Course Title: Apply fluoride varnish

Part B: Course Detail

Teaching Period: VE 2022

Class Number: 2664

Class Section: FV1

For flexible terms and optional semesters, a Part B course guide may have been published for the entire teaching period, or for the specific class number in which you are enrolled. If there is no Part B course guide published for your specific class number, please refer to the guide for the teaching period in which you are enrolled. Enrolment Online is the definitive source for details regarding your class enrolment.

Course Code: DENT5878C

Course Title: Apply fluoride varnish

School: 535T Social Care and Health

Campus: City Campus

Program: S0151 - Apply Fluoride Varnish

Course Contact: Sue Fatone

Course Contact Phone: +61 3 9925 1406

Course Contact Email: sue.fatone@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Nominal Hours: 25

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

Nil

Course Description

This unit describes the skills and knowledge required by practitioners working specifically in rural, remote and isolated areas and/or facilities that have knowledge and experience in oral health care, to apply fluoride varnish in line with prescribed treatment as outlined in an individualised oral health care plan and in accordance with relevant jurisdictional, legislative and regulatory requirements.

 

The unit applies to registered Aboriginal and/or Torres Strait Islander health practitioners, registered nurses and registered enrolled nurses in primary health care settings in rural, remote and isolated areas where the work roles may require the application of fluoride varnish.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTOHC006 Apply fluoride varnish

Element:

1. Prepare for the application of fluoride varnish

Performance Criteria:

1.1 Check scope of own work role to ensure it includes application of fluoride varnish as advised by an authorised oral health practitioner in an individualised oral health care plan

1.2 Confirm the patient’s oral health care plan, developed by an oral health practitioner, specifically includes the application of fluoride varnish and that there are no contraindications to this procedure

1.3 Confirm consent

1.4 Explain fluoride varnish application procedure to patient and/or family/carer and check their understanding of the benefits of fluoride varnish, need for regular applications, and the risks associated with fluoride varnish

1.5 Explain the advantages and disadvantages of fluoride varnish over other procedures

1.6 Prepare fluoride varnish kit and personal protective equipment (PPE) as required

Element:

2. Apply fluoride varnish to teeth

Performance Criteria:

2.1 Position the patient for safety and comfort

2.2 Use PPE in accordance with infection control policies and procedures throughout procedure

2.3 Prepare teeth for fluoride varnish application in accordance with product instructions and application protocols

2.4 Dispense appropriate amount of fluoride varnish

2.5 Apply fluoride varnish in correct manner with applicator to teeth as recommended in the oral health care plan

Element:

3. Provide information to patient and/or family/carer about post-application advice and follow up requirements

Performance Criteria:

3.1 Advise patient and/or family/carer of the importance of following instructions and recommended guidelines for eating, drinking fluids and brushing/cleaning teeth following fluoride varnish application

3.2 Inform patient and/or family/carer of any expected short term changes in tooth appearance or sensation, including colour, feel or taste

3.3 Provide post-application information to patient and/or family/carer in both verbal and written or picture formats as appropriate to their individual needs or preferences

3.4 Ensure patient and/or family/carer understand oral health practitioner’s recommended schedule for ongoing application in line with their individualised oral health care plan

Element:

4. Record and document information about the application

Performance Criteria:

4.1 Record and document details of the application undertaken, information provided and any concerns arising during contact with patient and/or family/carer

4.2 Use relevant technology to complete documentation according to organisation's policies and procedures


Learning Outcomes


Refer to elements


Details of Learning Activities

Students will be involved in the following learning activities to meet requirements for this competency:

Face to Face classes
Written classroom tasks
Demonstration and classroom discussion
Facilitator led practical clinical demonstration
Group discussion 

Manikin laboratory practical activities
Participation in group activities based on simulated workplace exercises

Student to student practical activities using placebo products
Clinical practice, peer evaluation/feedback session/completion of practical worksheets

Online learning via CANVAS
Self-managed research 
Students will be observed and assessed through their planned activities throughout the duration of the course

Workplace experiences with patients under the direct supervision of a registered dental practitioner

Skills must be demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace or may occur only rarely.

The following aspect of the performance evidence must have been demonstrated using simulation prior to demonstration in the workplace or with members of the general public.

  • apply fluoride varnish safely and effectively.

Note: Where State or Territory legislation prevents practice in the workplace, simulated assessment environments may be used in place of workplace assessment.

Assessment must ensure:

  • access to suitable equipment and resources, including:
  • appropriate personal protective equipment (PPE)
  • oral hygiene self-care aids and technique
  • placebo fluoride varnish
  • specialised equipment utilised in the application of fluoride varnish
  • access to current Dental Board of Australia (DBA) and Australian Health Practitioner Regulation Agency (AHPRA) guidelines and practice standards
  • access to current Dental Board of Australia (DBA) infection control and record keeping guidelines
  • access to National and State or Territory infection control guidelines and procedures
  • modelling of industry operating conditions including access to people for simulations and scenarios in oral health care work


Teaching Schedule

Date/Time

 

Teacher

Session

SESSION TOPICS

Day 1

Session 1

1 hour

Commences at 8.30


 

RMIT Program Coordinator


Dr Martin Hall (DHSV)


Eleanor Schroeder (ES)

Lecture room

2.411

Welcome to program.


DHSV

Rationale for the FV training

Context of FV application within DA work role

Guidelines for registration and retaining currency


Program outline and expectations

Student email

Navigating CANVAS (Learning management system)

Support services

Overview of Assessment requirements


Day 1

Session 2

1 hour


ES and Angie Ioannidis

(AI)


Lecture room

2.411

What is fluoride varnish

Jurisdictional legislation and regulations relating to Fluoride in Australia

  • Schedule
  • Supply
  • Authorization
  • Disposal

Indications for use

Risks associated with fluoride varnish

Role of the dental assistant fluoride varnish application

Fluoride varnish products comparison

DHSV guidelines: The use and application of topical fluoride


Day 1

Session 3

1 hour

ES/AI

Lecture room

2.411

Application of fluoride varnish

  • Full mouth
  • Spot application

Informed consent, confidentiality and privacy principles

Infection control and WH&S

Preparation for application including dispensing dose

Role of the others in supporting the patient

Application procedure

Emergency procedures required during application

Post procedure instructions


Day 1

Session 4

1.15pm

3.5 hours

 

ES/AI

2nd floor SIM lab


Student rotation


2 groups

Lab induction & Practical activities

Demonstration on models and mannikin

Patient and DA positioning; mouth mirror use

Application of fluoride varnish on mannikin using a checklist

Product comparison


written questioning issued, to commence including case studies during rotation


Date/Time

 

Teacher

Session

SESSION TOPICS

Day 2

Session 1

4 hour

 

Commences at 8.30am


 

ES/ AI

 

Lecture room

2.411



2nd floor SIM lab


Student rotation

X2 groups


Review of yesterday’s practical class


Student rotation : Task 1 of 3 Part 1Practical assessment on applying fluoride varnish on whole mouth mannikin as per prescribed product.


8.30

student group 1 commence in the lab with AI

student group 2 will be with ES discussing workplace assessment


9.30

student group 2 commence in the lab with AI

student group 1 will be with ES discussing workplace assessment


10.30

student group 1 commences prac assessment with AI Cathryn from Colgate to deliver module to student group 2


11.30

student group 2 commences prac assessment with A Cathryn to deliver module to student group 1



10.30-12.30pm

Guest from

Colgate



Cathryn Carboon (CC)


This class is concurrent with session 1 student rotations through the sim lab



ONLINE

Presentation 1 (20 minutes)

The History and Usage of Duraphat Fluoride Varnish:

•           Ingredients

•           Indications for use

•           Contraindications of use

•           Dosage

•           TGA Approval and DAEN (Database of Adverse Event Notifications)

•           Evidence base for the efficacy of fluoride varnish – systematic reviews

•           National and International fluoride varnish guidelines –comparative views


Presentation 2 (20 minutes)

The Carevan Foundation Sun Smiles Fluoride Varnish Program:

•           Overview of an Internationally awarded fluoride varnish program in Australia

•           Implementation strategies in pre-school and primary school settings

•           Resources to support oral health promotion at schools


Presentation 3 (20 minutes)

An update of Colgate fluoride products to support oral health (Colgate Professional Education Module):

•           Fluoride Mode of Action

•           Fluoride Toothpastes

•           Fluoride Mouthrinses

•           Fluoride Varnish

Day 2

Session 2

1.30pm

3 hours

 

ES

AI

 

Student to student

2nd floor RDHM Clinic

Clinic induction 1.30pm

Demonstration of application of fluoride varnish on a patient

 

2pm start " patients "


“patients “ are simulated student -to -student role play

 

Task 1 of 3 Part 2: Practical Assessment:

 

Student to student role play

Using case studies, conducting an Oral health check prior to FV application

Application of FV using placebo products using checklist

Written questions to complete

Post procedure instructions


Submit fully completed task sheet into canvas


Day 2

Session 3

0.5 hour

4.30pm

 

AI

ES

Lecture room

2.411

Summary and feedback from today’s activities


Assessment task requirements discussed in detail and how to submit documentation


-Knowledge assignment to research and complete in own time

-Practical assessment undertaken at the workplace and live streamed


Products will be issued with OHE resources.




Learning Resources

Prescribed Texts


References


Other Resources


RMIT's Writing, Editing and Publishing library guide http://rmit.libguides.com/wcprp 


The University Library has extensive resources and provides subject specialist expertise, research advice, help with referencing and support through: 

 

The Learning Lab 
https://www.rmit.edu.au/students/study-support/learning-lab 

 

The Study Support Hub  
https://www.rmit.edu.au/students/study-support/study-support-hub 

 English for uni workshops 
https://www.rmit.edu.au/students/study-support/workshops/english-uni-workshops 


Overview of Assessment

To be deemed competent you must demonstrate an understanding of all aspects required of the competency.   

Regular attendance is necessary. 

Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks and consist of theory and practical based tasks


Assessment Tasks

Students enrolled in Vocational Education and Training qualifications are assessed for Competency.


To be assessed as Competent means you have consistently demonstrated the required knowledge and skills at a standard expected in the workplace. 


To be assessed as Competent in this course, you will need to complete each assessment task to a satisfactory standard. You will receive feedback from the teacher at the conclusion of each assessment task.

 

You should refer to the assessment brief which is available through Canvas for full assessment criteria and due date


Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks and consist of theory and practical based tasks

To be assessed as Competent in this course, you will need to complete each assessment task to a satisfactory standard. You will receive feedback from the teacher at the conclusion of each assessment task.

Assessment 1:Knowledge Assessment This is an individual self managed written assessment task responding to questions and case studies.

Assessment 2: Practical Assessment 1 Laboratory and student to student practical activities conducted at RMIT and Royal Dental Hospital Melbourne facilities   

This assessment is conducted in 2 parts:

  • Applying fluoride varnish to a manikin using three different prescriptions.
  • Three practical application of fluoride varnish on student ‘clients” in a clinical context covering prescribed spot and whole mouth applications using a placebo fluoride varnish product.

Assessment 3 : Practical Assessment 2  In this assessment, your knowledge and skills will be applied and assessed in a workplace context. You will be undertaking five fluoride varnish (FV) applications at the workplace under the direct prescription and supervision of a qualified dental practitioner . 2 of these 5 FV applications will be visually observed by a qualified RMIT assessor  

Results that apply to courses that are delivered and assessed in accordance with competency-based assessment are:

CA: Competency Achieved

NYC: Not Yet Competent

DNS: Did not Submit for Assessment




Assessment Matrix

The assessment tasks listed in this course guide address all the elements and criteria of the requirements of this course

Assessment is ongoing throughout the course and detailed task documentation can be found on Canvas.

Skills must be demonstrated in the workplace with the addition of simulations and scenarios 

Other Information

Please note that this course may have compulsory in-person attendance requirements for some teaching activities.  

To participate in any RMIT course in-person activities or assessment, you will need to comply with RMIT vaccination requirements which are applicable during the duration of the course. This RMIT requirement includes being vaccinated against COVID-19 or holding a valid medical exemption.  

Please read this RMIT Enrolment Procedure as it has important information regarding COVID vaccination and your study at RMIT: https://policies.rmit.edu.au/document/view.php?id=209.  

Please read the Student website for additional requirements of in-person attendance: https://www.rmit.edu.au/covid/coming-to-campus  

  

Important Resources:

Australian Dental Association Infection Control Guidelines (2021)  located in canvas

Do, LG. “Guidelines for Use of Fluorides in Australia: Update 2019.” Australian dental journal 65.1 (2020): 30–38. Web.

Therapeutic Guidelines Ltd; (2019) Therapeutic Guidelines: Oral and Dental; Version 3; Therapeutic Guidelines, Australia

You are advised to look on Canvas for ongoing updated information including videos, patient oral health information pamphlets.

Product safety data sheets for various fluoride varnish products 

Additional materials will be provided in class and lists of relevant reference books, resources in the library and accessible Internet sites will be provided where possible.

During the course, you will be directed to websites to enhance your knowledge and understanding of difficult concepts.

The University Library has extensive resources and provides subject specialist expertise, research advice, help with referencing and support through:

https://www.rmit.edu.au/library

Course Overview: Access Course Overview