NTISthis.com

Evidence Guide: HLTDA408D - Assist in oral health care procedures during general anaesthesia

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTDA408D - Assist in oral health care procedures during general anaesthesia

What evidence can you provide to prove your understanding of each of the following citeria?

Prepare the client for oral health care procedures under general anaesthesia

  1. Provide written prescribed pre-operative and post-operative instructions to the client and/or carer prior to the general anaesthetic session
  2. Confirm and document arrangements for the provision of an escort following the procedure
  3. Provide an appropriate environment for the client and/or carer to ask questions
  4. Make accessible in the clean zone of the surgery the client's necessary charts and records
  5. Maintain confidentiality of client information in accordance with dental practice/organisation policy and procedures
Provide written prescribed pre-operative and post-operative instructions to the client and/or carer prior to the general anaesthetic session

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm and document arrangements for the provision of an escort following the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide an appropriate environment for the client and/or carer to ask questions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make accessible in the clean zone of the surgery the client's necessary charts and records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain confidentiality of client information in accordance with dental practice/organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select and prepare equipment, instruments, materials and medicaments applicable for oral health care procedures under general anaesthesia

  1. Prepare the equipment, instruments materials and medicaments for the planned procedure
  2. Arrange instruments in order of use in accordance with operator requirements
Prepare the equipment, instruments materials and medicaments for the planned procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Arrange instruments in order of use in accordance with operator requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist the operator during general anaesthesia

  1. Give personal protective equipment to the client and members of the dental team
  2. Follow standard operating suite /theatre policy and procedures
  3. Select and transfer safely the correct dental instruments, equipment, materials and medicaments
  4. Assist the operator, when required, to monitor the client airway and vital signs as allowed by legislation
  5. Record accurately and legibly the oral health care treatment given, materials used and medicaments prescribed
Give personal protective equipment to the client and members of the dental team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow standard operating suite /theatre policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist the operator, when required, to monitor the client airway and vital signs as allowed by legislation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record accurately and legibly the oral health care treatment given, materials used and medicaments prescribed

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist in the recovery of the client following general anaesthesia

  1. Transfer the client to the post-operative recovery room and provide post-operative care when appropriate
  2. Follow established guidelines and protocols while providing post-operative care
  3. Communicate clearly with client and/or carer and provide written post-operative instructions to carer and/or escort
  4. Discharge client only on instruction from the operator
Transfer the client to the post-operative recovery room and provide post-operative care when appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow established guidelines and protocols while providing post-operative care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate clearly with client and/or carer and provide written post-operative instructions to carer and/or escort

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discharge client only on instruction from the operator

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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

Required Skills and Knowledge

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 practice/organisation including:

acknowledging and responding to a range of views

active listening

asking for clarification from client and/or 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

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