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Evidence Guide: HLTDEN009 - Produce a prescribed dental radiographic image

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

 

HLTDEN009 - Produce a prescribed dental radiographic image

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

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position patient to obtain radiograph

  1. Implement and maintain radiation safety measures for the patient, operator and others throughout the procedure
  2. Correctly position patient according to the radiographic detector unit used
  3. Ensure that communication with patient can be maintained after positioning
Implement and maintain radiation safety measures for the patient, operator and others throughout the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Correctly position patient according to the radiographic detector unit used

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure that communication with patient can be maintained after positioning

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position dental radiographic detector

  1. Select the appropriate exposure variables for either an intraoral or extraoral image on the dental radiographic unit according to manufacturers’ instructions, procedure and patient requirements
  2. Select the appropriate radiographic technique for either an intraoral or extraoral image prescribed by dental practitioner for the oral structure under investigation
  3. Position correctly the appropriate film or film plate or sensor and setting for the prescribed request and patient’s requirements
  4. Select and use locating devices or guides to apply the appropriate horizontal and vertical planes for the radiograph
  5. Use accessories when appropriate according to manufacturers’ instructions
Select the appropriate exposure variables for either an intraoral or extraoral image on the dental radiographic unit according to manufacturers’ instructions, procedure and patient requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select the appropriate radiographic technique for either an intraoral or extraoral image prescribed by dental practitioner for the oral structure under investigation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position correctly the appropriate film or film plate or sensor and setting for the prescribed request and patient’s requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select and use locating devices or guides to apply the appropriate horizontal and vertical planes for the radiograph

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use accessories when appropriate according to manufacturers’ instructions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Operate radiographic imaging equipment safely to produce intraoral image

  1. Operate intraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation
  2. Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions and expose the X-ray
  3. Remove the exposed intraoral dental radiographic detector package carefully from the mouth
  4. Separate the packaging and barrier sleeve when required from the detector and label image correctly prior to processing
Operate intraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions and expose the X-ray

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Remove the exposed intraoral dental radiographic detector package carefully from the mouth

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Separate the packaging and barrier sleeve when required from the detector and label image correctly prior to processing

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Operate radiographic imaging equipment safely to produce an extraoral radiograph

  1. Operate extraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation
  2. Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions, and expose the X-ray
  3. Undertake, for wet processing only, removal of the exposed extraoral image from the radiographic unit
  4. Ensure digital radiograph is downloaded correctly
  5. Label the radiograph with all necessary details for patient identification and time of procedure
Operate extraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions, and expose the X-ray

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake, for wet processing only, removal of the exposed extraoral image from the radiographic unit

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure digital radiograph is downloaded correctly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Label the radiograph with all necessary details for patient identification and time of procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Process and provide quality assurance for the exposed dental radiograph

  1. View or process the radiograph correctly
  2. Assess visual qualities of the radiograph and refer to dental practitioner
  3. Identify and correct processing errors or artefacts
  4. Identify and critique errors in imaging technique to optimise exposure times for each individual patient
  5. Mount and store radiographs correctly
View or process the radiograph correctly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess visual qualities of the radiograph and refer to dental practitioner

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and correct processing errors or artefacts

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and critique errors in imaging technique to optimise exposure times for each individual patient

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Mount and store radiographs correctly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Position patient to obtain radiograph

1.1 Implement and maintain radiation safety measures for the patient, operator and others throughout the procedure

1.2 Correctly position patient according to the radiographic detector unit used

1.3 Ensure that communication with patient can be maintained after positioning

2. Position dental radiographic detector

2.1 Select the appropriate exposure variables for either an intraoral or extraoral image on the dental radiographic unit according to manufacturers’ instructions, procedure and patient requirements

2.2 Select the appropriate radiographic technique for either an intraoral or extraoral image prescribed by dental practitioner for the oral structure under investigation

2.3 Position correctly the appropriate film or film plate or sensor and setting for the prescribed request and patient’s requirements

2.4 Select and use locating devices or guides to apply the appropriate horizontal and vertical planes for the radiograph

2.5 Use accessories when appropriate according to manufacturers’ instructions

3. Operate radiographic imaging equipment safely to produce intraoral image

3.1 Operate intraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation

3.2 Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions and expose the X-ray

3.4 Remove the exposed intraoral dental radiographic detector package carefully from the mouth

3.5 Separate the packaging and barrier sleeve when required from the detector and label image correctly prior to processing

4. Operate radiographic imaging equipment safely to produce an extraoral radiograph

4.1 Operate extraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation

4.2 Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions, and expose the X-ray

4.3 Undertake, for wet processing only, removal of the exposed extraoral image from the radiographic unit

4.4 Ensure digital radiograph is downloaded correctly

4.5 Label the radiograph with all necessary details for patient identification and time of procedure

5. Process and provide quality assurance for the exposed dental radiograph

5.1 View or process the radiograph correctly

5.2 Assess visual qualities of the radiograph and refer to dental practitioner

5.3 Identify and correct processing errors or artefacts

5.4 Identify and critique errors in imaging technique to optimise exposure times for each individual patient

5.5 Mount and store radiographs correctly

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Position patient to obtain radiograph

1.1 Implement and maintain radiation safety measures for the patient, operator and others throughout the procedure

1.2 Correctly position patient according to the radiographic detector unit used

1.3 Ensure that communication with patient can be maintained after positioning

2. Position dental radiographic detector

2.1 Select the appropriate exposure variables for either an intraoral or extraoral image on the dental radiographic unit according to manufacturers’ instructions, procedure and patient requirements

2.2 Select the appropriate radiographic technique for either an intraoral or extraoral image prescribed by dental practitioner for the oral structure under investigation

2.3 Position correctly the appropriate film or film plate or sensor and setting for the prescribed request and patient’s requirements

2.4 Select and use locating devices or guides to apply the appropriate horizontal and vertical planes for the radiograph

2.5 Use accessories when appropriate according to manufacturers’ instructions

3. Operate radiographic imaging equipment safely to produce intraoral image

3.1 Operate intraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation

3.2 Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions and expose the X-ray

3.4 Remove the exposed intraoral dental radiographic detector package carefully from the mouth

3.5 Separate the packaging and barrier sleeve when required from the detector and label image correctly prior to processing

4. Operate radiographic imaging equipment safely to produce an extraoral radiograph

4.1 Operate extraoral radiographic equipment according to manufacturers’ instructions and legislative requirements for the safe use of radiation

4.2 Ensure the patient remains visible throughout the procedure to observe positioning and safety precautions, and expose the X-ray

4.3 Undertake, for wet processing only, removal of the exposed extraoral image from the radiographic unit

4.4 Ensure digital radiograph is downloaded correctly

4.5 Label the radiograph with all necessary details for patient identification and time of procedure

5. Process and provide quality assurance for the exposed dental radiograph

5.1 View or process the radiograph correctly

5.2 Assess visual qualities of the radiograph and refer to dental practitioner

5.3 Identify and correct processing errors or artefacts

5.4 Identify and critique errors in imaging technique to optimise exposure times for each individual patient

5.5 Mount and store radiographs correctly

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

• produced 30 acceptable dental radiographic images in a simulated environment including:

- applying safe work practices for dental radiography work including:

o following standard and additional precautions

o operating a radiographic unit correctly

o safely using radiation in dentistry

• produced and critiqued 20 acceptable dental intraoral radiographic images taken on a minimum of 10 different people demonstrating skills in periapical (PA) and bitewings (BW)

• produced and critiqued 10 acceptable dental extraoral radiographic images taken on a minimum of 10 different people.

The candidate must be able to demonstrate essential knowledge required to effectively complete the tasks outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the work role. This includes knowledge of:

• national and State/Territory legal and ethical requirements and considerations for dental assisting work relevant to radiography, and how these are applied in organisations and in individual practice including:

- codes of practice and safety guides:

o radiation protection in dentistry

o safe use of radiation

- duty of care

- informed consent and statutory requirements of consent

- practice standards – Dental Board of Australia guidelines on infection control

- privacy, confidentiality and disclosure

- radiation user licence

- records management

- rights and responsibilities of workers, employers and patients

- work role boundaries – responsibilities and limitations

- work health and safety

• dental radiographic imaging techniques and the reasons for selection of each technique

• features, characteristics and range of movements of dental radiographic equipment associated with intraoral and extraoral radiographic images

• radiographic appearance of anatomic landmarks, normal dentition and associated bony structures for intraoral and extra-oral radiographs

• radiographic appearance of dental anomalies and common oral pathological conditions

• sources for processing and technique inaccuracies and methods to minimise errors

• requirements for personal wearable radiation monitoring devices that measures radiation exposure levels including:

- its significance

- where on the body the device is to be worn

- when and where they are required to be worn

- when they need replacing

• safety requirements of wet film processing

• procedures for labelling and storage of radiographic images in accordance with organisation policies.