Assessor Resource

HLTDEN006
Assist in oral health care procedures during conscious sedation

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 conscious sedation administered via intravenous, oral and inhalation routes.

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 the patient for oral health care procedures during conscious sedation

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

1.2 Provide an appropriate environment for the 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. Select and prepare equipment, instruments, materials and medicaments applicable to the oral health care procedures during conscious sedation

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

2.2 Arrange instruments for oral health care procedure in order of use in accordance with operator requirements

2.3 Give personal protective equipment to patient and members of the dental team

2.4 Follow suite or theatre organisation policy and procedures

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

3. Assist a patient undergoing oral health care procedures during conscious sedation

3.1 Follow organisation policy and procedures while assisting in providing post-operative oral health care procedures

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

3.3. Assist in the authorised discharge of the 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 in handling and correctly positioning equipment for the operator during 3 different oral health care procedures carried out under conscious sedation (oral or intravenous or intramuscular or inhalation) including:

- consistently applying safe work practices to ensure patient safety during conscious sedation

- correctly maintaining and storing instruments, equipment, materials and medicaments

• supported the dental team in the discharge care of 1 patient recovering from an oral health care procedure following conscious sedation (oral or intravenous or intramuscular or inhalation).

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 conscious sedation to a patient, and the assessment process required before oral health procedure is carried out

• levels of consciousness

• medications and drugs used in conscious sedation administered via the following routes:

- intravenous

- oral

- inhalation

- intramuscular injection

• medications used to anaesthetise the site for sedation via intravenous route

• risks associated with conscious sedation including:

- potential for unintentional loss of consciousness

- depression of protective reflexes, respirations and cardiovascular system

- variations in response to drugs across the lifespan of individuals

- drug interactions

• differing standards of equipment and staffing at the locations where procedures are performed

• equipment used to administer conscious sedation and equipment used in monitoring a patient pre- and post-oral health care procedures

• reasons for keeping accurate records of oral conditions, treatments and the administration of conscious sedation

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

• discharge instructions post-recovery and observation of patient into the care of a responsible person after authorisation from dental practitioner

• medical emergencies and complications that may arise during and after conscious sedation and appropriate medical response and treatment given by the dental team.

Skills must have been demonstrated in the dental clinic workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace. The following conditions must be met for this unit:

• use of suitable facilities, equipment and resources, including:

- barrier protection materials

- dental chair and unit

- access to defibrillator

- suctioning and operator lighting

- 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 the patient for oral health care procedures during conscious sedation

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

1.2 Provide an appropriate environment for the 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. Select and prepare equipment, instruments, materials and medicaments applicable to the oral health care procedures during conscious sedation

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

2.2 Arrange instruments for oral health care procedure in order of use in accordance with operator requirements

2.3 Give personal protective equipment to patient and members of the dental team

2.4 Follow suite or theatre organisation policy and procedures

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

3. Assist a patient undergoing oral health care procedures during conscious sedation

3.1 Follow organisation policy and procedures while assisting in providing post-operative oral health care procedures

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

3.3. Assist in the authorised discharge of the 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 in handling and correctly positioning equipment for the operator during 3 different oral health care procedures carried out under conscious sedation (oral or intravenous or intramuscular or inhalation) including:

- consistently applying safe work practices to ensure patient safety during conscious sedation

- correctly maintaining and storing instruments, equipment, materials and medicaments

• supported the dental team in the discharge care of 1 patient recovering from an oral health care procedure following conscious sedation (oral or intravenous or intramuscular or inhalation).

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 conscious sedation to a patient, and the assessment process required before oral health procedure is carried out

• levels of consciousness

• medications and drugs used in conscious sedation administered via the following routes:

- intravenous

- oral

- inhalation

- intramuscular injection

• medications used to anaesthetise the site for sedation via intravenous route

• risks associated with conscious sedation including:

- potential for unintentional loss of consciousness

- depression of protective reflexes, respirations and cardiovascular system

- variations in response to drugs across the lifespan of individuals

- drug interactions

• differing standards of equipment and staffing at the locations where procedures are performed

• equipment used to administer conscious sedation and equipment used in monitoring a patient pre- and post-oral health care procedures

• reasons for keeping accurate records of oral conditions, treatments and the administration of conscious sedation

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

• discharge instructions post-recovery and observation of patient into the care of a responsible person after authorisation from dental practitioner

• medical emergencies and complications that may arise during and after conscious sedation and appropriate medical response and treatment given by the dental team.

Skills must have been demonstrated in the dental clinic workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace. The following conditions must be met for this unit:

• use of suitable facilities, equipment and resources, including:

- barrier protection materials

- dental chair and unit

- access to defibrillator

- suctioning and operator lighting

- 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 the 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 
Prepare the equipment, instruments materials and medicaments for the planned procedure 
Arrange instruments for oral health care procedure in order of use in accordance with operator requirements 
Give personal protective equipment to patient and members of the dental team 
Follow suite or theatre organisation policy and procedures 
Select and transfer safely the correct dental instruments, equipment, materials and medicaments 
Follow organisation policy and procedures while assisting in providing post-operative oral health care procedures 
Ensure post-operative written instructions are communicated and provided by authorised person to patient, carer or escort 
. Assist in the authorised discharge of the patient to the carer or escort 

Forms

Assessment Cover Sheet

HLTDEN006 - Assist in oral health care procedures during conscious sedation
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

HLTDEN006 - Assist in oral health care procedures during conscious sedation

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: