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Elements and Performance Criteria

  1. Prepare the dental surgery for oral health care procedures
  2. Use dental terminology in communication within the health care setting
  3. Record personal, medical and dental details
  4. Select and prepare syringe safely for local anaesthesia
  5. Assist the operator during oral health care procedures
  6. Maintain and store instruments, equipment materials and medicaments

Required Skills

This describes the essential skills and knowledge and their level required for this unit

Essential knowledge

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes knowledge of

Dental and medical records and charts including

confidentiality of client records

FDI notation and Palmer notation systems and charting symbols

items that constitute a dental record

knowledge of correct dental terminology and how it is used in hand written dental charting and computer software charting programs

the purpose and requirements for maintaining accurate records of examination treatments materials used and drugsmedicaments prescribed

the purpose of study casts and the materials used in their construction

the reasons for taking radiographs and photograph

Fundamental knowledge of oral anatomy and physiology including

deciduous and permanent dentition and dates of eruption

structure and functions of teeth and the periodontal tissues

structures of the oral cavity including salivary glands and saliva

tooth identification

Fundamental knowledge of oral pathology including

pathology of dental caries and periodontal disease

the main causes of dental caries and periodontal disease

the role of bacteria diet and dental plaque

Fundamental knowledge of the fields of dentistry required to assist the operator to carry out procedures for the full range of general oral health care procedures

Fundamental understanding of the normal growth and development of children the promotion and maintenance of oral health and requirements of special needs children

Fundamental knowledge of the effects of aging upon the oral tissues and the special needs of the elderly dental client

Fundamental knowledge of dental materials

Fundamental knowledge of dental pharmacology and anaesthesia including

local anaesthetic techniques

local anaesthetic equipment and drugs

complications which may arise from the administration of local anaesthesia

Retracting soft tissues and moisture control

methods of retracting and protecting soft tissue

methods for providing a clear field of vision

methods for controlling moisture

Dental practiceorganisation policy and procedures

Knowledge of the importance for clients to follow pre and post operative instructions

Why medical and dental emergencies occur and the appropriate response

Essential skills

It is critical that the candidate demonstrate the ability to

Comply with occupational health and safety procedures

Implement standard and additional precautions while preparing for and assisting at the chairside

Maintain and store instruments equipment materials and medicaments in accordance with manufacturer specifications and operators requirements

Maintain records of maintenance procedures and processes

Prepare clients environments instruments and materials for oral health care procedures in accordance with the requirements of the dental practice and the operator

Provide chairside support to the operator during oral health care procedures

Store materials and medicaments in accordance with manufacturer specifications and operators requirements

In addition the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes the ability to

Assist the operator during oral health care procedures safely and effectively

Consistently apply standard and additional precautions while assisting with all oral health care procedures

Consistently use safe work practices to minimise the risk of transmission of infection including

ensuring instruments used for invasive procedures are sterile at time of use

following the procedure for washing and drying hands

limiting contamination

maintaining clean surfaces and manage blood and body fluid spills

protecting materials equipment and instruments from contamination until required for use

putting into practice clean and sterile techniques

using personal protective equipment

Consistently follow sequenced written instructions and manufacturer specifications for the preparation of materials and medicaments

Consistently demonstrate interpersonal skills when relating to people from a range of social cultural and religious backgrounds and physical and mental abilities

Consistently demonstrate communication skills as required in fulfilling the job role as specified by the dental practiceorganisation including

acknowledging and responding to a range of views

active listening

asking for clarification from client andor carer

asking questions

negotiation

continued

Essential skills contd

Consistently deal with conflict

Consistently work with others and display empathy with client and relatives

Consistently use problem solving skills required including

using available resources appropriately to ensure efficient use of power and other resources

selecting and preparing instruments equipment and materials as directed by the operator

Recognise respond to and assist with dental and medical emergencies

Select and apply procedures to perform a range of tasks specific to the dental assistants job role

Use literacy skills to read and follow directions policies and procedures including

occupational health and safety policies and procedures

infection control policies and procedures

practice policies and procedures

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this competency unit


The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of workplace performance is essential for assessment of this unit

Consistent compliance with infection control guidelines occupational health and safety policies Australian and New Zealand Standards and legislative requirements as they relate to the dental assistants specific job role

Consistency of performance should be demonstrated over the required range of workplace situations

Context of and specific resources for assessment


Where for reasons of safety access to equipment and resources and space assessment takes place away from the workplace simulations should be used to represent workplace conditions as closely as possible

Method of assessment

Observation in the work place is desirable

Evidence of essential knowledge and understanding may be provided by

traditional or online computerbased assessment

written assignmentsprojects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning

Staff andor client feedback

Supporting statement of supervisor

Authenticated evidence of relevant work experience andor formalinformal learning

Role play simulation

Access and equity considerations

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities


Range Statement

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Charts andrecords may include but are not limited to:

Completed medical histories

Consent documents obtained for treatment

Copies of correspondence relating to the client

Dental charts and dental treatment records

Diagnostic models

Notes made by staff following telephone conversations

Photographs

Radiographs, tracings and measurements

Records of financial transactions

Reports to and from referring dentists and specialists

Equipment, instruments materials and medicaments may include but are not limited to:

Equipment:

handpieces

Instruments:

diagnostic

restorative

endodontic

oral surgical

periodontal

prosthetic

orthodontic

Rotary cutting instruments:

tungsten carbide burs

diamond burs

finishing burs

stones and discs

surgical burs

Materials:

restorative

impression

temporary

Personal protective equipment may include:

Examination gloves that comply with AS/NZS 4011 and surgical gloves that comply with AS/NZS 4179

Footwear to protect from dropped sharps and other contaminated items

Glasses, goggles or face-shields

Gowns and waterproof aprons that comply with AS 3789.2 and AS 3789.3

Guidelines for latex allergic clients and staff

Surgical face masks that comply with AS 4381

Aseptic techniques may include but are not limited to:

Cleaning of surfaces and management of spills

Personal hygiene practices especially handwashing

Reprocessing of instruments and equipment between client use

Use of personal protective equipment

Accurate, legible and legal records may include:

Avoiding the use of abbreviations, unless widely used in dentistry

Dating computer records should be dated and made in a chronological order

Entering information promptly onto the client record and in chronological order

Noting the reason for the correction

Recording the date of each entry

Writing legibly and clearly in ink.

Techniques for local anaesthesiamay include but are not limited to:

Block injection

Infiltration injection

Intraosseous injection

Periodontal ligament injection

Infection control guidelines for the transfer of sharps may include but is not limited to:

Disposal of sharp at point of use by the person who has used the sharp

Procedures and devices for the removal of scalpel blades

Specified puncture resistant sharps trays for the safe transfer of all sharp items

Use of clearly labelled puncture proof containers which conform to AS 4031 or AS/NZS 4261

Oral health care procedures may include but are not limited to:

Diagnostic

Endodontics

Oral surgery

Orthodontic

Paedodontic

Periodontics

Preventive, prophylactic and bleaching

Prosthodontics

Restorative

Techniques to maintain a clear field of visionmay include:

Clearing the mouth of oral fluids and debris

Keeping the cavity clear of debris

Keeping the dental mirror free of spray

Moisture control:

rubber dam

high volume evacuation

use of cotton rolls

Retracting and protecting soft tissue

Monitoring the client's well-being may include:

Alerting operator to any observed client change

Communicating appropriately with client and operator

Giving the client an appropriate opportunity to ask questions

Observing client comfort

Offering mouth wipes and washes as and when appropriate

Providing assurance

Using safe work practices

Storage of equipment, instruments and materials may include:

Dental cabinets and cupboards

Locked facility

Refrigeration

Shelf life may include but is not limited to:

Date of expiry as stated by manufacturer

Exposure to a change in temperature

Rotation of stock