Assessor Resource

HLTDEN005
Assist in oral health care procedures during general anaesthesia

Assessment tool

Version 1.0
Issue Date: March 2024


This unit of competency describes the skills and knowledge required to assist the dentist or dental specialist in carrying out oral health care procedures on patients under general anaesthesia.

This unit applies to dental assisting work.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand Standards and industry codes of practice.

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare patient for oral health care procedures under general anaesthesia

1.1 Confirm and document arrangements for an escort for patient following the procedure

1.2 Provide an appropriate environment for patient or carer to ask questions

1.3 Make accessible in the clean zone of the surgery the patient’s necessary charts and records

1.4 Maintain confidentiality of patient information in accordance with organisation policy and procedures

2. Prepare for oral health care procedures under general anaesthesia

2.1 Perform surgical hand wash and use aseptic technique in applying personal protective equipment in preparation for procedures under general anaesthesia

2.2 Prepare the equipment, instruments materials and medicaments for the planned procedure

2.3 Ensure instruments for oral health care procedure are ready and usable at the suite or theatre

2.4 Follow suite or theatre organisation policy and procedures

2.5 Select and transfer safely and aseptically the correct dental instruments, equipment, materials and medicaments

3. Assist patient’s discharge after undergoing oral health care procedures under general anaesthesia

3.1 Follow organisation policy and procedures while assisting in the provision of post-operative oral health care procedures

3.2 Ensure post-operative written instructions are communicated and provided by authorised person to patient or carer or escort

3.3 Assist in the authorised discharge of patient to the carer or escort

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

• prepared equipment and assisted the operator with oral health care procedures for 3 different patients under general anaesthesia, including:

- assisting in aseptically handling and correctly positioning the equipment during the procedure

- following procedures to ensure patient safety during general anaesthesia

- correctly maintained and stored instruments, equipment, materials and medicaments

• supported the dental team in the discharge care of 1 patient recovering from an oral care procedure following general anaesthesia.

The candidate must be able to demonstrate essential knowledge required to effectively to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

• national and State/Territory legal and ethical requirements and considerations for dental assisting work including:

­ codes of practice

­ discrimination

­ duty of care

­ informed consent and statutory requirements of consent

­ practice standards – Dental Board of Australia guidelines on infection control

­ privacy, confidentiality and disclosure

­ records management

­ work role boundaries – responsibilities and limitations

­ work health and safety

• practitioners who are authorised to administer general anaesthesia to a patient, and the assessment process required before oral health procedure is carried out

• levels of consciousness

• equipment used to administer a general anaesthetic and equipment used in monitoring patient pre- and post-operatively

• risks associated with general anaesthesia including risks of:

­ chest infection

­ cross-infection from instruments and handpieces

­ deep venous thrombosis (DVT)

­ anaphylaxis – from a reaction to anaesthetic

­ lowered patient’s body temperature – they may need extra blankets or warming devices to protect against hypothermia

­ compromised patient comfort – ensure pressure points on skin are monitored

• reasons for keeping accurate records of oral conditions and treatments

• reasons why patients need to follow pre- and post-operative instructions, and the importance of this

• medical emergencies and complications which may arise during and after general anaesthesia and appropriate medical responses and treatment to be given by the dental team.

Skills must have been demonstrated in the dental workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace.

The requirement under performance evidence for the candidate to prepare equipment and assist the operator with oral health care procedures for 3 different patients under general anaesthesia must have been demonstrated using simulation prior to demonstration in the workplace and with members of the general public.

The following conditions must be met for this unit:

• use of suitable facilities, equipment and resources including:

- sterile dental equipment and instruments

- surgical personal protective equipment for aseptic technique procedures

- operating trolley

- suctioning equipment

- access to defibrillator

- waste disposal equipment

- Dental Board of Australia guidelines on infection control

• modelling of industry operating conditions including access to real people for simulations and scenarios in dental assisting work.

Assessment must involve demonstration of tasks under the direction of the dental practitioner.

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must hold a minimum of 5 years clinical experience in dental assisting work.


Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)


Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Prepare patient for oral health care procedures under general anaesthesia

1.1 Confirm and document arrangements for an escort for patient following the procedure

1.2 Provide an appropriate environment for patient or carer to ask questions

1.3 Make accessible in the clean zone of the surgery the patient’s necessary charts and records

1.4 Maintain confidentiality of patient information in accordance with organisation policy and procedures

2. Prepare for oral health care procedures under general anaesthesia

2.1 Perform surgical hand wash and use aseptic technique in applying personal protective equipment in preparation for procedures under general anaesthesia

2.2 Prepare the equipment, instruments materials and medicaments for the planned procedure

2.3 Ensure instruments for oral health care procedure are ready and usable at the suite or theatre

2.4 Follow suite or theatre organisation policy and procedures

2.5 Select and transfer safely and aseptically the correct dental instruments, equipment, materials and medicaments

3. Assist patient’s discharge after undergoing oral health care procedures under general anaesthesia

3.1 Follow organisation policy and procedures while assisting in the provision of post-operative oral health care procedures

3.2 Ensure post-operative written instructions are communicated and provided by authorised person to patient or carer or escort

3.3 Assist in the authorised discharge of patient to the carer or escort

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

• prepared equipment and assisted the operator with oral health care procedures for 3 different patients under general anaesthesia, including:

- assisting in aseptically handling and correctly positioning the equipment during the procedure

- following procedures to ensure patient safety during general anaesthesia

- correctly maintained and stored instruments, equipment, materials and medicaments

• supported the dental team in the discharge care of 1 patient recovering from an oral care procedure following general anaesthesia.

The candidate must be able to demonstrate essential knowledge required to effectively to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

• national and State/Territory legal and ethical requirements and considerations for dental assisting work including:

­ codes of practice

­ discrimination

­ duty of care

­ informed consent and statutory requirements of consent

­ practice standards – Dental Board of Australia guidelines on infection control

­ privacy, confidentiality and disclosure

­ records management

­ work role boundaries – responsibilities and limitations

­ work health and safety

• practitioners who are authorised to administer general anaesthesia to a patient, and the assessment process required before oral health procedure is carried out

• levels of consciousness

• equipment used to administer a general anaesthetic and equipment used in monitoring patient pre- and post-operatively

• risks associated with general anaesthesia including risks of:

­ chest infection

­ cross-infection from instruments and handpieces

­ deep venous thrombosis (DVT)

­ anaphylaxis – from a reaction to anaesthetic

­ lowered patient’s body temperature – they may need extra blankets or warming devices to protect against hypothermia

­ compromised patient comfort – ensure pressure points on skin are monitored

• reasons for keeping accurate records of oral conditions and treatments

• reasons why patients need to follow pre- and post-operative instructions, and the importance of this

• medical emergencies and complications which may arise during and after general anaesthesia and appropriate medical responses and treatment to be given by the dental team.

Skills must have been demonstrated in the dental workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace.

The requirement under performance evidence for the candidate to prepare equipment and assist the operator with oral health care procedures for 3 different patients under general anaesthesia must have been demonstrated using simulation prior to demonstration in the workplace and with members of the general public.

The following conditions must be met for this unit:

• use of suitable facilities, equipment and resources including:

- sterile dental equipment and instruments

- surgical personal protective equipment for aseptic technique procedures

- operating trolley

- suctioning equipment

- access to defibrillator

- waste disposal equipment

- Dental Board of Australia guidelines on infection control

• modelling of industry operating conditions including access to real people for simulations and scenarios in dental assisting work.

Assessment must involve demonstration of tasks under the direction of the dental practitioner.

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must hold a minimum of 5 years clinical experience in dental assisting work.

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
 
Confirm and document arrangements for an escort for patient following the procedure 
Provide an appropriate environment for patient or carer to ask questions 
Make accessible in the clean zone of the surgery the patient’s necessary charts and records 
Maintain confidentiality of patient information in accordance with organisation policy and procedures 
Perform surgical hand wash and use aseptic technique in applying personal protective equipment in preparation for procedures under general anaesthesia 
Prepare the equipment, instruments materials and medicaments for the planned procedure 
Ensure instruments for oral health care procedure are ready and usable at the suite or theatre 
Follow suite or theatre organisation policy and procedures 
Select and transfer safely and aseptically the correct dental instruments, equipment, materials and medicaments 
Follow organisation policy and procedures while assisting in the provision of post-operative oral health care procedures 
Ensure post-operative written instructions are communicated and provided by authorised person to patient or carer or escort 
Assist in the authorised discharge of patient to the carer or escort 
Follow organisation policy and procedures while assisting in the provision of post-operative oral health care procedures 
Ensure post-operative written instructions are communicated and provided by authorised person to patient or carer or escort 
Assist in the authorised discharge of patient to the carer or escort 

Forms

Assessment Cover Sheet

HLTDEN005 - Assist in oral health care procedures during general anaesthesia
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:


Assessment Record Sheet

HLTDEN005 - Assist in oral health care procedures during general anaesthesia

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: