Dental Hygiene Clinic Policy And Procedure Manual - Ferris State University
Dental Hygiene ClinicPolicy and Procedure Manual2022Updated May 2022
Table of ContentsDENTAL HYGIENE CLINIC POLICY AND PROCEDURES MANUAL . 6Clinic Purpose. 6PROFESSIONAL RESPONSIBILITY . 7Requirements to Clinic Participation . 7Basic Life Support Training. 7Clinic Attendance . 8Professional Conduct . 9Food and drink policy . 10Professional Decorum Policy . 10Clinic and Lab Attire . 10Cell phones. 12Attitude . 12Patient Treatment . 13Patient Policies . 13Immunizations . 14Bloodborne Pathogen Exposure Control Plan . 14Policy . 14Program Administration . 15Definitions . 16Methods of Implementation and Control. 16Compliance Methods . 16Universal Precautions . 16Exposure Control Plan (ECP) . 16Standard Operating Procedures . 16Contingency Plans . 16Engineering Controls and Work Practices. 17Engineering Controls . 17Work Practice Controls . 18Work Areas. 20Work Area Restrictions . 20Potential Exposure Risks/Areas . 20Hepatitis B Vaccination . 21Post-Exposure Evaluation and Follow-up . 22Administration of Post-Exposure Evaluation and Follow-up . 22Updated May 2022pg. 2
Suggested Procedures for Evaluating the Circumstances Surrounding an Exposure Incident . 23Exposure Incident Protocol . 23For a student injury: . 23For students on site visits . 24For an employee/work study injury. 24Record Keeping . 25Training Records . 25Medical Records. 25MIOSHA Recordkeeping. 26Sharps Injury Log . 26Regulated Waste Disposal . 26Equipment . 27Contaminated Equipment . 27Personal Protective Equipment (PPE) . 28Laundry Procedures . 29Housekeeping . 30Material Data Sheets . 30Surface and Equipment Managment . 31Before the First Patient – At the Start of Clinic. 31First step is the Clean Technique (1st wipe) . 31Second Step is the Disinfect Technique (2nd wipe) . 32Between Patients . 33After the Last Patient – At the End of Clinic . 34Radiographic Policies . 35General Guidelines . 36Eligibility . 36General Radiograph Guidelines . 37Child with Primary Dentition. 37Child with Transitional Dentition . 37Adolescent with Permanent Dentition . 37Adult . 38Adult (Edentulous) . 38Additional Reasons for a Bitewing Survey (BWX) . 38Additional reasons for a FMX Survey . 38Additional Reasons for a Panoramic radiograph . 39Updated May 2022pg. 3
Third Molar Periapicals . 39Radiography Procedures . 39Radiographic Retake Policy . 40Radiology Area Asepsis . 41Preparing the x-ray room . 41Preparing to Expose Radiographs . 42Dental Hygiene Clinic Reception Area Policies . 42Health Insurance Portability and Accountability Act (HIPAA). 43Protocol for Clinic Laptops . 43Usernames and Passwords . 44Door Scan Cards . 45Dental Records Management . 45The Care and Handling of Patient Files and Patient Information . 46Dental Charting Procedures . 47Hard Tissue Charting . 47Charting Color Code . 48MASTER LIST OF CLINIC ABBREVIATIONS. 50Periodontal Charting . 52Sulcus/Pocket Depth . 52Bleeding Points . 52Furcation Invasion . 53Attachment Loss . 53Tooth Mobility . 54Exudate . 54Service Rendered Entries . 54Correct Order of Paperwork in Patient Chart . 55Recording and Monitoring Policies . 56General Emergency . 57Fire . 57Elevator Emergency – (stuck). 58Weather Emergencies . 58Winter Storm Watch . 58Winter Storm Warning . 58Severe Thunderstorm Watch . 58Severe Thunderstorm Warning. 58Updated May 2022pg. 4
Tornado Watch . 58Tornado Warning . 58After the Storm . 59Active Shooter on Campus . 59Chemical Spills . 60VFS Second Floor and Evacuation Plan . 61Other Important Resources . 63Updated May 2022pg. 5
DENTAL HYGIENE CLINIC POLICY AND PROCEDURES MANUALThe intent of this manual is to provide guidelines to dental hygiene students,faculty, staff, and work studies concerning their expectations and obligationsassociated with participation in the Ferris Dental Hygiene clinic.Clinic PurposeThe dental hygiene clinic serves as the location for dental hygiene students toreceive their pre-clinic and clinical experience in preparation to become aregistered dental hygienist.In general, the clinic also serves as the location for the general public to receivedental hygiene care, as they serve as patients for dental hygiene students.As this facility provides patient treatment, it must be recognized that, duringthe time patients are being treated, all efforts must be directed toward safe,appropriate patient treatment and appropriate student supervision.Only students who are scheduled to treat patients should be present in clinicunless appropriately authorized. Non-clinic related business should not beoccurring during scheduled clinic times.Clinic instructors are responsible for supervising the students and patients whohave been assigned to them during a clinic session. Students (not scheduled inclinic), who need to speak to a clinic instructor, should make arrangements withthe instructor to do so during the instructor’s office hour or other mutuallyagreeable time, rather than during the instructor’s clinic assignment.Neither students nor instructors should be leaving their assigned clinic toconduct non-related business unless an emergency develops, or if follow upwith a patient’s physician, pharmacy, etc., needs to be done. If instructors needto leave the area, they are to inform the students they are responsible for andmake arrangements with another instructor(s) to supervise their assignedstudents.The clinic area is restricted to clinic dentists, clinic instructors, students, andpatients (and their parent or guardian, as appropriate). It should not be a placefor visitors or friends to be present, nor is it a babysitting service. Every effortshould be made by instructors and students to maintain the clinic as a patienttreatment area.The clinic lead and clinic faculty/adjunct faculty, on clinic days, will be in clinicat 15 minutes before the hour. Dental hygiene students can get into the clinicas early as 30 minutes before the start of clinic.Updated May 2022pg. 6
PROFESSIONAL RESPONSIBILITYDental hygiene faculty reserve the right to dismiss a student from clinic, lab, orlecture to correct infractions related to clinic participation of the dress andconduct policies. The student must correct the problem immediately and returnto the clinic, lab, or lecture, if it is in the best interest of the student regardinghealth and safety issues. No make-up arrangements will be provided for timelost as a result of neglect of these responsibilities.Requirements to Clinic Participation1. Cardiopulmonary Resuscitation – Students, faculty and staff mustmaintain current (not expired) cardiopulmonary resuscitation (CPR) BasicLife Support (BLS) throughout their clinical experience.2. Students must show proof of a two-step negative TB test not older than 6months prior to entering the Dental Hygiene program.3. Yearly, students must have training on Health Insurance Portability andAccountability Act (HIPAA) and Infection Control/Bloodborne Pathogensthrough KnowBe4. The course completion certificate must be uploadedinto Castlebranch.4. Students must have been educated on infectious diseases as they applyto dental practice, including Hepatitis B in KnowBe4. The coursecompletion certificate must be uploaded into Castlebranch.5. Other training will be provided in KnowBe4 and submitted inCastlebranch.Basic Life Support TrainingThe Dental Hygiene Program recognizes that emergencies may occur in thedental hygiene clinic. A significant aid in preparedness for emergencies istraining in basic life support.It is the policy of the Dental Hygiene clinic that students, faculty and staffwho participate in the dental hygiene clinic on a regular basis shouldmaintain current certification in cardiopulmonary resuscitation (CPR).The goal of the program is that all faculty, staff, and dental hygiene studentswill training be at the level of Basic Life Support for the Healthcare Providers(American Red Cross) or Basic Life Support for the Healthcare Professional(American Heart Association). This training must include infant, child andadult CPR, use of a face mask, use of the automated external defibrillator(AED), choking and one and two person CPR.Updated May 2022pg. 7
Faculty, staff and dental hygiene students will be required to show proof ofCPR certification prior to participation in dental hygiene pre-clinic or dentalhygiene laboratory activities. It is expected that if the CPR certificationexpires during the student’s academic tenure, the student will update andreport new certification to the DH Clinic Operations Supervisor prior to whenthe original CPR certification date expires.Documentation of certification status will be uploaded into Castlebranch bystudents. Faculty, clinical dental hygienists, adjunct faculty, Dentists, andstaff (who need it) email the certification to the Dental Hygiene ClinicOperations Supervisor.An exemption will be made for those who may not participate in training ordeliverance of CPR for documented medical reasons. The documentationmust be provided to the Dental Hygiene Clinic Operations Supervisor to keepon file.Failure to comply with this policy: dental hygiene students, faculty, clinicaldental hygienists, adjunct faculty, Dentists, and staff (who need it) may bedismissed from clinic and patient treatment until such time as the matter isresolved.Clinic Attendance1.It is of extreme importance that students attend scheduled clinics togain the knowledge and skills necessary to become a licensed dentalhygienist.2.Students are expected to be present in clinic for all scheduled clinicsessions for the entire duration. Students are expected to be on timefor all scheduled clinic sessions and to manage their time well forpatient treatment.3.Students are expected to be present in clinic for all scheduled clinicsessions in which they are assigned supportive duties (i.e., clinicassistant, sterilizing assistant, radiography assistant, etc.).4.First and second year students in clinic who have moved or changedphone numbers during the school year must report this to the DentalClinic Clerk, and dental hygiene faculty, as promptly as possible. It isrecommended to have a mobile phone with reliable service so you canbe reached directly by the reception office staff in the event a patientshould cancel.5.The only acceptable excused absences are:Updated May 2022pg. 8
Personal illness (or your child’s illness) that requires aphysician’s attention (written document)A death in the immediate family or significant other (withdocumentation)University sponsored events (with authorized form such asathletics, debate, etc.)Approved Student American Dental Hygienists’ AssociationeventsSubpoena requiring you to be in court for testimonyInclement weather that, in the opinion of the local lawenforcement, makes it too dangerous to drive (for commutersonly).FSU administration school cancellationsPositive COVID-19 test results and/or exposure requiringquarantine measures per the University policy on COVID-196.Students who are ill, under a physician’s care and cannot be presentfor clinic must make arrangements for their patients and call theDental Hygiene Clinic Clerk at 231-591-6620. Leave a message for thereceptionist if not able to speak to someone at that time. The ClinicalLead must be called also to report the illness. For a didactic course orlab that you are missing, you must notify the course/lab instructor.7.After an excused absence, students are responsible for obtaining notesand assignments missed, speaking to clinic course coordinator, andscheduling clinic rotation(s) to make up missed clinic time. ALWAYScheck with your clinic lead or clinic instructor for times. A schedule willbe provided to you for clinic days and times. You are expected to makeup any missed clinic days, one way to do this is to utilize the “OppositeClinic Day” procedure.Professional Conduct1.NO SMOKING is allowed while you are wearing clinic scrubs or within25 feet of the building.2.Dental hygiene students, faculty, staff, will strictly adhere to thispolicy. Student grade deductions may be given to a student violatingthis policy. It is the philosophy of the Allied Health educators and staffthat anyone in the College of Health Professions must model healthychoices.3.If a dental hygiene student, faculty or staff smoke, one must beabsolutely sure that no offensive odor of tobacco lingers on onesclothes, hands, or breathe when presenting to clinic.Updated May 2022pg. 9
4.This policy prohibits a dental hygiene student, faculty or staff fromleaving the clinic and going to a bar or restaurant while in FSU scrubswith the intention of drinking or partying.Impairment1.Students who appear to be impaired due to the use of legal or illegalsubstances will be dismissed from the clinic, or any other dentalhygiene related function, (i.e., site visits, pinning practice, SLAcourses, etc). Be informed that it may be necessary to call a cab forthe safe delivery of the student to their FSU home, or otherarrangements may be made. However, a faculty or staff member is tonever take an impaired student to their FSU home as is stated in theFSU Business and Policies Letters.2.If it is determined that the student is severely impaired and not able tofunction in a safe and healthy manner within the scope of care indental hygiene, FSU Public Safety may be called to manage thesituation, extension 5000. Should this occur, the issue will be referredto the Student Conduct Office, Student Judicial Services at extension3619.Food and drink policyNo food, drink or gum chewing is allowed in the clinic, sterilization room, orradiography area. This is a violation of MIOSHA and OSHA and will beaddressed by the Dental Hygiene Clinic Operations Supervisor.Professional Decorum PolicyFaculty, students and staff are members of a health profession team. Weseek to create for our patients, colleagues, and visitors a professionalatmosphere in all areas of the College of Health Professions and outreachsites. The appearance and behavior of the faculty, students and staff mustcontribute to maintaining a professional environment. Unprofessionalappearance and behavior may cause patients and visitors to question thestandard of care offered at the Ferris State University Dental Hygiene Clinicand outreach sites.Clinic and Lab AttireThe uniform or professional decorum policy for clinic and radiology labparticipation are for all faculty, staff, adjunct faculty, dentists, and students(including work study) consists of the following:Scrubs: Students purchase the style and neutral color (no prints) and eachstudent is expected to have a clean (and free of odors) set of scrubs for eachday that they are scheduled to be in clinic. Long sleeve shirts may be wornUpdated May 2022pg. 10
under the surgical scrub, be mindful of the color of uniform, no bright colorsare allowed for the undershirt.Disposable clinic gowns: see personal protective equipment (PPE).Socks: Should coordinate with your shoe and scrub color. Must be clean andfree of holes. Socks must be high enough so that no skin is exposed whenseated.Shoes: Clean, rubber soled, low heeled and closed toe. Crocs are notacceptable.Identification: Everyone is to wear name badges acquired from theMyBullDog Service Center. These identification badges also allow you tohave access to doors that you need to get into.X-Ray Monitoring Badges: See Radiography section.Hair: Hair must be off the collar by either securing it with neutral color
The Dental Hygiene Program recognizes that emergencies may occur in the dental hygiene clinic. A significant aid in preparedness for emergencies is training in basic life support. It is the policy of the Dental Hygiene clinic that students, faculty and staff who participate in the dental hygiene clinic on a regular basis should
DEN 131 Dental Hygiene Clinic 1 3 credits . Summer 2022. DEN 125 Dental Office Emergencies 1 credit DEN 140 Dental Hygiene Theory 2 1 credit DEN 141 Dental Hygiene Clinic 2 2 credits DEN 222 General and Oral Pathology 2 credits . Fall 2022. DEN 123 Nutrition/Dental Health 2 credits DEN 220 Dental Hygiene Theory 3 2 credits DEN 221 Dental .
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DENTAL HYGIENE PROGRAM: PROFESSIONAL PHASE COURSES DHYG 2150: Pharmacology 2 credit hours DHYG 2210: Dental Hygiene Lecture IV 1 credit hours DHYG 2250: General and Oral Pathology 3 credit hours DHYG 2310: Dental Hygiene Clinic IV 4 credit hours Spring Semester Courses Credit Hours DHYG 2220: Dental Hygiene Lecture V 1 credit hours
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