Application
Demonstration of all performance criteria is to be under the direction of the dentist or dental specialist |
Prerequisites
Pre-requisite units | This unit must be assessed after successful achievement of pre-requisites: HLTDA408D Assist in oral health care procedures during general anaesthesia HLTIN301C Comply with infection control policies and procedures HLTIN302C Process reusable instruments and equipment in health work HLTWHS300A Contribute to WHS processes |
Elements and Performance Criteria
ELEMENT | PERFORMANCE CRITERIA |
1. Prepare the client for oral health care procedures during conscious sedation | 1.1 Provide written prescribed pre-operative and post-operative instructions to the client prior to conscious sedation 1.2 Confirm and document arrangements for the provision of an escort following the procedure 1.3 Provide an appropriate environment for the client and/or carer to ask questions 1.4 Make accessible in the clean zone of the surgery the client's necessary charts and records 1.5 Maintain confidentiality of client information in accordance with dental practice/organisation policy and procedures |
2. Select and prepare equipment, instruments, materials and medicaments applicable for the oral health care procedures during conscious sedation | 2.1 Prepare ready for use the appropriate safety equipment for the monitoring of the client as directed by the operator 2.2 Prepare ready for use the equipment for the delivery of inhalation sedation 2.3 Prepare ready for use the equipment used for the delivery of intravenous sedation in accordance with dental practice/organisation and WHS policy and procedures 2.4 Prepare ready for use the appropriate safety equipment for use in intravenous sedation 2.5 Prepare ready for use the dental instruments, equipment, materials and medicaments for the planned procedure |
3. Assist the operator during conscious sedation | 3.1 Give personal protective equipment to the client and members of the dental team 3.2 Arrange instruments in order of use in accordance with operator requirements 3.3 Select and safely transfer correct dental instruments, equipment, materials and medicaments 3.4 Assist the operator when required to monitor the client airway and vital signs during conscious sedation 3.5 Record accurately and legibly oral health care treatment given, materials used and medicaments prescribed |
4. Assist in the recovery following conscious sedation | 4.1 Transfer client to the post-operative recovery room and monitor vital signs in accordance with operator instructions 4.2 Maintain venous access for intravenous sedation in accordance with operator instructions 4.3 Follow established guidelines and protocols while providing post-operative care 4.4 Communicate clearly with client and/or carer and provide written post-operative instructions to carer and/or escort 4.5 Discharge client only on instruction from the operator |
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: 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 |
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 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 |
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 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 |
Sectors
Not Applicable
Employability Skills
This unit contains Employability Skills |
Licensing Information
Not Applicable