Course Title: Examine, record and assess patient histories and dental records to formulate a dental hygiene

Part B: Course Detail

Teaching Period: Term2 2014

Course Code: DENT5802

Course Title: Examine, record and assess patient histories and dental records to formulate a dental hygiene

School: 155T Life & Physical Sciences

Campus: City Campus

Program: C6119 - Advanced Diploma of Oral Health (Dental Hygiene)

Course Contact : Paulette Smith

Course Contact Phone: +61 3 93411403

Course Contact Email:paulette.smith@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Nominal Hours: 80

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

HLTIN301A - Comply with infection control policies and procedures in health work
TAFEDH012 - Apply reflective practise and critical thinking and analysis in dental health
 

Course Description

This unit deals with the development of the required knowledge, skills and behaviours required to collect, record, analyse and interpret patient social, medical and dental histories and examinations.
The data is used to design an individualised dental hygiene treatment plan where evidence based treatment options are selected, to include the management of nonsurgical periodontal therapy and preventive interventions, constructed in consultation with dental and health professionals, to remain within the context of oral health care and dental hygiene practise.
 


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

TAFEDH005 Examine, record and assess patient histories and dental records to formulate a dental hygiene

Element:

1. Determine patient health and dental needs

Performance Criteria:

1.1 Create a non-threatening and professional environment through the use of inclusive verbal dialogue and appropriate body language gestures
1.2 Communicate with patient to promote informative dialogue that is tailored to the patient‟s level of comprehension
1.3 Ascertain chief complaint, medical, dental and social history information
1.4 Accuracy of information is established through peer and clinic patient verification
1.5 Organise the use of an interpreting service if a need is established

Element:

2. Record information relating to patient’s social, medical and dental histories

Performance Criteria:

2.1 Utilise both written and electronic forms of recording client data
2.2 Record relevant data to accurately reflect patient‟s past and current social, dental and medical status
2.3 Complete patient nutritional assessment to provide analysis against Australian Dietary guidelines
2.4 Data is recorded according to a standard code of professional practice using correct terminology
2.5 Patient and/or/carers/guardians are guided to complete data forms as required
2.6 Patient and/or/carers/guardians verification is obtained to confirm accuracy of data, where appropriate

Element:

3. Interpret and assess patient histories within current standards of dental hygiene practice and oral health care

Performance Criteria:

3.1 Patient‟s social, dental and medical histories are assessed in accordance with relevant guidelines and legislative requirements
3.2 Relevant issues requiring individualised oral health care are identified, interpreted and prioritised
3.3 Risk factors affecting the presence of disease and outcome of treatment are identified and interpreted
3.3 Areas that need to be bought to the attention of the dentist and/or other health professionals are brought to the attention of the clinical supervisor to avoid medical or dental emergencies
3.4 Assessment procedures are conducted within legislative requirements and are within the current standards of dental hygiene practice and care as set by the relevant guidelines

Element:

4. Accurately record extra oral and intra oral clinical findings

Performance Criteria:

4.1 Utilise both written and electronic forms of recording client data
4.2 Relevant data is recorded to accurately reflect patient‟s extra oral and intra oral health status
4.3 Data is recorded according to a standard code of professional practice using correct terminology    4.4 Data on initial examination is collected in a format that will serve as baseline data to assist with the monitoring of future treatment and maintenance outcomes

Element:

5. Conduct an intra-oral and extra oral examination of patient of a simple complexity

Performance Criteria:

5.1 Patient is kept informed on the procedure and the rationale of the process of conducting an examination. Consent to undertake the examination procedure is confirmed with the patient
5.2 Facial and oral tissues are examined and recorded accurately
5.3 All documented information is considered as baseline data for future treatment outcomes and for long term monitoring of oral health
5.4 Examination procedures are carried out according to occupational health, safety and welfare guidelines and current Infection control policy and procedures

Element:

6. Accurately interpret and assess clinical findings in accordance with current standards of dental hygiene practice and oral health care

Performance Criteria:

6.1 Clinical findings are interpreted and assessed in accordance with the current standards of dental hygiene practice and care as set by the relevant guidelines and legislative requirements
6.2 A thorough periodontal, hard and soft oral tissue health assessment is completed
6.3 Localised risk factors contributing to oral disease are identified and assessed
6.4 Oral health issues requiring individualised hygiene treatment and care are identified and interpreted
6.5 A risk assessment for dental disease is completed based on clinical evidence and current standards of practice
6.6 Areas that need to be bought to the attention of the dentist and/or other health professionals are clearly recognised and carried through

Element:

7. Formulate a dental hygiene treatment plan

Performance Criteria:

7.1 Dental hygiene treatment requirements are determined and selected based on interpretation and evaluation of clinical findings and radiographic evidence
7.2 Hygiene treatment needs are prioritised to provide positive treatment options that are patient focussed and aimed at controlling and preventing the presence of disease
7.3 The dental hygiene treatment plan is formulated as an integral part of the patient‟s overall dental treatment plan, taking into account all systemic and local risk factors as well as any social determinants influencing their oral health status to provide optimum oral health care
7.4 A customised self care program is designed as an integral part of dental hygiene care and strategies are devised that will provide ongoing assessment and review, including referral if appropriate
7.5 When a need is indicated, on the dentist‟s approval and with patient consent, allied health care providers are consulted to establish the appropriateness and the safety of any recommended treatment options
7.6 The dental hygiene treatment plan is formulated in accordance with legislative requirements
7.7 The dental hygiene treatment plan is discussed with the dentist and approval is confirmed and patient consent is obtained

Element:

8. Maintain patient confidentiality

Performance Criteria:

8.1 Confidentiality and the privacy of the patient is preserved at all times
8.2 Information is obtained from relevant sources as required based on patient consent
8.3 Significant and relevant information is imparted to other general and oral health team members as required to preserve the patient‟s interests and safety


Learning Outcomes


On completion of this unit you will have developed the the required knowledge, skills and behaviours required to collect, record, analyse and interpret patient social, medical and dental histories and examinations and to design a dental hygiene plan.


Details of Learning Activities

Includes a combination of some or all of the following; class attendance and participation, individual or group project work, e-learning, self-directed learning, Blackboard pre-reading, clinical practice.
Online activities are strongly encouraged to prepare for, support and extend learning.


Teaching Schedule

A final schedule will be issued by the teacher at the commencement of the course (unit).
Timetable will indicate face-to-face and on-line activities and how these address learning elements.
 


Learning Resources

Prescribed Texts


References


Other Resources


Overview of Assessment

Clinical assessment 
Written Examination 

VIVA VOCE
 


Assessment Tasks


 Assessment for this course forms part of the Advanced Diploma of Oral Health (Dental Hygiene).
Training is mapped to the Australian Dental Council June 2011 “Professional attributes and competencies of the newly qualified dental hygienist” and the Dental Board of Australia “Scope of Practice”.
Students must abide by the 2012 “ADA Guidelines for Infection Control Second Edition”, 2010 NHMRC “Australian Guidelines for the Prevention and Control of Infection in Healthcare” and Worksafe Victoria “Occupational Health and Safety Regulations 2007”.
Primary assessment involves on-going practical and applied assessment in a clinical workplace or simulated environment such as a supervised student clinic.
Assessment is typically based around written and/or online tests, assignments, reflective journals, evidence portfolio’s, logbooks and/or practical demonstrations.
Competency based training requires the student to be in attendance in order for assessment to be undertaken. Please refer to definition of Vocational Competency.
Assessment is undertaken through successful completion of all assessment activities and classroom, project & industry participation. Assessment will also be undertaken replicating workplace conditions (as far as possible), and where relevant undertaken in the clinical setting. Assessments are spaced across the duration of the course, in order for your teacher to provide you with progressive feedback.
Feedback will be provided throughout the semester in class and/or online discussions, through individual and group feedback on practical exercises and by individual consultation.
If you have a long term medical condition and/or disability it may be possible to negotiate to vary aspects of the learning or assessment methods. You can contact the program coordinator or the Disability Liaison Unit if you would like to find out more.
The RMIT assessment policy outlines your responsibilities as a RMIT student as well as those of your teachers (http://www.rmit.edu.au/browse%3BID%3Dm7g4l18jk1bpz (unresolved)).


Assessment Matrix

All summative assessments listed are compulsory for a successful outcome.

Course Overview: Access Course Overview