SyllabusDHYG239_09DAVIS
Pierce College Dental Hygiene Syllabus
Campuses – Lakewood and Port Angeles, WA
Dental Hygiene Practice V
DHYG 239
FALL 2009 – 7 CREDITS
COURSE DESCRIPTION
Fifth in a series of seven courses, Dental Hygiene Practice I – VII, facilitates the further growth
of developing to competent clinical skills required for the safe and effective practice of dental
hygiene. This course links with the content and skills in DHGY 238.
COURSE INFORMATION
Location:
Fort Steilacoom Dental Clinic
Port Angeles – OlyCap
Days and Hours:
Monday 9:00–12:00, Tuesday 8:00-12:00, Tuesday 1:00-5:00
Thursday 9:00-12:00
Melinda Davis BS, RDH
Lakewood Campus: C122
Mondays 8:00‐9:00, 1:00‐3:00, Thursdays 8:00‐9:00, 12:00‐1:00
253.964.6646
mpdavis@pierce.ctc.edu
Lead Instructor:
Office:
Office hours:
Office phone:
E-mail:
Clinical Instructors:
Lina Hampson RDH, BSDH
Monica Hospenthal RDH, M.Ed
Mary Galagan RDH, MHA
Camille Luke RDH, BSDH
Clinical Coordinator:
Kathy Bassett, RDH, BSDH, MEd.
Supervising Dentists:
Sylvia Kim-Sioda, DDS
Keavin McIntosh, DMD
REQUIRED REFERENCE TEXTS AND MATERIALS
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Sheila Norton BS, RDH
Carol Roberton RDH, BSDH
Linda Walsh, RDH, BSDH
Theresa Christopher RDH, BS
Wendy Walsh, DDS
SyllabusDHYG239_09DAVIS
1. Clinical Practice of the Dental Hygienist - Lippincott, Williams & Wilkins
Esther M. Wilkins. 2008 Tenth Edition
2. Periodontal Instrumentation Appleton and Lange
Anna Matsuishi Pattison and Gordon Pattison, 1992 Second Edition
3. Lexi-Comp on Desktop for Dentistry
4. Clinical Periodontology Saunders, Newman, Takei, Klokkevold, and Carranza 2006 Tenth
Edition
COURSE OUTCOMES
Continued development of all outcomes from DHY 109, 119, 129 and 169.
1. Demonstrate at the developing level of clinical competency the safe and effective
practice of clinical dental hygiene skills in order to comprehensively treat
persons/patients with an increasing level of oral disease(s) severity.
2. Demonstrate introductory skill level for effective use of ultrasonic technology.
3. Identify appropriate patients for use of ultrasonic technology.
4. Select appropriate ultrasonic devices as indicated for severity of oral disease.
5. Apply advanced principles of dental instrumentation to include grasp, fulcrum,
instrument design and identification, appropriate application, adaption, use care and
storage.
POTENTIAL METHODS OF INSTRUCTION
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Case history
Class discussion
Task or clinical proficiencies
Clinical test
Instructor observation
Lab activity/project
Patient clinical practice
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Patient interview
Peer evaluation
Self evaluation
Instructor evaluation
Clinical AIS evaluation criteria and/or
Pierce College Global Rubrics
STUDENT CONDUCT POLICY
Please refer directly to the Pierce College Student Code of Conduct and the Pierce College Dental
Hygiene Program Student Handbook for the general guidelines of conduct within and related to
this class. Please remember that you signed and agreed to all of the rules, policies, criteria, etc.
set forth in the Dental Hygiene Student Handbook. Professional behavior is expected.
ATTENDANCE
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Attendance is mandatory. Any absence (or disruptive/excessive tardiness) will result in a lowering
of the final course grade by 0.1 GPA. It is the student’s responsibility to contact the instructor in
the event of an absence or tardiness prior to the scheduled class/clinic. Further, the student must
initiate obtaining any missed information presented during the class(es) missed. The instructor will
not accept this responsibility. Each non-patient clinic session (with exception of duties) will result
in a lowering of the final course grade by 0.1 GPS. If you are absent during a duty day you will
owe the department 4 hours of comp time to be arranged with Mrs. Davis.
If an emergency should arise, the lead course instructor must be notified before clinic to make
alternate arrangements, if such arrangements are possible. (This will be at the discretion of the
lead instructor.)
STUDENT POLICIES AND PROCEDURES
Accountability and high ethical standards associated with all oral health care professionals are
mandatory. Unacceptable behaviors are cheating, plagiarism (plagiarism or cheating could result
in an automatic failing grade), gross misconduct, or any unprofessional action as defined by the
Pierce College Fort Steilacoom Department of Dental Hygiene Student Handbook.
COURSE EVALUATION/GRADING
AIS scores (Assessment ‐15%, Practice Management – 15%,
Outcomes‐ 10%)
Production (includes Non Evaluated Tutorial Observations)
Ultrasonic Pre/Post Detect/Calc Removal Competency
Clinical Final Exam Competency
40%
30%
10%
20%
COURSE REQUIREMENTS/ EVALUATION AND GRADING
1. AIS SCORES
40%
Clinical patient daily scores based on 90% target
While working with clinic patients, the student’s performance will be evaluated in different
process areas. Students will receive scores for non-patient sessions (salmon) and duty
sessions (yellow) as well as patient session/clinical activities (blue daily). In determining
the student’s course grade for this section, the following items will also be included:
Application of Knowledge, Time Management, Policies and Procedures, Communication,
Self-Evaluation and Professionalism and Clinic Support Duties. Refer to Blue Daily
Evaluation Sheets and AIS Criteria Manual for Evaluation Criteria.
If a student receives less than 2.0 in the AIS category, he/she will receive no higher than a
1.9 in the clinical course. Academic protocol according to the Dental Hygiene Handbook will
be followed as a result.
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2. PRODUCTION
30%
INSTRUMENT TECHNIQUE and SHARPENING Non Evaluated Tutorial Observations (NETOS)
These are required tutorials that are not graded but you may be required to
repeat basedupon instructor opinion. There is a required form for each NETO.
Patients completed
180-200 points = 2.0
201-220 points = 2.5
221-240 points = 3.0
241-260 points = 3.5
261 and above = 4.0
Less than 180 points = Incomplete Grade until the minimum requirement is met and
subject to probationary status
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Production Point Value
Pedo patient
Perio Maint(CT III/IV)
CT I/Code 1(B patient)
CT I/Code 2 (C patient)
CT II/Code 1 (C patient)
CT III/Code 1 (C patient)
CT II/Code 2 (DI)
CT II/Code 2 (D2)
CT III/Code 2 (D2)
CT II/Code 3 (D3)
CT III/Code 2 (D3)
CT III/Code 3,4 (E) quad case
CT IV/Code 3,4, (F) sextant case
Re-Eval Appt.
Re-Eval Paper
Pre Op Photos
Post Op Photos
Restorative Tx Plan
Sealants x 2
Nutritional Counseling (per M.G. required.)
1 screening patient
Universal Curette NETO (patient appropriate)
Gracey Curette NETO (patient appropriate)
Files NETO (patient appropriate)
Instrument Sharpening NETO
8 points
15 points
10 points
12 points
12 points
12 points
15 points
20 points
20 points
25 points
25 points
35 points
45 points
15 points
5 points
5 points
5 points
5 points
3 points
10 point
3 points
5 points
5 points
5 points
5 points
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3. ULTRASONIC SYMMETRY TUTORIALS
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Two tutorials required
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One Cavitron tutorial recommended
4. NON EVALUATED TUTORIAL/OBSERVATIONS (NETOS)
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10%
Universal Curette (patient appropriate)
Gracey Curette (patient appropriate)
Files (patient appropriate)
Instrument sharpening
5. ANESTHESIA COMPETENCY
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(included in above 10%)
Injections given on your partner will be one of each of the following: ASA, MSA, PSA,
IA/B
Will be evaluated on the “anesthesia evaluation form”
To be completed on September 28th
To be completed on a classmate
To be completed without assistance from faculty
Thorough review of injection knowledge and technique are a must
Must be successfully completed before giving anesthetic to a clinic patient
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6. ULTRASONIC PRE/ POST DETECT/CALCULUS REMOVAL COMP
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10%
Sign up in Master Book
Obtain Competency form from Block Instructor (green=1st attempt, yellow ‐2nd)
Acceptable completion must be achieved by Thursday Nov. 12th at noon
You must pass this at a minimum level of 85% within 2 attempts or you will receive no
higher than a 1.9 on the final course grade. (see Final Course Grading on page 8).
On a patient who has moderate surfaces of detectable subgingival calculus in a quadrant
or quad plus 1-4 teeth
A=90% or greater, I=85-89%, S=84% or less
Pass on first attempt = 4.0, pass on second attempt = 3.0, failure to pass = 0
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7. FINAL CLINICAL COMPETENCY
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20%
This Final Clinical Exam will take place on Tues. Dec. 1st and includes:
1.)
A diagnostic FMX on exam patient (to be taken prior to exam). This patient must
be a patient of record with a complete new patient workup and restorative
diagnosis done prior to the test day. Faculty will not check in the quadrant you
will be using for the test prior to the test.
2.)
A Dental Hygiene Diagnosis of Case Type and Classification and your
recommendations to the patient for achieving maximum oral health (consider all
elements affecting the patient’s oral condition)
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3.)
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5.)
6.)
7.)
SyllabusDHYG239_09DAVIS
Complete periodontal probing and recession charted on test quadrant only
Evaluation of anesthesia technique and knowledge by Dentist/Hygienist
Handscale on a patient with a minimum of 10 pieces of obvious clickable,
subgingival calculus. At least 6 on posterior teeth distal of canine through the 2 nd
molar
To be completed in 1.5 hours (time starts after faculty check-in on patient and
includes anesthesia time and complete plaque and stain removal
No portion of this exam may be repeated. The student will receive the grade
received for the exam .
PATIENT REQUIREMENTS
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THREE PERIO MAINTENANCE PATIENTS
CT III or greater, a patient who has gone through periodontal therapy and is on a 3-4 month
maintenance schedule
Objective: To correctly assess the current periodontal status and provide treatment to the
periodontally involved patient using methodologies to stabilize and manage the disease
condition
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TWO CT II or III/CODE 2 (moderate calculus) D2 or D3
Objective: To effectively assess, treatment plan and treat patients for maximum oral
health maintenance
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ONE CT III/CODE 3 (heavy calculus) E CO-THERAPY
Objective: To enhance clinical skill procedures on patient assessment, treatment planning,
periodontal debridement procedures, desensitization, and patient outcome evaluation
with a student partner. The photos and papers for this patient will be placed in your
Portfolio for DHYG 238. A guide is provided for the Re-evaluation Paper.
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Re –eval appointment to be completed 4 weeks post therapy and includes the
following:
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Re –eval paper due within 1 week of re – eval appointment and submitted to block
instructor
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Pre – op and Post – op photos of oral condition
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Comprehensive treatment plan prioritizing in phases if necessary and to be done with
DDS at re –eval
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Submit in a report folder
Please submit in a report folder
Cover page: Student Name and Number, Date of Re‐eval Appointment,
Patient Name, Case Type/Code, Dates of Initial Therapy and Faculty you
worked with
Paper format: Georgia Font Size 12, 1” margins top and bottom, 1.25”margins rt. and left
1.5“ spacing, Active Voice and no more than 5 sentences per paragraph.
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 ONE B PATIENT (can substitute a C)
 ONE PEDO PATIENT
ADDITIONAL CLINICAL PROTOCOLS
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Take Blood pressure at first appointment in appointment sequence. Retake BP at
subsequent appointments if giving anesthetic and/or administering N20
Please have 2 instructors sign for classification of patient D1 or greater
All treatment plans must include the removal of all Class I and II overhangs for each
patient (unless there are contraindications for the procedure). It will be expected that all
overhangs are removed during prophylaxis unless otherwise communicated before check
out. Please verify Class I and II overhangs with instructor prior to removal and have
evaluated after by the same instructor.
Treatment plans should also consider nutritional counseling needs, treatment for
dentinal hypersensitivity, specialized preventive needs (i.e. home fluoride and CHX),
restorative needs and maintenance schedule.
Screening duty – you are responsible for confirming your scheduled screening patients
Cell phones are not allowed in the clinic or classroom
Discussions and conversations over patients need to be patient oriented and interactive
with the patient. Any discussions of grades or requirements need to be handled away
from the patient
You must sign up in the master schedule book for competency exams and double books.
Chart audits are to be done throughout the quarter and are due within 1 week of
completion of the patient.
All audited paperwork is due before conferences. Your block instructor is responsible for
auditing all charts done within the block session. Any charts not audited within the
specified time will not receive credit for the completion of the patient.
Local anesthetic – sign up with Dentist and/or block instructor. Blue daily needs to be
available at the time of the anesthetic so that whoever supervises can evaluate at that
time.
The clinic will close at 5:30 sharp! No patients will be checked out after 4:30. AM clinic –
last evaluation 11:20, out by 11:30. Bring charts and paperwork to the post clinic
huddle. Signatures to be secured at this time, therefore paperwork needs to be
completed before cleaning your unit.
Professional Attributes and Judgment evaluation form will be filled out at the end of
each of the block rotations throughout the quarter for each student by every instructor
in that block. The student will also do a self-evaluation on this form at the end of each
block which will be presented at conferences.
Professional attire is mandatory – if you present in clinic with less than a crisp, clean
appearance, you may be asked to reorganize yourself before returning to the clinic floor.
CONFERENCE SESSIONS
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During Fall quarter there will be a mid quarter conference and a final one scheduled at the end of
the quarter. Student and instructor will discuss student’s overall progress-to-date based on blue
daily evaluations, tutorials, competencies and comments. Forms should be organized and all
quarter record signatures compiled. Instructions for each conference will be posted on
Blackboard. Students are responsible for and scored on their accurate, organized and thorough
preparation of all required conference paperwork.
It is the expectation of the Lead Instructor that the student, through evaluations and feedback,
will be aware of how they are progressing through the pre-clinic sessions. If at any time student
or instructor feel that an additional conference session would be beneficial to address student’s
progress, notify Lead immediately.
FINAL COURSE GRADING
Attendance, participation and professionalism is expected at 100%. .25 will be deducted off of the
final course grade for any ½ day session missed. Students who do not participate in class
discussion and activities may also be deducted points. If the requirements are not complete by the
agreed date, the student will receive no high than a 1.9 for course grade. A grade no higher than a
1.9 may also be given if the competency exams are not passed within 2 attempts. A student must
achieve a minimum grade of 2.0 to proceed to Winter quarter DHYG 249 and extramural rotations
with Professor Galagan. A student will not be allowed to progress to subsequent clinical courses
until remediation is resolved.
The student must complete ALL course requirements or automatically receive an Incomplete
grade. If the student fails to maintain academic standards stated in the Student Program Policy,
the student will be placed on academic probation or dismissed from the Dental Hygiene Program.
Incomplete course requirements (given an I course grade) must be completed within the first 2
weeks of the next quarter or a course grade of 1.9 may be entered on the students academic
record. If the requirements are not complete by the agreed upon date, the student will receive no
higher than a 1.9 for the course grade. A grade no higher than a 1.9 may also be given in the
competency exams are not passed within 2 attempts and/or any AIS category receives lower than a
2.0
IF AT ANY TIME DURING THE QUARTER, YOU HAVE CONCERNS WITH REGARD TO MEETING
COURSE REQUIREMENTS, MEET WITH THE LEAD INSTRUCTOR AS SOON AS A POTENTIAL
PROBLEM IS IDENTIFIED.
For all scores earned in DHYG 139, the percentages will be converted to a final course grade
according to the following Dental Hygiene Department scale:
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Percent Decimal
Letter
Decimal
93
3.4
92
3.3
91
3.3
90
89
100
4.0
99
3.9
98
3.8
97
3.8
96
3.7
95
3.6
88
3.0
94
3.5
87
2.9
86
2.9
A
A-
Letter
Percent Decimal
85
2.8
84
2.7
83
2.6
3.2
82
3.1
81
80
2.4
79
2.3
78
2.2
B+
B
Letter
Percent Decimal
77
2.1
76
2.0
75
2.0
2.5
74
1.9
2.4
73
1.8
72
1.7
71
1.6
70
1.5
B-
C+
Letter
C
Probation
Percent
A final grade of 2.0 at 75% must be achieved to pass this course. By the end of the quarter, each
student will have had an opportunity to attain minimum competency in the course objectives. If in
the opinion of the course instructors, a student has NOT successfully achieved the course
objectives or demonstrated expected competency for this level of instruction, additional course
work may be assigned after a conference with the lead instructor, the course grade adjusted
accordingly (reduction of grade or Incomplete grade with remediation assigned to determine
competency in all course objectives), and/or the student may be placed on academic probation,
with possible dismissed from the Dental Hygiene Program.
ACCESS AND DISABILITY SERVICES
Pierce College: Students with disabilities who believe they may need academic adjustments,
auxiliary aids or services to fully participate in course activities or meet course requirements are
encouraged to register with the Access and Disability Services (ADS) Office, Room 300K in the
Cascade Building. You may also call the ADS Office to make an appointment to meet with the ADS
Coordinator at 253-964-6526 or 253-964-6527. Students requesting accommodations must obtain
the “Approved Quarterly Academic Adjustments, Auxiliary Aids or Services” (green) form provided
by ADS.
Peninsula College: “The ADA is designed to ensure that students with disabilities have an equal
opportunity to access academic programs and successfully complete their studies.” Peninsula
College is committed to providing accessibility to all students. For more information, please
contact the Student Development Center. Your information will remain strictly confidential. If you
require accommodations based on a documented disability, emergency medical information to
share, or special arrangements in case of an emergency evacuation, please make an appointment
with the Student Development Center at 360-417-6340.
DISCLAIMER
This syllabus may be altered, as deemed necessary by the instructor, anytime during the course.
Changes, requiring a time alteration, will be given with sufficient notice for students to
accommodate.
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Emergency Procedures for Classrooms
Call 911 and then Campus Safety in response to an imminent threat to persons or property. In the
event of an evacuation (intermittent horns & strobes), gather all personal belongings and leave the
building using the nearest available safe exit. Be prepared to be outside for one hour and stay a
minimum of 200 feet from any building or structure. So long as it is safe to do so students are expected
to stay on campus and return to class after evacuations that last less then 15 minutes. Do not attempt
to re‐enter the building until instructed by an Evacuation Director (identified by orange vests) or by
three horn blasts or bell rings. Please notify the nearest Campus Safety Officer or Evacuation Director
of any one left in the building or in need of assistance.
Fort Steilacoom Campus Safety (253) 964‐6751
Puyallup Campus Safety (253) 840-8481
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