Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTDA409D Mapping and Delivery Guide
Assist in oral health care procedures during conscious sedation

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTDA409D - Assist in oral health care procedures during conscious sedation
Description 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 clients during intravenous, oral and inhalation sedationAll procedures are carried out in accordance with work health and safety (WHS) policies and procedures, current infection control guidelines, Australian and New Zealand Standards, State/Territory legislative requirements and organisation policy
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application Demonstration of all performance criteria is to be under the direction of the dentist or dental specialist
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Pre-requisite unitsThis unit must be assessed after successful achievement of pre-requisites:HLTDA408D Assist in oral health care procedures during general anaesthesiaHLTIN301C Comply with infection control policies and proceduresHLTIN302C Process reusable instruments and equipment in health workHLTWHS300A Contribute to WHS processes
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Prepare the client for oral health care procedures during conscious sedation
  • Provide written prescribed pre-operative and post-operative instructions to the client prior to conscious sedation
  • Confirm and document arrangements for the provision of an escort following the procedure
  • Provide an appropriate environment for the client and/or carer to ask questions
  • Make accessible in the clean zone of the surgery the client's necessary charts and records
  • Maintain confidentiality of client information in accordance with dental practice/organisation policy and procedures
       
Element: Select and prepare equipment, instruments, materials and medicaments applicable for the oral health care procedures during conscious sedation
  • Prepare ready for use the appropriate safety equipment for the monitoring of the client as directed by the operator
  • Prepare ready for use the equipment for the delivery of inhalation sedation
  • Prepare ready for use the equipment used for the delivery of intravenous sedation in accordance with dental practice/organisation and WHS policy and procedures
  • Prepare ready for use the appropriate safety equipment for use in intravenous sedation
  • Prepare ready for use the dental instruments, equipment, materials and medicaments for the planned procedure
       
Element: Assist the operator during conscious sedation
  • Give personal protective equipment to the client and members of the dental team
  • Arrange instruments in order of use in accordance with operator requirements
  • Select and safely transfer correct dental instruments, equipment, materials and medicaments
  • Assist the operator when required to monitor the client airway and vital signs during conscious sedation
  • Record accurately and legibly oral health care treatment given, materials used and medicaments prescribed
       
Element: Assist in the recovery following conscious sedation
  • Transfer client to the post-operative recovery room and monitor vital signs in accordance with operator instructions
  • Maintain venous access for intravenous sedation in accordance with operator instructions
  • Follow established guidelines and protocols while providing post-operative care
  • Communicate clearly with client and/or carer and provide written post-operative instructions to carer and/or escort
  • Discharge client only on instruction from the operator
       


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.

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 assistant's 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 (computer-based) assessment

written assignments/projects

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

Questioning

Staff and/or client feedback

Supporting statement of supervisor

Authenticated evidence of relevant work experience and/or formal/informal 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 and/or Torres Strait Islander clients and communities

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, 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.

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:

Current legislative requirements for the use of conscious sedation in dentistry and 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

Physiology of respiration

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

The importance for clients to follow pre and post operative instructions

The types of complications which may arise from the administration of conscious sedation

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 follow procedures to ensure client safety during oral health care procedures under conscious sedation

Implement standard and additional precautions while preparing for and assisting with oral health care procedures under conscious sedation

Maintain and store instruments, equipment, materials and medicaments

Prepare clients, environments, instruments and materials for oral health care procedures under conscious sedation

Provide chairside support to the operator during oral health care procedures under conscious sedation

Use safe and correct handling of instruments, equipment and agents in the administration of intravenous sedation and conscious sedation in dentistry in accordance with legislative 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 effectively the dentist or dental specialist during conscious sedation

Deal with conflict

Identify behavioural characteristics of fear and anxiety

Recognise, respond to and assist with medical emergencies during conscious sedation

Use interpersonal skills to relate to people from a range of social, cultural and ethnic backgrounds and physical and mental abilities

Use literacy skills to:

read and implement WHS policy and procedures, infection control guidelines and procedures, and other dental practice/organisation policies and procedures

select and apply the procedures to perform a range of tasks

follow sequenced written instructions

accurately and legibly record client details

Use oral communication skills (language competence) required to fulfil the job role as specified by the dental practice/organisation, including skills in:

negotiation

asking questions

active listening

asking for clarification from client and/or carer

acknowledging and responding to a range of views

Use problem solving skills including to:

use available resources

prioritise tasks

select and prepare instruments and equipment as directed by the operator

Work with others and empathise with client and relatives

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 intravenous, oral and inhalation sedation

Premedication requirements

Escort requirements

Escort may include but is not limited to:

Personal carer

Parent/guardian

Friend

Relatives

Others

Charts andrecords may include but are not limited to:

Dental charts and dental treatment records

Completed medical questionnaires

Consent documents obtained for treatment

Radiographs, tracings and measurements

Diagnostic models

Photographs

Records of financial transactions

Notes made by staff following telephone conversations

Reports to and from referring dentists and specialists

Copies of correspondence relating to the client

Equipment for the delivery of inhalation sedation may include but are not limited to:

Oxygen and nitrous oxide gas cylinders

Connecting tubing

Mask

Scavenging system

Regulator

Oxygen flush

Equipment used for the delivery of intravenous sedation

Intravenous needles and syringes

Mouth props

Packs

Intravenous agents including:

sedatives

tranquillisers

hypnotics

analgesics

emergency drugs

Appropriate safety equipment for use in intravenous sedation in dentistry may include but is not limited to:

Laryngoscopes

Suction apparatus

Endotracheal tube

Pulse oximeter

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

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
Provide written prescribed pre-operative and post-operative instructions to the client prior to conscious sedation 
Confirm and document arrangements for the provision of an escort following the procedure 
Provide an appropriate environment for the client and/or carer to ask questions 
Make accessible in the clean zone of the surgery the client's necessary charts and records 
Maintain confidentiality of client information in accordance with dental practice/organisation policy and procedures 
Prepare ready for use the appropriate safety equipment for the monitoring of the client as directed by the operator 
Prepare ready for use the equipment for the delivery of inhalation sedation 
Prepare ready for use the equipment used for the delivery of intravenous sedation in accordance with dental practice/organisation and WHS policy and procedures 
Prepare ready for use the appropriate safety equipment for use in intravenous sedation 
Prepare ready for use the dental instruments, equipment, materials and medicaments for the planned procedure 
Give personal protective equipment to the client and members of the dental team 
Arrange instruments in order of use in accordance with operator requirements 
Select and safely transfer correct dental instruments, equipment, materials and medicaments 
Assist the operator when required to monitor the client airway and vital signs during conscious sedation 
Record accurately and legibly oral health care treatment given, materials used and medicaments prescribed 
Transfer client to the post-operative recovery room and monitor vital signs in accordance with operator instructions 
Maintain venous access for intravenous sedation in accordance with operator instructions 
Follow established guidelines and protocols while providing post-operative care 
Communicate clearly with client and/or carer and provide written post-operative instructions to carer and/or escort 
Discharge client only on instruction from the operator 

Forms

Assessment Cover Sheet

HLTDA409D - 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

HLTDA409D - 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: