dental assisting od38614 - okcareertech.org · b.02 select and prepare armamentarium select and...

ALIGNS WITH DENTAL ASSISTING NATIONAL BOARD

Skills Standards

DENTAL ASSISTING OD38614

COMPETENCY-BASED EDUCATION: OKLAHOMA’S RECIPE FOR SUCCESS BY THE INDUSTRY FOR THE INDUSTRY Oklahoma’s CareerTech system of competency-based education uses industry professionals and certification standards to identify the knowledge and abilities needed to master an occupation. This industry input provides the foundation for development of instructional materials that help prepare the comprehensively trained, highly skilled employees demanded by our workplace partners. TOOLS FOR SUCCESS CareerTech relies on three basic instructional components to deliver competency-based instruction: skills standards, curriculum materials, and competency assessments. Skills standards provide the foundation for competency-based instruction in Oklahoma’s CareerTech system. The skills standards outline the knowledge, skills, and abilities needed to perform related jobs within an industry. Skills standards are aligned with national skills standards; therefore, a student trained to the skills standards possesses technical skills that make him/her employable in both state and national job markets. Curriculum materials contain information and activities that teach students the knowledge and skills outlined in the skills standards. In addition to complementing classroom instruction, curriculum resources provide supplemental activities to enhance learning and provide hands-on training experiences. Competency Assessments test the student over material outlined in the skills standards and taught using the curriculum materials. When used with classroom performance evaluations, written competency assessments provide a means of measuring occupational readiness.

Although each of these components satisfy a unique purpose in competency-based education, they work together to reinforce the skills and abilities students need to gain employment and succeed on the job. MEASURING SUCCESS Written competency assessments are used to evaluate student performance. Results reports communicate competency assessment scores to students and provide a breakdown of assessment results by duty area. The results breakdown shows how well the student has mastered skills needed to perform major job functions and identifies areas of job responsibility that may require additional instruction and/or training. Group analysis of student results also provides feedback to instructors seeking to improve the effectiveness of career and technology training. Performance patterns in individual duties indicate opportunities to evaluate training methods and customize instruction. TRUE TO OUR PURPOSE “Helping Oklahomans succeed in the workplace” defines the mission of Oklahoma CareerTech and its competency-based system of instruction. Skills standards, curriculum, and assessments that identify and reinforce industry expectations provide accountability for programs and assure CareerTech’s continued role in preparing skilled workers for a global job market

Copyright 2011

Oklahoma Department of Career and Technology Education All rights reserved

Printed in the United States of America by the

Oklahoma Department of Career and Technology Education Stillwater, Oklahoma

The Oklahoma Department of Career and Technology Education does not discriminate on the basis of race,

creed, color, national origin, sex, age, veteran status, or qualified handicap.

OD38614: Dental Assisting

1

DENTAL ASSISTANT SKILLS STANDARDS

Frequency and Criticality Ratings

Duty A: Collect and Record Clinical Data

Duty B: Perform Chairside Dental Procedures

Duty C: Prepare and Apply Chairside Dental Materials

Duty D: Perform Laboratory Procedures

Duty E: Provide Patient Education

Duty F: Prevent and Manage Emergencies

Duty G: Perform Office Operations

Duty H: Practice the Legal Aspects of Dentistry

Duty I: Promote Infection Control

Duty J: Promote Occupational Safety

Duty K: Promote Radiation Health and Safety

Duty L: Promote Professionalism

--------------------------------------------------------------------------------------------------------- Frequency: represents how often the task is performed on the job. Frequency rating scales vary for

different occupations. The rating scale used in this publication is presented below:

1 = less than once a week

2 = at least once a week 3 = once or more a day

Criticality: denotes the level of consequence associated with performing a task incorrectly. The

rating scale used in this publication is presented below:

1 = slight

2 = moderate 3 = extreme

---------------------------------------------------------------------------------------------------------

DUTY A: Correct and Record Clinical Data

CODE TASK F/C

A.01 Conduct preliminary interview and examination of patient

Interview patient for purpose of patient’s visit and/or chief complaint

Review patient’s medical history and update records

Contraindications

Tobacco use

Assess patient’s general physical condition and note any abnormalities

Identify and locate the types of teeth in the primary and permanent

dentition

Identify, describe, and note any abnormal findings in the head and neck

regions

3/3


2

Common oral diseases (canker sores, fever blisters, etc.)

Dental hygiene-related problems

A.02 Perform charting functions

Record patient information and treatment in progress notes

Identify the permanent and primary teeth according to the Universal

Numbering System

Chart conditions in the patient’s oral cavity and accurately record data using

standard charting techniques:

Observe/record suspected decayed teeth

Record periodontal conditions (mobility, furcation involvement,

inflammation, and pocket depth)

Record treatment plan

Obtain informed consent

Use common dental software

3/3

A.03 Use diagnostic aids

Prepare for and assist with the collection of diagnostic data ( i.e.,

radiographs, pulp tests, intraoral and extraoral photographs, occlusal registrations, intraoral camera)

Take, pour, and trim impressions for diagnostic study casts

3/3

A.04 Assess vital signs

Take and record pulse rate and description

Observe and record respiration rate

Measure and record blood pressure

Take and record temperature

1/3

DUTY B: Perform Chairside Dental Procedures

CODE TASK F/C

B.01 Prepare operatory

Prepare the treatment room to receive and treat the patient (includes

infection control and barrier techniques)

Prepare appropriate treatment trays with instruments in sequence of use

and delivery position

Seat and prepare patient; position and adjust equipment

3/3

B.02 Select and prepare armamentarium

Select and prepare tray set-ups and all necessary instruments for general dentistry and dental emergency procedures

Exams

Fillings

Crown and bridge

Root canal

Oral surgery/extractions

Dentures/partials

Sealants

Prophylaxis

3/3


3

B.03 Perform or assist with intraoral procedures

Demonstrate four-handed dentistry concepts in all treatment procedures

Assume correct positions

Perform instrument transfers

Maintain access and visibility for treatment procedures

Maintain field of operation during dental procedures through the use of

retraction, rinsing, suction, irrigation, drying, etc.

Place and remove cotton rolls

Apply and/or assist with intraoral procedures

Polish

Topical fluoride

Vitality test

Minor bleeding

Temporary and/or excess cement

Dental dam

Matrix bands

Assist with and/or apply topical anesthetic to site of injection

Assist with and/or monitor the administration of nitrous oxide/oxygen

analgesia

Identify and exchange rotary instruments in dental handpieces

3/3

B.04 Use patient management techniques

Calm and reassure patient

Display professional attitude with all patients

Accommodate patients with special needs

Monitor patient during procedures

3/3

DUTY C: Prepare and Apply Chairside Dental Materials

CODE TASK F/C

C.01 Prepare for and assist with impressions

Prepare, mix, deliver, and store the following materials for impressions:

Irreversible hydrocolloid (alginate)

Elastomerics (polyether, polyvinylsiloxane)

3/3

C.02 Prepare for and assist with restoratives

Prepare, mix, deliver, and store restorative materials including:

Amalgam

Cements

Composites

Temporary restorative materials

Bases/liners

Etchants

Bonding agents

Prepare and/or seat temporary crowns

3/3


4

DUTY D: Perform Laboratory Procedures

CODE TASK F/C

D.01 Select and prepare materials

Gypsum products

Dental waxes

Acrylic products or acrylic substitutes

3/3

D.02 Properly store gypsum and acrylic products and dental waxes 3/3

D.03 Fabricate and evaluate diagnostic casts, including trimming and finishing 3/3

D.04 Fabricate bleaching trays and mouth guards 2/3

D.05 Clean and polish fixed and removable appliances and prostheses 2/3

DUTY E: Provide Patient Education

CODE TASK F/C

E.01 Provide information on personal oral habits that may compromise general health 3/3

E.02 Provide pre/post treatment instruction

Explain, clarify, and provide written instructions on the procedures and services being delivered

3/3

E.03 Explain plaque control techniques

Evaluate the patient’s oral health care status and habits

Provide preventative oral health care information to the patient based on

individual needs

Instruct the patient in appropriate toothbrush selection and brushing

techniques

Use plaque disclosing aids in patient education

Select and use oral hygiene devices such as brushes, floss, interdental aids,

oral rinses, and irrigating aids

Evaluate the patient’s progress in and response to homecare therapy

3/3

E.04 Explain nutrition and its effect on dental health

Provide instruction and evaluate basic nutritional needs of individual patients

as they relate to dental health

Explain to the patient the relationship of carbohydrates to the development

of dental caries

2/3

DUTY F: Prevent and Manage Emergencies

CODE TASK F/C

F.01 Take actions to prevent medical emergencies based on the patient’s medical history 3/3

F.02 Recognize and assist with medical emergencies

Recognize the signs and symptoms related to medical

conditions/emergencies

Assemble and maintain appropriate emergency supplies, drugs, and

equipment

Locate and follow office emergency procedures

2/3

F.03 Describe the dental assistant’s responsibility during dental emergencies 1/3


5

Don’t panic

Notify the dentist and follow instructions

F.04 Perform first aid and/or CPR

Use Automated External Defibrillator

1/3

DUTY G: Perform Office Operations

CODE TASK F/C

G.01 Maintain and control supplies

Record and inventory items used

Order supplies, instruments, and equipment to maintain specified levels

Rotate expendable/non-expendable supplies according to the expiration

dates and the inventory control system

2/3

G.02 Maintain dental equipment/instruments

Perform maintenance on the equipment and instruments as per

manufacturers’ instructions

Properly care for and store supplies

3/3

G.03 Communicate effectively and establish good working relationships with patients and with other members of the dental care team

Use good telephone etiquette

Greet and dismiss patients and visitors

Use the appointment control process

3/3

G.04 Perform minor accounting functions

Explain fees

Explain basic concepts of third-party payment

Use dental office software

3/3

DUTY H: Understand the Legal Aspects of Dentistry

CODE TASK F/C

H.01 Explain legal responsibilities and regulations

Explain the patient’s right to privacy and confidentiality

HIPAA

Explain the legal responsibilities of the dental assistant in relation to the

State Dental Practice Act

Scope of practice

2/3

H.02 Maintain records in accordance with legal guidelines

Identify the legal significance of the patient’s chart

Follow procedures necessary to release copies of patient records

File items into individual patient records i.e., radiographs, histories,

correspondence)

Record patient telephone communication and professional dental and

medical consultations

Document informed consent or refusal of recommended treatment

3/3


6

DUTY I: Promote Infection Control

CODE TASK F/C

I.01 Maintain and document a quality assurance program for infection control throughout the dental office

2/3

I.02 Explain the rationale for infection control procedures (Health Care Team/patient)

Explain the need for vaccination against infectious diseases

Identify the modes of disease transmission

2/3

I.03 Follow Standard Precautions for the prevention of disease transmission

Prevent cross-contamination and disease transmission

Perform proper handwashing

Use disposable items whenever possible

Protect the patient and operator through the use of barrier techniques

including masks, gloves, protective eyewear, clinic attire, and other

safety items

Properly dispose of biohazardous and other waste

Properly store all instruments

Perform sterilization procedures

Prepare dental instruments and equipment for sterilization

Use the appropriate method for sterilization of dental instruments,

equipment, and supplies

Use the appropriate system for monitoring sterilization of dental instruments, equipment, and supplies

Perform disinfection procedures

Use the proper method of disinfection for the treatment room,

equipment, and other appropriate materials

Prepare chemical agents according to manufacturers’ instructions

3/3

DUTY J: Promote Occupational Safety

CODE TASK F/C

J.01 Follow the standards and guidelines of occupational safety for dental office personnel

Use chemical agents according to OSHA standards including proper labeling

Maintain and update Material Safety Data Sheets (MSDS) on all applicable

materials

Document and report all exposures

3/3

J.02 Discuss the necessary steps to follow should an exposure occur 3/3

J.03 Understand the importance of proper body mechanics 3/3

J.04 Demonstrate proper body mechanics

Lifting techniques

Ergonomics

Posture

Chair position

Patient transfers

3/3


7

DUTY K: Promote Radiation Health and Safety

CODE TASK F/C

K.01 Expose radiographs

Select appropriate radiographic technique

Select appropriate film or imaging device, placement devices, cotton rolls,

cassettes, infection control barriers, lead aprons and thyroid collar

Practice infection control techniques

Expose dental films, using various techniques

Intraoral

Extraoral

Digital

Phosphor

Sensors

3/3

K.02 Process radiographs

Prepare, maintain, and replenish radiographic solutions for manual and

automatic processors

Process exposed intra- and extraoral radiographs by use of manual,

automatic, or scanning techniques

Practice infection control techniques

3/3

K.03 Evaluate radiographs for errors and retake if necessary 3/3

K.04 Mount radiographs

Identify anatomical structures and dental materials on radiographs.

Label patient information on radiographs.

Prepare radiographs for viewing, filing, and duplication

3/3

K.05 Practice safety measures to protect the patient from radiation 3/3

K.06 Practice safety measures to protect the operator and dental team from radiation

Describe techniques for monitoring individual radiation exposure

3/3

K.07 Explain proper storage and disposal of supplies

Discuss proper temperature, humidity, radiation protection, and inventory

control for film storage

Properly store chemical agents used in radiography procedures according to

the local regulatory agency, in compliance with the OSHA Hazard Communication Standard

Properly dispose of all chemical agents and other materials

Discuss proper storage and handling of imaging devices

3/3

K.08 Explain quality assurance guidelines

Implement quality assurance procedures, including daily monitoring of

solution temperatures, dates of solution changes, test film runs, etc.

3/3

DUTY L: Promote Professionalism

CODE TASK F/C

L.01 Demonstrate appropriate appearance

Attire

Hygiene

3/3


8

Dental health

Personal habits (i.e. smoking)

L.02 Pursue continuing education opportunities 1/3

L.03 Create a resume 1/3

L.04 Describe requirements for obtaining/maintaining professional designation

Certified Dental Assistant

Expanded function Dental Assistant

1/3

L.05 Identify advanced training and certification opportunities for dental assistants

Coronal polishing/fluoride application

Nitrous oxide

Radiation safety

Sealants

1/3

L.06 Demonstrate employability skills

Attendance/observance of work hours

Professional communication (grammar)

Teamwork

Problem solving

Critical thinking

3/3

OD38614: Dental Assistant Crosswalk

9

DENTAL ASSISTANT SKILLS STANDARDS Crosswalked To

Dental Assisting National Board

MAVCC: Surgical Techniques

(1) Nursing Skills (CIMC)

(2) Nursing Concepts (CIMC)

(3) Nursing Extensions (CIMC)

CODE

TASK

Correct and Record Clinical Data

Dental

Assisting

National

Board

CIMC Curriculum

Unit

A.01 Conduct preliminary interview and examination of patient GC (1) Module 15

Objectives 4, 6, 12

(2) Module 5

Objectives 3, 6, 20

A.02 Perform charting functions GC (1) Module 14

Objectives 2,3,4,6,7

(2) Module 7

Objectives 21,21,22

A.03 Use diagnostic aids GC

A.04 Assess Vital signs GC (1) Module 4

Objectives

4,5,8,9,10,11

CODE

TASK

Perform Chairside Dental Procedures

Dental

Assisting

National

Board

CIMC Curriculum

Unit

B.01 Prepare operatory GC (1) Module 2

Objective 6

(1) Module 3

Objective 7

(2) Module 9

Objectives 2.13,14,17

B.02 Select and prepare armamentarium GC (1) Module 3

Objective 7

B.03 Perform or assist with intra-oral procedures GC (1) Module 16

Objective 6


10

B.04 Use patient management techniques GC (1) Module 12

Objective 3

(1) Module 16

Objective 5

(2) Module 6

Objective 4

CODE

TASK

Prepare and Apply Chairside Dental Materials

Dental

Assisting

National

Board

CIMC Curriculum

Unit

C.01 Prepare for and assist with impressions GC

C.02 Prepare for and assist with restoratives GC

CODE

TASK

Perform Laboratory Procedures

Dental

Assisting

National

Board

CIMC Curriculum

Unit

D.01 Select and prepare materials GC

D.02 Properly store gypsum and acrylic products and dental waxes

GC

D.03 Fabricate and evaluated diagnostic casts, including

trimming ad finishing

GC

D.04 Fabricate bleaching trays and mouth guards GC

D.05 Clean and polish fixed and removable appliances and

prostheses

GC (1) Module 5

Objective 7

CODE

TASK

Provide Patient Education

Dental

Assisting

National

Board

CIMC Curriculum

Unit

E.01 Provide information on personal oral habits that may

compromise general health

GC (2) Module 5

Objectives

5,6,7,9,22,23,27,28,31,33

E.02 Provide pre/post treatment instruction GC

E.03 Explain plaque control techniques GC (1) Module 5

Objective 7

(2) Module 5

Objectives 7,19,20,21,23

E.04 Explain nutrition and its effect on dental health GC (2) Module 5

Objectives

7,8,9,16,20,22,23


11

CODE

TASK

Prevent and Manage Emergencies

Dental

Assisting

National

Board

CIMC Curriculum

Unit

F.01 Take actions to prevent medical emergencies GC (1) Module 1

Objectives 11,12,13,14

(2) Module 9

Objective 2

F.02 Recognize and assist with medical emergencies GC (1) Module 1

Objective 12

(1) Module 4

Objectives 20,21

(2) Module 2

Objectives 13,14

(2) Module 9

Objective 11

F.03 Describe the dental assistant’s responsibility during dental

emergencies

GC (1) Module 1

Objectives 12,13,14

(2) Module 2

Objectives 13,14

(2) Module 9

Objectives 11

F.04 Perform first aid and CPR GC (1) Module 1

Objectives 12, 14

CODE

TASK

Perform Office Operations

Dental

Assisting

National

Board

CIMC Curriculum

Unit

G.01 Maintain and control supplies GC

G.02 Maintain dental equipment/instruments GC

G.03 Communicate effectively and establish good working relationships with patients and with other members of the

dental care team

GC (2) Module 2

Objectives 1-12

G.04 Perform minor accounting functions GC


12

CODE

TASK

Understand the Legal Aspects of Dentistry

Dental

Assisting

National

Board

CIMC

Curriculum

Unit

H.01 Explain legal responsibilities and regulations GC (2) Module 7

Objectives

7,10,17,18,19

H.02 Maintain records in accordance with legal guidelines GC (2) Module 7

Objectives 18, 20,

21, 22

CODE

TASK

Promote Infection Control

Dental

Assisting

National

Board

CIMC

Curriculum

Unit

I.01 Maintain and document a quality assurance program for

infection control throughout the dental office

ICE

I.02 Discuss patient and dental health care worker education ICE (1) Module 2

Objectives 3,4

(2) Module 5

Objective 7

(2) Module 9

Objective 9

I.03 Follow Standard Precautions for the prevention of disease

transmission

ICE (1) Module 2

Objectives 1-12

(2) Module 9

Objectives

1,2,4,5,17,18

CODE

TASK

Promote Occupational Safety

Dental

Assisting

National

Board

CIMC

Curriculum

Unit

J.01 Follow the standards and guidelines of occupational safety

for dental office personnel

ICE (1) Module 1

Objectives 5,6,15

(2) Module 9

Objectives 7,8,12

J.02 Incorporate personal safety measures when using toxic

materials or irritants

ICE (1) Module 1

Objectives 14,15

(2) Module 9

Objective 11


13

J.03 Understand the importance of proper body mechanics ICE (1) Module 1

Objectives 2 and 3

(2) Module 9

Objective 14

J.04 Demonstrate proper body mechanics ICE (1) Module 1

Objective 4

92) Module 9

Objectives 11 and

13

CODE

TASK

Promote Radiation Health and Safety

Dental

Assisting

National

Board

CIMC

Curriculum

Unit

K.01 Expose radiographs RHS

K.02 Process radiographs RHS

K.03 Evaluate radiographs for errors and retake if necessary RHS

K.04 Mount radiographs RHS

K.05 Practice safety measures to protect the patient from

radiation

RHS

K.06 Practice safety measures to protect the operator from

radiation

RHS

K.07 Explain proper storage and disposal of supplies (1) Module 1

Objectives 5,6,7

92) Module 7

Objectives 4,5,7,8

K.08 Explain quality assurance guidelines (1) Module 1

Objectives 5 and 6

CODE

TASK

Promote Professionalism

Dental

Assisting

National

Board

CIMC

Curriculum

Unit

L.01 Demonstrate appropriate appearance (2) Module 6

Objectives 4 and 7

L.02 Pursue continuing education opportunities

L.03 Create a resume (3) Module 2

Objectives 1 and 2

L.04 Describe requirements for obtaining/maintaining

professional designation

(3) Module 2

Objective 11

L.05 Identify advanced training and certification opportunities for dental assistants


14

L.06 Demonstrate employability skills Employability Skills

for the 21st Century CD-ROM

(2) Module 2

Objectives 6 and 7

(2) Module 3

Objectives 1-20

(2) Module 6

Objectives 4,5,6,7

(3) Module 1

Objectives 1 and 2

(3) Module 2

Objectives 9 and 10

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