California Association of Orthodontists



California Association of Orthodontists

Orthodontic Assistant Permit Course

TABLE OF ATTACHMENTS

ATTACHMENT 2: Student Documentation Page 3

ATTACHMENT 4: Course Director License Page 4

ATTACHMENT 6: Faculty Information Page 6

ATTACHMENT 7: Faculty Methodology Certificates Page 7

ATTACHMENT 8: Faculty CPR Information Page 8

ATTACHMENT 9: Student Certificate of Completion Page 9

ATTACHMENT 10: Dental Emergency Management Page 10

ATTACHMENT 12: Universal Precautions Guidelines Page 12

ATTACHMENT 13: Sterilization Area Page 43

ATTACHMENT 15: Faculty/Student Ratios Page 49

Class Sessions/Hours Table

ATTACHMENT 16: Facility Description Page 51

ATTACHMENT 17: Equipment and Armamentarium Page 52

ATTACHMENT 19: Description of Operatories Page 56

ATTACHMENT 22: Course Outline Page 57

Course Content

TABLE OF APPENDICIES

APPENDIX 1: Schedule & Method of Implementation Page 286

Of Cal/OSHA Blood borne Pathogens

Standard Requirements

APPENDIX 2: Employee Medical Record Page 287

Informed Refusal for Hep B Vaccination

APPENDIX 3: Housekeeping Schedule/Protocol Page 289

(Infection Control)

APPENDIX 4: Sharps Injury Log Page 292

APPENDIX 5: Medical Waste Management & Disposal Plan Page 293

APPENDIX 6: Identification, Evaluation & Selection of Page 301

Engineering & Work Practice Controls

APPENDIX 7: Employee Accident/Body Fluid Exposure & Page 302

Follow Up Form

APPENDIX 8: Dental Sharps Page 303

APPENDIX 9: Confirmation of Source Patient’s Denial Page 304

For Testing

APPENDIX 10: Written Opinion of Health Care Evaluator Page 305

ATTACHMENT 2

Dental Assistant Work Experience

Staff members will be required to work as a dental assistant for six months prior to applying for the OAP Orthodontic Assistant Permit Course and can apply for the Orthodontic Assistant Permit after they have completed one year of dental assistant experience. Assistants will receive guidance and practice in the tasks delegated within the scope of practice for dental assistants. Documentation of completion of the 6 months of work experience will include records of employment and documentation of initiation of experience as a dental assistant and accumulation of 6 months of work experience. A form (Attachment 2A) accompanies this written description

The orthodontist will be responsible to ensure the dental assistant employee that have been in continuous employment for 120 days or more have already completed or will successfully complete all the following within one year of employment:

1) A Dental Board approved course in the Dental Practice Act

2) A Dental Board approved course in infection control

3) A course in basic life support offered by an instructor approved by the American Red Cross or the American Heart Association, or any other course approved by the board as equivalent and that provides the student the opportunity to engage in hands on simulated clinical scenarios. BCLS within 1 year during the first 120 days of employment as a dental assistant.

ATTACHMENT 2A

Student Documentation

DOCUMENTATION: SIX MONTHS EXPERIENCE

Assistant __________________

Employment Start Date __________________

Infection Control Course Completion __________________

Dental Practice Act Course Completion __________________

Basic Cardiac Life Support Completion __________________

Dental Assistant Experience Accrued __________________ Months

This document is to verify that ________________________________ has completed ______ months of dental assistant experience prior to applying for student status in the Orthodontic Assistant Permit Course offered in the office of Michael H. Payne DDS, MSD as course director.

________________________ Date ___________________

Michael H. Payne DDS, MSD

ATTACHMENT 4

COURSE DIRECTOR’S LICENSE

Course Director Michael H. Payne DDS, MSD

California Dental License #####

*** SCAN YOUR LICENSE AND PUT COPY HERE***

***DELETE THIS WHEN DONE***

ATTACHMENT 6

FACULTY INFORMATION

|Name of Faculty |License Number |

|Michael H. Payne |##### |

| | |

| | |

| | |

ATTACHMENT 7

Faculty Methodology Certificates

*** SCAN YOUR CERTIFICATE AND PUT COPY HERE***

***DELETE THIS WHEN DONE***

ATTACHMENT 8

CPR DOCUMENTS

*** SCAN YOUR CPR CARD AND PUT COPY HERE***

***DELETE THIS WHEN DONE***

ATTACHMENT 9

CERTIFICATE OF COMPLETION

Michael H. Payne DDS, MSD

American River Orthodontics

Certificate of Completion

This is to certify that _____________________________________________ has completed an approved course for the Orthodontic Assistant Permit with a satisfactory grade.

Date of Completion ______________________

Number of Course Hours ______________________

Certified by: _____________________________ Date: _________________

Michael H. Payne, Course Director

ATTACHMENT 10

DENTAL EMERGENCY PROTOCOL

EMERGENCY PROCEDURES

FOR THE DENTAL LABORATORY AND CLINICAL TRAINING SITE

In the event of a medical emergency during laboratory or clinical practice in the training facility, the following process must be observed:

1. The student is to notify the dentist without delay in the event of a

probable medical emergency.

2. The student should stay with the patient, notify the closest person that the

dentist is needed immediately.

3. When the dentist arrives the student will provide information regarding the situation, the dentist will assess situation.

4. The student must stay with the patient and will:

a. Inform the dentist of any important information

known about the patient.

b. Take all vital signs and monitor until situation is resolved and or emergency medical personnel arrive.

c. Assist the dentist upon request.

d. If emergency personnel must be called, office staff

will activate 911.

5. All information must be documented in the patient’s chart using red ink.

ATTACHMENT 12

UNIVERSAL PRECAUTIONS GUIDELINES

UNIVERSAL PRECAUTIONS GUIDELINES

USED FOR ALL OAP DUTIES

1. All students and staff will follow universal/standard precautions.

2. All students and staff will follow the guidelines within the office exposure control plan (see following pages).

3. Universal/standard precautions will be followed to avoid cross contamination.

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