Course Title: Produce a prescribed dental radiographic image

Part B: Course Detail

Teaching Period: Term1 2018

Course Code: DENT5860C

Course Title: Produce a prescribed dental radiographic image

School: 174T School of VE Engineering, Health & Science

Campus: City Campus

Program: C4385 - Certificate IV in Dental Assisting

Course Contact: Ms. Sandra Torbica

Course Contact Phone: +61 3 9341 1408

Course Contact Email: sandra.torbica@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Nominal Hours: 130

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

Not applicable

Course Description

This unit of competency describes the skills and knowledge required to operate dental radiographic equipment and position the patient correctly to produce an intraoral and extraoral diagnostic radiographic image.

Where work relates to extra-oral radiography this includes orthopantomogram and may include lateral cephalograms (for orthodontic radiographic work-ups) and excludes cone beam radiography.

This unit applies to dental assisting work.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand Standards and industry codes of practice.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTDEN009 Produce a prescribed dental radiographic image

Element:

1. Position patient to obtain radiograph

Performance Criteria:

1.1 Implement and maintain radiation safety measures for the patient, operator and others throughout the procedure

1.2 Correctly position patient according to the radiographic detector unit used

1.3 Ensure that communication with patient can be maintained after positioning

Element:

2. Position dental radiographic detector

Performance Criteria:

2.1 Select the appropriate exposure variables for either an intraoral or extraoral image on the dental radiographic unit according to manufacturers’ instructions, procedure and patient requirements

2.2 Select the appropriate radiographic technique for either an intraoral or extraoral image prescribed by dental practitioner for the oral structure under investigation

2.3 Position correctly the appropriate film or film plate or sensor and setting for the prescribed request and patient’s requirements

2.4 Select and use locating devices or guides to apply the appropriate horizontal and vertical planes for the radiograph

2.5 Use accessories when appropriate according to manufacturers’ instructions

Element:

3. Operate radiographic imaging equipment safely to produce an extra oral radiograph

Performance Criteria:

3.1 Operate intraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation

3.2 Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions and expose the X-ray

3.4 Remove the exposed intraoral dental radiographic detector package carefully from the mouth

3.5 Separate the packaging and barrier sleeve when required from the detector and label image correctly prior to processing

Element:

4. Position dental radiographic detector

Performance Criteria:

4.1 Operate extraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation

4.2 Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions, and expose the X-ray

4.3 Undertake, for wet processing only, removal of the exposed extraoral image from the radiographic unit

4.4 Ensure digital radiograph is downloaded correctly

4.5 Label the radiograph with all necessary details for patient identification and time of procedure

 

Element:

5. Process and provide quality assurance for the exposed dental radiograph

Performance Criteria:

5.1 View or process the radiograph correctly

5.2 Assess visual qualities of the radiograph and refer to dental practitioner

5.3 Identify and correct processing errors or artefacts

5.4 Identify and critique errors in imaging technique to optimise exposure times for each individual patient

5.5 Mount and store radiographs correctly

Learning Outcomes


Refer to elements


Details of Learning Activities

This unit is co-delivered in conjunction with HLTDEN007 Apply the principles of radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental radiographic image. 

You must enrol in the two units delivered in this cluster and all learning and assessment activities will include the components of all competencies.

 

A combination of learning activities have been designed to help students to achieve learning outcomes of this unit:

  • Facilitator led classroom based lecture and or workshop using PowerPoint Presentations
  • Written classroom tasks
  • Demonstration and classroom discussion
  • Facilitator led practical clinical demonstration
  • Group discussions
  • Participation in group activities based on simulated workplace exercises
  • Clinical practice/completion of practical critique sheets
  • Online learning resources accessed via myRMIT Studies (CANVAS) including online tests or quizzes
  • Self managed research to support completion of assessments 


Teaching Schedule

This unit is co-delivered in conjunction with HLTDEN007 Apply the principles of radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental radiographic image. 

You must enrol in the two units delivered in this cluster and all learning and assessment activities will include the components of all competencies.

 

The classes will be delivered on level 3 or 2 of Building 154, RMIT (within the Royal Dental Hospital of Melbourne). Notification will be provided via student email if the date or location change.

The following schedule is as per the timetable issued to students via email prior to their commencement, as well as on Day 1 during student induction into the program. The timetable is also provided on CANVAS for student reference. (Please Note: timetable is subject to change at the discretion of RMIT. In this event notification will be provided to your student email).

The following schedule is as per the Certificate IV in Dental Assisting timetable:

 

Access to online Learning resources available via CANVAS for the following topics: 

Legal and Ethical Learning Resources and Online quiz/Assessment (to be introduced during Session 1)

Oral Pathology Learning Resources and Mandatory Learning Activity to be completed online (to be introduced on 30 April 2018)

 

 

Session 1 (Monday 26 March 2018)

  • Digital Radiation (Lecture/Workshop)

 

Session 2 (Monday 9 April 2018)

  • Safety and Radiation Hygiene (Lecture/Workshop)

 

Session 3 (Tuesday 10 April 2018)

  • Intraoral and Extraoral Dental Anatomy (Lecture/Workshop)

 

Session 4 (Monday 30 April 2018)

  • Film Placement Practical session/Student to Student

 

Session 5 (Tuesday 1 May 2018)

  • Occlusal radiographic technique Practical session

 

Session 6 (Tuesday 1 May 2018)

  • Dental Anatomy Open Book Exam

 

Session 7 (Monday to Thursday - week commencing Group A: 14 May 2018, Group B: 21 May 2018, Group C: 28 May 2018, Group D:  4 June 2018)

  • Inra-oral Radiographs Simulated Clinic (Bisecting, Paralleling and Bitewing Techniques)
  • Simulated Intra-oral practical Assessment

 

Session 8 (Monday 16 July 2018)

  • OPG Introduction am and pm (Lecture/Workshop)

 

Session 9 (Group A - Tuesday 17 July; Group B - Wednesday 18 July; Group C - Thursday 19 July; Group D - Friday 20 July)

  • Panoramic Simulated Practical Session including Practical Simulated Assessment 

 

Session 10 (Monday 13 August 2018)

  • Case Presentation 

 

Session 11 (Monday 13 August 2018)

  • Pitfalls Assessment (formative compulsory assessment)
  • Portfolio PART 1 submission 
  • Clinical Revision (Practical sesssion)

 

Session 12 (Monday 3 September 2018)

  • Portfolio PART 2 submission

 

Session 13 (Monday 8 October 2018)

  • Written Exam
  • Portfolio PART 3 submission
          


Learning Resources

Prescribed Texts


References


Other Resources

Students will be expected to utilise a range of recent and appropriate library, electronic, text and other resources. Students will be provided with resources and tools for learning in this course through myRMIT Studies CANVAS.

  • Evolve Website:
    https://evolve.elsevier.com/cs/store?role=student   This website has been set up by the publisher of the textbook, Modern Dental Assisting and offers free student learning resources and is and highly recommended.
  • Dental Radiography, Principles and Techniques, M Iannucci & LJ Howerton
  • RMIT Studies (CANVAS) for RMIT Online resources.
  • RMIT Library for textbooks and other resources.
  • RMIT Library (Dental Guides): http://rmit.libguides.com/dental  
  • Workplace Procedure Manuals and Workplace checklists.


Overview of Assessment

Before the critical aspects of evidence are considered all prerequisites must be met.

  • produced 30 acceptable dental radiographic images in a simulated environment including:

        applying safe work practices for dental radiography work including:

              following standard and additional precautions

              operating a radiographic unit correctly

              safely using radiation in dentistry

  • produced and critiqued 20 acceptable dental intra-oral radiographic images taken on a minimum of 10 different people demonstrating skills in peri apical (PA) and bitewings (BW)
  • produced and critiqued 10 acceptable dental extra oral radiographic images taken on a minimum of 10 different people.

 

 

Assessment

Assessment: Task 1

 Legal and Ethical online quiz

Assessment: Task 2

Dental Anatomy Open Book Exam

Assessment: Task 3

Intra-oral Sim Lab Portfolio x30 images

Assessment: Task 4

Sim Lab Practical Assessment

Assessment

Task 5

 OPG SIM Lab Assessment X2 OPG's

Assessment Task 6

 OPG Assignment

Assessment Task 7

 Case Presentation

Assessment Task 8

 Pitfalls Assessment

Assessment Task 9

 Intra-oral Patient Portfolio x30 images

Assessment Task 10 

OPG Patient Portfolio x10 images

Assessment Task 11

 Written Exam

Assessment Task 12

 Workplace Assessment

 

Assessment Mapping Matrix

 

Elements/Performance Criteria Covered

Ass1

Ass 2

Ass 3

Ass 4

Ass 5

Ass 6

Ass 7

Ass 8

Ass 9

Ass 10

Ass 11

Ass 12

1.1

 X

 

 

X

     X      X          X    X

1.2

 

 

 

 X

     X              X    X

1.3

 

 

 

 

                  X

2.1

 

 

X

 X

    X      X      X      X    X

2.2

 

 

 

 

         X      X      X    X

2.3

 

 

X

X

        X      X        X

2.4

 

 

X

X

         X      X      X    X

2.5

 

 

 

X

                X    X

3.1

X

 

 

 X

                  X

3.2

 

 

 

X

                  X

3.3

removed from training package

 

 

 

 

                

3.4

 

 

 

 X

                  X

3.5

 

 

 

 x

                  X

4.1

 

 

 

 

X

X

      

X

    

4.2

 

 

 

 

X

              

4.3

 

 

 

 

       X            

4.4

 

 

 

 

X

              

4.5

 

 

 

 

 

     X           X       

5.1

 

 

 

 X

                  X

5.2

 

X

X 

X

  X     X        X    X    X    X

5.3

 

 

X 

X

        X    X    X    X    X    X    X

5.4

 

 

X 

X

  X    X    X    X     X    X    X  

5.5

 

 

X 

X 

        X      X        X

 

To be deemed competent you must demonstrate an understanding of all aspects required of the competency. Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks.


Assessment Tasks

To demonstrate competency in this course, students will need to complete all the following pieces of assessment to a satisfactory standard. 

  

1. Legal and Ethical Online Quiz/Assessment (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

This assessment will cover national and State legal requirements and considerations for dental assisting work relevant to radiography including Duty of Care, safe use of radiation, consent, record management, WHS, rights and responsibilities, licences, work roles etc. Students will have 3 attempts available to complete this quiz successfully. 

The score/feedback will be automatically provided after each attempt on CANVAS. 

 

2. Dental Anatomy Exam  (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

this is an open book assessment scheduled on 1 May 2018. This assessment will assist students in understanding and interpreting geometric qualities of the radiographs. In order to achieve a Satisfactory result, student must score 60% of the overall mark.

Feedback to students will be provided via Grade Centre on Canvas and will also be discussed verbally if required. 

 

3. Intra-Oral Simulated Portfolio (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

Students are required to produce a Portfolio of 30 intraoral radiographs during their simulated practice at RMIT. Each radiograph submitted must have a Critique sheet attached as part of this assessment. The Intraoral part of the Portfolio must be submitted at the time of student Practical Intra Oral Simulated Assessment.

Student will be graded with either a S (Satisfactory) or NYS (Not Yet Satisfactory) according to assessment criteria outlined in assessment document. In order to achieve a Satisfactory result student must successfully complete all listed requirements of assessment criteria: present 30 intra oral radiographs as part of the portfolio and correctly critiqued all  processing and technical errors for all radiographs submitted.

Students will receive written and/or verbal feedback on this assessment.

 

 

4. Intra-oral Simulated practical assessment   (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

This assessment will be conducted on Thursday of the same week when students are attending their Inta oral clinical practice sessions (as per the group allocation). 

This is a simulated assessment in the Level 3 Sim Lab involving all 3 techniques- Bisecting, Paralleling and Bitewing technique. Only after successful completion of this assessment students will be permitted to take radiographs on real patients under direct supervision of their workplace mentors.

Assessment criteria and further information will be discussed with students during their attendance to lectures, as well as practical session. 

To undertake a practical clinical assessment (simulation), students MUST present for the assessment process as follows:

  • Appropriate clinical attire (no shorts, jeans or tracksuit pants, no bare midriff, no singlet tops).
  • Footwear fully covered in leather/vinyl (not suede) clinical footwear.
  • Hair is to be contained by tying back or in appropriate hair cover.
  • Fingernails must be short and clean and no nail varnish to be worn. No artificial fingernails are to be worn.
  • The wearing of henna is acceptable.
  • No jewellery to be worn on the hands or wrists. Wedding rings or jewellery that cannot be removed for cultural reasons must be taped with an appropriate waterproof tape .
  • All cuts/ skin abrasions on the hands or wrists must be covered with a waterproof dressing

A student that is non-compliant with any of the above requirements will not be permitted to undertake practical exercise or assessment at the scheduled time which will result in assessment being rescheduled. Workplace supervisor will be informed of this via email or phone call. 

Student will attempt the practical assessments under supervision of the assessor and they will be graded with either a S (Satisfactory) or NYS (Not Yet Satisfactory) according to the assessment guidelines and criteria outlined in assessment document. In order to achieve a Satisfactory result, student must successfully complete all listed requirements of assessment criteria 

Students will receive verbal feedback on this assessment.

 

5. Simulated Extra Oral practical assessment

This assessment will be conducted on the same day of student attendance to practical Extra Oral session (as per the group allocation). This is a simulated assessment in the Level 3 Sim Lab involving Extra oral (OPG) exposure. Students will be observed in patinet positioning and will also be required to produce  2 (OPG) Extraoral radiographs during their simulated practice at RMIT. Each Panoramic radiograph submitted must have a Critique sheet attached as part of this assessment. 

 

Only after successful completion of this assessment students will be permitted to take radiographs on real patients under direct supervision of their workplace mentors.

Assessment criteria and further information will be discussed with students during their attendance to lectures, as well as practical session. 

 

To undertake a practical clinical assessment (simulation), students MUST present for the assessment process as follows:

  • Appropriate clinical attire (no shorts, jeans or tracksuit pants, no bare midriff, no singlet tops).
  • Footwear fully covered in leather/vinyl (not suede) clinical footwear.
  • Hair is to be contained by tying back or in appropriate hair cover.
  • Fingernails must be short and clean and no nail varnish to be worn. No artificial fingernails are to be worn.
  • The wearing of henna is acceptable.
  • No jewellery to be worn on the hands or wrists. Wedding rings or jewellery that cannot be removed for cultural reasons must be taped with an appropriate waterproof tape .
  • All cuts/ skin abrasions on the hands or wrists must be covered with a waterproof dressing

A student that is non-compliant with any of the above requirements will not be permitted to undertake practical exercise or assessment at the scheduled time which will result in assessment being rescheduled. Workplace supervisor will be informed of this via email or phone call. 

Student will attempt the practical assessments under supervision of the assessor and they will be graded with either a S (Satisfactory) or NYS (Not Yet Satisfactory) according to the assessment guidelines and criteria outlined in assessment document. In order to achieve a Satisfactory result, student must successfully complete all listed requirements of assessment criteria 

Students will receive verbal feedback on this assessment.

 

 

6. Extra-oral Radiography Assignment 

This assessment task will assist students to gain better understanding of extra-oral radiography including operation of the equipment, patinet management, labeling and mounting and recognasing structures and errors. (Due Date - TBC).

In order to achieve a Satisfactory result, student must successfully complete all questions in this task.

Students will receive a written feedback.

 

 

7. Case Presentation  (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

This assessment is conducted on Monday 13 August 2018. Students will be presenting the Challenging patient they have experienced during their workplace training. Presentation will need to be approximately 5 mins long and will be presented in front of the group. Criteria for this assessment will be available on CANVAS and will also be discussed further duruing face to face sessions. 

Outcome/feedback will be provided  via Grade Centre on Canvas and will also be discussed verbally if required. 

 

8. Pitfalls Assessment  (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

This assessment will be focued on variety of processing and technical errors students might experience. It will provide a good testing tool and clarification in this area. It will also assist students to further their knowledge in errors. 

Feedback will be providedf via CANVAS  and in class. 

 

9. Intra-oral Patient Portfolio x30 images  (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

Students are required to produce a Portfolio of 30 diagnostic intraoral radiographs during their clinical practice at their workplace. Each radiograph submitted must have a Critique sheet attached as part of this assessment.

First part of the Portfolio containing 10 radiographs must be submitted on Monday 13 August 2018. 

Second part of the Portfolio containing 10 radiographs must be submitted on Monday 3 September 2018

Third part of the Portfolio containing 10 radiographs must be submitted on Monday 8 October 2018

 

Student will be graded with either a S (Satisfactory) or NYS (Not Yet Satisfactory) according to assessment criteria outlined in assessment document. In order to achieve a Satisfactory result, student must successfully complete all listed requirements of assessment criteria: present 30 diagnostic intra-oral radiographs in the portfolio and correctly critique all technique and/or processing errors.

Students will receive written feedback on this assessment.

 

10. Workplace Extra-Oral Radiographic Portfolio

Students are required to produce a Portfolio of 10 extraoral radiographs (OPG's) during their clinical practice at their workplace. Each extraoral radiograph submitted must have a Critique sheet attached as part of this assessment. The Extraoral Portfolio must be submitted by 5 November 2018.

Student will be graded with either a S (Satisfactory) or NYS (Not Yet Satisfactory) according to assessment criteria outlined in assessment document. In order to achieve a Satisfactory result, student must successfully complete all listed requirements of assessment criteria: present 10 extra-oral radiographs in the portfolio and correctly critique all technique and/or processing errors.

Students will receive written feedback on this assessment.

 

 

11. Written Exam  (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

This is conducted on 8 October 2018. The written test will be conducted under supervision at RMIT under exam conditions. 

In order to achieve a Satisfactory result, student must score 60% of the overall mark.

Feedback to students will be provided via Grade Centre on Blackboard. 

 

12. Workplace Assessment  (This assessment is co-assessed in a cluster HLTDEN009 Produce a prescribed radiographic image in conjunction  with HLTDEN007 Apply the principles in radiation biology and protection in dental practice and HLTDEN008 Prepare to expose a prescribed dental  radiographic image)

This is conducted after student last day of attendance and prior to their enrolment end date. Detailed information on assessment criteria will be explained to students during their class attendance. Allocated assessor will contact the student for discussion and scheduling of the suitable time for this assessment. Student knowledge and skills will be observed in the workplace according to assessment criteria provided in assessment document.

Students will attempt the workplace assessments under supervision of the assessor and they will be graded with either a S (Satisfactory) or NYS (Not Yet Satisfactory) according to the assessment guidelines and criteria outlined in assessment task.

In order to achieve a Satisfactory result, student must successfully complete all listed requirements of assessment criteria. 

Students will receive a verbal feedback on this assessment.


Assessment Matrix

AS PER OVERVIEW OF ASSESSMENT

Other Information

Please refer to the RMIT Student Page for extensive information about study support, assessments, extensions, appeals and a range of other matters: 

http://www1.rmit.edu.au/students

 

RMIT provides all students with an extension range of online and campus based study support services ranging from:

 

Plagiarism

RMIT University requires that you present only YOUR work for assessment.

Plagiarism is a form of cheating. It is the presentation of the work or idea of another person. Plagiarism is NOT acceptable. Penalties can include charges of academic misconduct, cancellation of results and exclusion from your course. Please note: It is also a disciplinary offence to allow your work to be plagiarised by another student. When signing the coversheet (electronic or paper based), you are declaring that the work is not plagiarised.

 

Special Consideration

Please note: Students may apply for Special Consideration as per the information via the RMIT website http://www1.rmit.edu.au/students/specialconsideration  if they believe that to complete assessment for this unit by the submission date has been affected by factors beyond their control. Special consideration must be lodged prior to or within 48 hours of the scheduled assessment time or assessment submission date. The application for Special Consideration is NOT granted automatically on application.

 

RMIT Assessment Appeal Process

Students may appeal against their assessment result as per the information via the RMIT website. The Appeals Against Assessment policy and procedure applies to all coursework programs in all careers. The appeal process is staged and students are required to follow each stage in order to ensure their full entitlement to appeal, this is available on http://www.rmit.edu.au/browse;ID=nwjxaifdrgle (unresolved) 

 

Attendance   It is strongly advised that you attend all sessions in order to engage in the required learning activities, ensure the maximum opportunity to gain competency.      Recognition of Prior Learning and Credit Transfer   If you think you have some or all of the knowledge and competencies described, please discuss the Recognition of Prior Learning and Credit Transfer options that may be available to you with the Program Coordinator. For more information go to:   http://www1.rmit.edu.au/enrolments/credit

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