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Evidence Guide: HLTDA409D - Assist in oral health care procedures during conscious sedation

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

 

HLTDA409D - Assist in oral health care procedures during conscious sedation

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

Prepare the client for oral health care procedures during conscious sedation

  1. Provide written prescribed pre-operative and post-operative instructions to the client prior to conscious sedation
  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 prior to conscious sedation

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 the oral health care procedures during conscious sedation

  1. Prepare ready for use the appropriate safety equipment for the monitoring of the client as directed by the operator
  2. Prepare ready for use the equipment for the delivery of inhalation sedation
  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
  4. Prepare ready for use the appropriate safety equipment for use in intravenous sedation
  5. Prepare ready for use the dental instruments, equipment, materials and medicaments for the planned procedure
Prepare ready for use the appropriate safety equipment for the monitoring of the client as directed by the operator

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare ready for use the equipment for the delivery of inhalation sedation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare ready for use the equipment used for the delivery of intravenous sedation in accordance with dental practice/organisation and WHS policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare ready for use the appropriate safety equipment for use in intravenous sedation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare ready for use the dental instruments, equipment, materials and medicaments for the planned procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist the operator during conscious sedation

  1. Give personal protective equipment to the client and members of the dental team
  2. Arrange instruments in order of use in accordance with operator requirements
  3. Select and safely transfer correct dental instruments, equipment, materials and medicaments
  4. Assist the operator when required to monitor the client airway and vital signs during conscious sedation
  5. Record accurately and legibly 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:

 

 

 

 

 

 

 

Arrange instruments in order of use in accordance with operator requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist the operator when required to monitor the client airway and vital signs during conscious sedation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist in the recovery following conscious sedation

  1. Transfer client to the post-operative recovery room and monitor vital signs in accordance with operator instructions
  2. Maintain venous access for intravenous sedation in accordance with operator instructions
  3. Follow established guidelines and protocols while providing post-operative care
  4. Communicate clearly with client and/or carer and provide written post-operative instructions to carer and/or escort
  5. Discharge client only on instruction from the operator
Transfer client to the post-operative recovery room and monitor vital signs in accordance with operator instructions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain venous access for intravenous sedation in accordance with operator instructions

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:

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

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