Harriet Ellis · Web viewNATIONAL EXAMINING BOARD FOR DENTAL NURSES Company Number 5580200 Charity...

NATIONAL EXAMINING BOARD FOR DENTAL NURSESCompany Number 5580200 Charity Number 1112331

Record of Experience Introduction

Introduction

You are now on the road that will lead to your qualification as a Dental Nurse. You may just have started on, or be part way through, a training course accredited by the National Examining Board for Dental Nurses (NEBDN) working towards the NEBDNNational Diploma in Dental Nursing qualification.

In order to gain the qualification, which entitles you to apply for registration as a Dental Care Professional with the General Dental Council (GDC) in the UnitedKingdom, you must:

Successfully complete a work-based Record of Experience (RoE)

Successfully complete a written examination

Successfully complete a practical examination containing Objective Structured Clinical Examinations (OSCE)

The purpose of the RoE is to ensure student dental nurses receive formative assessments carried out in the workplace to an approved standard. All those involved in the formative assessment process must adhere to the benchmarks and performance criteria set out in the Record of Experience Marking Guide. Formative assessment provides feedback during a training programme and addresses the question ‘what does the trainee need to do to improve?’ Whereas summative assessment happens at the end of a training programme (e.g. final examination), both are inter-related, and the evidence gathered during completion of the RoE will be used to inform summative assessment.

The Record of Experience (RoE)

This document is an evidence based portfolio which provides a formal assessment of knowledge, skills, behaviours and attitudes in the workplace under normal working conditions. Students must complete the RoE with support from their employer and course provider to a satisfactory standard in order to enter theNEBDN National Diploma in Dental Nursing examination.

This RoE contains five units, each relating to the work of a Dental Nurse, based onLearning Outcomes as promoted by the GDC. In order to complete each unit, students must complete a number of Practical Experience Record Sheets (PERS) related to individual tasks. During completion of the PERS, students will be observed and assessed by other members of the dental team and have the opportunity to reflect on the process to enhance the learning experience.

Reflection is particularly important as it gives you the opportunity to consider what you did, why you did it and whether it could have been done differently. It also gives you the opportunity to question, to examine, and thus gain maximum learning from your experience. Some of the reflection will be about you, about how you felt and why you felt that way.

NATIONAL EXAMINING BOARD FOR DENTAL NURSESCompany Number 5580200 Charity Number 1112331

Your Course Provider will assess your performance to set criteria provided by NEBDN to ensure a standardised learning programme is followed for each student.

In order to complete each unit, students must complete a number of Practical Experience Record sheets related to individual tasks across a range of patients.

Good luck!

Phil HughesChief Executive

PRINCIPLES OF GOOD PRACTICE

The following principles of good practice should be followed when completing the Record of Experience:

• Effective communication should be established with other members of the oral health care team.

• The health and safety of patients and the oral health care team as a whole should be promoted.

Each task will be carried out, where appropriate, during the normal treatment of a patient or, if this is not possible, in a simulated situation.

Skills in more than one area may be demonstrated during the care of a single patient.

Your witness should have expertise and experience in relation to the particular procedure/task which is being carried out. They must also possess a suitable qualification and be registered with the GDC (or other regulatory body in the case of a radiographer).


RECORD OF EXPERIENCE

This Record of Experience measures the application of skills during routine dental procedures as outlined in the Curriculum for the National Diploma forDental Nurses.

Unit 1Students must complete 10 PERs to demonstrate competence in the 3 clinical activities and provide supplementary outcomes in 4 additional areas.

Unit 2Students must complete 4 PERs to demonstrate competence in the 1 clinical activity and provide supplementary outcomes in 5 additional areas.




All PERs submitted to summative assessments.

NB The same patient and the occasion on which they received treatment may appear in Units 1, 2, 3, 4 or 5 of the Record of Experience, and competence in more than one area may be demonstrated during their treatment.


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© NEBDN September 2012 9

Record of ExperienceUnit 1

Notes for Guidance

This unit focuses on the preparation and maintenance of the clinical area to include Infection Control and Health and Safety procedures.

There are 8 Learning Outcomes to this unit.

At the end of each unit the student will be able to:

• Demonstrate the preparation and maintenance of the clinical area for specific operative procedures.

• Carry out a full sterilisation process for a variety of instruments.

• Demonstrate disinfecting a range of impressions.

• Give a reflective account of the most recent Basic Life Support training received in the workplace.

• Outline a list of emergency drugs/equipment held in their clinical area.

• Answer questions relating to the GDC ‘Standards Guidance’ document.

• Answer questions relating to the Infection Control policy from their clinical area.

• Complete a Personal Development Plan.


Unit 1 Section 1: Preparing and Maintaining the Clinical Area

Range:a) Restorative procedure b) Periodontal procedure c) Extraction

Requirements:1 PER from each of the range

Total 3 PERs


NEBDN NATIONAL DIPLOMA IN DENTAL NURSING

PRACTICAL EXPERIENCE RECORD SHEET


Student Dental Nurse’s Name: Date of Activity:

The Practical Experience Record sheet is a true representation of my own involvement in the task described.

Student Dental Nurse Signature:

1. Clinical area detailsGuidance Notes:Students should state the procedure to be carried out.Students should detail the clinical area, the equipment switched on, and the preparation of the area for the procedure.Students should state the particular instruments and materials (where relevant) set out, as well as the relevant patient records.----------------------------------------------------------------------------------------------------------------------------


2. Details of how clinical area managed after procedureGuidance Notes:Students should explain how instruments, sharps, equipment, surfaces were decontaminated and sterilised after the procedure.Students should give details of all relevant waste disposal techniques used.

3. Reflective AccountGuidance Notes:Students should identify their strengths and weaknesses during the procedure and describe any action they would take to address weaknesses in the future, if required.


4. Witness Feedback

This Section should be completed by the GDC (or other) registrant who witnessed the activity of the student and is assessing their competence. Constructive feedback will help the student to develop their performance in the workplace.

Witness Assessment of Competency

Competency Competency (Tick)

Clinical - the Dental Nurse demonstrated Not yet competentknowledge and clinical skills appropriate for

Competentthe patient’s condition.

Professionalism - the Dental Nurse Not yet competentdemonstrated professionalism in his/her

Competentduties and effective team working towards thedelivery of safe, effective care.

The Dental Nurse demonstrated effective Not yet competentclinical decision making throughout the task.

Competent

Communication - the Dental Nurse Not yet competentcommunicated appropriately, effectively and

Competentsensitively with patients, their relatives orcarers and colleagues.

Management and Leadership - the Dental Not yet competentNurse managed themselves and the clinical

Competentenvironment in line with current standardsand guidelines.


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I confirm that this PER has been assessed following the criteria outlined in thePERs Marking Guide.

Feedback to Student

Satisfactory Not Yet Satisfactory

Signed: …………………………………………………… (Witness)

Date: ………………………………………………………

Print Name: ……………………………………………… (Witness)


5. Tutor FeedbackThis Section should be completed by the GDC registrant who is assessing the reflective account of the student. Constructive feedback will help the student to develop their performance in the workplace.

Feedback to Student:


Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..

Print Name: ………………………………………(Tutor)

Sampled by Internal Moderator

Yes

Signed: …………………………………………….. (Internal Moderator)

Date: …………………………………………….

Print Name: ……………………………………………… (Internal Moderator)

GDC Registration Number: ……………………………..

Conforms to current legislation: Yes No


4. Witness Feedback









Competent






19


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






24


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





Unit 1 Section 2: Sterilisation process

Range:a) Restorative or periodontal instruments b) Extraction forceps or surgical instruments c) Handpiece


Total 3 PERs




Unit 1 Section 2: Sterilisation Process




1. Sterilisation procedure carried outGuidance Notes:Students should detail PPE used, details of instruments and how they were decontaminated before sterilisation, detail of autoclave process, method to check sterilisation process, storage of instruments after sterilisation.--------------------------------------------------------------------------------------------------------


2. Aim of procedureGuidance Notes:Students should state the overall aim of the sterilisation process



4. Witness Feedback









Competent






30


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






35


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






40


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





Unit 1 Section 3: Disinfection of Impressions

Range:a) Alginate impression b) Elastomer impression

Requirements:2 PERs from each of the range

Total 4 PERs








1. Impression to be disinfected (including material & procedure)Guidance Notes:Students should detail PPE used, procedure followed including handling impression, disinfectant used, labelling & packaging used.----------------------------------------------------------------------------------------------------------------------------


2. Aim of disinfection procedureGuidance Notes:Students should state the overall aim of the disinfection process



4. Witness Feedback









Competent






46


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






51


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






56


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






61


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes



SUPPLEMENTARY OUTCOMES

UNIT 1

1. Answer the questions in Appendix A in relation to the GDC Standards Guidance document.

2. Answer the questions in Appendix B in relation to the Infection Control policy of the workplace.

3. Complete a Personal Development Plan (Appendix C).

4. Give a reflective account of the most recent Basic Life Support (BLS) training received in the workplace (Appendix D). Also provide a list of emergency drugs/equipment kept in your own dental environment and state their expiry dates and uses.


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SUPPLEMENTARY OUTCOME

UNIT 1

APPENDIX A

1. Your employer is looking to develop a new patient complaints procedure and asks you to draft the policy. Which GDC Standards Guidance document would you refer to? What are the key points to consider in this document when drafting your policy? Write your answer below.

2. In your latest staff meeting there were some issues discussed relating to the consent process used in your workplace. You are not sure about the purpose of consent and decide to carry out some research. Which GDC Standards guidance document would you refer to? What are the key points to consider in this document when considering the purpose of consent? Write your answer below.


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3. As a Dental Nurse it is important for you to maintain the confidentiality of patient information. What information is considered confidential? When is it acceptable to reveal confidential information? Which GDC Standards Guidance document refers to confidentiality? Write your answer below.

4. Since the new associate dentist started working at the practice you have noticed that they very often smell of alcohol and their work is of a lower standard than you are used to. What course of action should you take? Which GDC Standards Guidance document refers to this issue? Write your answer below.

Tutor: Signature: Date: GDC no.:

Internal Moderator: Signature: Date: GDC No.:


66


UNIT 1

APPENDIX B

1. Give details of 4 methods used in your workplace to prevent cross-infection.

2. Explain the meaning of the following terms:

‘pathogen’

‘asepsis’

3. Give details of how to manage a blood spillage in your workplace.

Tutor: Signature: Date: GDC No.:




UNIT 1

APPENDIX C

PERSONAL DEVELOPMENT PLAN (PDP)

Personal development planning is a process which prompts you to reflect on your development in a purposeful way. This is a simple written plan which asks you to evaluate your achievements, sets out medium to long term aims and plan future development including lifelong learning and continued professional development. Learning and development goals should be decided on the basis of evidence from reflective accounts, witness/tutor feedback and/or reported developments in the practice of dentistry.

NAME DATE

1 COURSEWORK

GOAL HOW I WILL COMPLETE DATE ACHIEVED




68


UNIT 1

APPENDIX C

2 POTENTIAL BARRIERS

GOAL POTENTIAL BARRIER How you will overcome. What support you feel Actual barriersWhat action needs to be you need to achieve faced.(to completetaken the goal once goal is achieved)

3 SHORT TERM AIMS

What I want to achieve in the next 12 months




69


UNIT 1

APPENDIX C

4 MEDIUM TERM AIMS

What I would like to achieve in the next 2-5 years

5 CAREER DEVELOPMENT ACTION PLAN

DEVELOPMENT NEEDS HOW TO ADDRESSS DATE TO ACHIEVE





UNIT 1

APPENDIX D

1. Give a reflective account of the most recent Basic Life Support (BLS) training received in the workplace.

2. Provide a list of emergency drugs / equipment kept in your own workplace and state their expiry dates and uses.

3. Describe in detail how an autoclave should be tested and maintained on a daily, weekly and yearly basis.





Notes for Guidance

This unit focuses on oral health and patient management which includes communication and preventive techniques.

There are 6 learning outcomes to this unit.

At the end of the unit the student will be able to:

• Demonstrate assisting in various preventive techniques.

• Answer questions relating to relevant oral health advice for a variety of patient scenarios.

• Label a dentally specific anatomical diagram.

• Answer questions relating to booking appointment procedures used in their workplace.

• Answer questions relating to dental drugs.

• Answer questions relating to patients’ medical history.


Unit 2: Assisting with Preventive Treatment

Range:a) Scale and polish procedure b) Fissure sealant or topical fluoride application (1 or more teeth) c) Oral Health advice


Total 4 PERs







Student Dental Nurse Signature

1. Preventive procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.


2. Aim of procedureGuidance Notes:Students should state the overall aim of the procedure



4. Witness Feedback









Competent






76


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





2. Aim of the procedureGuidance Notes:Students should state the overall aim of the procedure



4. Witness Feedback









Competent






81


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






86


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






91


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






UNIT 2

APPENDIX E

Complete the sections below to describe the oral hygiene instruction you would give to the following two patients, in relation to the specific headings given for each.

An adult who is fitted with an upper removable acrylic partial denture, which is replacing three missing incisor teeth.

Cleaning the appliance.

Wearing the appliance.

An adult who has recently been fitted with a three unit fixed – fixed bridge.

Specific cleaning of the pontic area.

General oral hygiene advice.





UNIT 2

APPENDIX F

1. Label the diagram below:

2.

a. List 2 signs of healthy gingivae……………………………………………………………………………………

……………………………………………………………………………………

b. What is plaque?…………………………………………………………………………………….

…………………………………………………………………………………….

c. List 2 signs of inflammation……………………………………………………………………………………

……………………………………………………………………………………

c. What is a ‘true pocket’……………………………………………………………………………………

……………………………………………………………………………………

d. List 2 signs of chronic periodontitis……………………………………………………………………………………

……………………………………………………………………………………





UNIT 2

APPENDIX G

1. Describe the method of booking recall appointments for existing patients at your workplace.

2. A patient requires an extraction. What would you need to consider when making the appointment? What pre-treatment instructions could be given to the patient?

3. Discuss the information you require from the patient prior to making an appointment for a dental assessment.





UNIT 2

APPENDIX H

What are antibiotics?

List 5 typical antibiotics used in dentistry

What is an anti-viral?

What is the most dentally relevant virus?

What does the anti-viral cream contain?

What is an anti-fungal?




What are the primary fungal infections relevant to dentistry?

List 4 types of anti-fungal medicaments?

What are analgesics?

What two analgesics have anti-inflammatory properties?

Which analgesic should not be prescribed after surgical procedures and why?





UNIT 2

APPENDIX I

Every practising dentist has a responsibility to maintain good quality clinical records. This has been clearly stated by the GDC and also reinforced by bodies such as theBDA and GDPA. Clinical records are fundamental to the process of the delivery of dental care, contributing to the diagnosis, planning and correct sequencing of treatment. Moreover, accurate records are essential to ensuring that patients receive appropriate and safe treatment.

List the reasons why the taking of a general medical history by dentists is important

Where should a medical history form be stored?




When should a medical history form be updated?

When listing drugs what information is required?




Record of Experience

Unit 3

Notes for Guidance

This unit focuses on assessing patients’ oral health needs and treatment planning which includes radiography techniques and quality assurance.

There are 5 Learning Outcomes to this unit.


• Competently assist during the provision of a clinical assessment.

• Demonstrate assisting in the taking and processing of a range of radiographs.

• Carry out various charting exercises.

• Label the diagram in Appendix J and answer the related questions.

• Label the diagram in Appendix K and answer the related questions.


Unit 3.1 Clinical Assessment

Range:a) New patient b) Existing patient c) Emergency patient

Requirements:3 PERs to include at least 1 from each of the range

Total 3 PERs


2. Details of the clinical assessment processes and the Dental Nurse’s roleGuidance Notes:Students should give details of the role they played during this procedure including the recording of accurate and contemporaneous notes.



4. Witness Feedback









Competent






105


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






110


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






115


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





Unit 3.2 Assisting in Taking and Processing a Radiograph

Range:a) Any intra-oral radiograph b) Any extra-oral radiograph

Requirements:3 PERs from any range (a only, b only or a/b mixture)

Total 3 PERs




Unit 3 Section 2: Assisting in the taking and processing of radiographs




1. Radiographic procedure carried outGuidance Notes:Students should state how the area was prepared, the equipment switched on, the safety and PPE requirements considered, and how they assisted the clinician and the patient during the procedure.Students should describe the patient on which the treatment was carried out.


2. Details of the processing of the radiograph either manually, automatically or digitally

Guidance Notes:Students should give details of how they carried out this procedure and how they would maintain the relevant equipment on a daily and monthly basis.Students should describe the waste disposal procedures relevant to the items and equipment used.Students should state the Quality Assurance of the radiograph produced, and explain its relevance.

3. Reflective AccountGuidance Notes:Students should identify their strengths and weaknesses during the procedure and describe any action they would take to address weaknesses in the future, if required.----------------------------------------------------------------------------------------------------------------------------


4. Witness Feedback









Competent






121


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






126


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





4. Witness Feedback









Competent






131


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






UNIT 3

APPENDIX J

Forensic Notation

List the 6 items of treatment required.

1………………………………………………………………………….

2………………………………………………………………………….

3………………………………………………………………………….

4………………………………………………………………………….

5………………………………………………………………………….

6………………………………………………………………………….

List the 6 items of treatment previously received.

1………………………………………………………………………….

2………………………………………………………………………….

3………………………………………………………………………….

4………………………………………………………………………….

5………………………………………………………………………….

6………………………………………………………………………….





UNIT 3

APPENDIX K

FDI Notation

Record all the following information on the forensic chart below

a. 18 is partially erupted

b. 17 has an occlusal restoration

c. 16 has an occluso-palatal restoration which needs to be replaced

d. 14 is missing and the gap has closed

e. 13 has a porcelain jacket crown in place

f. 12 has a fracture of the incisal edge

g. 21 needs a disto-palatal restoration

h. 24 is root filled with an occlusal restoration

i. 25 has an mesial-occlusal-distal cavity

j. 26 is to be extracted

k. 28 is unerupted

l. 38 is missing

m. 37 has an occlusal cavity

n. 34 has an full gold crown

o. 32 has a disto-labial restoration

p. 41 has a disto-labial cavity

q. 44 has a mesial-occulsal-buccal cavity

r. 85 is retained





UNIT 3

APPENDIX L

Periodontal Charting

4 0 3

3 2 2

What do the BPE scores above indicate?

BPE 4

BPE 3

BPE 2

BPE 0





UNIT 3

APPENDIX M

1. Identify the features labelled a, b, c and d on the diagram above of an Intra-Oral X-ray film packet and describe their function.

Feature Function

a

b

c

d

2. List two precautions you or the dental team may take, to protect staff and/patient, during the taking of dental radiographs.

i.

ii.





UNIT 3

APPENDIX N

Label the diagram showing a manual developing system:

Answer the related questions:

1. How often should the chemicals be changed?

2. What is the purpose of E?

3. What is the correct temperature and time of immersion for radiographs in tank A?

4. What checks need to be carried out at the beginning of the day?

5. How do you dispose of the chemicals safely?




© NE

BD

N S

eptember

139


UNIT 3

APPENDIX O

TREATMENT PLANNING

For each item on the treatment plan below you are required to briefly describe the role of each team member. Some items may not be relevant to some team members and you are required to indicate this in the table.

Treatment Plan Dental Nurse Dentist Role Dental Hygienist Dental DentalRole Role Therapist Role Technician Role

Deep Scaling Upper and Lowerfull arch

Oral Hygiene Advice

MO Amalgam Lower Left FirstMolar

Distal Composite Upper RightLateral Canine

Upper Partial Denture to replaceUpper Right Canine and UpperLeft First Premolar




Notes for Guidance

This unit focuses on all aspects of restorative dentistry and the various clinical procedures involved which includes chairside support for the dentist.

There are 6 learning outcomes to this unit


Demonstrate assisting in specific operative procedures involved in cavity restoration.

Demonstrate assisting in endodontics procedures.

Demonstrate assisting in the preparation and fitting of a range of fixed prostheses.

Demonstrate assisting in the preparation and fitting of removable prostheses.

Produce a range of completed laboratory prescription sheets.

Label a restorative related diagram.


Unit 4 Section 1: Cavity Restoration Procedure

Range:a) Amalgam b) Composite c) Glass Ionomer

Requirements:3 PERs from any range (a only, b only, c only, or mixture a/b/c)








1. Restorative procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.


2. Aim of the procedureGuidance Notes:Students should state the overall aim of the procedure.----------------------------------------------------------------------------------------------------------------------------



143

4. Witness Feedback









Competent






144


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






148

4. Witness Feedback









Competent






149


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






153

4. Witness Feedback









Competent






154


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





Unit 4 Section 2: Endodontic Procedure

Range:a) Pulpectomy (first or second stage) b) Pulpotomy c) Apicectomy

Requirements:3 PERs from any range (a only, b only, c only or a/b/c mixture)

Total 3 PERs








1. Endodontic procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.



159

4. Witness Feedback









Competent






160


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






164

4. Witness Feedback









Competent






165


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






169

4. Witness Feedback









Competent






170


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





Unit 4 Section 3: Fixed Prosthesis Procedure

Range:a) Preparation procedure (crown, bridge, veneer or inlay) b) Fitting procedure (crown, bridge, veneer or inlay)

Requirements:2 PERs from each range

Total 4 PERs








1. Fixed prosthesis procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able todescribe their role during the procedure.Students should describe the patient on which the treatment was carried out.



175

4. Witness Feedback









Competent






176


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Fixed prosthesis procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.



180

4. Witness Feedback









Competent






181


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Fixed prosthesis procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.



185

4. Witness Feedback









Competent






186


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





Unit 4 Section 4: Removable Prosthesis Procedure (including removable orthodontic appliance)

Range:a) Impression Taking (acrylic or chrome-cobalt) b) Bite stage (acrylic or chrome-cobalt) c) Try-in stage (acrylic or chrome-cobalt) d) Fit stage (acrylic or chrome-cobalt)

Requirements:2 PERs from each range

Total 8 PERs




Unit 4 Section 4: Removable Prosthesis Procedure




1. Removable prosthesis procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure,how they assisted both the clinician and the patient during the procedure, and be able toStudents should describe the patient on which the treatment was carried out.



191

4. Witness Feedback









Competent






192


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Removable prosthesis procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able toStudents should describe the patient on which the treatment was carried out.



196

4. Witness Feedback









Competent






197


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






201

4. Witness Feedback









Competent






202


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






206

4. Witness Feedback









Competent






207


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Removable prosthesis procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.



211

4. Witness Feedback









Competent






212


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Removable prosthesis procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able todescribe their role during the procedure.Students should describe the patient on which the treatment was carried out.



216

4. Witness Feedback









Competent






217


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






221

4. Witness Feedback









Competent






222


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






226

4. Witness Feedback









Competent






227


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….






Unit 4

APPENDIX P

1. Complete a laboratory prescription for:

i. a stage in full denture construction ii. a stage in partial denture construction iii. a crown or bridge preparation

2. Label the diagram in Appendix Q and answer the related questions.





UNIT 4

APPENDIX Q

Label the bridge diagram:


1. Name 2 types of bridges.

…………………………………………………………………………………………

…………………………………………………………………………………………

2. Which material could be used to cement the bridge in place?

…………………………………………………………………………………………

…………………………………………………………………………………………

3. List 2 advantages and 2 disadvantages for the above material

i.) ………………………………. i.) …………………………………

ii) ………………………………. ii.) …………………………………

4. What oral hygiene advice would you give the patient after fitting a crown?

…………………………………………………………………………………………

…………………………………………………………………………………………

…………………………………………………………………………………………

5. What other procedures could be used to replace a missing tooth, besides a bridge?

…………………………………………………………………………………………





Notes for Guidance

This unit focuses on minor oral surgery procedures and methods of pain and anxiety control used in the practice of dentistry.

There are 5 Learning Outcomes to this unit:

At the end of the unit the candidate will be able to:

Demonstrate assisting in the extraction of a tooth/root.

Demonstrate setting up a local anaesthetic syringe for various procedures.

Describe the post-op advice you would give to a patient after a simple extraction procedure.

• Label a diagram and answer related questions.

• Describe oral hygiene advice for an orthodontic patient.


Unit 5 Section 1: Extraction Procedure

Range:a) Simple extraction (tooth or root) b) Surgical extraction (tooth or root)

Requirements:3 PERs from any range (a only, b only or a/b mixture)

Total 3 PERs








1. Extraction procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.



235

4. Witness Feedback









Competent






236


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Extraction procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able todescribe their role during the procedure.Students should describe the patient on which the treatment was carried out.



240

4. Witness Feedback









Competent






241


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Extraction procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.



245

4. Witness Feedback









Competent






246


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





Unit 5 Section 2: Local Anaesthetic procedure

Range:a) Infiltration injection b) ID block injection

Requirements:2 PERs from each of the range

Total 4 PERs




Unit 5 Section 2: Local Anaesthetic Procedure

Student Dental Nurse’s Name: Date of Assessment:



1. Local anaesthetic procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able todescribe their role during the procedure.Students should describe the patient on which the treatment was carried out.



251

4. Witness Feedback

This Section should be completed by the GDC (or other) registrant who witnessed the activity of the student and is assessing their competence.Constructive feedback will help the student to develop their performance in the workplace.








Competent



Management and Leadership - the Dental Not yet competent

Nurse managed themselves and the clinicalCompetentenvironment in line with current standards

and guidelines.


252

I confirm that this PER has been assessed following the criteria outlined in the PERs Marking Guide.

Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Local anaesthetic procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.



256

4. Witness Feedback









Competent





and guidelines.


257


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Local anaesthetic procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able to describe their role during the procedure.Students should describe the patient on which the treatment was carried out.



261

4. Witness Feedback









Competent





and guidelines.


262


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….











1. Local anaesthetic procedure carried outGuidance Notes:Students should state the procedure carried out.Students should explain how the clinical area was made ready for this particular procedure, how they assisted both the clinician and the patient during the procedure, and be able todescribe their role during the procedure.Students should describe the patient on which the treatment was carried out.



266

4. Witness Feedback









Competent





and guidelines.


267


Feedback to Student


Signed: …………………………………………………… (Witness)

Date: ………………………………………………………






Signed: …………………………………………… (Tutor)

Date: ……………………………………………… GDC No. ………………..



Yes


Date: …………………………………………….





SUPPLEMENTARY OUTCOMES

UNIT 5

APPENDIX R

1. Describe the post-operative advice you would give to a patient after a simple extraction procedure.

2. Label the diagram in Appendix S and answer related questions.

3. Answer the questions in Appendix T in relation to Orthodontic Oral Health advice





UNIT 5

APPENDIX S

Label the orthodontic appliance diagram below:


1. What type of appliance is illustrated above?

………………………………………………………………………………………

2. What materials are used in the construction of the appliance?

………………………………………………………………………………………

3. What is the function of this appliance?

………………………………………………………………………………………

4. What instruments would be used in the adjusting of the above appliance?

………………………………………………………………………………………

5. What components make up a fixed appliance?

………………………………………………………………………………………….





UNIT 5

APPENDIX T

Complete the sections below to describe the oral hygiene instruction you would give to the following patient in relation to the specific headings given.

A thirteen year old child who has just had an upper fixed orthodontic appliance fitted.

Cleaning around brackets and under archwire.

Dietary advice.

General tooth cleaning.





UNIT 5

APPENDIX U

An anxious patient is attending the surgery today for a routine extraction of an upper right first molar tooth. Good communication is essential when dealing with patients of this nature. What methods of verbal and non-verbal communication can the dental nurse employ to make the patient feel at ease?

What instructions can be given to a patient who is anxious prior to having a local anaesthetic?




Harriet Ellis · Web viewNATIONAL EXAMINING BOARD FOR DENTAL NURSES Company Number 5580200 Charity...

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Transcript of Harriet Ellis · Web viewNATIONAL EXAMINING BOARD FOR DENTAL NURSES Company Number 5580200 Charity...