Clinical Practice 4

Course Details

Course Number: DNHY 4038  Section Number: ALL

Spring 2011

Location: Bridwell Hall

Classroom Number: 107

Days & Times:

Mon. 8:00 - 12:00
Tues.8:00 - 12:00 OR  1:00 - 5:00 PM 
Wed. 8:00 - 12:00 AND 1:00 - 5:00 PM



Course Attachments

Textbooks

MSU Faculty Member
Barbara J DeBois RDH, MS   
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Course Objectives

Given the integration of didactic and clinical experiences, the prerequisite courses, Clinical Practice I (DNHY 3114), Clinical Practice II (DNHY 3005), and Clinical Practice III (DNHY 4018) upon completion of this course the student should be able to:

1. Utilize information obtained from the health history in providing comprehensive patient care; determining need for special precautions, modifications and/or contradictions for treatment; manage emergency situations, and make appropriate referrals to other health care providers.

2.  Assess and document patient vital signs, counsel patients on any irregularities, and make appropriate recommendations or referrals.

3.   Perform an extraoral inspection and accurately document the findings with appropriate detail.

4. Thoroughly examine all oral tissues for signs of pathological changes, correctly document findings, and make appropriate recommendations and/or referrals.

5. Perform a periodontal assessment and accurately document the findings including: AAP Classification, pocket depths, loss of attachment, mobility, furcation involvement, and bleeding sites within a reasonable time frame.

6.  Graphically represent a patient's teeth with regard to caries, missing teeth or tooth structure, types and locations of restorations, fixed and removable appliances and developmental abnormalities within a reasonable time frame

7. Determine need for radiographic evaluation of specific areas and/or entire dentitions and make appropriate recommendations for such surveys based on patient assessment/need.   
      
8. Position and expose intraoral x-ray films; process, mount, label, and critique radiographic surveys according to radiological standards.
 
9.  Analyze data collected to assess patient's needs, abilities, resources and attitudes as a basis for developing and prioritizing the treatment plan.

10. Revise treatment plans in accordance with the progress of clinical treatment.

11. Obtain the patient=s informed consent based on effective case presentations of projected dental hygiene treatment plans.

12.   Determine the outcomes of dental hygiene interventions using indices, instruments, examination techniques and patient self-report.

13.  Utilize effective infection control techniques in accordance with the MSU Dental Hygiene Program's Standard Protocol; identifying any breach of protocol and remedying accordingly.

14. Apply principles of instrumentation and knowledge of tooth morphology in selecting hand and/ or powered instruments to remove deposits, root plane, and reduce or eliminate amalgam overhangs, in a reasonable time period.

15. Maintain tissue integrity while performing all intra-oral instrumentation.

16. Select appropriate candidates for air powdered polishing and demonstrate adequate patient preparation as well as proper set-up, utilization, and break-down of air powered polishing unit.

17. Control pain and anxiety during treatment through the use of accepted clinical and behavioral management techniques which are within the scope of dental hygiene practice in Texas.

18. Demonstrate adequate patient preparation, as well as proper set-up, utilization, and break-down of various powered scalers.

19. Select and administer topical fluoride treatments, based on the needs of the individual patient; with appropriate patient preparation and education. 

20. Accurately complete all patient records and charting forms with appropriate detail and in a timely manner.

21. Demonstrate correct techniques in administering CPR Basic Life Support, as may be necessary. 

22. Select appropriate candidates for pit and fissure sealant placement and demonstrate proper application of sealants on clinical patients; with adequate patient education and preparation.

23.  Properly take alginate impressions; pour and trim acceptable diagnostic casts.

24. Correctly and efficiently perform all clinic receptionist duties in a professional manner, with a positive attitude.       

25. Correctly and efficiently perform all clinic assistant duties with a positive attitude and in a professional manner, utilizing correct technique and infection control protocol.

26.  Schedule patient appointments (procedures and time frame) in a manner that is both time efficient and meets the needs of the patient.

27. Demonstrate proper equipment maintenance in the lab, clinical, radiology and sterilization areas.

28.  Select applicable candidates for placement of chemotherapeutic agents and demonstrate placement with appropriate patient education to lab competency.


 


Course Expectations

GRADING RATIONALE

The grade for this course is based on QUALITY (instrumentation, assessment/documentation, patient management, radiographs, professionalism and clinic assistant/receptionist grades) AND QUANTITY (patient experiences) requirements. Both play a significant role in the development of student competencies in patient care. 
Competency evaluations (Process Evals) ensure that students can perform procedures at the minimum level of expertise determined necessary for this point in time in their education.  Upon successful completion of the competency evaluations students can then work on improving their abilities with instructor assistance on patients in the Gaines Dental Hygiene Clinic (Clinic Grade Sheets).  Due to the substantial instructor-student collaboration during treatment QUALITY grades via Clinic Grade Sheets are not true indicators of student competency.
QUANTITY requirements are set to ensure that each student has appropriate experiences to develop entry level competencies in patient care.  QUANTITY (patient experiences) also reflects the student’s competency level as time management abilities are ultimately reflected in the number and type of patients upon which treatment is completed. Therefore, the number/type of patients treated and the number/type of procedures performed have a significant bearing on the student’s final course grade for Clinical Practice 3 and 4.
 


Grading Standards

QUALITY GRADE POINTS     
50% Instrumentation
20% Assessment/Documentation
20% Patient Management/Professionalism
  5% Radiographs
  5% Clinic Assistant/Receptionist
100% 

 Clinic Assistant/Receptionist Grade: Students will start with 100 points in this area.  Infractions will result in deduction of points from the applicable “100” starting points. Each infraction will incur a five (5) point deduction from the initial 100 points. (See Assistant/Receptionist Forms, objectives & criteria – Student Handbook/Clinic Manual, Section 6.7).  

 Breach of Professionalism Protocol –During a clinical session a breach of the professionalism protocol not directly related to the treatment of a patient: will result in:  1st  Infraction -Formal warning
2nd Infraction- 5 point deduction from the FINAL clinic QUALITY grade
QUANTITY GRADE POINTS

Quantity Requirements have been set for each of the clinical procedures (Breakdown on the following pages). Points will be deducted from the FINAL QUALITY GRADE POINTS for deficiencies in each of the areas.

    XX       Quality Grade Points     
-   XX Deductions for failure to meet Quantity Requirements  
  = XX      FINAL COURSE GRADE
 
Dental Hygiene Grading Scale

A =   92 - 100
B =   83 -   91
C =   75 -   82   Minimum competency level required to pass Clinic 4
D =   65 -   74   Failure in Dental Hygiene

COMPETENCY EVALUATIONS

Competency evaluations in Clinical Practice 4: 

•Air Powdered Polishing -On fellow students - To be scheduled by instructor
•Management of Class 3+/ 4 Level Patient Treatment - Mar. 24, 2010
•Placement of Chemotherapeutic Agent- Lab competency To be scheduled by instructor

All Evaluation forms/criteria are in Student Handbook/Clinic Manual- Section 7

 COMPETENCY EVALUATION PROTOCOL
If student is unsuccessful in demonstrating the specified competency the following will apply:

Air Powered Polishing Cannot be performed on patients (to satisfy quantity requirements) until Competency Re-eval successfully completed.

Management of Class 3+/ 4 Level Patient Treatment -
Regularly scheduled clinic patients will not be treated until a Competency Re-Eval is successfully completed. This can
have an effect on meeting quantity requirements for Clinic 4 which in turn can affect the final course grade for Clinic 4.

Failure of Class 3+/ 4 Level Patient Treatment Competency Evaluation:

1.  1st Remediation Session- Prior to treating another patient in the Gaines Dental Hygiene Clinic the student must remediate one-on-one with an instructor outside of regular clinic sessions.

2.  2nd Remediation Session- Remediate on the eval patient or equivalent classification patient with instructor assistance during a regularly scheduled clinic session.  No quantity points and/or grades are earned for treatment provided during this session.
 
3.   Competency Re-Eval- Re-eval on equivalent classification patient during a regularly scheduled clinic session. No quantity points and/or grades are earned for treatment provided during this session. 

Failure of Competency Re-eval

A student who is unsuccessful on the 1st Competency Re-eval can repeat steps 1-3 above two (2) more times. If competency is not demonstrated at the 3rd Competency Re-eval student will be given a course grade of AD@ (failure in Dental Hygiene) and not be permitted to graduate from the program in May 2011.  In this situation the following will apply. 

•A student who successfully completes ( C or better) ALL 4th semester didactic courses may return in Fall 2011 to complete a full semester of clinical practice sessions (running concurrently with Clinical Practice 3 sessions) for graduation in December 2011.
•A student who DOES NOT successfully complete ALL 4th semester didactic courses, will be required to return in Fall 2011 to formally audit  ALL  3rd semester courses (clinical and didactic) and then retake the  4th semester courses (clinical and didactic) in Spring 2012 for g
raduation in May 2012.


The dental hygiene department has the right to make arrangements on an individual basis for students failing to maintain a passing grade in any course.  Whatever arrangements made will be based upon an examination of the individual student=s overall dental hygiene scholastic record. This will be decided by the Department Chair and at least two other Dental Hygiene faculty members.  Readmission is not automatic.


Submission Format PolicyNote: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

ATTENDANCE:

The Dental Hygiene Faculty feel very strongly that maximum participation in all clinical and laboratory exercises is
critical to the development of clinical competencies. Therefore, more than two absences for any reason will result
in a loss of 5 points from the final course grade for each absence over 2. 

ANYONE MISSING MORE THAN FOUR (4) CLINICAL SESSIONS FOR ANY REASON WILL BE DROPPED FROM CLINICAL PRACTICE 4. 

A student on Probationary Status will not be permitted absences for any reason until he/she is taken off of probationary status by the Dental Hygiene Admissions Committee.

When the student has an open appointment time due to a No-show, cancellation, or no scheduled patient the student will be expected to work on impression requirements, help the clinic assistant or receptionist as needed, or assigned a specific skill to practice.  YOU MUST REMAIN IN THE CLINIC AREA.  THE dressing/locker room is not considered a clinical area (See Professionalism Criteria - Student Handbook)

DO NOT SIT IN THE RECEPTION ROOM OR AT THE RECEPTION DESK unless you are the scheduled receptionist. If an instructor and/or the department secretary must ask you to leave the reception desk FIVE (5) points for Breach of Professionalism WILL BE DEDUCTED FROM your FINAL clinic grade. You may study in your operatory with clinical instructor permission. 

ALL STUDENTS MUST CHECK WITH AN INSTRUCTOR BEFORE LEAVING THE CLINIC AREA. 
(See Professionalism Criteria - Student Handbook)


Other Policies

MSU COHSHS Student Conduct Appeals Committee

All Midwestern State University (MSU) students may legitimately appeal a course grade if 1) the student has not be evaluated according to the same criteria as his or her classmates, or 2) an error has been made in grading and/or posting (MSU Student Handbook, p. 37.) In addition, the Office of the Dean of Students has the responsibility to enforce standards of conduct for students as outlined in the MSU Student Handbook (p. 70-80).

When enrolled in the College of Health Sciences and Human Services (COHSHS), students are often assigned to community agencies, such as health care facilities, social service agencies, or athletic environments, as part of their academic process. During these experiences, the student is expected to behave in a manner required of professionals working in this environment. COHSHS students may also be required to successfully complete a licensing/certification process following graduation. As a result, students in these programs are often held to a different academic and/or behavioral standard than students in other MSU programs. For example, students may not be allowed to progress in a program if they have been unsuccessful (D or F) in a certain number of courses in the major. In these circumstances, COHSHS faculty and administration, all of whom have had similar professional experience, may make decisions which negatively impact students’ programmatic progress.

COHSHS students have a right to a review of decisions made by the program faculty, which prevent individuals from progressing in their program in a timely manner. However, those who participate in the review must understand the context of the professions involved. Therefore, issues concerning the professional conduct of students in the COHSHS will NOT be brought to the University Grade Committee, but to the COHSHS Student Conduct Appeals Committee. Specifically, the COHSHS Student Conduct Appeals Committee will review faculty decisions related to:
• Student conduct in a clinical experience, internship, or other work-related environment that negatively impacts the student’s academic progress. This conduct may include behavior which is prohibited by licensing and/or professional standards or departmental policy.
• Student removal from a program because of a) professional conduct issues or b) failure to maintain academic standards required specifically by the program*

SEE COHSHS WEB SITE FOR A COMPLETE COPY OF THIS POLICY


Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.