California Association of Orthodontists
Orthodontic Assistant Permit Course
TABLE OF ATTACHMENTS
ATTACHMENT 2: Student DocumentationPage 3
ATTACHMENT 4: Course Director LicensePage 4
ATTACHMENT 6: Faculty InformationPage 6
ATTACHMENT 7: Faculty Methodology CertificatesPage 7
ATTACHMENT 8: Faculty CPR InformationPage 8
ATTACHMENT 9: Student Certificate of Completion Page 9
ATTACHMENT 10: Dental Emergency ManagementPage 10
ATTACHMENT 12: Universal Precautions GuidelinesPage 12
ATTACHMENT 13: Sterilization AreaPage 43
ATTACHMENT 15: Faculty/Student RatiosPage 49
Class Sessions/Hours Table
ATTACHMENT 16: Facility DescriptionPage 51
ATTACHMENT 17: Equipment and ArmamentariumPage 52
ATTACHMENT 19: Description of OperatoriesPage 56
ATTACHMENT 22: Course OutlinePage 57
Course Content
TABLE OF APPENDICIES
APPENDIX 1: Schedule & Method of ImplementationPage 286
Of Cal/OSHA Blood borne Pathogens
Standard Requirements
APPENDIX 2: Employee Medical RecordPage 287
Informed Refusal for Hep B Vaccination
APPENDIX 3: Housekeeping Schedule/ProtocolPage 289
(Infection Control)
APPENDIX 4: Sharps Injury LogPage 292
APPENDIX 5: Medical Waste Management & Disposal PlanPage 293
APPENDIX 6: Identification, Evaluation & Selection ofPage 301
Engineering & Work Practice Controls
APPENDIX 7: Employee Accident/Body Fluid Exposure &Page 302
Follow Up Form
APPENDIX 8: Dental SharpsPage 303
APPENDIX 9: Confirmation of Source Patient’s DenialPage 304
For Testing
APPENDIX 10: Written Opinion of Health Care EvaluatorPage 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 DirectorMichael 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 NumberMichael 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
AmericanRiver 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 orclinical practice in the training facility, the following processmust 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.
1