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Elements and Performance Criteria

  1. Prepare the client for oral health care procedures under general anaesthesia
  2. Select and prepare equipment, instruments, materials and medicaments applicable for oral health care procedures under general anaesthesia
  3. Assist the operator during general anaesthesia
  4. Assist in the recovery of the client following general anaesthesia

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

Appropriate practices to ensure efficient use of power and other resources

Current legislative requirements for the use of general anaesthesia in dentistry related to the role of the dental assistant

Dental anatomy anatomy and physiology dental pharmacology and anaesthesia oral pathology dental histology dental materials

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

Physiology of respiration

Reasons for keeping accurate records of oral conditions and treatments

The importance for clients to follow pre and post operative instructions

Why medical emergencies may occur and the appropriate response including recognition of vital signs

Essential skills

It is critical that the candidate demonstrate the ability to

Consistently prepare clients environments instruments and materials for oral health care procedures under general anaesthesia

Consistently provide chairside support to the operator during oral health care procedures under general anaesthesia

Consistently maintain and store instruments equipment materials and medicaments

Consistently implement standard and additional precautions while preparing for and assisting with oral health care procedures under general anaesthesia

Consistently follow procedures to ensure client safety during oral health care procedures under general anaesthesia

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 effectively the dentist or dental specialist during general anaesthesia

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

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

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

Consistently deal with conflict

Consistently work with others and display empathy with client and relatives

Consistently use problem solving skills required including

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

using available resources

Identify behavioural characteristics of fear and anxiety

Perform basic life support

Recognise respond to and assist with medical emergencies

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 WHS 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 essential

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.

Written pre-operative and post-operative instructions may include but are not limited to:

Instructions related to specific procedures for general anaesthesia

Premedication requirements

Charts andrecords may include but are not limited to:

Completed medical questionnaires

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

Lead apron

Protection of the airway

Sterile drapes

Surgical face masks that comply with AS 4381

Post operative care may include:

Post-operative care in accordance with prescription by the dentist or dental specialist and legislative requirements

Verbal and written instructions issued by dentist or dental specialist when appropriate