………………… (insert name of employer/placement)

NATIONAL EXAMINING BOARD FOR DENTAL NURSES (NEBDN)

NEBDN are committed to providing the following services for as long as the Course Provider remains accredited.

All course providers are required to go through a submission process with the NEBDN to ensure course provision meets the Quality Standards set out in the Accreditation process and procedures. Course Providers must ensure all employers and students are made aware in the course information that if full accreditation status is not met students will be unable to sit the final examination.

NEBDN will;

Provide up to date, fair and reliable assessment processes across all examinations Provide equality of opportunity (within safe guidelines) regardless of age, race,

disability, gender etc. as outlined in the Equality Act 2010 throughout all examinationprovision

Provide all required documentation to enable individual students to access the finalexamination.

Provide adequate notification of the timetable of submission dates for the finalexamination

Provide advice, support and guidance to the student, the Training Provider and theemployer.

GENERAL TERMS AND CONDITIONS - SERVICE DISPUTE

COURSE PROVIDER Should any issue arise in relation to the quality of the education being offered by the Course Provider attempts should be made to resolve them directly with the Course Provider following their documented complaints procedure. Only in the event of the complaints procedure having been exhausted and the issue not being satisfactorily resolved should NEBDN be contacted.


EMPLOYER Should any issue arise in relation to the quality, amount and type of services being offered by the Employer / Placement attempts should be made to resolve them directly with the Employer. Only in the event of the issue not being satisfactorily resolved should the Course Provider consider removing the student dental nurse from training.

NEBDN Should any issue arise in relation to the quality, amount and type of services being offered by NEBDN attempts should be made to resolve them directly with NEBDN following their documented complaints procedure.


Appendix A

RECORD OF COMPETENCE REQUIRED CLINICAL PROCEDURES

As part of the Certificate in Oral Health Education students must assist with a range of procedures in the surgery. The student will have to complete a Record of Competence for a range patients being treated in the surgery as follows:

Practical Competence Assessment Sheets The care of 7 individuals, is required To be seen on two occasions: Prevention of Caries Periodontal Disease Non Carious Tooth Surface Loss Oral Conditions To be seen on one occasion: Care of Dentures Care of Fixed Prosthesis Care of Orthodontic Appliance

The cases you select for your PCAS must also include patients from at least 5 of the following patient groups:

1. Pregnant / nursing mothers2. Parents of pre-school children (4 and under)3. Parents of primary school children (5 – 11)4. Adolescent (12 – 15)5. Adult (16 – 64)6. Seniors (65 and older)7. Special Needs / Medically comprised

The setting should normally be within your own place of work but may be elsewhere if appropriate to the particular patient group.

Case Study One required The patient should be seen on at least 3 occasions however visit 3 may be in the form of a follow up telephone call or postal questionnaire.

Supplementary Outcomes One required from each range Exhibition CPD Record

December 15

NATIONAL EXAMINING BOARD FOR DENTAL NURSES Training Practice Monitoring Form

Purpose The purpose of the Training Practice Monitoring Form (TPMF) is to ensure students have access to a suitable clinical learning environment.

The agreement should ensure effective provision of clinical training provided by Employers.

Process

The TPMF must be completed prior to the acceptance of a student on acourse of training by all partners and / or their representatives.

If more than one student from a practice is undertaking training with the samecourse provider only one form needs to be completed; however all studentsmust be indicated in the relevant section.

Course Provider Details

Name (Centre Name)

Address

Email

Telephone No.

Named Contact

Name of Student(s)

Employer Details

Employer Name

GDC Registration No.

Mentor Name

GDC Registration No.


20-22 Wenlock Road, London, N1 7GU

[email protected]

020 7193 0584

Melanie Pomphrett RDH

December 15

Type of Practice e.g. GDP, Private, Hospital and Specialist (please give details)

CQC certificate or certificate NO.

Employers Signature

Date

Course Provider Internal Moderator Administration only

Name

GDC Registration Number

Risk(s) Identified YES NO

cpd your cpd your gdc registration; cpd signed · dental nurse network suite lp 26617, 20-22...

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