Unit J: Dental and Pharmacy Skills Program Area: Health Occupations Education Course Title: Allied Health Sciences II Unit Title: Dental and Pharmacy Skills Suggested Time for Instruction: 8 hours Course Percent: 3% Unit Evaluation: 66% Cognitive and 33% Performance Number: 7212 ------------------------------------------------------------------------------Competency: 2H10. Apply skills related to dental and pharmaceutical careers. Specific Objectives: 2H10.01 Identify teeth and dental instruments. 2H02.02 Work with medications and mathematical conversions. Summer 2000 J.1 Unit J Master Outline Unit J: Dental and Pharmacy Skills 2H10 Apply skills related to dental and pharmaceutical careers. 2H10.01 Identify teeth and dental instruments. A. Identify the teeth 1. Incisors 2. Cuspids 3. Bicuspids 4. Molars 5. Primary/deciduous 6. Maxillary/mandibular 7. Secondary/permanent B. Identify teeth by the Universal Method C. Identify dental instruments * 1. Mouth mirror 2. Double-ended explorer 3. Nonlocking cotton pliers 4. Scalers 5. Excavators: spoons and hoes 6. Carvers: cleoid and discoid 7. Root elevator 8. Surgical forceps 2H10.02 Work with medications and mathematical conversions. A. B. C. D. E. Using the PDR Working with math and medications Using Roman numerals Converting metric measurements Converting household measurements Summer 2000 J.2 Unit J Dental and Pharmacy Skills Competency 2H10: Apply skills related to dental and pharmaceutical careers. Materials/Resources National HOSA Handbook: Section B. Published by the Health Occupations Students of America, Flower Mound, Texas. Current Edition. www.hosa.org Simmers, Louise. Diversified Health Occupations. Delmar Publishers, 4th edition. (Workbook and Teacher’s Resource Kit to accompany this textbook) Here is a web site you may want to use as a resource for pharmaceutical skills: www.glaxowellcome.com Teaching/Learning Indicators: The following symbols are used to indicate specific skills/areas required in the instructional activity. Reading Social Studies Writing Science Math The Arts Health professional/parent/community involvement Summer 2000 J.3 Objective 2H10.01 Identify teeth and dental instruments. A. Identify the teeth 1. Incisors 2. Cuspids 3. Bicuspids 4. Molars 5. Primary/deciduous 6. Maxillary/mandibular 7. Secondary/permanent B. Identify teeth by the Universal Method C. Identify dental instruments * 1. Mouth mirror 2. Double-ended explorer 3. Nonlocking cotton pliers 4. Scalers 5. Excavators: spoons and hoes 6. Carvers: cleoid and discoid 7. Root elevator 8. Surgical forceps Teaching/Learning Activities Teamwork Assign students to groups of 3-4 people. Have them read and study section 16.2: Identifying the Teeth, and 16:3: Identifying Teeth by the Universal Method, in Diversified Health Occupations. Explain to students that there will be a group quiz on the information. You may choose to use the transparencies located in the appendix for section 16:2. After 30-45 minutes, have students put their books/notes away, and give groups copies of the assignment sheets from the DHO workbook. (Pages 247-248 and 251-252) Allow them to work as a group to answer the questions. Note: This would be a good activity to grade in class and follow-up with discussion. Employability Skills Invite a dentist, dental hygienist, or dental laboratory technologist to class to discuss structures and tissues of a tooth, and show how teeth are each given a specific name. They should also talk about the universal method, surfaces, and charting of dental conditions. If possible, take a field trip to tour dental office or school of dentistry Note: If a local community college has a dental-related program, invite someone from the faculty to visit your class. They usually have lots of models and equipment to show, and can talk about access to dental careers. Summer 2000 J.4 Objective 2H10.01 Identify teeth and dental instruments. Teaching/Learning Activities (continued) Cognitive Have students participate in a teacher-led discussion on dental instruments. Give each student 8 blank index cards. Instruct them to draw the instrument on one side of the card and list its correct name and use on the other side. Allow students to use the actual instruments and/or refer to DHO (pages 421-424) for assistance. After students have had time to study, have them identify selected dental instruments. (Appendix 2H10.01A) Note: The teacher should have samples of the instruments the students are to learn. If the actual instruments are not available, there are pictures in Diversified Health Occupations on pages 421-424. HOSA Determine if any students are planning to pursue a career in any dental field. Provide those students with a copy of one of the dental-related events in the HOSA Advisor Guide: Section B (current edition www.hosa.org). Dental related events include Dental Spelling, Dental Terminology, Dental Assisting and Dental Laboratory Technology. Special Needs Each student will reach the highest level of mastery in the least restrictive environment as recommended in the student’s IEP. Summer 2000 J.5 Objective 2H10.02 Work with medications and mathematical conversions. A B. C. D. E. Using the PDR Working with math and medications Using Roman numerals Converting metric measurements Converting household measurements Teaching/Learning Activities Basic Skills Have students read Units 18:7 – 18.8 in DHO, pages 523 – 527 and complete the worksheets (Appendices 2H10.02A & 2H10.02B, part A). Review the answers to the worksheets using class discussion and allow students to correct their mistakes. Have students read Unit 18:7. Give students a copy of the PDR and have them investigate a medication using the information they learned from the reading. (Appendix 2H10.02B, part B) Cognitive Using the transparencies in the appendix, lead a class discussion about the uses of Roman Numerals in health care. Have students use the transparencies, or the book (page 527) to study the equivalents. Quiz them orally until they know the equivalents. You may use rewards for those who make one hundred percent. Technology Teacher Note: There are a variety of computerized programs which teach and reinforce math skills. Your math department or media specialist will be able to help you identify available programs at your school. Employability Skills Invite a pharmacist or physician to speak to the class on the use of the Physicians’ Desk Reference in various health care settings. Before the speaker begins, have the class brainstorm how they think the PDR might be used. At the end of the class, lead a brief class discussion for review. Have students list the main ideas of the speaker’s presentation. HOSA Have student follow HOSA Event guidelines for Medical Math (Section B current guidelines) www.hosa.org. Have students make up practice worksheets for students. Teamwork After a teacher-led discussion on units 18:8B and 18:8C, assign students to groups of 34. Using the worksheets (Appendices 2H10.02C & 2H10.02D) and handout (Appendix 2H10.02E) have each group practice metric and household conversions. Have a representative from each group work several of the problems on the board or overhead. Instruct them to show and explain how they found their answer. Summer 2000 J.6 Objective 2H10.02 Work with medications and mathematical conversions. Teaching/Learning Activities Special Needs Each student will reach the highest level of mastery in the least restrictive environment as recommended in the student’s IEP. Summer 2000 J.7 Daily Lesson Plans Unit F: Lessons: Hours: Dental and Pharmaceutical Skills 6 8 clock hours Steps Lesson #1 Lesson #2 Lesson #3 Focus and Review Show slides, charts or models of teeth. Question the students on basic dental information to determine information they already know, such as: 1-How many teeth are in the full adult set? 2-When do secondary teeth begin to come in? Give teacher-made quiz on teeth identification. Exchange papers and have students grade papers. Allow students to correct their papers. Label 10 instruments A-J. Give students copy of checklist “Identify Dental Instruments” . Give students time to complete the skill. Show dental instuments to class and have them guess the use of each one. Once completed, have students brainstorm how math may be used in health care. Statement of Objectives 2HO10.01 Identify teeth and dental instruments 2HO10.01 Identify teeth and dental instruments 2HO10.02 Work with medications and mathematical conversions Teacher Input Lead class discussion of sections 16:2 by using transparencies. Give students notecards and instruct them to draw each instrument displayed on one side of the card, and its use(s) and correct name on the opposite side. Discuss each instrument with the class as they complete their cards. Using transparencies found in the Curriculum Guide, discuss Roman Numerals. Have students quiz each other on Arabic/Roman equivalents for 5-10 minutes. Discuss the principles of the Universal Method of Identifying Teeth Give each student copy of PDR and instruct them to look at each section of the book while teacher gives overview of each section. Assign students to read section 18:7. Have them complete the PDR worksheet found in the Curriculum Guide. (Appendix 2H10.02A) Guided Practice Divide students in groups of 3-4 and instruct them to read sections 16:2 and 16:3, study and work together to learn the information. (Teamwork Activity) After 30-45 minutes, give groups copies of the DHO worksheets (pages 247-248 and 251-252) . Allow them to complete the worksheets as a group. Allow students to work in pairs to quiz each other using the flashcards. Independent Practice Study notes and completed worksheets for quiz during next class period. Study notecards and be prepared for dental instrument check off during next class period. HW assignment-Read section 18:8 and complete “Medication” worksheet located in Curriculum Guide. (Appendix 2H10.02B) Closure Using teeth model or chart, have students volunteer to identify teeth . Materials DHO and related worksheets Models, charts, or overheads of teeth Transparencies from Curriculum Guide Have students put their notecards away. Showing one instrument, have students state the name or one fact they learned about each instrument. Dental instruments from Curriculum Guide Blank notecards Call out the name of a drug or related questions for students to look up in the PDR and locate the correct answer. Allow only one minute for each question. Worksheets from Curriculum Guide Copies of PDR for every 1-2 students Summer 2000 J.8 Unit J: Dental and Pharmaceutical Skills (Continued) Steps Lesson #4 Lesson #5 Lesson #6 Focus and Review Review homework assignment. Allow students to correct their answers. Review homework assignment by letting each student work problems on the board. Have each student explain how they arrived at their answer. *If more practice is needed, teacher may choose to use additional math worksheets from the DHO workbook As students enter class, have 5 questions on the board or overhead. Each question should relate to the material covered in this unit. Give students 5-7 minutes to complete their answers, then discuss in class. 2HO10.02 Work with medications and mathematical conversions Have students listen to a pharmacist speak about the importance of math in health care. Have students prepare for the speaker by prewriting questions they would like answered during the session. 2HO10.02 Work with medications and mathematical conversions UNIT TEST As students discuss types of medications, have them think of an example to share with the class. Statement of Objectives Teacher Input 2HO10.02 Work with medications and mathematical conversions Give class copy of “Medical Math Conversion Chart”. (Appendix 2H10.02E) Discuss Metric and Household Systems of Measurement. Guided Practice In groups, have students read sections 18:8B and 18:8C. Using worksheet “Metric System Conversions” have each group complete the worksheet. The group should continue to make up math problems to assist the group in understanding the metric system. Have students write answers to their prewritten questions after the pharmacist is finished speaking. Have each student write one question and answer to turn in for testing purposes. N/A Independent Practice Have students complete the “Metric/Household Conversion Practice”, from the Curriculum Guide. (Appendix 2H10.02D) Prepare for test on this unit. N/A Closure Have students create list of units of measure for the metric system and the household system. Put the list on the board as students create list. Go around the class and ask students how they might use math in their future health care career. Introduce the next unit. Materials Worksheets/handouts from Curriculum Guide DHO DHO DHO worksheets Test for each student Scrap paper Summer 2000 J.9 Unit J: Dental and Pharmacy Skills Terminology List 1. Cuspids 2. Distal 3. Incisors 4. Mandibular 5. Maxillary 6. Molars 7. Primary (deciduous) teeth 8. Bicuspids 9. Secondary (permanent) 10. Mouth mirror 11. Double-ended explorer 12. Nonlocking cotton opliers 13. Scalers 14. Excavators: spoons, hoes 15. Carvers: cleoid and discoid 16. Root elevator 17. Surgical forceps 18. Universal Method 19. Physician’s Desk Reference 20. Generic 21. Subcutaneous 22. Intravenous 23. Intradermal 24. Topical 25. Inhalation 26. Sublingual 27. Capsule 28. Pill 29. Tablet 30. Troche 31. Lozenge 32. Enteric coated 33. Oinment 34. Paste 35. Suppository 36. Metric measurement 37. Household measurement 38. Roman numerals 39. Arabic numerals 40. Meter 41. Liter 42. Gram 43. Kilo44. Hecto45. Deka46. Deci47. Centi48. Milli49. Syrup 50. Tincture 51. Suspension Summer 2000 J.10 Name _________________________________ 2H10.01A Date _____________________ Identify Dental Instruments Given 10 labeled dental instruments, the student will correctly identify and spell the instrument, and describe its use. (Two points should be awarded for the correct identification of the instrument, one point for correct spelling, and two points for correct use.) Instrumen t Name Use Points Possible A 5 B 5 C 5 D 5 E 5 F 5 G 5 H 5 I 5 J 5 TOTAL POINTS Above Mastery Mastery Partial Mastery Non-Mastery Points Awarded 50 = 45 = 40 = 35 = Below 35 Date __________ Evaluator _____________________ Comments: Name _________________________________ Date ________________________ Summer 2000 J.11 Physician Desk Reference (PDR) Worksheet A. Directions: Match the PDR section in Column 1 with the corresponding description in Column 2. COLUMN 1 COLUMN 2 ________1. Brand & Generic Name ________2. Manufacturer’s Index ________3. Diagnostic Product Information ________4. Product Classification ________5. Product Information ________6. Product Identification a. Alphabetical listing of company names, addresses, phone numbers b. Alphabetical listing of products and the page where more information is found c. Detailed list of drugs, indications, dosage/administration, warnings d. Listing of all diagnostic products by manufacturers e. Provides actual-sized pictures of a variety of drugs f. Quick reference section for drugs available for various conditions B. Directions: Choose a medication to research using the PDR. Write your information in the space provided. Name of medication_____________________Chemical or Generic name_______________ Manufacturer’s name_________________________________________________________ Conditions or diseases for which this drug is used__________________________________ Describe the action of this drug________________________________________________ What is the usual adult dose_______________________Pediatric dose_________________ List the route(s) of administration______________________________________________ List three adverse reactions____________________________________________________ List two warnings about this drug______________________________________________ Appendix 2H10.02A Summer 2000 J.12 ANSWER KEY – PDR Worksheet A. Matching 1. 2. 3. 4. 5. 6. b a d f c e B. Drug Research-Answers will vary if every student researches a different drug Summer 2000 J.13 Name _______________________________________ Date ___________________ Medications A. Directions: Match the terms in Column 1 with the BEST description in Column 2. Write the correct letter in the blank provided. Use each description once. Column 1 ____1. Troche ____2. Capsule ____3. Intradermal ____4. Paste ____5. Tincture ____6. Oral ____7. Topical ____8. Tablet ____9. Sublingual ___10. Subcutaneous Column 2 a. Injected just under the top layer of skin b. Given by mouth; for liquid and solid forms c. Medication route applied directly to the top of skin d. Compressed or molded solid preparation e. Large, flat disc that is dissolved in the math f. Usually inserted into the rectum, vagina, or urethra g. Gelatinlike shell with medication inside h. Injected into the layer of tissue just under the skin i. Medication dissolved in alcohol j. Ointment with an adhesive substance k. Placed under tongue B. Directions: Listed below are five main points to watch each and every time a medication is given. These points are also known the “five rights.” Beside each right, list at least two safety rules which must be observed when giving medications. 1. Right Medication: 2. Right Dose 3. Right Patient 4. Right Time 5. Right Method of Administration Appendix 2H10.02B Summer 2000 J.14 ANSWER KEY: Medications A. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. e g a j i b c d k h B. May use any of the following: 1. Read the order carefully 2. Check the label three times 3. Prepare or administer medication only on the order of qualified individual 4. Know the action of the drug, usual dosage, route of administration, side effects 5. Store medications in a safe, cool, dry area 6. Discard old medications immediately. 7. Never use medication from an unmarked bottle 8. Make sure the medication label is clear 9. Do not return medication to the bottle 10. Report all mistakes immediately 11. Concentrate while handling any medications, avoid distractions 12. Use paper and pencil to calculate dosages, avoid “mental” math 13. Question dosages or uses that do not seem correct Summer 2000 J.15 Name ________________________________________ Date _________________ Metric System Conversions DIRECTIONS: larger number metric Write the correct response to the following statements in the spaces provided. Select your responses from the words listed below. NOTE: Some words can be used more than once for your responses. 1000 10 decimal smaller ten prefix 100 ten 1000 unit 1000 Measurements in science include a (1)___________________ and the (2)________________being measured. We usually use a unit that will require a small number for that measurement. The (3)___________________________ system is based on units which are multiples of (4)____________. When converting from one unit to another, the same numbers are used, but the (5)______________ point is moved. A base unit is changed by adding a (6)___________________ to the beginning of the word. Every time the base unit becomes (7)________ times larger or smaller, a different prefix is used. The most common prefixes are: milli which is (8)__________ times (9)_________ than the base unit centi which is (10)__________ times (11)________ than the base unit deci which is (12)__________ times (13)_________ than the base unit kilo which is (14)__________times (15)__________than the base unit Number lines, stair steps, and ladders are useful in visualizing and remembering prefixes in the metric system, number of places, and the direction a decimal point is moved. On a number line, when the decimal is moved to the right, the number becomes larger, so we use a prefix for a (16)________________ unit. When the decimal point is moved to the left, the number becomes (17)__________________, so we use a prefix for a (18)______________ unit. Visualization 1: Number Line Multiple of Base Unit 1000 100 10 1 .1 .01 .001 Prefix Abbreviation kilo (k) hecto (h) deka (dk) base unit deci (d) centi © milli (m) Summer 2000 J.16 Visualization 2: Stair Steps 1000 kilo (k) 100 hecto (h) 10 deka (dk) 1 base unit .1 "meter" deci (d) .01 "liter" centi © .001 "gram" Visualization 3: milli (m) The Ladder 1000 - kilo (k) 100 - hecto (h) 10 - deka (dk) 1 - base unit "meter" "liter" "gram" .1 - deci (d) .01 - centi © .001 - milli (m) A Appendix 2H10.02C Summer 2000 J.17 ANSWER KEY: Metric System Conversions 1. 2. 3. 4. 5. 6. 7. 8. 9. number unit metric ten decimal prefix ten 1000 smaller 10. 11. 12. 13. 14. 15. 16. 17. 18. 100 smaller 10 smaller 1000 larger smaller smaller larger Name__________________________________Date___________________________________ Summer 2000 J.18 Metric/Household Conversion Practice A. Directions: 1. 30 ml/cc =_____oz. 2. 3. 4. 5. 6. 7. Complete the following conversions. You may use the conversion charts, the visualization handouts, or the book. 9. 38 C =_____F 10. 8 qts =_____L 11. 32 oz =_____cups 12. 40.5 lbs =_____oz 13. 5 T = _____ml 14. 30 ml =_____tsp 15. 850 ml =____L 20 kg =_____lbs. 2000 g = _____kg 3.5 L =_____ml 10 tsp =_____cc 5 yd =_____m 7 ml =_____gtts 8. 100F =_____C B. Directions: 1. At the pediatrician’s office, Mr. Johnson observes you documenting his daughter’s weight as 30 kilograms. Mr. Johnson asks you to tell her the weight in pounds. What is your answer? 2. Mrs. Bennerman has been instructed to drink a liter of water prior to her fetal ultrasound. She asks you how many cups of fluid she will have to drink. What is your answer? 3. The doctor has requested Mrs. Lim to give her toddler 30 cc of Gatorade each hour after vomiting subsides. Mrs. Lim would like to use a spoon for administering the fluid. How many teaspoons will you tell her to give? How many tablespoons? Answer the following word problems. Show all of your work. Appendix 2H10.02D Summer 2000 J.19 ANSWER KEY: Metric/Household Conversion Practice A. B. 1. 1 2. 44 3. 2 4. 3500 5. 50 6. 4.55 7. 105 8. 37.7 9. 100.4 10. 8 11. 4 12. 648 13. 75 14. 6 15. .85 1. 66 pounds 2. 4.2 cups 3. 6 tsp, 2 T Summer 2000 J.20 MEDICAL MATHEMATICS CONVERSION CHART METRIC SYSTEM Temperature C=( F-32) 5/9 Length Area 10 millimeters = 1 centimeter 1 yard = 3 feet 1 foot = 12 inches 100 square millimeters = 1 square centimeter F=( C)9/5 + 32 Weight Volume for Solids Volume for Fluids 1 gram = 1000 milligrams 1 milligram = 1000 micrograms 1 gram (mass) = 1 milliliter (for solutions) 1 kilogram (mass) = 1 liter (for solutions) 1 pound = 16 ounces 1000 cubic millimeters =1 cubic centimeter 1000 cubic centimeters = 1 cubic decimeter 1000 cubic decimeters = 1 cubic meter 1 liter = 1000 milliliters 1 milliliter = 1 cubic centimeter 10 centiliters = 1 deciliter 10 deciliters = 1 liter APPROXIMATE EQUIVALENTS AMONG SYSTEMS Metric 1 liter 480-500 milliliters 240 milliliters 30-32 milliliters = 15-16 milliliters 4-5 milliliters/cubic centimeters 1 milliliter 1 kilogram 0.454 kilogram 2.5 centimeters 4 liters 0.06 milliliters 1 milliliter Household 1 quart / 32 ounces / 2 pints 1 pint / 16 ounces 1 cup / 8 ounces 1 ounce / 2 tablespoons / 6 teaspoons 1 tablespoon 1 teaspoon = 60 drops 60 microdrops 2.2 pounds 1 pound 1 inch 4 quarts = 1 gallon 1 glass = 8 ounces 1 teacup = 6 ounces 1 unit = 1000 milliunits 1 gtt 15-16 gtts Appendix 2H10.02E Summer 2000 J.21 IDENTIFYING TEETH 1. Incisors-located in the front and center -broad, sharp edge -used to cut food 2. Cuspids-also called canines, or eyeteeth -located at angles of lips -used to tear food -longest teeth in the mouth 3. Bicuspids-also called premolars -located before molars, from front to back -used to pulverize or grind food 4. Molars-teeth in the back of the mouth -largest and strongest teeth -used to grind food Summer 2000 J.22 5. Primary/Deciduous -first set of teeth - “baby” teeth -maintains correct spacing for permanent teeth 6. Maxillary - located in the sockets, or alveoli or upper jaw bone 7. Mandibular -located in the alveoli of the mandible, or lower jaw bone 8. Secondary/Permanent - second set of teeth - there are 32 Summer 2000 J.23 USING ROMAN NUMERALS Used for some drugs and solutions Used for ordering some supplies KEY NUMERALS: I, V, X, C, D, M Usually, no more than 3 of any one Roman Numeral is used to represent a number If the numeral for a smaller number is used after the numeral for a larger number, all of the numbers are added together If the numeral for a smaller number is used in front of the numeral for a larger number, the smaller number is subtracted from the larger number Summer 2000 J.24 ROMAN NUMERAL EQUIVALENTS Arabic 1 2 3 4 5 6 7 8 9 10 20 30 40 50 100 500 1,000 Roman I II III IV V VI VII VIII IX X XX XXX XL L C D M Summer 2000 J.25