SFCC State Fair Community College

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1 SFCC State Fair Community College Associate of Applied Science Degree Dental hygiene Please return all correspondence to the address listed below: State Fair Community College Attn: Admissions Student Services Office 3201 W 16 th Street Sedalia, MO Phone: (660) Fax (660) * Application deadline is February 1, 2013 (For the Dental Hygiene class beginning fall August 2013)

2 State Fair Community College Dental Hygiene May 8, 2012 Dear Prospective Dental Hygiene Applicant: Dental Hygiene is an exciting career opportunity that crosses many academic fields. The Dental Hygienist is a well-versed clinician able to administer diverse clinical care as well as be an educator, health advocate, administrator/manager and researcher. Thank you for your interest State Fair Community College s Dental Hygiene Program. At this time the next program is scheduled to begin the fall of There is one class entered each fall of the academic year. If you are applying before February 1, 2013 you will be considered for the fall 2013 class. Please note: you must have successfully completed all prerequisites for the Dental Hygiene program by the end of the fall semester before the fall you wish to enter. Please see the Course Sequence enclosed. Selection to the Dental Hygiene Program is based on program criteria which includes; Overall GPA of completed prerequisites of 2.7, acceptable references, a score of at least 50% on the Psychological Services Bureau Allied Health aptitude test, dental assisting experience/ job shadowing, and the district/ service area you are a resident of. Please refer to Selection Criteria enclosed. This letter is accompanied by an application to the program and a scope and sequence of the prerequisites and program courses needed to become a Registered Dental Hygienist (RDH), essential qualifications information and selection policy. Upon completion of all prerequisites, general education requirements and dental hygiene courses, the student will receive an AAS degree and be eligible to sit for the written National Board exam and Central Regional clinical test. Successful completion of both of these exams, a state jurisprudence exam and graduation from an accredited program is necessary for dental hygiene licensure in any of the fifty states. The first step in becoming a candidate will be to apply to State Fair Community College and admission to the Dental Hygiene Program with necessary transcripts. Your dental hygiene application will not be considered if you are not accepted to State Fair Community College. Deadline for application to Dental Hygiene Program for the fall of 2013 is February 1, We further advise you to contact your dental hygiene advisor once you are enrolled to assure your career path is right for you. You will be assigned a dental hygiene advisor once you are enrolled. If you are not seeking your prerequisites from State Fair Community College, please contact us with your questions or clarifications you might have. Thank you for your interest in our program. If you have any questions about admissions, please contact Allied Health Registration Assistant in Student Services ( ) or Administrative Assistant to Dental Hygiene, Keri Benner ( ), kbenner@sfccmo.edu Sincerely, Renee Fiquet-Freeman RDH, B.S. Program Coordinator Dental Hygiene rfiquet@sfccmo.edu

3 Policy for Selection of State Fair Community College Dental Hygiene Students Please read the following carefully: Step 1: APPLY FOR ADMISSION TO SFCC You will not be considered for the dental hygiene program unless accepted at State Fair Community College. Meet State Fair Community College Admission Requirements: o Application by Submitting a SFCC application for admission form with application fee to: State Fair Community College, Student Services, 3201 W. 16 th St, Sedalia, MO o Submit Official College Transcripts for all college classes attended AND Official High School Transcripts or High School Equivalency Certificate (GED) Take a Placement Exam - ACT, ASSET, or COMPASS (See SFCC Catalog for more information) All developmental courses must be passed with a C or higher, based upon assessment tests scores. For International Students see admission procedures in SFCC catalog Step 2: PREREQUISITES Intermediate Algebra, Human Anatomy w/lab, Human Physiology w/lab, Microbiology w/lab, and Introduction to Chemistry must be completed with a grade of C or higher, prior to the spring semester before the fall semester you wish to enter. The classes with labs have to be four or five credit hours. See Sequence of Courses included. Step 3: APPLY FOR ADMISSION TO THE DENTAL HYGIENE PROGRAM Meet the Dental Hygiene Program Admission Requirements: o o o o o o Submit a Dental Hygiene Application for Admission (in addition to the SFCC application for admission) Submit three reference forms with contact information; one of which is to be evaluated and signed by a DDS or RDH. Forms have been provided in the application packet. Letters of recommendation will not be considered. Official Transcripts of all Prerequisites for the Dental Hygiene Program must be submitted prior to applying to the dental hygiene program. Submit a photo copy of Driver s License or State issued ID Submit verification of Certified Dental Assistant certificate or Basic Skills Exam successful completion Residency must be verified by tax receipt or other information. Please check on your residency status with Financial Aid at State Fair CC. Step 4: Final Selection Final selection is based on the achievement of selection criteria and points awarded from total of 9 pts. The total score is based on the following: a. Prerequisite courses completed before spring semester with a C or better. b. Overall GPA for 20 credit hours of prerequisites must be 2.7 or higher. c. Reference form with contact (one contact must be a DDS or RDH) information and signature. d. Hygiene aptitude test: applicant must obtain a composite score or 50% or higher. Points will further be awarded for reading comprehension scores,(see Selection Criteria). This test can be taken 3 times per entry period forty five days between testing. Testing starts in August and ends early January. Costs of this test is $40.00/testing. Contact Keri Benner, or Kaylen Newton, to schedule aptitude test. The following links may prove helpful on the test. and

4 e. Residency in State Fair Community College service district: 2 points for the two county districts (Pettis and Benton Counties) and the fourteen county service regions and 1 point for a Missouri State residence, 0 for Out of State. Residency must be verified by tax receipt or other information. f. Dental Assisting Experience: Certified Dental Assistant or Basic Skills with 2 years experience= 4 points Certified Dental Assistant with less than 2 years experienc= 3 points (provide copy of certificate for verification), Dental Assistant with experience over 2 years= 2 points Basic Skills Exam with less than 2 years experience=1 point Job shadowing experience= 0 point Twenty hours of Job Shadowing is mandatory for application. See Job Verification Forms in application packet to submit with application. In the case of a point tie, GPA will be considered. All students are notified of their status accepted, alternate, or not accepted by letter. For further verification see the Selection Criteria.

5 Prerequisite Courses State Fair Community College Dental Hygiene Program SEQUENCE OF COURSES These courses must be taken prior to applying to the Dental Hygiene Program. Note: Other non-dental hygiene courses (*general education requirements) may also be taken prior to enrollment in the program, but are not required as prerequisites. Intermediate Algebra 3 MATH 112 Human Anatomy/Lab 4 BIO 207 Human Physiology/Lab 4 BIO 208 Microbiology/Lab 4 BIO 121 Introduction to Chemistry/Lab or CHEM 101 Fundamentals of Chemistry /lab 5 CHEM 113 Total Hours 20 Check the current SFCC Catalog for course requirements for program prerequisites. Please note: Prerequisites taken elsewhere must have equivalent credit hours and labs with them. Introductory courses, such as Living Chemistry are not acceptable. Recommended Courses are English Composition II, Medical Terminology I. These are not required but strongly recommended for student success. Year 1 Year 2 Fall Semester Credit Hrs Fall Semester Intro to Dental Hygiene DH Clinical Dental Hygiene III DH Dental Radiography DH Community Dental Health DH Oral Anatomy & Histology ITV 3 Pharmacology DH O A & Lab DH Dental Biomaterials w/lab DH English Comp I * ENGL General Psychology* PSY Dental Clinical Emergencies DH Total Hours 13/16 Total Hours 13/16 Spring Semester Spring Semester Clinical Dental Hygiene I DH Clinical Dental Hygiene IV DH Principle of Periodontics DH Dental Hygiene Ethics & Legal Issues. DH Pathology ITV/NTC 3 Community Dental Health Lab DH Applied Nutrition & Oral Health DH Advanced Periodontics Practicum DH History or Govt HIST 101,102/ POLS 10 * 3 Allied Health Career Development HEOC 13.5 Public Speaking* SPTH General Sociology SOC Total Hours 13/19 Total Hours 12/15 Summer Semester Local Anesthesia DH AAS Degree and Dental Hygiene 92 Clinical Dental Hygiene II DH Total Hours 6

6 Essential Qualifications of Dental Hygiene Candidates for Admission and Continuance State Fair Community College (SFCC) Associate of Applied Science Degree (AAS) in Dental Hygiene signifies that the holder of that degree has been educated to competently enter Dental Hygiene in all healthcare settings and to apply for Dental Hygiene licensure in the State of Missouri. 1 The education of a dental hygienist requires assimilation of knowledge, acquisition of skills and development of judgment through patient care experiences in preparation for a) independent and, b) semi-autonomous and, or c) making appropriate decisions required in practice. The practice of dental hygiene emphasizes collaboration among dentists, other hygienists, allied health care professionals, and the patient. The curriculum leading to the AAS in Dental Hygiene from SFCC required students to engage in diverse, complex, and specific experiences essential to the acquisition and practice of essential dental hygiene skills and functions. Unique combinations of cognitive, affective, psychomotor, physical, and social abilities are required to satisfactorily perform these functions. In addition to being essential to the successful completion of the requirements of the AAS, these functions are necessary to ensure the health and safety of patients, fellow candidates, faculty and other healthcare providers. The essential abilities necessary to acquire or demonstrate competence in a discipline as complex as dental hygiene and needed for successful admission and continuance by candidates for the AAS in Dental Hygiene at SFCC include but are not limited to the following abilities: Motor Skills Candidates should have sufficient motor function so that they are able to execute movements required to provide general care and treatment to patients in all health care settings. [For example: for the safety and protection of the patients, the candidate must be able to perform basic life support, including CPR, and function in an emergency situation. The candidate must have the ability, within reasonable limits, to safely assist a patient in moving, for example, from a dental chair to or from a wheelchair.] The dental hygienist must have sufficient dexterity to securely operate delicate instruments and dental materials in a small environment such as a child s oral cavity. Sensory/Observation A candidate must be able to acquire the information presented through demonstrations and experiences in the basic and dental sciences. He or she must be able to observe a patient accurately, at a distance and close at hand, and observe and appreciate non-verbal communications when performing dental hygiene assessment, intervention, instrumentation, or administering local anesthesia. The candidate must be capable of perceiving the signs of disease and infection as manifested through physical examination. Such information is derived from images of tooth structure, palpable changes in various organs and tissues, and auditory information (patient voice, blood pressure). Communication The candidate must communicate effectively and sensitively with other students, faculty, staff, patients, family, and other professionals. He or she must express his or her ideas and feelings clearly and demonstrate a willingness and ability to give and receive feedback. A candidate must be able to: convey or exchange information at a level allowing development of a health history; identify problems presented; explain alternative solutions; and give directions during treatment and post-treatment. The candidate must be able to communicate effectively in oral and written forms. The candidate must be able to process and communicate information on the patient s status with accuracy in a timely manner to members of the health care team. The appropriate communication may also rely on the candidate s ability to make a correct judgment in seeking supervision and consultation in a timely manner. Cognitive A candidate must be able to measure, calculate reason, analyze, integrate, and synthesize in the context of dental hygiene study. The candidate must be able to quickly read and comprehend extensive written material. 1 It should be noted that successful completion of the requirements for a degree does not guarantee eligibility to take the dental hygiene licensing examination or the ability to become licensed in dental hygiene. Candidates with concerns or questions about specific health conditions, personal histories, or disabilities should contact the Missouri Dental Board.

7 He or she must also be able to evaluate and apply information and engage in critical thinking in the classroom and clinical setting. Behavioral/Emotional A candidate must possess the emotional health required for the full utilization of his or her intellectual abilities, the exercise of good judgment, the prompt completion of all responsibilities attendant to the diagnosis and care of patients and families. In addition, he/she must be able to maintain mature, sensitive, and effective relationships with patients, students, faculty, staff, and other professionals under all circumstances including highly stressful situations. The candidate must have the emotional stability to function effectively under stress and to adapt to an environment that may change rapidly without warning and/or in unpredictable ways. The candidate must be able to experience empathy for the situations and circumstances of others and effectively communicate that empathy. The candidate must know that his or her values, attitudes, beliefs, emotions, and experiences affect his or her perceptions and relationships with others. The candidate must be able and willing to examine and change his or her behavior when it interferes with productive individual or team relationships. The candidate must possess skills and experience necessary for effective and harmonious relationships in diverse academic and working environments. Professional Conduct Candidates must possess the ability to reason morally and practice dental hygiene in an ethical manner. Candidates must be willing to learn and abide by professional standards of practice. He/she must possess the attributes that include compassion, empathy, altruism, integrity, honesty, responsibility, and tolerance. Candidates must be able to engage in patient care delivery in all settings and be able to deliver care to all patient populations including but not limited to children, adolescents, adults, developmentally disabled persons, medically compromised patients, and vulnerable adults.

8 Fee Schedule For Dental Hygiene Program State Fair Community College Effective Fall 2008 through Spring 2011 (In-District/Out-of-District) ***A $5.00 credit hour increase is scheduled for fall of This table will be revised soon. Each semester the student would pay tuition, Dental Hygiene program fees, facility fee, student development fee, O/M fee, and technology fee per credit hour. In addition, the following charges would be made: Third semester Local anesthesia course program cost Fifth Semester (spring) would include the Exit Exam fee (TBA), Graduation fee (TBA), and the DH graduation pin fee (TBA). Additional expenses/semester are listed on Form DHEXP/SEM Fall 2003 FIRST SEMESTER (Fall) IN-DISTRICT OUT-DISTRICT 13/16 credit hours $68 per hr $96 per hr Facility fee--$1/hr / /16.00 Student Development fee--$2/hr 26.00/ /32.00 O/M fee--$1/hr / /16.00 Technology fee--$10/hr / / Program fee--$45/hr / / Total for First Semester * $1651 / $2032 $2015 / $2480 SECOND SEMESTER (Spring) 13/19 credit hours $68 per hr $96 perhr Facility fee--$1/hr / /19.00 Student Development fee--$2/hr 26.00/ /38.00 O/M fee--$1/hr / /19.00 Technology fee--$10/hr / / Program fee--$45/hr / / Total - Second Semester * $1651 / $2413 $2015 / $2945 THIRD SEMESTER (Summer Session) * 7 credit hours $ $68 per hr $96 per hour Facility fee--$1/hr Student Development fee--$2/hr O/M fee--$1/hr Technology fee--$10/hr Program fee--45/hr Local Anesthesia fee (if needed)$3/hr Total Summer Semester * $ $ *These fees and tuition are subject to change.

9 Fee Schedule for Dental Hygiene State Fair Community College Effective Fall 2008through Spring 2009 (In-District/Out-of-District) Dental Hygiene Program- Second Year FOURTH SEMESTER (Fall) IN-DISTRICT OUT-DISTRICT 13/16credit hours $884 / $68 per hr $96 per hr Facility fee--$1/hr / / Student Development fee--$2/hr / / O/M fee--$1/hr / / Technology fee--$10/hr / / Program fee--$45/hr / / Total for Third Semester $1651 / $2032 $2015 / $2480 FIFTH SEMESTER (Spring) * 12/15 credit hours $816 / $1020@$68 per hr $1152 /$1440@ $96 per hr Facility fee--$1/hr / / Student Development fee--$2/hr / / O/M fee--$1/hr / / Technology fee--$10/hr / / Program fee--$45/hr / / Total - Fourth Semester * $1524 / $1905 $1860 / $2325 In-District Costs: Out-District Costs: Without Gen-Eds Without Gen-Eds $ $ Estimated Extra Costs Estimated Extra Costs $ $ $16, $18, With Gen-Eds With Gen-Eds $ $11, Estimated Extra Costs Estimated Extra Costs $ $ $18, $20,701.0 *These fees and tuition are subject to change.

10 Program Costs for STATE FAIR COMMUNITY COLLEGE STUDENT FEES DENTAL HYGIENE PROGRAM: Estimated Expenses/Semester Tuition/semester Semester 1 Maintenance Fees. Books $ Uniforms and insignias (Shoes not included) Instruments*/ hand-pieces/ typodonts/ LOUPS(Optional) ($6 technology fee, $1 facility fee, SADHA dues $2 student development, and $1 Regional Conferences O/M support fee) per credit hour Total $ SFCC District Residents - $72 PLUS Special Services Fees Dhyg. Program costs/hr/semester is $60/credit hr. Semester 2 Books Other Missouri Residents - $100 PLUS Special Services Fees Regional Conferences ($6 technology fee, $1 facility fee, Nitrous course UMKC - Cost may very * $2 student development, and $1 Total $ O/M support fee) per credit hour Semester 3/Summer Books / supplies Total $ Out of State Residents - $154 PLUS Special Services Fees Semester 4 ($6 technology fee, $1 facility fee, Books/ Instruments ($1,300)**Titans/Ultra inserts $2 student development, and $1 SADHA dues O/M support fee) per credit hour Regional Conferences Total $ Semester 5 International Residents - $182 PLUS Special Services Fees Books ($6 technology fee, $1 facility fee, Licensing Exams/NDHBEX, CRDTS, MO. * Jurisprudence / Due January of test year $2 student development, and $1 Community Dental Hygiene Travel O/M support fee) per credit hour Regional Conferences Graduation Ceremony/photos/banquet/pin Total $ Total for 5 semesters * All above costs are subject to change, as availability and retailers fluctuate. Five semesters Total: $10, Licensing Exam fees do not include travel or patient compensation * Travel expense not included

11 State Fair Community College Dental Hygiene Admissions CANDIDATE SUMMARY AND RATING SHEET Candidate: Applying for the Class of: 2015 Criteria Description Check/ Points Pre-requisite Courses Complete: All prerequisites need to be completed by the beginning of the spring semester prior to fall entry with a grade of C or better. Intermediate Algebra Human Anatomy(must be at least four hours with lab)* Human Physiology(must be at least four hours with lab)* Microbiology(must be at least four hours with lab)* Introduction to Chemistry (five hours with lab)* (Chem.101 0r 113) Some substitutions of prerequisites are allowed. Please contact an advisor or enrollment counselor. GPA for completed prerequisites listed above. Allied Health Aptitude Test Composite Score Required 2.7 on Pre-requisite courses * Minimum of 50% on aptitude test. Percentage is average of seven content areas. *Reading Comprehension 75%=3 points *Reading Comprehension 65%=2 points *Reading Comprehension 55%=1 points Can test three times only during entry period with 45 day intervals. Testing starts in August and ends in January. *Applicant can retest to raise reading comprehension score but must pass test by 50% each time tested. Dental Assisting Experience * Certified Dental Assistant or Basic Skills Certificate with two years experience = 4 pts. Certified Dental Assistant with less than two years = 3 pts. Dental Assistant with two years experience =2pts. Basic Skills Exam with less than two years=1 Job Shadowing over twenty hours verified =0pt. *****Job Shadowing is mandatory. **** Confirmed by CDA certificate, Basic Skills test results and job verification and job shadowing forms. Available on web or Student Services Office In District/Service Area Questions about resident status should be directed to Admission/ Registration Office References * Residence of District or Service Area 1 year =3 Missouri Residence = 2 Out of State= 1 Applicants are to submit three reference forms which include contact information. One of the references needs to be a dentist or a dental hygienist. The Apticom Dexterity Test will be given to the applicants that are accepted. There is a cut off score. If you fall below the cut off, further testing may be necessary to discern your ability. Testing is done late spring to summer. GPA is considered if a tie occurs Your references may be contacted. Total: / 10* 10 points possible *English Composition II and Medical Terminology I are strongly recommended for student success in our program. They are not required. *Areas with asterisk indicate change 2012

12 STATE FAIR COMMUNITY COLLEGE DENTAL HYGIENE PROGRAM VERIFICATION OF DENTAL RELATED OBSERVATION Dear Doctor and Dental Hygienist, The dental hygiene faculty would like to thank you for allowing a prospective dental hygiene student into your office. The applicant listed below has applied to the Dental Hygiene Program at State Fair Community College. We are requiring our pre-dental students to observe twenty hours to provide the potential students the opportunity to gain basic knowledge of the career that they have chosen. We appreciate your brief response to the following questions. Thank you again. Student name: Date of student observation: Number of hours: Please identify what the student was able to observe/participate in this rotation: Please identify any recommendation you have to improve this experience for the student: Additional information or comments: Dentist or Hygienist signature: Print name and address: 3201 W 16 th Street Sedalia, MO

13 Dental Assistant Verification of Employment Dear Employer and Applicant: The employment information you give must be accurate and verifiable. Fraudulent information is reason for the applicant to be denied consideration for entry in State Fair Community College s Dental Hygiene program. Applicant s Name: Employer s Name: Phone: Address: Best time to contact: Relationship: Day time phone: Signature of employer: Exact dates of applicants employment as a dental assistant with you: Starting date of employment: Ending date of employment: Exact days and hours of job shadowing experience: Starting date/s and time: Ending date/s and time: Check one that applies to the applicant: Certified Dental Assistant or Basic Skills over 2 years experience (CDA): Dental Assistant over two years: Dental Assistant under two years: 3201W 16 th St Sedalia, MO

14 Dental Hygiene Reference Form Applicant s Name Name of Reference: Address: City/State/Zip: Relationship to applicant: Best time to contact: Day time phone: Signature of reference: Office use only: Name of Reference: Address: City/State/Zip: Relationship to applicant: Best time to contact: Day time phone: Signature of reference: Office use only: Name of Reference: Address: City/State/Zip: Relationship to applicant: Best time to contact: Day time phone: Signature of reference: Office use only:

15 APPLICATION FOR ADMISSION TO THE DENTAL HYGIENE PROGRAM The following must be on file by February 1, 2013 for the program beginning in August of the next academic year: Step One: Meet State Fair Community College Admission Requirements: SFCC Application for Admission for with Application Fee Official High School Transcripts or High School Equivalency Certificate (GED) Official College Transcripts Placement Test Scores (ACT, ASSET or COMPASS) Step Two: Dental Hygiene Program Application STUDENT ID NUMBER SOCIAL SECURITY NUMBER LAST NAME FIRST NAME MIDDLE NAME PREFERRED NAME DATE OF BIRTH (AREA) HOME & CELL PHONE NUMBER (AREA) WORK PHONE NUMBER ADDRESS-STREET, ROUTE OR BOX NUMBER CITY STATE ZIP CODE Student and Permanent Address ATTN: STUDENT SERVICES OFFICE STATE FAIR COMMUNITY COLLEGE 3201 West 16 th Street Sedalia, MO Phone: (660) Fax: (660)

16 INFECTION AND HAZARD CONTROL POLICIES Introduction Dental hygienists must recognize that a health risk exists as a result of occupational exposure to blood and other potentially infectious materials, such as saliva, in the dental environment. Blood-borne pathogens, including the Hepatitis B virus, are serious threats to the health and well-being of health care workers and patients. This manual outlines policies and procedures which are designed to protect the clinicians and the patients from exposure to pathogenic organisms. Strict compliance with these guidelines will assure that treatment in the clinic will not jeopardize the health of patients or clinicians. Students and faculty members are classified as Category I according to the Centers for Disease Control classification system. In this category, personnel perform tasks which routinely involve the potential for exposure to blood, body fluids, tissue or other potentially infectious materials. The Program uses Universal Precautions as an approach to infection control. This approach treats all blood and body fluids, such as saliva, as if they are know to be infected with blood-borne pathogens. Universal Precautions are used for every patient and with every procedure to reduce risks to patients and clinicians. The Program is committed to ensuring that all students and faculty are working in a safe and healthy working/learning environment. Therefore, the policies are based on guidelines consistent with those issued by the Centers for Disease Control, OSHA and other related state and national health organizations. Since scientific information is prone to frequent change, the Program will update this policy annually, or as necessary, as new information on infectious diseases becomes available. It is the policy of the Program to review, evaluate, and respond on an individual basis to any instances of HIV/HBV or other infectious disease among faculty or students engaged in patient care activities. Applicants with Infectious Diseases Applicants who believe they are at an increased risk of contracting an infectious disease should seek testing and counseling prior to making application to the Dental Hygiene Program. Persons who are seropositive for HBV/HIV or other infectious diseases will not be excluded from application and admissions. However, applicants who are HBV/HIV positive may want to consider carefully their career goals. Points to keep in mind when considering dental hygiene as a career include: 1) As a person with a known debilitating disease, the individual may become disabled during the educational program or early in the career. 2.) Aspects of practice expose the person to infectious diseases. 3) Barriers to learning may have to be imposed due to certain invasive clinical activities. 4) Financial costs of the program given the personal health and career uncertainties. Faculty/Students with Infectious Diseases Persons who are seropositive for HBV/HIV or other infectious diseases will not be excluded from employment or restricted in their access to the institution s services or facilities because of their health status. They will be provided with all reasonable accommodations unless an individualized, medically-based evaluation determines that exclusion or restriction is necessary for the welfare of the individual or other members of the institution or patients. Patients with Infectious Diseases Persons who are seropositive for HBV/HIV or other infectious diseases will not be excluded from treatment in the dental hygiene clinic. The same Universal Precautions will be used in treatment of these patients. As with any complex medical condition, the patient s physician may be contacted to coordinate the correct dental hygiene treatment with the patient s other conditions. Confidentiality of Information The medical history of faculty, students and patients is kept confidential. Discussion of the history is limited to that information which needs to be conveyed to another professional to determine the correct course of dental hygiene treatment. All patient telephone consults are to be made from a quiet location such as the student desk area. Voice modification should be kept at a minimum. Immunizations All students who enter the Dental Hygiene Program must prove immunity to mumps, rubella, measles, tetanus, diphtheria, polio, hepatitis B and tuberculosis. This policy is in place to protect students from the

17 potential hazards of a preventable communicable disease. Students who elect not to be immunized must sign a declination waiver. Training in Infection Control Procedures No student will be allowed to deliver patient care in any setting until he/she has been instructed in infection control and has mastered the material by successful completion of written exam and process evaluation. Personal Protection in the Clinic Environment Personal Protective Equipment The following rules should be adhered to at all times when working intraorally or when exposure to blood, saliva or other potentially infectious materials can be reasonably anticipated. Disposable Gloves 1. Wear disposable vinyl or latex gloves 2. A new pair is used for each patient 3. Gloves that become contaminated ( dropped on floor, etc) during treatment should be discarded and replaced 4. Wear gloves when touching instruments, equipment or surfaces that may be contaminated. 5. Never wash or re-use gloves 6. Dispose of torn gloves immediately 7. Wash hands with soap and water before donning and after removing gloves 8. Use over-gloves when writing in charts 9. Do not touch skin, hair, masks or clothing with contaminated gloves 10. Wear gloves that fit your hand; not too tight or loose Utility Gloves 1. Put on Over Gloves before utility gloves 2. Wear puncture resistant, nitrile utility gloves 3. Replace worn or torn gloves 4. Wash hands with soap and water before donning and after removing 5. After use, wash utility gloves with surface disinfectant, rinse and wrap for sterilization 6. Sterilize utility gloves Masks and Eyewear 1. Masks are to be worn with each new patient and replaced during treatment if it becomes moist or soiled with blood 2. Do not wear mask under chin 3. Make sure nose piece is firm at nose; this prevents glass steam 4. Eyewear is to have side shields 5. Disinfect eyewear between patients with soap and water 6. At the end of the clinic session, eye wear should be sprayed with a disinfectant and allowed to air dry for 10 minutes or washed with disinfectant soap and water 7. Masks and eyewear should be worn anytime a student is at chairside or working with materials that cause aerosols or splatter. Personal Protective Clothing

18 1. Lab coats are worn over scrubs and left in clinic for professional cleaning when students begin working on the public. During pre-clinic the scrubs and coat are to be bagged after removal and placed in a plastic bag fro transport 2. Disposable gowns are to be worn over scrubs during any chairside procedure involving excessive aerosol, such as air power polishing..3. Disposable gowns are to be confined to the clinic area. Limiting Contamination 1. Surfaces exposed to aerosols and other contaminates should be properly disinfected. This includes counter tops in the clinic and in the CSR. 2. Avoid contact with items that will be difficult to sterilize while in patient contact. This includes charts, drawers, telephones and cabinets. 3. Pens, pencils and patient records should not be touched with contaminated hands. Use over-gloves and barriers to make chart entries while in patient treatment. 4. Instruments or other materials that fall outside of the chain of asepsis should be set aside for later decontamination. 5. All disposable items contaminated with excessive blood and/or saliva must be placed in the red bio-waste trash bags. (Very few times will excessive blood be present) 6. Transport all instruments from operatory to CSR or vice versa in a closed cassette Unit Preparation 1. Wash hands and put on gloves and protective lenses 2. Inspect the water system bottle for cracks and fill it with distilled water, attach to unit. Do not excessively tighten bottle, threads will strip. 3. Turn the master switch on 4. Place a sterile air/water syringe on the unit 5. Flush the air/water syringe line for one (1) minute. One (1) minute before patient treatment, and one minute between patients 6. Examine all equipment to insure it is in working order. 7. Apply disinfectant over the surfaces of the following: a. counter top b. chair arms and seat c. bracket tray d. drawer pulls 8. Put barriers on chair, hoses, hand piece, saliva ejector, light handles, air/water syringe and bracket tray 9. Connect all disposable tips-saliva ejector, HVE (high volume evacuation), prophy angle, air/water tip Unit Maintenance 1. Wash hands and put on protective gloves and glasses 2. Remove barriers and sleeves from the unit 3. Put all blood saturated barriers, gauze and other disposables in the red bio-waste bag 4. Spray the surfaces which have come into contact with aerosols with a disinfectant 5. Pass one-half gallon of vacuum system cleaning solution through the HVE system and the saliva ejector system 6. Inspect traps and rinse/replace as needed

19 7. Empty the clean water system bottle 8. Place the equipment in a fully upright position 9. Clean the sink with a cleanser 10. Remove gloves and wash hands Disinfection of Alginate Impressions 1. Wash hands and put on protective gloves and glasses 2. Rinse the impression with tap water to remove debris 3. Shake to remove excess water 4. Spray the impression with surface disinfectant 5. Seal the impression in a zip-lock bag for 10 minutes 6. Do not re-use the zip-lock bag. Use, Care and Disposal of Sharps 1. A sterile syringe and new disposable needle and anesthetic cartridge must be used for each patient 2. When re-capping a needle, use the scoop method or a needle shield 3. Never leave needles uncapped 4. Do not bend or cut needles 5. Place all used needles and cartridges in a sharps container 6. Never reach into the sharps container with either gloved or ungloved hands. Monitoring of the Sterilization System The sterilization system will be monitored daily by each clinician and weekly by an assigned clinical assistant. Daily- 1. Instruments to be sterilized will be placed in an autoclave bag with a heat sensitive indicator 2. Clinicians are to check the indicator before using instruments 3. Daily test strip should be done in a load each day and date the strip (prior to using), then deposit strip in basket in CSR. Weekly- 1. The clinical assistant will secure appropriate testing from Administrative Assistant. 2. Label test strip with the date 3. Place test strip in the center of a load of instruments 4. Run the instruments through a normal sterilization cycle 5. Remove test strip from the sterilizer 6. Put on nitrile utility gloves 7. Give weekly test strip to Administrative Assistant for mailing There are levels of the degree of probability for infection. The unit tray where your instruments sit is a high level and all you touch during treatment; such as the light, chair, water syringe, suctions, prophy angles, etc. The cabinet behind student and counter and pencils and records are moderate level of infection. The upper counter where light is located is low level. Sink is high moderate level due to hand washing.

20 Hazard Control Protocol Introduction The purpose of this section of the manual is to provide the dental hygiene student with information concerning hazardous materials used in the Dental Hygiene Program at State Fair Community College. This information is designed to assist the student in understanding the potential hazards of chemicals he/she may come in contact with as part of educational experience. Precautions during handling, use and storage of hazardous materials will be discussed, as well as general safety practices. Following is a partial list of hazardous chemicals which may be found in the dental clinic and labs. Fixer Developer Spray 2000 Cleaner Acidulated Phosphate Fluoride Sodium Fluoride Green Solution Bleach All Purpose Cleaner Phosphoric Acid-Sealant Etch Methyl Methacrylate Mercury Model Gloss Orange Solvent Isopropyl Alcohol Nitrous Oxide Gas Oxygen Gas Material Safety Data Sheets Material Safety Data Sheets (MSDS) are kept in a notebook in the Central Sterilization Room as required by federal law (Title w9 CFR Section ). These sheets provide the following information: a. Product identification (including the manufacturer s name and address) b. Hazardous ingredients c. Chemical data including boiling point, vapor pressure, water solubility d. Fire and explosion data including flash point, flammability limits and fire fighting procedures e. Health hazard data including immediate and long term effects, routes of entry, symptoms of exposure f. Handling and Use precautions Routes of Exposure Students and faculty are to be aware of the numerous routes of exposure for the many potentially hazardous chemicals in the dental environment. These routes include; inhalation, eye contact, skin absorption and ingestion. Safe Work Practices It is the responsibility of each individual to handle chemicals safely. Common sense underlies all safe work practices. Keep areas and counter tops clean and neat. Wear the appropriate protective clothing when in labs and clinic. Do not eat or drink in areas where chemicals are used. Keep containers clearly labeled and stored on sturdy shelving. Be aware of the location and use of emergency equipment and protocol. Emergency Equipment Emergency equipment to be used with chemical spills and accidents is available in the dental hygiene clinic. This equipment includes; 1) and eye wash station, 2) fire extinguisher and 3) first aid kit. The eye wash station is located on the CSR sink faucet and the first aid kit is located in the CSR. A fire extinguisher is located in the clinic on the wall near the restroom. Emergency Protocol

21 In the event of an exposure or a spill the student is to notify the faculty member immediately. The faculty member will render necessary first aid and make the decision to notify the emergency management system, if necessary. Protocol for Occupational Exposures Introduction An occupational exposure may occur in the following situations; 1. Contaminated needle stick 2. Puncture wound from a contaminated sharp dental instrument 3. Contamination of any obviously open wound, non-intact skin, or the mucous membranes by saliva, blood, or a mixture of the two. Protocol The following procedures apply if an occupational exposure occurs with either students or faculty: 1. Cleanse the wound immediately with soap and water. 2. Do not squeeze the wound to make it bleed. This will only cause tissue trauma which is more susceptible to infection. 3. In the case of student exposure, notify the supervising faculty immediately. 4. The faculty member will notify the patient that an exposure incident has occurred and request the patient s permission to have blood drawn for anti-hiv and HBSAg testing. This blood draw is to be done at the Pettis County Health Department as soon as possible after the exposure. The expense of the testing is borne by SFCC. 5. The exposed student or exposed faculty is to also have blood drawn for an anti-hiv and HBSAg testing. This blood draw is to be done at the Pettis County Health Department as soon as possible after the exposure. The expense of the testing is borne by SFCC. 6. Both the exposed student or exposed faculty and the patient will receive counseling prior to the blood draw by personnel at the Pettis County Health Department. 7. Follow-up procedures will be recommended by the Pettis County Health Department using current standards of care and based upon the nature of the incident and the results of the blood tests. 8. An Incident Report should be completed within 24 hours of the exposure. Exposure Prevention 1. Handle all used instruments with nitrile gloves. 2. Always use a sterile syringe and a new disposable needle and cartridge for each patient. 3. Handle needles carefully. Do not leave needles uncapped. 4. Recap needles using a needle guard or scoop technique. So not use a two handed technique. 5. Do not bend or cut needles. 6. Put all used needles in a sharps container as soon as possible after use. 7. Do not overfill the sharps container. 8. Never reach into a sharps container.

22 Operating and Safety Procedures for Dental Radiographs The following policies are to be followed in order to ensure a safe environment for all students, patients and personnel. Selecting Patients for Radiographs 1. Radiographs will only be made on those patients who present with a diagnostic need for the films. 2. Radiographs will be prescribed by the Supervising Dentist. In the case of films for radiology lab, these patients are to be patients who will be seen in the clinic and the Supervising Dentist has approved the films. 3. The need for radiographs is determined following guidelines established by the Department of Health and Human Services. Equipment and Film Use 1. Students are not to be exposing film without a faculty member present. 2. Students/faculty are to wear film badges at all times when in the clinic or radiology lab. 3. Students/faculty are to stand behind the protective barrier when exposing the radiographs. 4. Students/faculty are not to hold films in a patient s mouth during exposure. Film holders are used for this purpose. 5. Equipment is inspected on a regular basis as required by the State of Missouri. The results of these inspections are posted by all radiology units. 6. All patients are to wear lead aprons, including thyroid collars. Aprons are to be kept on the apron bars when not in use. Do not fold aprons. 7. Any student suspecting she may be pregnant is to report this information to the Dental hygiene Coordinator so that arrangements for limited exposures can be made. These arrangements will include wearing a lead apron during any radiograph instruction until a later time in the student s educational process. Film Processing 1. All films are to be carefully processed in order to limit the need for retakes due to processing errors. 2. Chemicals are to be kept fresh in the processor by following the chemical change chart posted in the CSR. 3. Gloves are to be worn anytime maintenance on the processor is being done. This includes the emptying of trash from inside the daylight loader. 4. Gloves are to be worn while handling films during processing. 5. A quality assurance film will be made monthly after cleaning processor. This will be done by either the radiology lab instructor or the clinic assistant. These films are to be labeled and kept in the radiology log book. The log book contains information regarding the change of chemicals and a record of all quality assurance films. Retakes of Films

23 All retakes must be approved by a faculty member. Retakes will not be recommended simply to make the film more attractive or raise a student grade. Retakes will be made only if the area to be viewed is not seen on any other films. Emergency Policies Introduction An emergency situation may occur at any time or place. Most serious emergency situations can be prevented by taking a careful pre-treatment medical history. All questionable patient conditions should be discussed with the supervising dentist before beginning any dental hygiene data collection or treatment. During an emergency, optimum patient care can be given only by calm, efficient personnel. This clam results from being prepared. A regular review of the emergency procedures and location of the emergency equipment will be conducted at the beginning of each clinical course for students and faculty. Monitoring of Equipment The Supervising Dentist will check the emergency kit each year prior to the beginning of the academic year to determine completeness of the kit and non-expired medications. The Program Coordinator will determine the functionality of the eye wash station and oxygen equipment annually at the beginning of the academic year. The fire extinguisher will be monitored annually by the fire marshal and the first aid kit will be replenished by lab faculty as needed. A Medical Emergency Situation in Clinic In the event of an actual emergency situation the following steps will be followed: 1. Tell the nearest student, I have a STAT situation. The fellow student will notify the faculty. 2. Assure the patient s airway. 3. Check for breathing and pulse. 4. Remain with the patient, calming and reassuring them. 5. Do not leave the patient. 6. Faculty will come to area and determine the need for notification of emergency medical system. 7. Faculty will direct a student to notify the emergency medical system using the clinic phone. 8. After notifying the emergency medical system the student will got to the outside of the building to direct the EMS team into the area. 9. During this time the clinic assistant is to be locating and bringing to the area the oxygen tank and the emergency kit. 10. If CPR is needed the faculty will administer. 11. All other patients in the clinic are to be kept calm during an emergency situation. If it appears necessary, other patients in nearby units may be asked to move away from the area. Students not directly involved in the situation are to stay with their patients and reassure them that the situation is being managed. Emergency Equipment in Clinic 1. Eye wash station located next to each operatory and in the CSR. 2. Fire extinguisher located near the restroom. 3. Oxygen tank located in the clinic storage area. 4. Emergency kit located in the CSR. An Emergency Situation in the Laboratory In the laboratory the students are to notify the faculty member if an emergency arises. The faculty member will provide emergency first aid and determine the need for EMS. Students will be asked to assist the faculty member in securing equipment, phoning the EMS team and, if

24 necessary, providing first aid. Students are to be prepared to do so by knowing the location of the nearest equipment and the correct procedures. Emergency Equipment in the Laboratory 1. Eye wash station located at the sink 2. Fire extinguisher located near the doorway. 3. First aid kit located in the instructor cabinet. Policy on Basic Life Support Training 1. All faculty teaching in the Dental Hygiene Clinic at SFCC must hold a current CPR certification card. 2. All students providing treatment in the Dental Hygiene Clinic at SFCC must hold a current CPR certification card. Students will be able to gain certification as part of the Medical Emergencies class offered in the first semester of the dental hygiene curriculum. 3. Any faculty member or student unable to perform CPR, as indicated by a disability or physician s statement, will be exempt from completing CPR training. 4. A copy of the current CPR card must be on file in the Program Director s office upon beginning the dental program curriculum or beginning a faculty appointment. 5. An audit of the CPR cards will be made at the beginning of each academic year to ascertain the completion of CPR by all eligible students and faculty.