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

Part B: Course Detail

Teaching Period: Term1 2015

Course Code: DENT5802

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

School: 155T Vocational Health and Sciences

Campus: City Campus

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

Course Contact : Eleanor Schroeder

Course Contact Phone: +61 3 9341 1412

Course Contact Email:eleanor.schroeder@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Teacher: Sonia Moore

Sonia.moore@rmit.edu.au

Tel: 9341 1419

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:

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 andwith patient consent, allied health care providers are consulted to establish the appropriateness and thesafety 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:

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:

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:

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

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:

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:

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


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

Activities for this couse include lectures, tutorials, online activities, industry presentations, SIM lab activities, practical clinical experience


Teaching Schedule

DateTopicAssessment
9th AprilIntroduction into clinical practiceInfection control, disease transmission, hand hygiene, PPE, zones
 
 
10th AprilONLINE : Tooth morphology 
15th AprilTooth morphology 
16th AprilColgate Seminar: Mechanical plaque removal and toothpaste 
17th AprilColgate Seminar: Mouthrinses, hypersensitivity and erosion 
20th AprilRadiography refresher workshop 
21st AprilSIM LAB: Induction, infection control, OH&S Instrument grasp, intro to perio probing Task 1: DPL Histories
24th AprilSIM LAB: Periodontal probing and finger rests
ONLINE: Minimum intervention dentistry (MID)
 
 
 28th AprilSIM LAB: Clinician and patient positioning, ergonomics, probing
TECH LAB: Tooth morphology practical activities
 
 
 30th April CLINIC: Induction History taking Clinical Examination – intra and extra oral Record keeping
Self-assessment and reflection tutorial
 
 1st May Colgate Seminar: Fluoride, periodontal disease & caries risk assessment 
 5th May History taking, Informed consent, Indices, Prosthetic appliances 
 8th May ONLINE: Caries, nutrition 

 11th May

 Use of radiographs in the clinical exam & interpretation for tx planning
Nutrition & dietary analysis
 
 13th May Minimum Intervention Dentistry, Caries 
 18th May ONLINE: Case studies Smoking cessation 
19th MayCase studies – history taking and tx planning TASK 2: QUIT training
20th May3M Seminar: CAMBRA
J&J Seminar: Smoking cessation, MI, Pre-procedural rinsing
 
 
22nd MayONLINE: Examination, terminology 
26th MayRisk assessment 
3rd JuneRevision tutorial 
18th June Task 3:Written exam
9th JulyRDHM CLINIC: ALL DAY Patient commencement Huddle 8.30 Student rotation 2 sessions Group A morning: 12 students per session for 8 chairs Group B afternoon: 12 students per session for 8 chairs 
16th JulyRDHM CLINIC: ALL DAY As above but Group A afternoon & Group B morning 
23rd JulyRDHM CLINIC: ALL DAY As above but Group A morning & Group B afternoon 
30th JulyRDHM CLINIC: ALL DAY As above but Group A afternoon & Group B morning 
5th AugustCommunication skills 2 Active listening Motivational interviewing techniques 
6th AugustRDHM CLINIC: ALL DAY As above but Group A morning & Group B afternoon
Denture maintenance lecture
 
 
12th AugustCommunication skills 3 Team work Conflict management 
13th AugustRDHM CLINIC: ALL DAY As above but Group A afternoon & Group B morning 
27th AugustX1 patient per student via allocated appt time. 1.5 hours per student. 8 students per sessionTask 4:Practical assessment in clinic
28th August Task 5: Written Exam


Learning Resources

Prescribed Texts

A complete book list will be provided during Orientation and available on Blackboard


References


Other Resources

A range of materials will be provided online via Blackboard


Overview of Assessment

Assessment for this course will include written and practical clinical assessments

 


Assessment Tasks

Task 1 DPL Histories (Formative)

Task 2 Quit training (Formative)

Task 3 Written exam

Task 4 Practical assessment in Clinic

Task 5: Written exam


Assessment Matrix

Available on Blackboard

Other Information

Late work that is submitted without an application for an extension (see below) will not be corrected.

• APPLICATION FOR EXTENSION OF TIME FOR SUBMISSION OF ASSESSABLE WORK - A student may apply for an extension of up to 7 days from the original due date. They must lodge the application form (available www1.rmit.edu.au/students/assessment/extension) at least 24 hours before the due date. The application is lodged with the School Admin Office on Level 3 of Dental Hospital. Students requiring longer extensions must apply for SPECIAL CONSIDERATION.

• For missed assessments such as exams- you (& your doctor if you are sick) must fill out a special consideration form. This form must be lodged online with supporting evidence prior to, or within, 48 hours of the scheduled time of examination www1.rmit.edu.au/students/specialconsideration

Note: The Pass mark for the exams is 60%.

Assignments will be marked as Satisfactory/Not satisfactory.
Students may be given the opportunity to resubmit the assignment if this is requested by the teacher and approved by the co-ordinator.

Practical assessment: student must be deemed competent for all criteria. Students will be provided witha second opportunity to demonstrate competency in the clinic if necessary.


Students are required to pass  exams and clinicals to achieve Competency overall for this course.

Course Overview: Access Course Overview