Download Dental Hygiene Program Manual - Iowa Western Community College

Dental Hygiene
Program Manual
Affiliated with Creighton University School of Dentistry
This program manual is intended to serve as a reference for the Iowa Western Community College Dental Hygiene
Program student and faculty member. The policies and procedures identified in this clinic manual facilitate efficient clinic
operation, quality client care and optimal educational opportunity.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Table of Contents
Program Mission and Goals.................................................................................................... 3
Dental Hygiene Oath ................................................................................................................ 4
Program Philosophy ................................................................................................................ 5
Professionalism ....................................................................................................................... 6
Immunization Policy ................................................................................................................ 7
Malpractice Insurance ............................................................................................................. 7
Policy on CPR .......................................................................................................................... 8
Dismissal from the program ................................................................................................. 10
Re-entry Policy ....................................................................................................................... 11
Competency Based Clinical Education ................................................................................ 12
Patient Assignment Policy .................................................................................................... 14
Remediation Policy ................................................................................................................ 15
Infection and Hazard Control ................................................................................................ 16
Universal Precautions ........................................................................................................... 17
Emergency Action Plan and Accident Reports ................................................................... 18
Hazard Communication Program ......................................................................................... 20
Standard Abbreviations......................................................................................................... 25
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 2
Iowa Western Community College
Affiliated with
Creighton University School of Dentistry
Department of Dental Hygiene
MISSION
The mission of Iowa Western Community College Department of Dental Hygiene affiliated with Creighton
University School of Dentistry is to educate Associates of Applied Science Degree dental hygienists in the
broadcast scope of clinical practices. Graduates are competent to provide comprehensive educational and
clinical services, reflecting dental hygienists’ areas of expertise. Graduates are prepared to serve the
community in both private and public health settings, which support optimal oral health. All aspects of the
program are continually assessed to provide on-going excellence and to guide improvement. In keeping with
the mission of caring, commitment and challenge, the dental hygiene program provides a positive learnerfocused environment.
GOALS
1. Upon completion of the dental hygiene program, the student will be able to utilize evidence based
decision making principles.
2. Upon completion of the dental hygiene program, the student will be able to utilize the dental hygiene
process of care to meet the needs of diverse populations.
3. Upon completion of the dental hygiene program, the student will be able to operate within an ethical
framework within the dental hygiene scope of practice.
4. Upon completion of the dental hygiene program, the student will be able to positively motivate and
effectively communicate with all populations to promote high standards of oral health.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 3
INTRODUCTION
This handbook is intended to serve as a guide for students in the Iowa Western Community College Dental
Hygiene Program. The program faculty, the local dental hygiene advisory committee, and other college
personnel have developed the program philosophy, goals, policies and other information.
All students accepted into the IWCC Dental Hygiene Program are expected to familiarize themselves with the
information contained in this handbook. This handbook is designed to supplement the IWCC college catalog by
addressing policies, which are specific to the IWCC Dental Hygiene Program. Refer to these publications as
needed to help clarify college and program policies and procedures. Please keep this handbook available for
reference throughout the program.
The dental hygiene faculty, in cooperation with administration personnel, reserves the right to revise policy
guidelines as needed to improve the program. Students will be notified of any change that would affect them.
Dental Hygiene Oath
In my practice as a dental hygienist,
I affirm my personal and professional commitment
to improve the oral health of the public
to advance the art and science of dental hygiene
and to promote high standards of quality care.
I pledge continually to improve my professional
knowledge and skills,
to render a full measure of service to each patient
entrusted to my care, and
to uphold the highest standards of professional
competence and personal conduct in the interest
of the dental profession and the public it
serves.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 4
CLINICAL PRACTICES PHILOSOPHY
IOWA WESTERN SCHOOL OF DENTAL HYGIENE
As a faculty, we believe:
•
In the facilitation of learning in a positive and supportive environment.
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That role modeling is an effective way to influence students’ attitudes.
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In self-directed learning so that students will assume responsibility, value health, accept responsibility,
accept diversity in people and act as a facilitator in assisting people to make optimal decisions.
•
In the student’s ability to achieve optimal clinical judgment and communicative skills as a foundation for
growth and proficiency; recognize, respect and respond to the environment; value cooperative and
team efforts to achieve goals; combine the courage of one’s convictions with their willingness to be
flexible; foster professional standards of dental hygiene.
•
In providing basic scientific information for sound decision making and in providing clinical experiences
that are relevant to life and work experiences.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 5
PROFESSIONALISM
The following are some factors what will be considered under professionalism. Representative examples are
given, but will not necessarily be limited to these examples.
The student is expected to demonstrate professional conduct and judgment.
Examples of positive professional conduct include:
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Placing the client’s welfare first when planning and implementing client care.
Concern for the client’s welfare and comfort.
Willingness to accept suggestions for improvement and evaluation gracefully.
Maintaining physical, mental, and emotional composure in all situations.
Following prescribed treatment plans.
Abiding by clinic rules and regulations (including professional appearance).
Eagerness to learn.
Attitudes of respect, concern, and cooperatives toward fellow classmates, clinic personnel and faculty.
Asking for clarification when uncertain of instruction or task.
Practicing excellent personal grooming and hygiene.
Working independently but recognizing his/her limitations.
Demonstrating sound clinical judgment commensurate with level of experience.
Maintaining neat and clean cubicle and sterile instruments.
Honesty with faculty members, clients, and colleagues.
Primarily concerned with quality treatment for clients rather than a quest for grades.
Providing pertinent, individualized, appropriate information to the client regarding treatment and the
prevention of dental disease.
Example of critical errors in professional conduct and judgment include:
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Failure to place the client’s welfare as first priority.
Failure to maintain physical, mental, and emotional composure in clinic
Consistent ineffective, inefficient use of clinic time.
Failure to be honest with clients, faculty and colleagues.
Failure to inform cluster instructor when client is negative about treatment rendered by student and/or
faculty.
Failure to demonstrate positive body language.
Failure to utilize active listening skills.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 6
IMMUNIZATION POLICY:
All freshman students are required to complete a physical exam by a licensed physician prior to the start of
their first semester.
All students and faculty that work in clinic must have a baseline TB tyne test and have follow up testing if
exposed to TB.
The Hepatitis B vaccine series must be initiated prior to the beginning of the first semester. If a student or
faculty member has a reason for declining the Hepatitis B vaccine, a declination form must be signed.
However, certain clinical sites may not allow faculty or students to attend their site if they are not properly
immunized.
Medical documentation will be kept in the student’s/faculty file which are maintained in locked files in the
Dental Hygiene Program area.
MAINTAINING RECORDS:
The secretary assigned to the Dental Hygiene Program will be responsible for reviewing records at the
beginning of each semester and sending notices to students and/or faculty who need to update their files.
MALPRACTICE AND HEALTH INSURANCE:
All students are required to carry malpractice insurance. This fee is included in the tuition. It is in effect as long
as the student is enrolled in the program.
After graduation, the student may need to purchase malpractice insurance in order to sit for regional/ state
boards.
Malpractice insurance is not be confused with personal, medical insurance. Each student is required to have
personal, medical insurance, but it is not available through the college. Failure to have personal, medical
insurance WILL result in a student NOT being allowed in any clinical facility.
Documentation will be kept in the student’s file in the Dental Hygiene Program area.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 7
POLICY ON BASIC LIFE SUPPORT RECOGNITION (CERTIFICATION)
1. Acceptable Courses:
a. American Red Cross Cardiopulmonary Resuscitation for Professional Rescuer. The 8 ½ hour
course focuses on basic CPR skills as well as skills and techniques for two-rescuer CPR and
special rescue situations.
b. American Heart Association Basic Life Support for Healthcare Providers. The 8 hour course
focuses on adult one-rescuer CPR, adult two-rescuer CPR, pediatric one-rescuer CPR, barrier
devises, and automatic external defibrillation.
2. Renewal Courses:
a. American Red Cross Cardiopulmonary Resuscitation, Professional Rescuer Review, 4 hours.
b. American Heart Association Basic Life Support Recertification Course, 4 hours
3. Dental Hygiene Student Requirements:
a. Either the 8 ½ hour American Red Cross or the 8 hour American Heart Association Course is
required prior to enrollment in the Dental Hygiene Program.
b. Current certification must be maintained while in the program.
4. Proof of Certification:
a. The student must take and provide proof of certification by presenting the copy of the CPR card
along with a photocopy of the card to the dental hygiene secretary. After verification of the
original card, the photocopy will be retained in the student’s file.
b. The student will be required to take a renewal course if the certification expires before
graduation.
5. Disability Exceptions:
a. Exceptions may be made for a person who is medically or physically unable to perform such
services. Services for students with disabilities are provided to qualified students to ensure
equal access to educational opportunities, programs and activities in the most integrated setting
possible. If the CPR requirement cannot be met, the student must make timely and appropriate
disclosures and request that an exception to the policy be allowed. The student may be required
to submit medical or other diagnostic documentation of disability and limitations to the college or
affiliated agencies prior to receiving requested accommodations.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 8
b. The College and University reserve the right to provide services only to students who complete
and provide written results of evaluations and service recommendations to appropriate College
and University personnel. Information can be obtained by contacting Disability Services at
IWCC. Records for students with disabilities will be maintained by the Coordinator of the
Disability Services Program at IWCC.
6. Noncompliance Clause:
a. Students will be unable to participate in clinical activities until the requirement is met.
Noncompliance may result in dismissal from the clinical course.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 9
DISMISSAL FROM THE DENTAL HYGIENE PROGRAM
A student may be removed from the Dental Hygiene Program based on various infractions of policies. The
authority to dismiss a student from the program rests with Dental Hygiene faculty and the approval of the
Dean.
The following infractions are grounds for removal from the Program (not all inclusive):
1. Academic Dishonesty This includes cheating, plagiarism (credit not given to originator of work), and
intentional deceit, having a cell phone during a quiz or test, or any attempts to use someone else’s work
as one’s own. Any student guilty of academic dishonesty may also be subject to expulsion from the
college.
2. Not maintaining “C” course grade. The student receiving a grade of less than a “C” (75%) in any
course in the IWCC Dental Hygiene Program with a DHY prefix is subject to dismissal from the
program.
3. Removal from clinic site. The student is removed from a clinic site and/or off site rotation at the request
of the clinical supervisor, supervising dentist, and/or course instructor.
4. Documented client endangerment.
5. Failure to respect patient confidentially.
6. The failure to satisfactorily complete the: (1) conditions outlined in a “Letter of Probation”, or (2)
agreement regarding an Incomplete grade.
7. Any infraction resulting in expulsion from the College.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 10
RE-ENTRY POLICY INTO THE DENTAL HYGIENE PROGRAM
Factors to be considered when students apply to Remain or for Re-Entry into the program after a course failure
or program withdrawal or dismissal:
Students will be considered for Re-Entry into the program if space is available.
1. Students must demonstrate that they are qualified to remain or prepared for the rigors of Re-Entry.
2. After reviewing a student’s request, an interview may be required.
3. There may be a written contract of conditions that need to be met for re-entry or for remaining in the
program.
First Semester
If a student fails DHY 174 Principles of Dental Hygiene, DHY 114 DH Anatomical Science, or DHY 155 or 157
Radiology or does not complete the first semester for any other reason, then the student must go through the
application process as outlined by Admissions and Records to become a student in the Dental Hygiene
Program at a future time. Depending on the lapse of time, the student may be required to repeat a course in
order to be ready for Semester 2 in addition to the course that was failed or not completed.
Semesters Two through Six
If a student does not complete a course after the first semester, the student may or may not be allowed to
progress through the program depending on the course that was failed or not completed and the reason for
the failure or incompletion of the course.
Each situation will be evaluated on a case by case basis and a determination will be made by the full time
faculty and the division dean.
GOAL: To assist current students who desire to remain in the program or re-enter the program as
as possible.
soon
OBJECTIVES:
• To provide a smooth transition upon re-entering or remaining in the program.
• To ensure that conditions that caused the student to fail or leave have been identified and corrected so
that the student will be successful in the future.
PROCEDURE: The student must state in writing their intent to remain or re-enter the program and submit that
proposal to the Chair of Dental Hygiene. The committee of full time faculty and the Division dean will review
the request and make any recommendations to assist the student in being successful upon remaining or reentering the program. The committee will decide on whether to allow the student to remain in the program or
ask the student to go through the Admissions and Records process to reapply or determine that the student
cannot remain or reapply in the future.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 11
COMPETENCY BASED CLINICAL EDUCATION
IN THIS EVALUTION SYSTEM, WHAT AM I (THE STUDENT) RESPONSIBLE FOR:
1. Reviewing the requirements and planning when your evaluation times are to occur so as to meet those
requirements.
2. Filling out your clinical evaluation form correctly indicating what you wish to be evaluated on before the
instructor checks you in.
3. Clarifying with your instructor any questions you have regarding a procedure during your “teaching”
time prior to attempting an evaluation.
4. Clarifying with your instructor any evaluation grade you do not understand.
5. Keeping an accurate up to date record of your evaluation grades.
6. Keeping all scheduled meetings with the Clinical Instructor.
7. Making appointments with faculty members if you are having problems.
8. Reviewing your clinical progress and bringing any concerns to the attention of the clinical instructor.
9. Assessing your own work and asking your clinic instructor to observe and help you with problem areas.
10. Reviewing the objectives for performance, criteria, and critical errors that are specified in each
evaluation instrument.
11. You are encouraged to seek maximum help from instructors while you are learning to perform
procedures. No instructor help will be permitted during process, and competency evaluations; the
clinical team will evaluate your performance (both process and product) and designate a grade without
you present.
12. Certain criteria (i.e.: asepsis, appearance, client management, professionalism, client self-care
education, etc.) apply to each client and are considered part of all aspects of client treatment.
13. Only the Dental Hygiene Faculty will grade competencies. Pit and fissure sealants, amalgam polishing
and margination will be approved and evaluated by the supervising dentist.
14. It is your responsibility to complete the clinic forms correctly.
15. It is important that you seek faculty input regarding your performance so that you may:
a. Correct techniques as necessary,
b. Determine problem areas and methods for improving those areas,
c. Have confidence that your performance is correct and competent.
d. Attain competence in all clinical skill areas.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 12
All students are considered mature enough to seek faculty assistance and to monitor their own progress in
meeting the course requirements. Please meet with the team leader if you have any questions or difficulties in
this course. The faculty will be happy to help you; please remember, however, that you are the only person
who can make us aware that you need assistance.
TEACHING
EVALUATION
1. Instructor observes process
2. Instructor input
-Optimum
-Tailored to student and situation
- Diminishing as student gains skills
1. Instructor observes process
2. No direct instructor input
- Minimal
- Tailored to student and situation
- “Expert” consultations allowed
3. Instructor interventions whenever
helpful and appropriate.
3.Instructor only intervenes for client
well-being
4. Instructor promotes integration of
psychomotor & cognitive elements (use
of questioning, discussion, modeling).
4.Instructor questions students to check
for integration of cognitive &
psychomotor elements
5. Instructor observes and participates in
client self-care education & effective
domain activities
6. No grade issue.
5.Instructor observes client self-care
education & dialogues with client to
assess student effective domain skills
6. Grade issue
7. Feedback on process & product
7. Feedback on process & product
8. Emphasis on appropriate and
comprehensive care for each client
8. Emphasis on appropriate and
comprehensive care for each client
* Evaluation examples are: process, phase and competency evaluation.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 13
PATIENT ASSIGNMENT POLICY
Dental hygiene patients are assigned to dental hygiene students based on individual students need.
The following criteria are utilized when assigning patients:
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Amount of student patient exposure (i.e. number of patients student has seen)
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Patient difficulty (i.e. more complex patients are referred to second year students)
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Patient category (i.e. student lacks exposure to specific patient types)
1. Periodontal Case Types
2. Calculus Classes
3. Special Needs
4. Ethnic Diverse
5. Social or Economic Diversity
•
Students that have not achieved competency level will have the faculty assign patients to increase the
student’s exposure to patients that will facilitate their learning.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 14
CLINIC REMEDIATION POLICY
Part I
GOAL:
To increase student success and retention in currently enrolled students who have demonstrated an
opportunity for growth in a clinical skill by creating an open lab environment in addition to regular pre clinic or
clinic hours.
OBJECTIVES:
Individual objectives will be tailored to the student’s needs.
REFERRAL:
Students may attend the open lab by being referred to an appropriate level of supplemental education by a
clinical instructor, or by coming on their own in response to self-evaluation.
HOURS:
The open lab times will be arranged as needed.
PROCEDURE:
Students will be given a Recommendation for Supplemental Education form which a faculty member will initial
when the attendance and practice is completed.
Part II
GOAL:
To assist dental hygiene recent graduates who need to increase their chance of success on passing clinical
boards by creating a supplemental clinical instructional opportunity.
OBJECTIVES:
Individual objectives will be tailored to meet the student’s needs based on the report from the clinical
examining board.
REFERRAL:
Self-referred
HOURS:
The student will be assigned to clinic when IWCC students are assigned to treat patients at that facility.
PROCEDURE:
The following criteria must be met:
1. Show proof of liability insurance, medical insurance and current CPR
2. Document appropriate immunizations
3. Enroll in an arranged course at IWCCC pending available space.
4. Meet with a faculty member to establish course criteria and design a syllabus.
5. Graduate students must provide their own patients, instruments and lab jackets.
6. Supplemental education protocols must be approved by the Program Chair, Division Dean and
Academic Dean.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 15
INFECTION AND HAZARD CONTROL POLICIES AND PROCEDURES
PURPOSE:
To communicate the program’s Infection and Hazard Control Policies and Procedures to dental hygiene
students and faculty.
OBJECTIVES:
1. To safeguard student/faculty health by providing a management guide for compliance.
2. To provide students/faculty with the necessary information concerning health and physical hazards.
3. To comply with OSHA and Iowa Code.
PROTOCOL FOR INFECTION CONTROL
1. Students are required to use gloves, masks and safety eyeglasses when performing treatment
procedures.
2. Safety glasses must be worn when performing laboratory procedures.
3.
Students are required to wear laboratory coats in campus laboratory and preclinical classes.
4.
Safety glasses, utility gloves and masks must be worn when scrubbing instruments.
5. ADA & EPA approved intermediate-level disinfectants are used on all hard surfaces.
6. Protective disposable barriers are to be used on equipment whenever possible.
7. All instruments are to be wrapped appropriately and heat sterilized.
8. Equipment is not to be operated by students without an instructor present.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 16
UNIVERSAL PRECAUTIONS
The Dental Programs have adopted a policy of universal precautions for treating all dental patients.
PURPOSE:
To minimize opportunities for blood/body fluid contact and reduce the risk of injection transmission.
POLICY:
All patients pose a potential for the spread of infectious disease, therefore, barrier precautions shall be
observed whenever exposure to blood or body fluids is anticipated. In the Dental Clinic, this applies to all
patient contact.
PROCEDURE:
1. Hands shall be washed before gloving and after removing gloves. If hands come in contact with blood
or body fluid, they must be immediately washed.
2. Gloves shall be worn during all procedures that may involve contact with blood or body fluid. Gloves
must be changed between patients. If a glove becomes torn during a procedure, you must stop, remove
gloves, wash and don new pair.
3. Personal protective attire shall be worn during all patient contact procedures.
4. Masks, protective eyewear and gloves shall be worn during all treatment procedures.
5. Sharps shall be handled in such a manner to prevent accidental cuts or punctures. Used needles will
be recapped using the scoop method if re-cappers are not available. Sharps containers will be located
throughout the operatory area.
6. Operatory cleanup before and after patient contact will be thorough and complete. Each operatory will
have a checklist to be completed as procedures are performed. Chemicals used will be those supplied
by the Program and approved by the ADA and EPA for surface disinfection. Utility gloves, masks, and
protective eyewear will be worn during the operatory cleanup phase.
7. Instruments taken to the sterilization bay will be placed in the ultrasonic cleaner. They are then rinsed,
dried, wrapped and sterilized appropriately. Utility gloves will be worn when handling all unsterile
instruments in the sterilization bay.
8. Any incident should be reported immediately to the assigned clinical instructor and/or Program Chair.
An incident report will be completed by those involved and reviewed by the Department Chairperson.
Copies of the report will be filed as necessary.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 17
EMERGENCY ACTION PLAN
Dental Hygiene and Dental Assisting Programs
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The emergency action plan is to ensure employee/student safety in the event of fire and other
emergencies
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You must know where ALL emergency equipment, exits, persons to contact and telephone numbers
are located
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The program will review these procedures annually or when changes occur with both faculty and
students
•
Both IWCC and Creighton have Emergency Action Plans which are regularly updated. The IWCC
Emergency Action Plan is on ROC. Creighton’s plan is in their Clinic Manual.
In Case of Medical Emergency
•
If possible, assure familiarity with patient’s or employees’ medical history before starting any
treatments.
•
Always call 911 first then notify the switchboard so that EMS personnel can be directed to your location.
•
Immediately send for faculty and campus security.
•
Follow emergency CPR and or First Aid procedures.
•
If further emergency procedures are needed to stabilize the individual until support arrives, faculty will
determine which procedures will be used.
•
The first aid kits are located in the Dental Materials Laboratory, Clark Hall 009 and the Dental
Operatory, Clark Hall 037.
•
If splatter occurs to eyes, immediately go to the eyewash or escort your patient to the eyewash station
located in the Dental Materials Laboratory, Clark Hall 009 or the Dental Operatory, Clark Hall 037.
Flush eyes continuously with cold water for 15 minutes.
•
If any injury or condition persist, the patient, student or employee will immediately be taken to
Alegent/Mercy Health or Jennie Edmundson Hospital’s emergency room whichever is necessary to
treat the injury.
•
All emergencies shall be documented and the report kept on record in the program office.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 18
•
If an accident occurs, which is fatal to one or more employees, Iowa Western Community College will
report the accident within 48 hours, both orally and in writing, to IOSHA (Iowa Division of Labor
Services (515)281-3447).
ACCIDENT/INCIDENT REPORT COMPLETION
POLICY:
Iowa Western students and employees will complete an accident/ incident report as soon after the incident as
possible.
PROCEDURE:
Employees
1. All work-related accidents, illness or injuries will be reported to the supervisor promptly. Physician
appointments will be scheduled through the Assistant to the Vice President of Finance and Operations.
2. The incident report form will be obtained from major department secretaries or the office of the Vice
President of Finance and Operations.
3. The incident report will be completed by the person ill/injured if able, or the supervisor shall complete
the form within 24 hours of the incident and submit it to major department secretary.
4. The Dean will forward the completed form to the Vice President of Finance and Operations office.
5. The Vice President of Finance and Operations will report the incident to the insurance carrier. Refer to
Worker’s Compensation policy for further directions.
6. All records will be maintained by the Health Center.
Students
1. Students who incur work-related accidents, illness or injuries will report the incident to their faculty
promptly.
2. Follow steps 2-6 above.
3. In addition to the IWCC incident report, all clinical incidents will be reported on the facility incident report
form.
4. Sharps injuries occurring at the clinical site are eligible for workman’s comp. Follow facility guidelines
regarding blood draws, insuring that the Vice President of Finance and Operations is in receipt of all
paperwork.
5. Students are responsible for attaining and maintaining health insurance, as required by facility contract
and program policy.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 19
WRITTEN HAZARD COMMUNICATION PROGRAM
Prepared for Iowa Western Community College’s Dental Program
GENERAL
The purpose of this notice is to inform interested parties that our facility is complying with the Federal Hazard
Communication Standard, (Title 29 Code of Regulations 1910.1200), by compiling a hazardous chemicals list,
by using material safety data sheets (MSDS’s), by ensuring that containers are labeled and by providing faculty
and students with training.
This program applies to all procedures and tasks in our facility where faculty and students may be exposed to
hazardous substances under normal working conditions and/or during emergency situation.
Sue Norman is the Safety and Health Coordinator, herein, will be referred to as the Coordinator for our facility,
and will have overall responsibility for the program. The program will be reviewed and updated as viewed
necessary. The written program will be available to be reviewed in the student clinic manual. Additional
copies may be obtained from the Coordinator.
Under this program, faculty and students will be informed of the contents of the Federal Hazard
Communication Standard, the potential hazardous properties of the chemicals, products and materials of which
they utilize, safe handling procedures and measures for protection from these chemicals. Faculty and students
will be informed of the potential hazards associated with non-routine tasks.
HAZARD EVALUATION
Our facility will rely on material safety data sheets obtained from manufacturers, distributors and importers to
meet hazard determination requirements.
LIST OF HAZARDOUS CHEMICALS
The coordinator will maintain a list of all products containing hazardous chemicals used in our facility and will
update the list as necessary. Our list of chemicals contains names of chemicals used this facility. It also
indicates examples of materials that may contain these chemicals. For specific hazardous chemicals in a
product, refer to the MSDS for that product.
MATERIAL SAFETY DATA SHEETS
The MSDS is a government-approved form or equivalent that provides specific information of the chemicals in
the products located in this facility.
Sue Norman will be responsible for compiling and maintaining the Master MSDS File. She will maintain a file
of MSDS’s on products for which the manufacturers and/or suppliers consider necessary due to hazards.
The MSDS’s will be fully completed OSHA Forms 174 or the equivalent. She is responsible for acquiring and
filing our MSDS’s, as well as contacting manufacturers, suppliers, or dealers if additional information is needed
or if the MSDS has not been provided with the initial shipment of the product. A master list of MSDS’s is
available from the above. The file of MSDS’s is accessible to all students. The file will be kept in the dental
materials lab. Copies will be available upon request.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 20
Posters identifying the person responsible for maintaining MSDS’s and where the MSDS’s are located are
posted in the dental materials lab. Posters notifying students when new or revised MSDS’s are received will
be located in the same location. Employees will be notified by the required posters within five (5) days of their
receipt.
If a required MSDS is not received, Sue Norman will contact the supplier, in writing, to request the MSDS. If
the MSDS is not received after such requests, the Coordinator shall contact the Iowa Department of Public
Health (IDPH, (515) 281-5605), Division of Occupational Health or the Iowa Department of Labor (IDOL),
Labor Services Division at (515-281-7995), for assistance in obtaining the MSDS.
LABELS AND OTHER FORMS OF WARNING
The Coordinator will ensure that all hazardous chemicals are properly labeled and updated, as necessary.
Labels should list, at least, the chemical identity of the material, appropriate hazard warnings, and the name
and address of the manufacturer or other responsible party. Containers labeled by the manufacturers do not
require additional labels. The manufacturer is responsible for properly labeling the original container. When
the chemicals are transferred to other containers (secondary containers) to be used at a later time or by other
employees these containers need to be labeled. Examples are containers of alcohol, bleach, disinfectant and
radiographic chemicals such as developer and fixer solutions that are transferred from original containers.
Copies of the original labels can be used to label these containers.
If employees transfer materials containing a hazardous chemical from a labeled container to a portable
container that is intended for immediate use only, no labels are required on that portable container. If
employees become aware of any portable or non-portable container holding a product or material containing a
hazardous chemical that may be used more than once, it is their responsibility to immediately notify the
Coordinator.
Professional products that are regulated by the Food and Drug Administration (FDA) are exempt from the
labeling requirement of the Hazard Communication Standard. Examples of such materials are impression
materials and composite resins, the labeling of which is approved by the FDA. These labels must not be
removed from the containers. Drugs that are in solid form for direct administration to the patient are also
exempt from the labeling requirement.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 21
DENTAL “DEVICES” REGULATED BY THE U.S FOOD AND DRUG ADMINISTRATION
Abrasive Polishing Agents
Amalgam Alloy/Dental Mercury
Amalgam Capsules (Unit Dose)
Cavity Vanish
Base Metal Alloys
Bracket Adhesive/Conditioner
Calcium Hydroxide Cavity Liner
Dental Mercury
Composite Resin Filling Material
Composite Resin Coating Material
Dental Cements (All Types)
Dental Adhesives
Dental Relining/Repairing Resin
Impression Materials (All Types)
Intraoral Dental Wax
Resin Impression Tray Material
Pit and Fissure Sealants
Precious Metal Alloys
Resin Impression Tray Material
Root Canal Filling Resin
Temporary Crown/Bridge Resin
PREPARING LABELS FOR SECONDARY CONTAINERS
The Hazard Communication Standard requires that hazardous chemicals be labeled if they are transferred
from their original container to an unlabeled secondary container.
Labels should include the:
Product name;
Chemical identity of the material;
Appropriate hazardous warnings, and
Name and address of the manufacturer
EXEMPTION
This regulation does not cover finished articles that do not, under normal use, release a hazardous chemical
(e.g., dental chairs, hand instruments, pencils and photocopy machines).
EMPLOYEE INFORMATION AND TRAINING
The Coordinator shall coordinate and maintain records of employee hazard communication training.
Before exposure may occur, each new employee/student will attend a hazard communication training
class/orientation.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 22
THIS INITIAL TRAINING SESSION WILL PROVIDE THE FOLLOWING INFORMATION
•
•
•
•
•
•
Chemicals in the workplace and their hazard;
How to lessen or prevent exposure to these chemicals;
What the facility has done to lessen or prevent employee exposure to hazardous chemicals;
Procedures to follow if employees are exposed to hazardous chemicals;
Where to locate MSDS’s and who to contact to obtain copies of MSDS’s, and
How to read the interpret labels and MSDS’s.
Before any new hazardous chemical is introduced into the workplace, each employee/student who may be
exposed to the substances will be given information in the same manner as during the hazard communication
training classes.
THE EMPLOYEE SHALL BE INFORMED THAT:
The employer is prohibited from discharging, or discriminating against, an employee who exercises his/her
rights to obtain information regarding hazardous chemical used in the workplace.
As an alternative to requesting the MSDS from the employer, the employee can seek assistance from the Iowa
Department of Labor at 515-281-7995 to obtain the desired MSDS.
NONROUTINE TASKS
When you are required to perform non-routine tasks that involve hazardous chemicals, a special training
session will be conducted to provide information about the chemicals to which you may be exposed and the
precautions you must take to reduce or avoid exposure.
It is the policy of Iowa Western Community College that no employee/student will begin performance of a nonroutine task without first receiving appropriate safety and health training.
HAZARDOUS NON-ROUTINE TASKS, WE HAVE AT OUR FACILITY INCLUDE:
Clean/Maintaining Sterilizers and Radiographic Processing Equipment.
INFORMING CONTRACTORS
It is the responsibility of Sue Norman to provide contractors with employees performing work onsite with the
following information if their employees are exposed to our hazardous chemicals.
•
•
•
Hazardous chemicals they may encounter;
Measures the employee can take to control or eliminate exposure to the hazardous chemical;
Where to obtain applicable MSDS’s.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 23
It is the responsibility of Sue Norman to obtain chemical information from the contractors when they will expose
employees/students to hazardous chemicals they may bring into our workplace.
PIPES AND PIPING SYSTEMS
Information on the hazardous contents of pipes and piping systems will be identified by the name of the
content, such as, Oxygen or Nitrous Oxide.
CERTIFICATE OF HAZARD ASSESSMENT
Sue Norman will certify that the dental program of Iowa Western Community College was evaluated during the
2013-2014 school year for hazards which are present, or are likely to be present, which necessitate the use of
personal protective equipment as outlined on the Hazard Assessment and Personal Protective Equipment
Selection Chart posted in the dental area.
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 24
STANDARD DESIGNATIONS AND ABBREVIATIONS
Use these entries in dental health records to ensure uniformity:
A-4.1 Designation of Permanent Teeth. Use the # symbol before each tooth number (1-32) or before each
series of tooth numbers. Example: Teeth #5, 7, 8 and 9.
A-4.2 Designation of Primary Teeth. Use the alphabetical designation for each tooth.
Example: Teeth A, B, S and T.
A-4.3 Abbreviations for Tooth Surfaces:
Mesial
M
Distal
D
Incisal
I
Facial (Buccal and Labial)
F
Occlusal
O
Lingual
L
A-4.4 common abbreviations:
Description
Abbreviation
abrasion ................................ abr
abscess................................. abs
abutment(s)........................... abut(s)
acrylic resin ........................... acr
adjust(ed)(ment).................... adj
alveolar ................................. alv
alveolectomy ......................... alvy
amalgam ............................... SA
anesthesia(thetic).................. anes
anterior ................................. ant
apicoectomy.......................... apico
appliance .............................. appl
appoint(ment) ...................... appt
arch wire ............................... AW
base ...................................... B
bitewing(s) ............................ BW
bleeding index ....................... BI
blood pressure ...................... BP
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
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Page | 25
Description
Abbreviation
bracket .................................. bk
broken appointment .............. FTKA
(failed to keep appointment)
calcium hydroxide ................. CaOH
calculus ................................. cal
cancel(lation) ........................ canc
caries .................................... car
caries prevention .................. CPTAPF
treatment acidulated
phosphate fluoride
caries prevention................... CPTNaF
treatment sodium fluoride
caries prevention................... CPTSnF
treatment stannous fluoride
cast gold ............................... CG
cement .................................. cem
centimeter ............................. cm
centric occlusion ................... CO
centric relation....................... CR
centric relation....................... CRO
occlusion
cephalometric ....................... ceph
chief complaint ...................... CC
chronic .................................. chr
class ..................................... cl
complete ............................... com
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
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Description
Abbreviation
composite resin
(direct) .................................. DC
(indirect) ................................ IC
computerized
tomography
..................... CT
consult(ation) ........................ cons
crown .................................... crn
cystectomy ............................ cystmy
defective ............................... def
demonstration ....................... demo
denture ................................. dtr
diagnosis............................... Dx
drain...................................... dr
dressing ................................ drs
each ...................................... ea
elastics .................................. el
electric pulp test .................... EPT
emergency room ................... ER
endodontic(s) ........................ endo
epinephrine ........................... epi
equilibrate(ation) ................... equil
eugenol ................................. eug
evaluate(ation) ...................... eval
examination .......................... ex
exposure ............................... exp
extract(ion) ............................ ext
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
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Description
Abbreviation
fixed partial denture .............. FPD
flap curettage ........................ FC
fracture ................................. Fx
free gingival graft .................. FGG
(free soft tissue autograft)
full mouth .............................. FM
full cast crown ....................... FCC
general(ized) ......................... gen
gingival(itis) ........................... ging
gingivectomy ......................... gtmy
glass ionomer ....................... GIC
cement
gold inlay............................... GI
gutta perch ............................ GP
health care ............................ HCI
instructions
heavy ................................... hvy
high blood ............................. HBP
pressure
history ................................... Hx
history of ............................... HPI
present illness
hospital ................................. hosp
immediate ............................. immed
impacted(ion) ........................ imp
impression ............................ impr
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
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Description
Abbreviation
incision and ........................... I&D
drainage
incomplete ............................ income
indirect pulp .......................... IPC
cap
insert(ion) (ed)....................... ins
intermaxillary ......................... IMF
fixation
intermediate .......................... IRM
restorative material
intravenous ........................... IV
laboratory ............................. lab
lateral ................................... lat ceph
cephalograph
left ......................................... Lt
lidocaine................................ lido
ligate(ture)............................. lig
local ...................................... loc
lower left ............................... LL
lower right ............................. LR
maintenance ......................... maint
(maintain)
mandible(ular) ....................... man
maxilla(ry) ............................. max
medication(s) ........................ med(s)
mepivacaine .......................... mepiv
millimeter .............................. mm
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
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Description
Abbreviation
moderate............................... mdr
month(s)................................ mo(s)
mucosal ................................ muc
necrotizing ............................ NUG
ulcerative gingivitis
negative ................................ neg
occlusion ............................... occ
operating room ...................... OR
operative ............................... Oper
oral hygiene .......................... OH
oral surgery ........................... OS
oral/maxillofacial ................... OMFS
surgery
orthodontics .......................... Ortho
palpation ............................... palp
panoramic ............................ pano
radiograph
partial .................................... pr
past medical .......................... PMH
history
pathology .............................. path
patient ................................... pt
pediatric ................................ Ped Dent
dentistry
percussion ............................ perc
periapical .............................. PA
pericoronitis .......................... pecor
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
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Page | 30
Description
Abbreviation
periodontics .......................... Perio
periodontitis .......................... pedoni
pit and fissure ....................... PFS
sealant
plaque ................................... plq
polish .................................... pol
polycarboxylic ....................... PCA
acid
pontic: metal ........................ MP
pontic: porcelain .................. PP
porcelain ............................... porc
porcelain ............................... PFM
fused to metal
post and core ........................ P&C
post operative ....................... POT
treatment
posterior ............................... post
positive ................................. pos
pound(s)................................ lb
preliminary ............................ prelim
premedicate .......................... premed
prepared(ation) ..................... prep
prescription ........................... Rx
primary .................................. prim
prophylaxis ............................ pro
prosthodontics....................... pros
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
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Page | 31
Description
Abbreviation
pulpectomy ........................... pctmy
pulpitis .................................. pitis
pulpotomy ............................. potmy
quadrant................................ Q
range of motion ..................... ROM
reappoint(ment)..................... reappt
recement(ed) ........................ recem
reference............................... Re
refer(red) ............................... ref
rehabilitation ......................... rehab
reinforced .............................. RAP
acrylic resin pontic
removable ............................. RPD
partial denture
remove (al)............................ rem
repair(ed) .............................. rep
respiration ............................. resp
restoration ............................. rest
return to clinic ....................... RTC
right....................................... rt
root canal .............................. RCT
treatment
root plane(ing) ....................... rp
rubber dam ........................... rd
scaling .................................. sc
sedation(ed) .......................... sed
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
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Page | 32
Description
Abbreviation
slight ..................................... slt
stainless ................................ SSC
steel crown
subjective, ............................. SOAP
objective, assessment, plan
supernumerary ...................... supernum
surgery .................................. surg
suture.................................... su
symptoms ............................. Sx
temperature .......................... temp
temporary.............................. tem
temporomandibular ............... TMD
disorders
temporomandibular ............... TMJ
joint
transitional ........................... trans
treatment............................... Tx
type ....................................... T
unerupted.............................. uner
upper left ............................... UL
upper right............................. UR
varnish .................................. var
vital signs .............................. VS
within normal......................... wnl
limits
x-ray radiograph .................... xr
xylocaine ............................... xylo
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 33
Description
Abbreviation
zinc oxide .............................. ZnO
zinc oxide .............................. ZOE
and eugenol
zinc phosphate ...................... ZnPO4
Iowa Western Dental Hygiene Program
2700 College Rd. Council Bluffs, IA 51503
[email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu
Page | 34