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Page 1 of 267DENTAL PROGRAMS CLINIC MANUALJuly 1, 2017- June 30, 2018Subject to ChangeNEW MEXICO STATE UNIVERSITY3400 S. ESPINA STREET, LAS CRUCES, NM88003
Page 2 of 267Page Intentionally Left Blank
Page 3 of 267Table of ContentsContentsSection 1: INTRODUCTION . 11Dental Faculty and Staff . 11Doña Ana Community College Dental Programs Advisory Committee . 11Dental Assisting and Dental Hygiene Programs as Professional Partners . 12Doña Ana Community College (DACC) Mission, Vision, and Values . 13Dental Hygiene Program . 14DH Program Vision: . 15DH Program Goals: . 15Commission on Dental Accreditation . 18The DACC Dental Hygiene Curriculum . 18SECTION 2. ACADEMIC & PROFESSIONAL STANDARDS. 22American Dental Education Association (ADEA) Competencies for Entry into the Allied DentalProfessions . 22CORE COMPETENCIES (C) . 24Professionalism . 29Advancement, Retention, and Graduation . 31Consequences for Non-Compliance of Standards of Conduct. 32Academic Discipline Process-General Cases . 35Appeal Process . 36Non-Academic Misconduct . 37Clinical/ Patient Care Area . 39Process following initial observation, removal, and forensic testing . 40Professional Activities (ADHA and SADHA) . 40Insurance Coverage . 43SECTION 3. PERSONAL SAFETY . 46SECTION 4. EMERGENCY MANAGEMENT PLAN . 51Emergency Management . 51Emergency Procedures . 58SECTION 5. HAZARD COMMUNICATION PROGRAM . 61 Blue is for HEALTH. 75Combustible liquids. 76
Page 4 of 267Highly toxic . 76SECTION 6. HEALTH INFORMATION PRIVACY AND ACCOUNTABILITY ACT (HIPAA). 79SECTION 7. CLINIC BUSINESS OPERATIONS . 86SECTION 8. CLINIC PROCEDURES . 100SECTION 9. INFECTION CONTROL . 122DACC Dental Hygiene Program Infectious Disease Standards: . 122Basic Infection Control Standards and Procedures . 122Non-Discrimination . 123Immunizations . 123Hepatitis B Vaccine. 124Tuberculosis (TB) Test . 124Physical Exam Requirements . 124Admission of Students with Blood borne Infectious Diseases (HIV/AIDS, HBV, HCV) . 124Screening for HIV Infection . 124Medical Care . 124Management of Personnel with Blood-borne Infections. 124Confidentiality . 125Standard Precautions. 127Infection Control Standards . 128Blood-borne Pathogens Exposure Control Plan . 129Implementing Infection Control by DACC Dental Program . 131Work Area Restrictions . 131Labels and Signs . 131Specimens . 131House Keeping. 131Broken Glass. 132Vacuum lines and saliva injectors . 132Water bottles . 132Contaminated equipment . 132Trash-Regular VS Regulated/Biohazard . 132Lead Foil . 133Film Processor Chemicals . 133Sharps. 133Laundry Procedures . 134Operator Preparation . 134General Guidelines for Exposures to Communicable Diseases . 137Post-Exposure to Blood-borne Pathogens: Evaluation & Follow-up . 137Blood-borne Pathogen Training . 138
Page 5 of 267Record Keeping . 138Infection Control Products Used at DACC-DH Clinic: . 139Infection Control During Procedures . 144Sterilization Duty Responsibilities. 148SECTION 10. GUIDELINES FOR DENTAL HYGIENE ASSESSMENT & DIAGNOSIS . 152Medical/Dental History . 152Antibiotic Premedication Guidelines . 153Drug Sensitivities and Overdose . 154Vital Signs . 154Blood Pressure . 157Normal Laboratory Values . 158Follow the physician’s recommendations. . 159Blood Cell Counts . 159ASA Classification Guidelines . 161Patients with Special Needs . 164Extra-Oral/Intra-Oral Exams . 165Radiographs . 167Dental Exam . 167Criteria for Dental Chart . 167Mucogingival Involvement (amount of attached gingiva) . 172Furcations. 172Mobility. 173Fremitis . 173Gingival Description . 173Hard Deposit Classification System . 174Periodontal Descriptions . 174Active and Maintenance Cases . 175Caries Risk Assessment (CAMBRA) . 176Plaque Index and Calucus Indices. 176Dental Hygiene Diagnosis. 177Treatment Plans. 177Development of the Treatment Plan. 177Criteria for Treatment Plan . 178Treatment Plan Presentation & Patient Consent . 179Treatment Notes . 180Adjunctive Diagnostic Procedures . 184Photographs. 184
Page 6 of 267Study Models . 185Vitality Tests . 185Specialized Equipment . 186Screening Patients & Procedures . 186SECTION 11. RADIOGRAPHY . 188Radiographs . 188Protocol for Radiographs and Exams . 188Patient Refusal of Radiographs . 189Survey Selection . 189Retakes . 189Selecting Radiographic Method (3 options). 189Exposure Settings . 192Exposure Records . 193Evaluation of Radiographs . 194Supervision of Radiography . 195Dosimetry Badges . 195Pregnant Students/Providers. 195Pregnant clinicians will also wear a fetal monitoring badge and a special lead apron to protect thedeveloping embryo/fetus when exposing radiographs. . 195Pregnant Patients. 195Radiographs will be postponed on pregnant patients. If radiographs are necessary and can not bepostponed the patient will be referred to the community. . 195Infection Control for Radiography. 199Requirements for Proficiency in Radiology . 202SECTION 12. DENTAL HYGIENE THERAPY . 206Tobacco Education . 206Nutritional Counseling . 206Other Education . 206Preventive Procedures . 206Fluoride Therapy . 207Sealants . 209Other Preventive Measures . 210Dental Hygiene Therapy . 210Scaling/Root Planning (NSPT) . 211Coronal Polish . 211Desensi
Page 1 of 267. DENTAL PROGRAMS CLINIC MANUAL . July 1, 2017- June 30, 2018 . Subject to Change . NEW MEXI
