Dental Hygiene Program Manual - Iowa Western Community College · 2018-05-18 · • Practicing excellent personal grooming and hygiene. • Working independently but recognizing

Iowa Western Dental Hygiene Program 2700 College Rd. Council Bluffs, IA 51503 [email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu

Dental Hygiene Program Manual

Affiliated with Creighton University School of Dentistry

This program manual is intended to serve as a reference for the Iowa Western Community College Dental Hygiene Program student and faculty member. The policies and procedures identified in this clinic manual facilitate efficient clinic operation, quality client care and optimal educational opportunity.

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Iowa Western Dental Hygiene Program 2700 College Rd. Council Bluffs, IA 51503 [email protected] | 800.432.5852 or 712.325.3200 | iwcc.edu Page | 2

Table of Contents

Program Mission and Goals .................................................................................................... 3 Dental Hygiene Oath ................................................................................................................ 4 Program Philosophy ................................................................................................................ 5 Professionalism ....................................................................................................................... 6 Immunization Policy ................................................................................................................ 7 Malpractice Insurance ............................................................................................................. 7 Policy on CPR .......................................................................................................................... 8 Dismissal from the program ................................................................................................. 10 Re-entry Policy ....................................................................................................................... 11 Competency Based Clinical Education ................................................................................ 12 Patient Assignment Policy .................................................................................................... 14 Remediation Policy ................................................................................................................ 15 Infection and Hazard Control ................................................................................................ 16 Universal Precautions ........................................................................................................... 17 Emergency Action Plan and Accident Reports ................................................................... 18 Hazard Communication Program ......................................................................................... 20 Standard Abbreviations......................................................................................................... 25



Iowa Western Community College Affiliated with Creighton University School of Dentistry Department of Dental Hygiene MISSION

The mission of Iowa Western Community College Department of Dental Hygiene affiliated with Creighton University School of Dentistry is to educate Associates of Applied Science Degree dental hygienists in the broadcast scope of clinical practices. Graduates are competent to provide comprehensive educational and clinical services, reflecting dental hygienists’ areas of expertise. Graduates are prepared to serve the community in both private and public health settings, which support optimal oral health. All aspects of the program are continually assessed to provide on-going excellence and to guide improvement. In keeping with the mission of caring, commitment and challenge, the dental hygiene program provides a positive learner-focused environment. GOALS

1. Upon completion of the dental hygiene program, the student will be able to utilize evidence based decision making principles.

2. Upon completion of the dental hygiene program, the student will be able to utilize the dental hygiene

process of care to meet the needs of diverse populations.

3. Upon completion of the dental hygiene program, the student will be able to operate within an ethical framework within the dental hygiene scope of practice.

4. Upon completion of the dental hygiene program, the student will be able to positively motivate and effectively communicate with all populations to promote high standards of oral health.



INTRODUCTION

This handbook is intended to serve as a guide for students in the Iowa Western Community College Dental Hygiene Program. The program faculty, the local dental hygiene advisory committee, and other college personnel have developed the program philosophy, goals, policies and other information. All students accepted into the IWCC Dental Hygiene Program are expected to familiarize themselves with the information contained in this handbook. This handbook is designed to supplement the IWCC college catalog by addressing policies, which are specific to the IWCC Dental Hygiene Program. Refer to these publications as needed to help clarify college and program policies and procedures. Please keep this handbook available for reference throughout the program. The dental hygiene faculty, in cooperation with administration personnel, reserves the right to revise policy guidelines as needed to improve the program. Students will be notified of any change that would affect them.

Dental Hygiene Oath

In my practice as a dental hygienist, I affirm my personal and professional commitment

to improve the oral health of the public to advance the art and science of dental hygiene

and to promote high standards of quality care.

I pledge continually to improve my professional knowledge and skills,

to render a full measure of service to each patient entrusted to my care, and

to uphold the highest standards of professional competence and personal conduct in the interest

of the dental profession and the public it serves.



CLINICAL PRACTICES PHILOSOPHY IOWA WESTERN SCHOOL OF DENTAL HYGIENE As a faculty, we believe:

• In the facilitation of learning in a positive and supportive environment.

• That role modeling is an effective way to influence students’ attitudes.

• In self-directed learning so that students will assume responsibility, value health, accept responsibility, accept diversity in people and act as a facilitator in assisting people to make optimal decisions.

• In the student’s ability to achieve optimal clinical judgment and communicative skills as a foundation for growth and proficiency; recognize, respect and respond to the environment; value cooperative and team efforts to achieve goals; combine the courage of one’s convictions with their willingness to be flexible; foster professional standards of dental hygiene.

• In providing basic scientific information for sound decision making and in providing clinical experiences that are relevant to life and work experiences.



PROFESSIONALISM

The following are some factors what will be considered under professionalism. Representative examples are given, but will not necessarily be limited to these examples. The student is expected to demonstrate professional conduct and judgment. Examples of positive professional conduct include:

• Placing the client’s welfare first when planning and implementing client care. • Concern for the client’s welfare and comfort. • Willingness to accept suggestions for improvement and evaluation gracefully. • Maintaining physical, mental, and emotional composure in all situations. • Following prescribed treatment plans. • Abiding by clinic rules and regulations (including professional appearance). • Eagerness to learn. • Attitudes of respect, concern, and cooperatives toward fellow classmates, clinic personnel and faculty. • Asking for clarification when uncertain of instruction or task. • Practicing excellent personal grooming and hygiene. • Working independently but recognizing his/her limitations. • Demonstrating sound clinical judgment commensurate with level of experience. • Maintaining neat and clean cubicle and sterile instruments. • Honesty with faculty members, clients, and colleagues. • Primarily concerned with quality treatment for clients rather than a quest for grades. • Providing pertinent, individualized, appropriate information to the client regarding treatment and the

prevention of dental disease. Example of critical errors in professional conduct and judgment include:

• Failure to place the client’s welfare as first priority. • Failure to maintain physical, mental, and emotional composure in clinic • Consistent ineffective, inefficient use of clinic time. • Failure to be honest with clients, faculty and colleagues. • Failure to inform cluster instructor when client is negative about treatment rendered by student and/or

faculty. • Failure to demonstrate positive body language. • Failure to utilize active listening skills.



IMMUNIZATION POLICY: All freshman students are required to complete a physical exam by a licensed physician prior to the start of their first semester. All students and faculty that work in clinic must have a baseline TB tyne test and have follow up testing if exposed to TB. The Hepatitis B vaccine series must be initiated prior to the beginning of the first semester. If a student or faculty member has a reason for declining the Hepatitis B vaccine, a declination form must be signed. However, certain clinical sites may not allow faculty or students to attend their site if they are not properly immunized. Medical documentation will be kept in the student’s/faculty file which are maintained in locked files in the Dental Hygiene Program area. MAINTAINING RECORDS: The secretary assigned to the Dental Hygiene Program will be responsible for reviewing records at the beginning of each semester and sending notices to students and/or faculty who need to update their files. MALPRACTICE AND HEALTH INSURANCE: All students are required to carry malpractice insurance. This fee is included in the tuition. It is in effect as long as the student is enrolled in the program. After graduation, the student may need to purchase malpractice insurance in order to sit for regional/ state boards. Malpractice insurance is not be confused with personal, medical insurance. Each student is required to have personal, medical insurance, but it is not available through the college. Failure to have personal, medical insurance WILL result in a student NOT being allowed in any clinical facility. Documentation will be kept in the student’s file in the Dental Hygiene Program area.



POLICY ON BASIC LIFE SUPPORT RECOGNITION (CERTIFICATION)

1. Acceptable Courses:

a. American Red Cross Cardiopulmonary Resuscitation for Professional Rescuer. The 8 ½ hour course focuses on basic CPR skills as well as skills and techniques for two-rescuer CPR and special rescue situations.

b. American Heart Association Basic Life Support for Healthcare Providers. The 8 hour course focuses on adult one-rescuer CPR, adult two-rescuer CPR, pediatric one-rescuer CPR, barrier devises, and automatic external defibrillation.

2. Renewal Courses:

a. American Red Cross Cardiopulmonary Resuscitation, Professional Rescuer Review, 4 hours. b. American Heart Association Basic Life Support Recertification Course, 4 hours

3. Dental Hygiene Student Requirements:

a. Either the 8 ½ hour American Red Cross or the 8 hour American Heart Association Course is

required prior to enrollment in the Dental Hygiene Program. b. Current certification must be maintained while in the program.

4. Proof of Certification:

a. The student must take and provide proof of certification by presenting the copy of the CPR card

along with a photocopy of the card to the dental hygiene secretary. After verification of the original card, the photocopy will be retained in the student’s file.

b. The student will be required to take a renewal course if the certification expires before graduation.

5. Disability Exceptions:

a. Exceptions may be made for a person who is medically or physically unable to perform such services. Services for students with disabilities are provided to qualified students to ensure equal access to educational opportunities, programs and activities in the most integrated setting possible. If the CPR requirement cannot be met, the student must make timely and appropriate disclosures and request that an exception to the policy be allowed. The student may be required to submit medical or other diagnostic documentation of disability and limitations to the college or affiliated agencies prior to receiving requested accommodations.



b. The College and University reserve the right to provide services only to students who complete and provide written results of evaluations and service recommendations to appropriate College and University personnel. Information can be obtained by contacting Disability Services at IWCC. Records for students with disabilities will be maintained by the Coordinator of the Disability Services Program at IWCC.

6. Noncompliance Clause:

a. Students will be unable to participate in clinical activities until the requirement is met. Noncompliance may result in dismissal from the clinical course.



DISMISSAL FROM THE DENTAL HYGIENE PROGRAM A student may be removed from the Dental Hygiene Program based on various infractions of policies. The authority to dismiss a student from the program rests with Dental Hygiene faculty and the approval of the Dean. The following infractions are grounds for removal from the Program (not all inclusive):

1. Academic Dishonesty This includes cheating, plagiarism (credit not given to originator of work), and intentional deceit, having a cell phone during a quiz or test, or any attempts to use someone else’s work as one’s own. Any student guilty of academic dishonesty may also be subject to expulsion from the college.

2. Not maintaining “C” course grade. The student receiving a grade of less than a “C” (75%) in any course in the IWCC Dental Hygiene Program with a DHY prefix is subject to dismissal from the program.

3. Removal from clinic site. The student is removed from a clinic site and/or off site rotation at the request of the clinical supervisor, supervising dentist, and/or course instructor.

4. Documented client endangerment.

5. Failure to respect patient confidentially.

6. The failure to satisfactorily complete the: (1) conditions outlined in a “Letter of Probation”, or (2) agreement regarding an Incomplete grade.

7. Any infraction resulting in expulsion from the College.



RE-ENTRY POLICY INTO THE DENTAL HYGIENE PROGRAM Factors to be considered when students apply to Remain or for Re-Entry into the program after a course failure or program withdrawal or dismissal: Students will be considered for Re-Entry into the program if space is available.

1. Students must demonstrate that they are qualified to remain or prepared for the rigors of Re-Entry. 2. After reviewing a student’s request, an interview may be required. 3. There may be a written contract of conditions that need to be met for re-entry or for remaining in the

program.

First Semester If a student fails DHY 174 Principles of Dental Hygiene, DHY 114 DH Anatomical Science, or DHY 155 or 157 Radiology or does not complete the first semester for any other reason, then the student must go through the application process as outlined by Admissions and Records to become a student in the Dental Hygiene Program at a future time. Depending on the lapse of time, the student may be required to repeat a course in order to be ready for Semester 2 in addition to the course that was failed or not completed. Semesters Two through Six If a student does not complete a course after the first semester, the student may or may not be allowed to progress through the program depending on the course that was failed or not completed and the reason for the failure or incompletion of the course. Each situation will be evaluated on a case by case basis and a determination will be made by the full time faculty and the division dean. GOAL: To assist current students who desire to remain in the program or re-enter the program as soon as possible. OBJECTIVES:

• To provide a smooth transition upon re-entering or remaining in the program. • To ensure that conditions that caused the student to fail or leave have been identified and corrected so

that the student will be successful in the future.

PROCEDURE: The student must state in writing their intent to remain or re-enter the program and submit that proposal to the Chair of Dental Hygiene. The committee of full time faculty and the Division dean will review the request and make any recommendations to assist the student in being successful upon remaining or re-entering the program. The committee will decide on whether to allow the student to remain in the program or ask the student to go through the Admissions and Records process to reapply or determine that the student cannot remain or reapply in the future.



COMPETENCY BASED CLINICAL EDUCATION IN THIS EVALUTION SYSTEM, WHAT AM I (THE STUDENT) RESPONSIBLE FOR:

1. Reviewing the requirements and planning when your evaluation times are to occur so as to meet those requirements.

2. Filling out your clinical evaluation form correctly indicating what you wish to be evaluated on before the instructor checks you in.

3. Clarifying with your instructor any questions you have regarding a procedure during your “teaching” time prior to attempting an evaluation.

4. Clarifying with your instructor any evaluation grade you do not understand.

5. Keeping an accurate up to date record of your evaluation grades.

6. Keeping all scheduled meetings with the Clinical Instructor.

7. Making appointments with faculty members if you are having problems.

8. Reviewing your clinical progress and bringing any concerns to the attention of the clinical instructor.

9. Assessing your own work and asking your clinic instructor to observe and help you with problem areas.

10. Reviewing the objectives for performance, criteria, and critical errors that are specified in each evaluation instrument.

11. You are encouraged to seek maximum help from instructors while you are learning to perform procedures. No instructor help will be permitted during process, and competency evaluations; the clinical team will evaluate your performance (both process and product) and designate a grade without you present.

12. Certain criteria (i.e.: asepsis, appearance, client management, professionalism, client self-care education, etc.) apply to each client and are considered part of all aspects of client treatment.

13. Only the Dental Hygiene Faculty will grade competencies. Pit and fissure sealants, amalgam polishing and margination will be approved and evaluated by the supervising dentist.

14. It is your responsibility to complete the clinic forms correctly.

15. It is important that you seek faculty input regarding your performance so that you may: a. Correct techniques as necessary, b. Determine problem areas and methods for improving those areas, c. Have confidence that your performance is correct and competent. d. Attain competence in all clinical skill areas.



All students are considered mature enough to seek faculty assistance and to monitor their own progress in meeting the course requirements. Please meet with the team leader if you have any questions or difficulties in this course. The faculty will be happy to help you; please remember, however, that you are the only person who can make us aware that you need assistance.

* Evaluation examples are: process, phase and competency evaluation.

TEACHING EVALUATION 1. Instructor observes process 1. Instructor observes process 2. Instructor input -Optimum -Tailored to student and situation - Diminishing as student gains skills

2. No direct instructor input - Minimal - Tailored to student and situation - “Expert” consultations allowed

3. Instructor interventions whenever helpful and appropriate.

3.Instructor only intervenes for client well-being

4. Instructor promotes integration of psychomotor & cognitive elements (use of questioning, discussion, modeling).

4.Instructor questions students to check for integration of cognitive & psychomotor elements

5. Instructor observes and participates in client self-care education & effective domain activities

5.Instructor observes client self-care education & dialogues with client to assess student effective domain skills

6. No grade issue.

6. Grade issue

7. Feedback on process & product

7. Feedback on process & product

8. Emphasis on appropriate and comprehensive care for each client

8. Emphasis on appropriate and comprehensive care for each client



PATIENT ASSIGNMENT POLICY

Dental hygiene patients are assigned to dental hygiene students based on individual students need. The following criteria are utilized when assigning patients:

• Amount of student patient exposure (i.e. number of patients student has seen)

• Patient difficulty (i.e. more complex patients are referred to second year students)

• Patient category (i.e. student lacks exposure to specific patient types) 1. Periodontal Case Types 2. Calculus Classes 3. Special Needs 4. Ethnic Diverse 5. Social or Economic Diversity

• Students that have not achieved competency level will have the faculty assign patients to increase the

student’s exposure to patients that will facilitate their learning.



CLINIC REMEDIATION POLICY

Part I GOAL: To increase student success and retention in currently enrolled students who have demonstrated an opportunity for growth in a clinical skill by creating an open lab environment in addition to regular pre clinic or clinic hours. OBJECTIVES: Individual objectives will be tailored to the student’s needs. REFERRAL: Students may attend the open lab by being referred to an appropriate level of supplemental education by a clinical instructor, or by coming on their own in response to self-evaluation. HOURS: The open lab times will be arranged as needed. PROCEDURE: Students will be given a Recommendation for Supplemental Education form which a faculty member will initial when the attendance and practice is completed.

Part II GOAL: To assist dental hygiene recent graduates who need to increase their chance of success on passing clinical boards by creating a supplemental clinical instructional opportunity. OBJECTIVES: Individual objectives will be tailored to meet the student’s needs based on the report from the clinical examining board. REFERRAL: Self-referred HOURS: The student will be assigned to clinic when IWCC students are assigned to treat patients at that facility. PROCEDURE: The following criteria must be met:

1. Show proof of liability insurance, medical insurance and current CPR 2. Document appropriate immunizations 3. Enroll in an arranged course at IWCCC pending available space. 4. Meet with a faculty member to establish course criteria and design a syllabus. 5. Graduate students must provide their own patients, instruments and lab jackets. 6. Supplemental education protocols must be approved by the Program Chair, Division Dean and

Academic Dean.



INFECTION AND HAZARD CONTROL POLICIES AND PROCEDURES PURPOSE: To communicate the program’s Infection and Hazard Control Policies and Procedures to dental hygiene students and faculty. OBJECTIVES:

1. To safeguard student/faculty health by providing a management guide for compliance. 2. To provide students/faculty with the necessary information concerning health and physical hazards. 3. To comply with OSHA and Iowa Code.

PROTOCOL FOR INFECTION CONTROL

1. Students are required to use gloves, masks and safety eyeglasses when performing treatment procedures.

2. Safety glasses must be worn when performing laboratory procedures.

3. Students are required to wear laboratory coats in campus laboratory and preclinical classes.

4. Safety glasses, utility gloves and masks must be worn when scrubbing instruments.

5. ADA & EPA approved intermediate-level disinfectants are used on all hard surfaces.

6. Protective disposable barriers are to be used on equipment whenever possible.

7. All instruments are to be wrapped appropriately and heat sterilized.

8. Equipment is not to be operated by students without an instructor present.



UNIVERSAL PRECAUTIONS The Dental Programs have adopted a policy of universal precautions for treating all dental patients.

PURPOSE: To minimize opportunities for blood/body fluid contact and reduce the risk of injection transmission.

POLICY: All patients pose a potential for the spread of infectious disease, therefore, barrier precautions shall be observed whenever exposure to blood or body fluids is anticipated. In the Dental Clinic, this applies to all patient contact. PROCEDURE:

1. Hands shall be washed before gloving and after removing gloves. If hands come in contact with blood or body fluid, they must be immediately washed.

2. Gloves shall be worn during all procedures that may involve contact with blood or body fluid. Gloves must be changed between patients. If a glove becomes torn during a procedure, you must stop, remove gloves, wash and don new pair.

3. Personal protective attire shall be worn during all patient contact procedures.

4. Masks, protective eyewear and gloves shall be worn during all treatment procedures.

5. Sharps shall be handled in such a manner to prevent accidental cuts or punctures. Used needles will be recapped using the scoop method if re-cappers are not available. Sharps containers will be located throughout the operatory area.

6. Operatory cleanup before and after patient contact will be thorough and complete. Each operatory will have a checklist to be completed as procedures are performed. Chemicals used will be those supplied by the Program and approved by the ADA and EPA for surface disinfection. Utility gloves, masks, and protective eyewear will be worn during the operatory cleanup phase.

7. Instruments taken to the sterilization bay will be placed in the ultrasonic cleaner. They are then rinsed, dried, wrapped and sterilized appropriately. Utility gloves will be worn when handling all unsterile instruments in the sterilization bay.

8. Any incident should be reported immediately to the assigned clinical instructor and/or Program Chair. An incident report will be completed by those involved and reviewed by the Department Chairperson. Copies of the report will be filed as necessary.



EMERGENCY ACTION PLAN Dental Hygiene and Dental Assisting Programs

• The emergency action plan is to ensure employee/student safety in the event of fire and other emergencies

• You must know where ALL emergency equipment, exits, persons to contact and telephone numbers are located

• The program will review these procedures annually or when changes occur with both faculty and students

• Both IWCC and Creighton have Emergency Action Plans which are regularly updated. The IWCC Emergency Action Plan is on ROC. Creighton’s plan is in their Clinic Manual.

In Case of Medical Emergency

• If possible, assure familiarity with patient’s or employees’ medical history before starting any treatments.

• Always call 911 first then notify the switchboard so that EMS personnel can be directed to your location.

• Immediately send for faculty and campus security.

• Follow emergency CPR and or First Aid procedures.

• If further emergency procedures are needed to stabilize the individual until support arrives, faculty will determine which procedures will be used.

• The first aid kits are located in the Dental Materials Laboratory, Clark Hall 009 and the Dental Operatory, Clark Hall 037.

• If splatter occurs to eyes, immediately go to the eyewash or escort your patient to the eyewash station located in the Dental Materials Laboratory, Clark Hall 009 or the Dental Operatory, Clark Hall 037. Flush eyes continuously with cold water for 15 minutes.

• If any injury or condition persist, the patient, student or employee will immediately be taken to Alegent/Mercy Health or Jennie Edmundson Hospital’s emergency room whichever is necessary to treat the injury.

• All emergencies shall be documented and the report kept on record in the program office.



• If an accident occurs, which is fatal to one or more employees, Iowa Western Community College will report the accident within 48 hours, both orally and in writing, to IOSHA (Iowa Division of Labor Services (515)281-3447).

ACCIDENT/INCIDENT REPORT COMPLETION POLICY: Iowa Western students and employees will complete an accident/ incident report as soon after the incident as possible. PROCEDURE: Employees

1. All work-related accidents, illness or injuries will be reported to the supervisor promptly. Physician appointments will be scheduled through the Assistant to the Vice President of Finance and Operations.

2. The incident report form will be obtained from major department secretaries or the office of the Vice President of Finance and Operations.

3. The incident report will be completed by the person ill/injured if able, or the supervisor shall complete the form within 24 hours of the incident and submit it to major department secretary.

4. The Dean will forward the completed form to the Vice President of Finance and Operations office.

5. The Vice President of Finance and Operations will report the incident to the insurance carrier. Refer to Worker’s Compensation policy for further directions.

6. All records will be maintained by the Health Center.

Students 1. Students who incur work-related accidents, illness or injuries will report the incident to their faculty

promptly.

2. Follow steps 2-6 above.

3. In addition to the IWCC incident report, all clinical incidents will be reported on the facility incident report form.

4. Sharps injuries occurring at the clinical site are eligible for workman’s comp. Follow facility guidelines regarding blood draws, insuring that the Vice President of Finance and Operations is in receipt of all paperwork.

5. Students are responsible for attaining and maintaining health insurance, as required by facility contract and program policy.



WRITTEN HAZARD COMMUNICATION PROGRAM Prepared for Iowa Western Community College’s Dental Program GENERAL The purpose of this notice is to inform interested parties that our facility is complying with the Federal Hazard Communication Standard, (Title 29 Code of Regulations 1910.1200), by compiling a hazardous chemicals list, by using material safety data sheets (MSDS’s), by ensuring that containers are labeled and by providing faculty and students with training.

This program applies to all procedures and tasks in our facility where faculty and students may be exposed to hazardous substances under normal working conditions and/or during emergency situation.

Sue Norman is the Safety and Health Coordinator, herein, will be referred to as the Coordinator for our facility, and will have overall responsibility for the program. The program will be reviewed and updated as viewed necessary. The written program will be available to be reviewed in the student clinic manual. Additional copies may be obtained from the Coordinator.

Under this program, faculty and students will be informed of the contents of the Federal Hazard Communication Standard, the potential hazardous properties of the chemicals, products and materials of which they utilize, safe handling procedures and measures for protection from these chemicals. Faculty and students will be informed of the potential hazards associated with non-routine tasks. HAZARD EVALUATION Our facility will rely on material safety data sheets obtained from manufacturers, distributors and importers to meet hazard determination requirements. LIST OF HAZARDOUS CHEMICALS The coordinator will maintain a list of all products containing hazardous chemicals used in our facility and will update the list as necessary. Our list of chemicals contains names of chemicals used this facility. It also indicates examples of materials that may contain these chemicals. For specific hazardous chemicals in a product, refer to the MSDS for that product. MATERIAL SAFETY DATA SHEETS The MSDS is a government-approved form or equivalent that provides specific information of the chemicals in the products located in this facility.

Sue Norman will be responsible for compiling and maintaining the Master MSDS File. She will maintain a file of MSDS’s on products for which the manufacturers and/or suppliers consider necessary due to hazards. The MSDS’s will be fully completed OSHA Forms 174 or the equivalent. She is responsible for acquiring and filing our MSDS’s, as well as contacting manufacturers, suppliers, or dealers if additional information is needed or if the MSDS has not been provided with the initial shipment of the product. A master list of MSDS’s is available from the above. The file of MSDS’s is accessible to all students. The file will be kept in the dental materials lab. Copies will be available upon request.



Posters identifying the person responsible for maintaining MSDS’s and where the MSDS’s are located are posted in the dental materials lab. Posters notifying students when new or revised MSDS’s are received will be located in the same location. Employees will be notified by the required posters within five (5) days of their receipt. If a required MSDS is not received, Sue Norman will contact the supplier, in writing, to request the MSDS. If the MSDS is not received after such requests, the Coordinator shall contact the Iowa Department of Public Health (IDPH, (515) 281-5605), Division of Occupational Health or the Iowa Department of Labor (IDOL), Labor Services Division at (515-281-7995), for assistance in obtaining the MSDS. LABELS AND OTHER FORMS OF WARNING The Coordinator will ensure that all hazardous chemicals are properly labeled and updated, as necessary. Labels should list, at least, the chemical identity of the material, appropriate hazard warnings, and the name and address of the manufacturer or other responsible party. Containers labeled by the manufacturers do not require additional labels. The manufacturer is responsible for properly labeling the original container. When the chemicals are transferred to other containers (secondary containers) to be used at a later time or by other employees these containers need to be labeled. Examples are containers of alcohol, bleach, disinfectant and radiographic chemicals such as developer and fixer solutions that are transferred from original containers. Copies of the original labels can be used to label these containers. If employees transfer materials containing a hazardous chemical from a labeled container to a portable container that is intended for immediate use only, no labels are required on that portable container. If employees become aware of any portable or non-portable container holding a product or material containing a hazardous chemical that may be used more than once, it is their responsibility to immediately notify the Coordinator. Professional products that are regulated by the Food and Drug Administration (FDA) are exempt from the labeling requirement of the Hazard Communication Standard. Examples of such materials are impression materials and composite resins, the labeling of which is approved by the FDA. These labels must not be removed from the containers. Drugs that are in solid form for direct administration to the patient are also exempt from the labeling requirement.



DENTAL “DEVICES” REGULATED BY THE U.S FOOD AND DRUG ADMINISTRATION

Abrasive Polishing Agents Dental Adhesives Amalgam Alloy/Dental Mercury Dental Relining/Repairing Resin Amalgam Capsules (Unit Dose) Impression Materials (All Types) Cavity Vanish Intraoral Dental Wax Base Metal Alloys Resin Impression Tray Material Bracket Adhesive/Conditioner Pit and Fissure Sealants Calcium Hydroxide Cavity Liner Precious Metal Alloys Dental Mercury Resin Impression Tray Material Composite Resin Filling Material Root Canal Filling Resin Composite Resin Coating Material Temporary Crown/Bridge Resin Dental Cements (All Types) PREPARING LABELS FOR SECONDARY CONTAINERS The Hazard Communication Standard requires that hazardous chemicals be labeled if they are transferred from their original container to an unlabeled secondary container. Labels should include the: Product name; Chemical identity of the material; Appropriate hazardous warnings, and Name and address of the manufacturer EXEMPTION This regulation does not cover finished articles that do not, under normal use, release a hazardous chemical (e.g., dental chairs, hand instruments, pencils and photocopy machines). EMPLOYEE INFORMATION AND TRAINING The Coordinator shall coordinate and maintain records of employee hazard communication training. Before exposure may occur, each new employee/student will attend a hazard communication training class/orientation.



THIS INITIAL TRAINING SESSION WILL PROVIDE THE FOLLOWING INFORMATION

• Chemicals in the workplace and their hazard; • How to lessen or prevent exposure to these chemicals; • What the facility has done to lessen or prevent employee exposure to hazardous chemicals; • Procedures to follow if employees are exposed to hazardous chemicals; • Where to locate MSDS’s and who to contact to obtain copies of MSDS’s, and • How to read the interpret labels and MSDS’s.

Before any new hazardous chemical is introduced into the workplace, each employee/student who may be exposed to the substances will be given information in the same manner as during the hazard communication training classes. THE EMPLOYEE SHALL BE INFORMED THAT: The employer is prohibited from discharging, or discriminating against, an employee who exercises his/her rights to obtain information regarding hazardous chemical used in the workplace. As an alternative to requesting the MSDS from the employer, the employee can seek assistance from the Iowa Department of Labor at 515-281-7995 to obtain the desired MSDS. NONROUTINE TASKS When you are required to perform non-routine tasks that involve hazardous chemicals, a special training session will be conducted to provide information about the chemicals to which you may be exposed and the precautions you must take to reduce or avoid exposure. It is the policy of Iowa Western Community College that no employee/student will begin performance of a non-routine task without first receiving appropriate safety and health training. HAZARDOUS NON-ROUTINE TASKS, WE HAVE AT OUR FACILITY INCLUDE: Clean/Maintaining Sterilizers and Radiographic Processing Equipment. INFORMING CONTRACTORS It is the responsibility of Sue Norman to provide contractors with employees performing work onsite with the following information if their employees are exposed to our hazardous chemicals.

• Hazardous chemicals they may encounter; • Measures the employee can take to control or eliminate exposure to the hazardous chemical; • Where to obtain applicable MSDS’s.



It is the responsibility of Sue Norman to obtain chemical information from the contractors when they will expose employees/students to hazardous chemicals they may bring into our workplace. PIPES AND PIPING SYSTEMS Information on the hazardous contents of pipes and piping systems will be identified by the name of the content, such as, Oxygen or Nitrous Oxide. CERTIFICATE OF HAZARD ASSESSMENT Sue Norman will certify that the dental program of Iowa Western Community College was evaluated during the 2013-2014 school year for hazards which are present, or are likely to be present, which necessitate the use of personal protective equipment as outlined on the Hazard Assessment and Personal Protective Equipment Selection Chart posted in the dental area.



STANDARD DESIGNATIONS AND ABBREVIATIONS Use these entries in dental health records to ensure uniformity: A-4.1 Designation of Permanent Teeth. Use the # symbol before each tooth number (1-32) or before each

series of tooth numbers. Example: Teeth #5, 7, 8 and 9. A-4.2 Designation of Primary Teeth. Use the alphabetical designation for each tooth.

Example: Teeth A, B, S and T. A-4.3 Abbreviations for Tooth Surfaces:

Mesial M Distal D Incisal I Facial (Buccal and Labial) F Occlusal O Lingual L

A-4.4 common abbreviations:

Description Abbreviation abrasion ................................ abr abscess................................. abs

abutment(s) ........................... abut(s) acrylic resin ........................... acr adjust(ed)(ment) .................... adj alveolar ................................. alv

alveolectomy ......................... alvy

amalgam ............................... SA

anesthesia(thetic) .................. anes

anterior ................................. ant apicoectomy .......................... apico

appliance .............................. appl appoint(ment) ...................... appt

arch wire ............................... AW

base ...................................... B

bitewing(s) ............................ BW

bleeding index ....................... BI blood pressure ...................... BP



Description Abbreviation bracket .................................. bk broken appointment .............. FTKA (failed to keep appointment) calcium hydroxide ................. CaOH calculus ................................. cal cancel(lation) ........................ canc caries .................................... car caries prevention .................. CPTAPF treatment acidulated phosphate fluoride caries prevention ................... CPTNaF treatment sodium fluoride caries prevention ................... CPTSnF treatment stannous fluoride cast gold ............................... CG cement .................................. cem centimeter ............................. cm centric occlusion ................... CO centric relation....................... CR centric relation....................... CRO occlusion cephalometric ....................... ceph chief complaint ...................... CC chronic .................................. chr class ..................................... cl complete ............................... com



Description Abbreviation composite resin (direct) .................................. DC (indirect) ................................ IC computerized ..................... CT tomography consult(ation) ........................ cons crown .................................... crn cystectomy ............................ cystmy defective ............................... def demonstration ....................... demo denture ................................. dtr diagnosis ............................... Dx drain ...................................... dr dressing ................................ drs each ...................................... ea

elastics .................................. el electric pulp test .................... EPT emergency room ................... ER endodontic(s) ........................ endo epinephrine ........................... epi equilibrate(ation) ................... equil eugenol ................................. eug evaluate(ation) ...................... eval examination .......................... ex exposure ............................... exp extract(ion) ............................ ext



Description Abbreviation fixed partial denture .............. FPD flap curettage ........................ FC fracture ................................. Fx free gingival graft .................. FGG (free soft tissue autograft) full mouth .............................. FM full cast crown ....................... FCC general(ized) ......................... gen gingival(itis) ........................... ging gingivectomy ......................... gtmy

glass ionomer ....................... GIC cement gold inlay ............................... GI gutta perch ............................ GP health care ............................ HCI instructions heavy ................................... hvy high blood ............................. HBP pressure history ................................... Hx history of ............................... HPI present illness hospital ................................. hosp immediate ............................. immed impacted(ion) ........................ imp impression ............................ impr



Description Abbreviation incision and ........................... I&D drainage incomplete ............................ income indirect pulp .......................... IPC cap insert(ion) (ed)....................... ins intermaxillary ......................... IMF fixation

intermediate .......................... IRM restorative material intravenous ........................... IV laboratory ............................. lab lateral ................................... lat ceph cephalograph left ......................................... Lt lidocaine................................ lido ligate(ture) ............................. lig local ...................................... loc lower left ............................... LL lower right ............................. LR maintenance ......................... maint (maintain) mandible(ular) ....................... man maxilla(ry) ............................. max medication(s) ........................ med(s) mepivacaine .......................... mepiv millimeter .............................. mm



Description Abbreviation moderate ............................... mdr month(s)................................ mo(s) mucosal ................................ muc necrotizing ............................ NUG ulcerative gingivitis negative ................................ neg occlusion ............................... occ operating room ...................... OR operative ............................... Oper oral hygiene .......................... OH oral surgery ........................... OS oral/maxillofacial ................... OMFS surgery orthodontics .......................... Ortho palpation ............................... palp panoramic ............................ pano radiograph partial .................................... pr past medical .......................... PMH history pathology .............................. path patient ................................... pt pediatric ................................ Ped Dent dentistry percussion ............................ perc periapical .............................. PA pericoronitis .......................... pecor



Description Abbreviation periodontics .......................... Perio periodontitis .......................... pedoni pit and fissure ....................... PFS sealant plaque ................................... plq polish .................................... pol polycarboxylic ....................... PCA acid pontic: metal ........................ MP pontic: porcelain .................. PP porcelain ............................... porc porcelain ............................... PFM fused to metal post and core ........................ P&C post operative ....................... POT treatment posterior ............................... post positive ................................. pos pound(s)................................ lb preliminary ............................ prelim premedicate .......................... premed prepared(ation) ..................... prep prescription ........................... Rx primary .................................. prim prophylaxis ............................ pro prosthodontics....................... pros



Description Abbreviation pulpectomy ........................... pctmy pulpitis .................................. pitis pulpotomy ............................. potmy quadrant................................ Q range of motion ..................... ROM reappoint(ment) ..................... reappt recement(ed) ........................ recem reference ............................... Re refer(red) ............................... ref rehabilitation ......................... rehab reinforced .............................. RAP acrylic resin pontic removable ............................. RPD partial denture remove (al) ............................ rem repair(ed) .............................. rep respiration ............................. resp restoration ............................. rest return to clinic ....................... RTC right ....................................... rt root canal .............................. RCT treatment root plane(ing) ....................... rp rubber dam ........................... rd scaling .................................. sc sedation(ed) .......................... sed



Description Abbreviation slight ..................................... slt stainless ................................ SSC steel crown subjective, ............................. SOAP objective, assessment, plan supernumerary ...................... supernum surgery .................................. surg suture .................................... su symptoms ............................. Sx temperature .......................... temp temporary .............................. tem temporomandibular ............... TMD disorders temporomandibular ............... TMJ joint

transitional ........................... trans treatment ............................... Tx type ....................................... T unerupted .............................. uner upper left ............................... UL upper right ............................. UR varnish .................................. var vital signs .............................. VS within normal ......................... wnl limits x-ray radiograph .................... xr xylocaine ............................... xylo



Description Abbreviation zinc oxide .............................. ZnO

zinc oxide .............................. ZOE and eugenol zinc phosphate ...................... ZnPO4


Documents

Dental Hygiene Program Manual - Iowa Western Community College · 2018-05-18 · • Practicing excellent personal grooming and hygiene. • Working independently but recognizing