Course Outline for Dental Hygiene 75, Page 3

Chabot College

Fall 2001

Chabot College Fall 2001

Replaced Fall 2006

Course Outline for Dental Hygiene 75

MEDICAL EMERGENCIES

Catalog Description:

75 - Medical Emergencies 1 unit

Prevention, recognition and management of medical emergencies that occur in the dental setting. Corequisite: Dental Hygiene 69B and Dental Hygiene 71B. 1 hour.

Prerequisite Skills:

None

Corequisite Skills:

Upon completion of the course the student should be able to:

1. utilize infection control protocols for prevention of disease transmission through demonstration of proper sterilization and disinfection methods, barrier techniques and maintenance of asepsis;

2. collect and record data from the patient interview including medical history, case history, chief complaint and history of chief complaint on all clinical patients;

3. utilize the medical history and patient interview to collect and document information pertinent to the patient's medical and dental status on all clinical patients;

4. obtain a complete medical history and explain the rationale and implications for each portion of the history form;

5. describe and demonstrate the correct technique for taking vital signs (pulse, respiration, temperature, and blood pressure) on all clinical patients;

6. demonstrate assessment skills designed to identify dental needs in order to plan treatment with the goal of delivering comprehensive dental hygiene care on all clinical patients;

7. demonstrate techniques and proper procedure for performing a thorough periodontal assessment and examination of the teeth on all clinical patients;

8. apply principles of instrumentation for the proper use of the explorers, mouth mirror, periodontal probe, scaling/root planing instruments and polishing instruments on all clinical patients;

9. perform proper polishing technique with appropriate material selection and precautions for polishing natural and restored tooth surfaces and dental appliances;

10. demonstrate technique, procedures and precautions for applying topical fluoride;

11. apply the principles of instrument sharpening for proper sharpening of curettes and sickle scalers;

12. demonstrate the use of the Gracey curet and explorer on a typodont and clinic patient;

13. record complete dental restorative charting on a student partner and on all clinical patients;

14. list and discuss post-operative procedures and instructions for the patient;

15. identify and describe the relationship between universal curet scaler and root morphology in advanced instrumentation;

16. list objectives of Gracey curettes in advanced instrumentation;

17. identify and describe the relationship between the Gracey curet and root morphology in advanced instrumentation;

18. describe procedures for preventing and reporting occupational risks;

19. list the components of each phase of the dental hygiene process, including assessment, planning, implementation, evaluation and referral;

20. describe the roles of bacterial plaque, other soft deposits, and calculus in relation to dental health and disease;

21. explain and describe the secondary test for chronic inflammatory periodontal disease;

22. recognize the categories of tooth discolorations and stains;

23. present a case presentation of existing periodontal conditions in the clinical setting;

24. analyze data collected during the assessment phase of the dental hygiene process, formulate an appropriate dental hygiene care plan, and set goals for the patient's health process;

25. explain and describe the rationale, techniques, and armamentarium involved with scaling and root planing in the treatment of periodontal disease;

26. list the three categories of professional mechanical oral hygiene practices as:

a. oral prophylaxis;

b. non-surgical periodontal therapy;

c. periodontal recall maintenance;

27. list the associated objectives of the three categories of mechanical oral hygiene practices;

28. explain and describe the techniques, materials and precautions involved in polishing natural and restored tooth surfaces, and dental appliances;

29. explain and describe the mechanics, techniques, materials and precautions involved in the application of topical fluorides;

30. explain how evaluation of dental hygiene care is accomplished and why it is an essential component of the dental hygiene process;

31. describe the concepts involved in sharpening dental instruments;

32. describe medical/dental complications that may influence or occur during treatment and list preventive measures.

Expected Outcomes for Students:

Upon completion of the course the student should be able to:

1. communicate effectively with the patient in order to obtain a thorough current medical history;

2. evaluate the patient's physical health and recognize potential risks, take the necessary precautions, and evaluate the need for follow-up;

3. recognize medications noting possible side effects and complications;

4. recognize and articulate medical-legal considerations for evaluating patients'

medical histories;

5. develop emergency protocols utilizing a team approach;

6. locate emergency kit(s), oxygen, and adjunct medical emergency equipment;

7. utilize medical emergency equipment within the scope of practice;

8. follow the stress reduction protocol for both the normal, healthy, anxious patient and the medical risk patient;

9. develop and utilize a Medical Emergencies Outline for the following conditions:

a. unconsciousness, vasodepressor sycope, hyperventilation, and hypertension;

b. airway obstruction, asthma and acute adrenal insufficiency;

c. heart failure and acute pulmonary edema, chest pain and angina pectoris;

d. cerebral vascular accidents and seizures;

e. diabetes and thyroid gland dysfunction;

f. drug overdose and allergic reactions.

Course Content:

1. Prevention of medical emergencies

2. Preparation for medical emergencies

3. Medical-legal considerations

4. Definition of predisposing factors for, clinical findings, management, and prevention for

a. Unconsciousness

b. Syncope

c. Hypertension

d. Hyperventilation

e. Airway obstructions

f. Asthma

g. Acute adrenal insufficiency

h. Heart failure

i. Chest pain

j. Angina pectoris

k. Stroke (CVA)

l. Seizures

m. Diabetes

n. Thyroid gland dysfunction

o. Drug overdose

p. Allergic reactions

Methods of Presentation:

1. Discussion

2. Student presentations

3. Lecture

4. Audiovisual Aids

Assignments and Methods of Evaluating Student Progress:

1. Typical Assignments

a. Evaluation of medical emergency enactments

b. Development of a medical emergencies chart

c. Evaluation of case histories

2. Methods of Evaluating Student Progress

a. Quizzes

b. Midterm exam

c. Final exam

Textbook(s)(Typical):

Medical Emergencies in the Dental Office, Malamed, C.V. Mosby, 1993

Special Student Materials:

None

Revised 12-1-00