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21st Century Instructional Guide for Career Technical Education Dental Assisting Clinical Practice Health Science Education Cluster Title: Dental Assistant Clinical Practices (WVEIS 0742) Standard Number: HSE.S.DCP.1 Essential Questions: Objectives: HSE.O.DCP.1.1 Imaging System Students will understand the benefits of imaging systems in the dental office. How would dentistry be affected if intraoral radiographs were not available? HSE.O.DCP.1.2 articulate the advantages to the patient and staff when using imaging systems. Students will examine imaging systems used for dental purposes. Learning Plan & Notes to Instructor: imaging systems digital radiography extraoral radiographs o orthopantogram o TMJ o panoramic o cephalometric intraoral radiographs o bitewing o periapical o occlusal intraoral camera digital camera advantages digital o one half radiation exposure o no chemicals extraoral radiographs o does not go in patient’s mouth o all teeth on one film o shows bone structure intraoral radiographs o smaller in size 1 HSE.O.DCP.1.3 relate the differences between imaging systems, digital radiography, and radiography. o shows decay o easy to store intraoral camera o can be printed for patient o no radiation o selling purposes o educational digital camera differences between systems digital o one half radiation exposure o no chemicals o very expensive o needs scanner and computer monitor extraoral radiographs o does not go in patient’s mouth o all teeth on one film o shows bone structure o needs chemical for development o machine is expensive and large intraoral radiographs o smaller in size o shows decay o easy to store o machine is expensive o need several sizes available intraoral camera o can be printed for patient o no radiation o selling purposes o educational digital camera See Dental Radiography Principles and Techniques , second edition, Chapter 23, “Extraoral Radiograph”. Conduct online research regarding prices and capabilities using one of the major dental equipment 2 suppliers, such as Henry Schein or Dentsply. Standard Number: HSE.S.DCP.2 Essential Questions: Objectives: HSE.O.DCP.2.1 Radiation Safety Students will understand principles and procedures to minimize radiation risks to the dental patient and personnel. Discuss ways of checking radiological equipment for leakage. Students will research the principles of ionizing radiation. HSE.O.DCP.2.2 illustrate the production of the roentgen ray. HSE.O.DCP.2.3 relate the manufacturers’ responsibilities in relationship to radiation safety. Learning Plan & Notes to Instructor: principles of ionizing radiation particulate radiation o electrons o alpha particles o protons o neutrons particle concept wave concept o velocity o wavelength o frequency production of the roentgen ray 110 volt electricity step down transformer tungsten filament e stream tungsten target o insulating oil o copper o leaded glass x-ray beam o aluminum filters o lead collimator o PID primary ray manufacturers’ responsibility well written instructions warranties research 3 technical support and training safety specifications calibrate equipment regularly check for light tightness test size of focal spot test tubehead for stability test timer for accuracy test milliamperage test kilovoltage responsibilities of the dentist staff is properly trained and certified discuss the need for radiographs with the patient actions of the dental auxillary maintain accurate records retained records indefinitely responsibilities of the dental assistant educate patient regarding informed consent signature of mandatory documents accurate record keeping See Modern Dental Assisting, 8th edition, chapter 40, “Legal Issues, Quality Assurance, and Infection Control” power point presentation. HSE.O.DCP.2.4 examine the federal government safety specifications for all manufacturers of dental x-ray units. HSE.O.DCP.2.5 examine the responsibilities of the dentist, assistant, and patient in radiation safety. Standard Number: HSE.S.DCP.3 Essential Questions: Objectives: HSE.O.DCP.3.1 Dental Radiographic Film Students will demonstrate knowledge in types and uses of dental radiographic films. Discuss ways of prioritizing the components of dental radiographic film. HSE.O.DCP.3.2 contrast radiographic film speed. Students will relate the composition of dental radiographic film. Learning Plan & Notes to Instructor: composition base adhesive layer gelatin silver halide crystals protective layer film speeds 4 HSE.O.DCP.3.3 determine the proper film size for various radiographs. HSE.O.DCP.3.4 examine the internal and external parts of radiographic film packets. HSE.O.DCP.3.5 differentiate between intraoral and extraoral radiographs. amount of radiation required to produce a radiograph o size of silver halide crystals o thickness of emulsion o presence of special radiosensitive dyes classifications o A through F o D, E, and F speeds used in dentistry (intraoral) o F speed is newest and fastest film sizes pedodontic film – size 0 narrow anterior – size 1 adult – size 2 preformed bitewing – size 3 occlusal – size 4 film packets boxes labeled o type of film o film speed o number of films per individual packet o total number of films in box o film expiration date wrapper and lead sheet o black paper film protect from light o lead foil sheet shield from backscattered radiation outer packet soft vinyl intraoral radiographs periapical radiographs o diagnose pathologic conditions o tooth formation and eruption o endodontics o oral surgical procedures bitewing radiographs detect: 5 HSE.O.DCP.3.6 articulate proper storage for radiographic film. o interproximal caries o periodontal disease o derecurrent decay under restorations o the fit of metallic fillings or crowns occlusal radiographs detect: o tumors on the alveolar ridge o fractures in the jaw line extraoral radiographs panoramic o film screen system o boxes of 5x7 or 8x10 o labeled type of film film size total number of films film expiration date o opened in dark o less radiation during exposure than full mouth series cephalometric o bony and soft tissues of the face o cassette plastic or metal intensifying screen rigid and flexible screen film, uses intensifying screen nonscreen film, no intensifying screen proper storage dark, cool, dry place check expiration refrigerate stock film film in use is stored in lead lined drawer See Modern Dental Assisting, 8th edition, Chapter 39, “Dental Film and Processing Radiographs” power 6 point presentation. Standard Number: HSE.S.DCP.4 Essential Questions: Objectives: HSE.O.DCP.4.1 Producing Quality Radiographs Students will demonstrate an understanding of radiographic procedures. Suppose you could combine two radiographs into one. What would you do? HSE.O.DCP.4.2 relate infection control procedures and protocols to placing, exposing, and developing radiographs. Students will determine safety procedures before, during, and after a patient is exposed to radiation. Learning Plan & Notes to Instructor: safety procedures before exposing radiograph film speed expiration on film check patient chart for recent radiographs doctor orders equipment checks chemical checks infection control safety procedures during exposing radiograph protect patient with lead shield and thyroid collar correct settings proper placement stand at least 6 feet away from source of x-ray monitoring badges infection control safety procedures after exposing radiograph proper recording of radiograph proper developing proper filing of radiograph infection control infection control protocols CDC guidelines o wear gloves when exposing radiographs o use appropriate PPE o heat tolerant intraoral devices o transport film in an aseptic manner o digital 7 HSE.O.DCP.4.3 compare bisecting and paralleling technique. HSE.O.DCP.4.4 research radiographic exposures commonly used in dentistry. use FDA cleared barriers clean and heat-sterilize or highlevel disinfect barrier-protected semicritical items bisecting technique geometric principle o rule of isometry o lingual surface o plane of the film and long axis of the tooth form an angle o imaginary bisector o x-ray beam perpendicular to imaginary bisector o two imaginary triangles o accurate paralleling technique XCP – extension cone paralleling technique, long cone technique film placed parallel to the long axis of the tooth central ray of the x-ray beam perpendicular to the film and long axis film holder must be used away from tooth toward middle of oral cavity image magnification loss of definition long PID types of radiographic exposures full mouth series bitewing periapical occlusal panoramic cephalometric TMJ 8 HSE.O.DCP.4.5 relate common radiographic errors. HSE.O.DCP.4.6 assemble XCP (X-Tension Cone Paralleling) instrument for a periapical and bitewing radiograph. HSE.O.DCP.4.7 assess a mock radiographic exposure on a mock patient. orthopantogram common radiographic errors exposure film placement angulation PID alignment film placement film bending film creasing phalangioma double exposure movement reversed film assemble XCP ring bar bite tab See evaluation sheet in Modern Dental Assisting, 8th edition, to measure proficiency. radiographic exposure explain radiographic procedures adjust chair adjust the headrest to support patient’s head o upper arch is parallel to floor o midsagittal plane is perpendicular to floor place lead apron with thyroid collar remove objects from the mouth and eyeglasses assemble proper XCP set milliamps and kilovolts place radiograph in mouth expose radiograph remove from patient’s mouth place in cup or appropriate barrier 9 transfer to dark room See evaluation sheet in Modern Dental Assisting, 8th edition, to measure proficiency. Standard Number: HSE.S.DCP.5 Essential Questions: Objectives: HSE.O.DCP.5.1 HSE.O.DCP.5.2 Processing Quality Radiographs Students will: understand the procedure of chemically processing a dental radiograph. identify potential errors in processing a dental radiograph. How would you design a darkroom for developing radiographs for a “joint” general dentistry/orthodontic practice? Students will Learning Plan & Notes to Instructor: demonstrate proper darkroom procedures and darkroom procedures room requirements. check temperature label film hanger close and lock door turn off overhead light and turn on safelights unwrap and dispose of film packet clip film to hanger immerse the film into the developer and agitate set timer uncover tank, remove film hanger, rinse immerse film in fixer and agitate uncover tank, remove film hanger, rinse 20 minutes remove film and shake off excess water dry radiographs envelope labeled with patient’s name and date darkroom requirements conveniently located adequate size correct lighting ample work space temperature and humidity controlled compare manual and automatic processes. manual processing 10 HSE.O.DCP.5.3 relate the composition of processing solutions (Fixer and Developer). developer fixer equipment time automatic processing developer fixer equipment time developer composition hydroquinone o generates black tones o exposed silver halide crystals to black metallic silver elon o generates many shades of gray o exposed silver halide crystals to black metallic silver sodium sulfite o prevents rapid oxidation of the developing agents sodium carbonate o activates developer agents o alkaline environment o softens gelatin potassium bromide o prevents developer from developing unexposed silver halide crystals fixer composition sodium thiosulfate: ammonium thiosulfate o removes all unexposed undeveloped silver halide crystals sodium sulfite o prevents deterioration of fixing agent potassium alum 11 o shrinks and hardens the gelatin acetic acid: sulfuric acid o neutralizes the alkaline developer and stops development processing errors time temperature o underdeveloped o overdeveloped o reticulation of emulsion chemical contamination o developer spots o fixer spots o yellow-brown stains film handling o developer cut-off o fixer cut-off o overlapped films o air bubbles o fingernail artifact o fingerprint artifact o static electricity o scratched film lighting o light leak o fogged film HSE.O.DCP.5.4 determine processing errors and methods of correction. Standard Number: HSE.S.DCP.6 Essential Questions: Objectives: HSE.O.DCP.6.1 Evaluation of Radiographs Students will use knowledge and skills to evaluate and mount radiographs. How does knowledge of organization techniques for current radiographs in patient files enhance or impede practice. Students will Learning Plan & Notes to Instructor: choose facial landmarks associated with facial landmarks roentgenology to the correct definitions. ala-tragus maxillary arch angle of the mandible outer and inner canthus 12 HSE.O.DCP.6.2 HSE.O.DCP.6.3 HSE.O.DCP.6.4 zygomatic arch recognize the film requirements for a full mouth adults series of radiographs for adults and children. 14 periapical 2-4 bitewings size 2 film children 10 periapical 2 bitewings size 0 and 1 film mount and file radiographs. mount radiographs recognize anatomic landmarks o floor of maxillary sinus o nasal septum o medium palatal suture o incisive foramen o nasal spine o tuberosity o zygomatic process o hamulus o coronoid o mental ridge o mandibular canal o lingual foramen o genial tuercles o mental foramen select mount methods of mounting o labial mounting o lingual mounting See CD “radiographs” in Modern Dental Assisting, 8th edition. examine characteristics, uses, and characteristics, uses, and indications indications for oral radiographs. digital o no film or chemistry processing o instantaneous image 13 Standard Number: HSE.S.DCP.7 Essential Questions: Objectives: o less radiation exposure o types of digital imaging direct digital indirect digital storage phosphor imaging o gray-scale resolution o patient education panoramic o locate impacted teeth o observe tooth eruption o lesions o overall view of mandible and maxilla o screen-type film, intensifying screens and cassette intraoral o periapical radiographs diagnose pathologic conditions tooth formation and eruption endodontics oral surgical procedures o bitewing radiographs detect interproximal caries periodontal disease recurrent decay under restorations the fit of metallic fillings or crowns o occlusal radiographs detect tumors on the alveolar ridge fractures in the jaw line Emergency Medical Care Students will demonstrate knowledge and skills in the performance of basic emergency medical care. After receiving local anesthesia the patient complains of shortness of breath and not feeling very well. What medical emergency would you suspect, and how should the dental team respond? Students will Learning Plan & Notes to Instructor: 14 HSE.O.DCP.7.1 recognize common medical emergencies, including the symptoms and treatment protocol for each. medical emergencies, symptoms, and treatment cardiac o chest pain o diaphoresis o shortness of breath cardiopulmonary resuscitation automated external defibrillator oxygen choking o no speaking, coughing, or talking o universal signal Heimlich maneuver syncope o feeling of warmth or flushing o nausea o rapid heart rate o perspiration o pallor o lower blood pressure subsupine position call 911 loosen clothing ammonia inhalant oxygen ready monitor vital signs cerebrovascular o paralysis o speech problems o vision problems o possible seizure o difficulty swallowing o headache o unconsciousness call 911 initiate basic life support monitor and record vital signs 15 hyperventilation o rapid, shallow breathing o lightheadedness o tightness in chest o rapid heartbeat o lump in throat o panic-stricken appearance comfortable position use quiet tone to calm and reassure patient breathe into a paper bag or cupped hands asthma attack o coughing o wheezing o increased anxiety o pallor o cyanosis o increased pulse rate call for assistance position patient as comfortably as possible patient self-medicate with inhaler administer oxygen as needed allergic reaction o itching o erythema (skin redness)\ o hives o physically ill o nausea and vomiting o shortness of breath o heart arrhythmia o sudden drop in blood pressure o loss of consciousness call 911 16 place patient in supine position start basic life support prepare to administer epinephrine administer oxygen monitor and record vital signs epileptic seizure o unconsciousness o increased body temperature o rapid heart rate o increased blood pressure call 911 remove all materials from mouth and place in supine position protect patient from self injury initiate basic life support monitor and record vital signs prepare to use anticonvulsant from the drug kit diabetes o hyperglycemia excessive urination excessive thirst, dry mouth, and dry skin acetone breath blurred vision and headache rapid pulse lower blood pressure loss of consciousness call 911 ask when last ate and had insulin provide basic life support monitor and record vital signs o hypoglycemia 17 HSE.O.DCP.7.2 determine the role of the assistant in the administration of oxygen. HSE.O.DCP.7.3 secure certification for adult, child, and infant CPR and Foreign Body Airway Obstruction (FBAO) from the American Red Cross or American Heart Association. relate the importance of periodic checks of expiration dates and updating medications in the emergency kit. HSE.O.DCP.7.4 mood changes hunger perspiration increased anxiety possible unconsciousness call 911 ask when last ate and had insulin give concentrated form of carbohydrate, such as sugar provide basic life support monitor and record vitals role of the assistant directed and supervised by dentist check cylinder for green color open main valve slowly attach regulator tighten the clamp to seal open the valve two full turns pressure gauge shows 2000 pounds per square inch attach the tubing position the mask comfortably over patient’s face See American Red Cross or American Heart Association. periodic checks routine check of supplies o rubber tubing o oxygen masks o tourniquets o intravenous lines 18 o ventilation masks o blood pressure equipment weekly examination for expiration of drugs in the emergency kit daily check of the oxygen tank or tanks Standard Number: HSE.S.DCP.8 Essential Questions: Objectives: HSE.O.DCP.8.1 Vital Signs Students will demonstrate knowledge and skills for measuring and recording vital signs. Discuss the impact of “white coat anxiety” on the dental patient. HSE.O.DCP.8.2 distinguish between characteristics of vital signs. Students will relate the importance of reviewing the patient’s medical history and performing the physical assessment before dental treatment begins. Learning Plan & Notes to Instructor: physical assessments palpation radiography intraoral imaging photography soft tissue examination TMJ oral habits charting periodontal screening medical history characteristics of vital signs temperature o readings tongue ear under arm rectum o types of thermometers oral rectal axillary tympanic pulse o sites 19 HSE.O.DCP.8.3 determine the instruments used to measure vital signs. radial brachial carotid o characteristics rate rhythm volume o readings respiration o characteristics rate rhythm depth o readings blood pressure o systolic and diastolic o equipment sphygmomanometer stethoscope o readings o medical considerations instruments used to measure vital signs thermometers o oral o rectal o axillary o tympanic pulse o watch o pen o record respiration o watch o pen o record blood pressure 20 o sphygmomanometer o stethoscope record vital signs temperature o 97.6 degrees axillary o 98.6 degrees orally o 99.6 degrees rectally pulse o adults 60 – 100 beats per minute o children 70 - 120 beats per minute respiration o adult 12 – 20 breaths per minute o children 16 – 25 breaths per minute blood pressure o systolic normal less than 120 o diastolic normal less than 80 See Modern Dental Assisting, 8th edition, chapter 27, “Vital Signs” power point presentation. See Diversified Health Occupations, 6th edition, for temperature, pulse, respiration, and blood pressure performance evaluation sheets. HSE.O.DCP.8.4 measure and record vital signs, reporting abnormal measurements. Standard Number: HSE.S.DCP.9 Technology Students will: understand the use of computer technology within the dental healthcare system. demonstrate skills and knowledge of computer technology as appropriate to dental healthcare applications. Discuss software options available for digital radiographics. Essential Questions: Objectives: HSE.O.DCP.9.1 HSE.O.DCP.9.2 Students will research computerized dental office programs utilizing the internet. implement the use of dental software programs. Learning Plan & Notes to Instructor: *Dentrix Dental software system has related patient information for this course. software and hardware using word processing type papers reports required class writing assignments 21 HSE.O.DCP.9.3 HSE.O.DCP.9.4 Standard Number: HSE.S.DCP.10 Essential Questions: Objectives: HSE.O.DCP.10.1 HSE.O.DCP.10.2 utilize software, hardware, and the internet to practice and master standards. utilize the internet as a resource/research tool. use Internet to practice and master standards in imaging systems radiation safety dental radiographic film producing quality radiographs processing quality radiographs evaluation of radiographs emergency medical care vital signs Use software, hardware, and the internet throughout delivery of CSOs. use internet as a resource/research tool for reports research assignments other activities o imaging systems o radiation safety o dental radiographic film o producing quality radiographs o processing quality radiographs o evaluation of radiographs o emergency medical care o vital signs Student Organizations Students will participate in the local chapter of the Career and Technical Organization (CTSO). How does participation in a Career and Technical Student Organization (CTSO) impact professional development and lifelong learning? Students will Learning Plan & Notes to Instructor: participate in the local chapter of the involvement in HOSA or SkillsUSA appropriate Career and Technical Organization membership (CTSO). committee involvement contests projects other educational activities examine parliamentary procedure in parliamentary procedure in organizational meetings 22 organizational meetings. HSE.O.DCP.10.3 characterize team membership skills, such as cooperation and leadership. HSE.O.DCP.10.4 participate in local, state, and national dental health care and education projects. 21st Century Skills Learning Skills & Technology Tools Information and Communication Skills: 21C.O.9-12.1.LS3 Student creates information using advanced skills of analysis, synthesis and evaluation and shares this information through a variety of oral, written and multimedia communications that target academic, professional and technical audiences and purposes. 21C.O.9-12.1.TT2 Student routinely applies keyboarding skills, main motion second debate vote point of information division adjourn team membership skills cooperation leadership through participation in o committees o contests o projects o other educational activities local, state, and national dental health care and education projects National Dental Health Month Dental Assistant Recognition Week American Dental Assistants Association, etc. Teaching Strategies Evidence of Culminating Activity Success Students will create and Students share information through oral demonstrate the and written communication, creation and sharing and the electronic medical of information using record. Information will result a variety of from the analysis, synthesis, communication and evaluation of both current techniques and anticipated performances throughout within the area of imaging classroom systems. Performances will performances, as include such areas as safety well as, to procedures with radiographs professionals and procedures, inflection control, patients within the CPR, treatment of FBAO, dental setting. 23 keyboard shortcut techniques, and mouse skills with facility, speed and accuracy. 21C.O.9-12.1.TT5 Student uses advanced features of word processing software (e.g., outline, table of contents, index feature, draw tool, headers and footers, track changes, macros, hyperlinks to other file formats, etc.). Thinking and Reasoning Skills: 21C.O.9-12.2.TT3 Student uses multiple electronic sources of information and multiple technology tools and obtaining and recording the patient’s medical history, the physical assessment, and measuring, recording, and reporting vital signs. Students engage in analysis of dental radiographs, comparing them to diagnose various conditions present in the oral cavity; selects common radiological problems and prepares a “how to fix” handout to be used with new employees (no training) in a dental office; formulate questions concerning radiological choices and apply strategies in order to find out which dental problems may be diagnosed; collaborates with peers to produce a full series of radiographs using digital radiography, scanner and computer software skills, and facilitates a group discussion to conclude and report findings. Students will develop skills using digital radiography as well as the associated dental software; digital cameras, Students will apply keyboarding skills with speed and accuracy to successfully complete homework, class work, and clinical internship. Students apply knowledge and skill to demonstrate the exposing, processing, mounting and displaying a full mouth series of radiographs. The problem solving process is monitored by the instructor and assistance is given as needed throughout the project. Students construct a graph of common problems and solutions of 24 Personal, and Workplace, Skills: resources tools (e.g., digital cameras, graphing calculators, probes, mp3 players, handheld devices, other emerging technologies, simulations, models, browsers, word processing, authoring tools, spreadsheets, databases) to collaborate with others, to formulate a hypothesis, to solve problems, make decisions, and present and justify the solutions. 21C.O.9-12.3.LS3 Student demonstrates ownership of his/her learning by setting goals, monitoring and adjusting performance, extending learning, using what he/she has learned to adapt to new situations, and displaying perseverance and commitment to continued learning. Learning Skills & Technology Tools Entrepreneurship Skills: D.19, D.22, D.31 Understands concepts, strategies, and systems needed to interact effectively with others. intra oral cameras and chemically processed radiographs will be examined and categorized by graphing. processed radiographs, digital cameras, intraoral cameras and digital radiographs using collaborative learning. The collaboration will be supervised by the instructor and the final product will be assessed through experimentation. Students will demonstrate positive leadership as they work collaboratively with their peers; model ethical practices as it relates to working independently, in groups and with various technology resources; show composure and focus as they engage in real world scenarios they are modeled to their peers in service learning participation Students apply acquired knowledge and skills to conclude and select the correct action for various real world scenarios; request assistance as needed; demonstrate a commitment to the final product, project, demonstration or service learning activity. Teaching Strategies Evidence of Culminating Activity Success Students will develop an Students compile a understanding of ethical script for explaining considerations while providing the importance and private information to the dangers of radiation; 25 E.04, E.07, E.09, E.13, E.14 Culminating Assessment: Understands concepts and procedures needed for basic computer operations. customer; handle a customer handling a difficult who refuses a radiograph; client; recording, determine filing and record mounting and filing a keeping for radiographs; and radiograph or use reference materials to photograph using a troubleshoot radiographic dental software image problems. system. Culminating Assessment You are the radiology assistant in the local dental office. You have received reports from your badge monitoring company that in the last 6 months there has been an increase in exposure to radiation for two employees, Kathy, the receptionist, and Debbie, the hygienist. Your job is to analyze one day of patient radiographs to determine the possible points of exposure that perpetuated this increase. You will verbally present your analysis to your co-workers, by presenting a pictorial representation (charts, graph, etc.) illustrating each area of the office affected, and identify the corresponding action that might have contributed to increase exposure for these two employees. You will be judged on the application of your knowledge of radiation safety and monitoring, and a peer review on your ability to verbally and pictorially communicate your analysis effectively. Final Examination Industry Accreditation/Certification Industry Accreditation/ Certification Links and Other Resources Secondary programs: None available at the completion of this course. Postsecondary programs: must complete all courses within the Dental Concentration Commission on Dental Accreditation American Dental Association Dental Assisting National Board o Certified Dental Assistant CDA o Certified Office Assistant COA o Infection Control Exam ICE o Radiation Health and Safety RHS o General Chairside GC o Dental Laboratory Technician Links and Other Resources Related Websites: Dental Assisting National Board http://www.danb.org 26 American Dental Association http://www.ada.org American Dental Assistants Association http://www.dental assistant.org American Dental Hygienists Association www.adha.org National Institute of Dental and Craniofacial Research www.nidcr.gov National Institute for Occupational Safety and Health www.cdc.gov/niosh U.S. Occupational Safety and Health Administration www.osha.gov HOSA http://www.hosa.org Pathways to Success http://careertech.k12.wv.us/pathwaystosuccess/ U.S. Department of Labor in the 21st Century http://www.dol.gov/ Advanced Distributed Learning www.adlnet.org America's Career InfoNet www.acinet.org America's Job Bank www.ajb.org 27 America's Service Locator www.servicelocator.org CareerOneStop www.careeronestop.org Employment & Training Administration www.doleta.gov The Job Accommodation Network (JAN) http://www.jan.wvu.edu Monthly Labor Review Online: Labor Force Archives http://www.bls.gov/opub/mlr/indexL.htm#Labor force Occupational Information Network www.doleta.gov/programs/onet Office of Disability Employment Policy www.dol.gov/odep Career Voyages http://www.careervoyages.gov/index.cfm Workforce West Virginia https://www.workforcewv.org/ West Virginia Earn A Degree Graduate Early (EDGE) http://www.wvtechprep.wvnet.edu/edge.htm West Virginia Career and Technical Education http://careertech.k12.wv.us/ Contacts Contacts: HSE Teachers: See HSE Directory 28 HSE Coordinators: Rebecca Davis [email protected] Cynthia Sundstrom [email protected] OCTI Assistant Executive Director and EOCTST Coordinator: Donna Burge-Tetrick OCTI Executive Director: Gene Coulson 29