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Big Sandy Community and Technical College Course Syllabus PS Number: 49729, 49731 Semester: Fall Year: 2017 Faculty Name: Pamela Ray, BS, RDH Carmen Fields, BS, RDH Title: Associate Professor Associate Professor Course Prefix and Number: DHG 220 Course Credit Hours: 4 Course Prerequisites: Completion of DHG 130, DHG 132, DHG 134, DHG 136, and DHG 131 with a grade of C or better. Course Title: Clinical Dental Hygiene II, Lab Catalog Course Description: Comprehensive dental hygiene care is provided in a clinical setting while emphasizing the treatment of periodontal and special needs patients. Instructor Contact Information: Campus Location: BSCTC-Prestonsburg Building & Room: Johnson/148 Office Hours: Monday/Online 8:00 a.m. - 10:00 a.m. Tuesday/Office 9:00 a.m. - 5:00 p.m. Office Phone Number: 606 889 4816 Alternate Number: 606 886 3863 ext. 64816 Best Times to Call: During office hours on Tuesday KCTCS Email: [email protected] Special Instructions: Division Assistant - Linda Daniel – 606 886 7352 Supervisor Contact Information: Name: Dr. Jill Keaton, DMD Campus Location: Prestonsburg Building & Room: Johnson/J 113-B Office Phone Number: 606 886-4726
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Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

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Page 1: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

Big Sandy Community and Technical College

Course Syllabus

PS Number: 49729, 49731 Semester: Fall Year: 2017

Faculty Name: Pamela Ray, BS, RDH Carmen Fields, BS, RDH

Title: Associate Professor Associate Professor

Course Prefix and Number: DHG 220 Course Credit Hours: 4

Course Prerequisites: Completion of DHG 130, DHG 132, DHG 134, DHG 136, and DHG 131 with a grade of C or better.

Course Title: Clinical Dental Hygiene II, Lab

Catalog Course Description: Comprehensive dental hygiene care is provided in a clinical setting while emphasizing the treatment of periodontal and special needs patients.

Instructor Contact Information:

Campus Location: BSCTC-Prestonsburg Building & Room: Johnson/148

Office Hours: Monday/Online 8:00 a.m. - 10:00 a.m. Tuesday/Office 9:00 a.m. - 5:00 p.m.

Office Phone Number: 606 889 4816 Alternate Number: 606 886 3863 ext. 64816

Best Times to Call: During office hours on Tuesday

KCTCS Email: [email protected]

Special Instructions: Division Assistant - Linda Daniel – 606 886 7352

Supervisor Contact Information:

Name: Dr. Jill Keaton, DMD

Campus Location: Prestonsburg Building & Room: Johnson/J 113-B

Office Phone Number: 606 886-4726

Page 2: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

KCTCS Email:

Text and Supplies:

Required: Wilkins, E.M., (2017). Clinical Practice of the Dental Hygienist, 12th ed. Philadelphia, PA: Lippincott Williams & Wilkins. ISBN # 978-1451193114 Supplemental: Nield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation and Advanced Root Instrumentation, 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins. ISBN # 978-1-60913-331-3

KCTCS General Education Competencies

Students should prepare for twenty-first century challenges by gaining: A. Knowledge of human cultures and the physical and natural worlds through study in the sciences and

mathematics, social sciences, humanities, histories, languages, and the arts.

B. Intellectual and practical skills, including

inquiry and analysis

critical and creative thinking

written and oral communication

quantitative literacy

information literacy

teamwork and problem solving C. Personal and social responsibility, including

civic knowledge and engagement (local and global)

intercultural knowledge and competence

ethical reasoning and action

foundations and skills for lifelong learning D. Integrative and applied learning, including synthesis and advanced accomplishment across general and

specialized skills.

Course Specific Competencies (Student Outcomes):

1. Demonstrate increasing clinical competency in the treatment of patients in relation to assessment, planning, implementation and evaluation (emphasizing periodontal conditions and special patients’ needs). 2. Individualize treatment regimens for special needs patients. 3. Demonstrate use of the air polisher. 4. Demonstrate use of intraoral media equipment. 5. Demonstrate amalgam overhang removal and polishing.

Page 3: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

In addition to the above course competencies, the following Program Core Competencies will be addressed: 1. Ethics. 1.1 Apply ethical reasoning to dental hygiene and practice with professional integrity. 1.2 Serve all patients and the community without discrimination. 1.3 Provide humane and compassionate care to all patients. 1.4 Maintain honesty in relationships with patients, colleagues and other professionals. 1.5 Ensure the privacy of the patient during dental hygiene treatment and counseling and the confidentiality of patient records. 1.6 Comply with state and federal laws governing the practice of dentistry and dental hygiene. 1.7 Use peer assistance and peer review programs when confronted with the incompetent, impaired and unethical colleague. 2. Information Management and Critical Thinking. 2.1 Solve problems and make decisions based on accepted scientific principles. 2.3 Evaluate the safety and efficacy of oral health products and treatments. 2.4 Communicate professional knowledge verbally and in writing to patients, colleagues and other professionals. 2.5 Employ the principles of scientific writing. 2.6 Commit to self-assessment and lifelong learning in order to provide contemporary clinical care. 3. Professional Identity. 3.3 Assume the roles of the profession (clinician, educator, researcher, change agent, consumer advocate, administrator), as defined by the ADHA. 4. Self-Care Instruction. 4.1 Promote preventive health behaviors by personally maintaining optimal oral and general health. 4.2 Identify the health needs of individuals and assist them in the development of appropriate and individualized self-care regimens. 4.3 Encourage patients to assume responsibility for their health and promote adherence to self-care regimens. 5. Community involvement. 5.1 Identify services and agencies that promote oral health and prevent oral disease and related conditions. 5.4 Use screening, referral and education to bring consumers into the health care delivery system. 5.5 Provide dental hygiene services in a variety of settings. 6. Assessment. 6.1 Obtain, review and update a complete medical, family, psychological, and dental history including an assessment of vital signs while recognizing cultural differences in populations. 6.2 Manage the patient record as a legal document and maintain its accuracy and consistency. 6.3 Determine medical conditions that require special precautions or consideration prior to or during dental hygiene treatment. 6.4 Identify the patient at risk for a medical emergency, and be prepared to handle the emergency should it occur during an appointment. 6.5 Perform an extraoral and intraoral examination and accurately record the findings. 6.6 Determine the need for referral to the appropriate health professional. 6.7 Accurately perform an examination of the teeth. 6.8 Identify the need for radiographs. 6.9 Radiographically distinguish normal from abnormal anatomical findings.

Page 4: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

6.10 Evaluate the periodontium, and identify conditions that compromise periodontal health and function. 6.12 Analyze and interpret the assessment data to formulate a dental hygiene diagnosis related to and congruent with the diagnosis of the dentist and other health professionals. 7. Planning. 7.1 Determine priorities and establish oral health goals with the patient/family and/or guardian as an active participant. 7.3 Establish a planned sequence of educational and clinical services based on the dental hygiene diagnosis using the problem-based approach. 7.4 Communicate the plan for dental hygiene services to the dentist or other interdisciplinary health team members to determine its congruence with the overall plan for oral health care. 8. Implementation. 8.1 Use accepted infection control procedures. 8.2 Obtain radiographs of diagnostic quality. 8.3 Provide an environment conducive to health by applying basic and advanced principles of dental hygiene instrumentation without causing trauma to hard or soft tissue. 8.4 Control pain and anxiety during treatment through the use of accepted clinical techniques and appropriate behavioral management strategies. 8.5 Select and administer the appropriate preventive and/or antimicrobial (chemotherapeutic) agent and provide pre- and post-treatment instructions. 8.6 Provide adjunct dental hygiene services that can be legally performed in the State of Kentucky. 9. Evaluation. 9.1 Determine the clinical outcomes of dental hygiene interventions using indices, instruments, examination techniques, and determine the appropriate maintenance schedule. 9.2 Determine the patient's satisfaction with the dental hygiene care received and the oral health status achieved. 9.3 Determine a recall system appropriate to a practice setting.

Lab Competencies (Student Outcomes): (Enter N/A if this does not apply.)

1. Select appropriate radiographs when indicated 2. Provide individualized patient education 3. Provide nutritional counseling 4. Utilize ultrasonic scaling 5. Complete scaling, root planning and periodontal debridement 6. Apply desensitizing agents 7. Utilize selective polishing of teeth 8. Administer therapeutic agents 9. Construct study models (TBD) 10. Remove amalgam overhangs and polish restorations 11. Utilize air polishing techniques 12. Utilize oral irrigation (in-office and home care) systems 13. Utilize intraoral media ***determined by clinical competencies

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Course Outline:

August 15

Chapter 34 1. Patient Who Uses Tobacco A. Smoke tobacco B. Smokeless tobacco C. Tobacco cessation D. Systemic Effects E. Oral Manifestations F. Periodontal Infections G. Pharmacotherapies used for nicotine addiction H. The 5 “A” s

August 22

Chapter 35 Diet & Dietary Analysis

A. Nutritional standards B. The Dietary Assessment C. Counseling Procedures D. Evaluation of Progress

Chapter 67 The Patient with A Cardiovascular Disease

A. Classification B. Rheumatic fever, rheumatic heart disease and murmurs C. Infective Endocarditis D. Surgically corrected cardiac and vascular disease E. Hypertension F. Ischemic heart disease G. Cardiac arrhythmias H. Congestive heart failure I. Anticoagulant Therapy

August 29

Chapter 69 Dental Patients with Diabetes Mellitus

A. Diabetes mellitus-Insulin B. Complications C. Oral Relationships

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September 5

Exam 1 First Hour

Chapter 66 The Patient with A Respiratory Disease

A. The Respiratory System and Classifications B. Role of Biofilm C. Pneumonia D. TB E. Asthma F. COPD G. Cystic Fibrosis

September 12

Chapter 68 Dental Patients with Blood Disorders

A. White blood cell disorders 1. Leukocytosis 2. Leukopenia 3. Leukemia B. Red blood cell disorders 1. Anemia a. Iron deficient b. Pernicious-Megaloblastic c. Sickle cell d. Aplastic 2. Polycythemias C. Coagulation disorders 1. Inherited 2. Acquired 3. Drug related D. Other drug related bleeding problems September 19

Chapter 61 The Dental Patient with A Neurodevelopmental Disorder

1. Down Syndrome 2. Autism Spectrum Disorder 3. Dental Hygiene Care

Page 7: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

Chapter 64 The Patient with A Mental Health Disorder

1. Schizophrenia 2. Major Depressive Disorder 3. Bipolar Disorder 4. Anxiety Disorders 5. Eating Disorders

September 26 Exam II, First Hour

Chapter 52 The Patient with an Endocrine Disorder or Hormonal Change

A. Stages 1. Oral Conditions 2. Dental Hygiene Care 3. Menstruation 4. Hormonal Contraceptives 5. Menopause

October 3

Chapter 63 The Patient with A Seizure Disorder

A. Types of Seizures B. Clinical Manifestations C. Treatment 1. Medications 2. Side Effects D. Surgery E. Vagus Nerve Stimulation F. Oral Findings October 8-15 FALL BREAK

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October 17

Chapter 59 The Patient with A Physical Impairment

A. Spinal Cord Injury B. Myelomeningocele-Spina Bifida C. CVA-Stroke D. Muscular Dystrophies E. Myasthenia gravis F. Multiple Sclerosis G. Parkinson’s disease H. Cerebral Palsy I. Arthritis 1. Rheumatoid 2. Juvenile Rheumatoid 3. DJD J. Scleroderma K. Kidney Disease

October 24

Chapter 56 The Patient with Cancer

A. Radiation related effects B. Chemotherapy related effects C. Pre and post-therapy dental guidelines D. Hematopoietic Cell Transplantation

October 31 Exam III, First Hour

Chapter 55 The Oral and Maxillofacial Surgery Patient

A. Patient Prep B. Dental Hygiene Care Plan C. Fractured Jaw Chapter 51 The Patient with A Cleft Lip and/or Palate

A. Classifications B. Etiology C. Cleft Palate

November 7

Chapter 57 Dental Hygiene Care in Alternative Settings

Page 9: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

A. Oral Hygiene Care B. Unconscious Patient Chapter 60 The Patient with A Sensory Impairment

A. Americans with Disabilities Act B. Visual Impairment C. Hearing Impaired

November 14 Review

November 21 Open/Catch up/Community Project

November 28 Open/Catch up/Community Project

December 4-9 Final Exam

LAB OUTLINE

Week 1 - Anxiety & Pain Control (Wilkins Ch. 37)

A. Topical Anesthetic 1. define topical anesthetic 2. list some common ingredients in a topical anesthetic B. Local Anesthetic 1. define a local anesthetic 2. Name the different types of local anesthetics. C. Nitrous Oxide 1. define nitrous oxide 2. explain the use of nitrous oxide in the clinical setting D. Sedation Week 2 - Sealants (Wilkins Ch. 35)

A. Development of sealants 1. definition 2. action B. Sealant material 1. classification of sealants 2. indication for placement C. Clinical procedures Dental Caries, (Wilkins Ch. 42) Study Casts, (Wilkins, Ch. 11)

Page 10: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

Week 3 - Nonsurgical Periodontal Instrumentation (Wilkins Ch. 39)

A. Instruments Used B. Types of medicants Week 4 - Cardiovascular disease (Wilkins Ch. 66)

A. Infective endocarditis 1. define infective endocarditis 2. list the signs and symptoms of infective endocarditis 3. outline the treatment procedures B. Rheumatic fever, rheumatic heart disease, and murmurs 1. define rheumatic fever, rheumatic heart disease, and murmurs 2. compare and contrast rheumatic fever, rheumatic heart disease, and murmurs C. Congenital heart disease 1. define congenital heart disease 2. explain its effect as aging occurs D. Surgically corrected cardiac and vascular disease 1. outline the treatment procedures E. Hypertension 1. define hypertension 2. explain how hypertension affects the treatment plan F. Ischemic heart disease 1. define ischemic heart disease G. Cardiac arrhythmias 1. define cardiac arrhythmias 2. compare and contrast cardiac arrhythmias with cardiac attack H. Congestive heart failure 1. define congestive heart failure 2. list the signs and symptoms Week 5 - Exam 1

Week 6 - Patients With Diabetes Mellitus (Wilkins Ch. 68)

A. Diabetes mellitus 1. definition 2. impact B. Insulin 1. definition 2. description 3. function 4. complications C. Types of diabetes 1. Type I

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2. Type II 3. gestational 4. other types D. Diagnosis E. Complications

Week 7 - The Patient with a Respiratory Disease (Darby Ch. 65)

A. Chronic obstructive pulmonary disease (COPD) 1. outline the onset of COPD 2. review its possible relationship with the oral cavity B. Asthma 1. define asthma 2. list the different types C. Tuberculosis (TB) 1. define tuberculosis 2. list the signs and symptoms D. Cystic fibrosis 1. define cystic fibrosis 2. list the signs and symptoms

Week 8 - Management of dental patients with blood disorders/dyscrasias (Wilkins Ch. 67)

A. White blood cell disorders 1. define leukocytosis 2. define leukopenia 3. define leukemia B. Red blood cell disorders 1. Anemia - compare and contrast the following a. Iron deficient b. Pernicious c. Sickle cell d. Aplastic 2. Polycythemia a. define polycythemia b. list the signs and symptoms C. Coagulation disorders - define and compare and contrast the following 1. inherited 2. acquired 3. drug related

Week 9 - Fall Break

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Week 10 - Exam II Discuss Periodontal Surgery

Week 11 - Nonsurgical Periodontal Therapy Care Procedures (Wilkins Chapter 39)

1. Discuss antimicrobial Treatments’ 2. Professional SUBGINGIVAL Irrigation 3. Tetracycline Fiber 4. Doxycline Polymer 5. Minocycline Hydrochloride 6. Chlorhexidine Chip

Week 12 - Management of dental patients with hormonal complications and pregnancy (Wilkins Ch. 48)

A. Pregnancy 1. list the considerations of pregnancy with regards to treatment 2. review the gingival changes B. Pre and post menopause 1. compare and contrast pre and post menopause C. Puberty 1. define puberty 2. review relationship with growth and development

Week 13 - Management of dental patients with a physical impairment (Wilkins Ch. 58)

A. Define and list the signs and symptoms of the following 1. cerebral palsy 2. muscular dystrophy 3. multiple sclerosis 4. bell’s palsy 5. myasthenia gravis 6. Parkinson’s disease Management of dental patients with cancer (Wilkins Ch. 55) A. Treatment 1. list radiation related effects 2. list chemotherapy related effects 3. list pre and post-therapy dental guidelines

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Week 14 Exam 3

Week 15 Thanksgiving

Week 16 Management of Older Adult Patient (Wilkins Ch. 52)

A. Normal aging - outline the following 1. Whole body 2. Oral 3. Successful aging vs. disease B. Common conditions 1. arthritis 2. side effects of drugs 3. dementia 4. metabolism changes

Course Structure:

Overhead transparencies, lecture, Blackboard, PowerPoint, and guest speakers will be utilized in this course.

Technology/Media Component:

Class is taught via interactive television video. Lecture outlines, notes, etc. will be posted on Blackboard. Students

will be given at least a 48-hour notice (not including Saturday and Sunday) via Blackboard with assignment

deadlines, exams, etc. ***Dates are also included within this syllabus with deadlines of assignments.

Service-Learning:

Course Requirements and Evaluation:

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Patient Classification

Patients are classified according to the periodontal condition and the amount of calculus deposits and stain in the

mouth.

Pedo: Age 12 and younger, primary or mixed dentition.

Adolescent: Age 13-17

Geriatric: Age 65 and older

***Students must see at least two patients in each age category listed above.

Case Type I: Permanent or mixed dentition that requires a simple prophylaxis with few deposits or stains. This classification may include one or any combination of the following: 1. Minimal stain 2. Minimal calculus (supra or sub-gingival) 3. No bone loss (1-3mm pocket depth)

Case Type II: Permanent dentition that requires a prophylaxis involving moderate deposits or stain. This classification may include one or any combination with #4.

1. Moderate to heavy amounts of stain 2. Light to moderate amounts of supragingival calculus located on approximately one-half (1/2) of the teeth 3. Subgingival calculus located on less than one-half (1/2) of the teeth 4. Early bone loss (4-5 mm pocket depth)

Case Type III: Permanent dentition that requires a prophylaxis involving moderate periodontitis. This classification may include one or any combination with #3.

1. Moderate amounts of supragingival calculus located on more than one-half (1/2) of the teeth 2. Generalized subgingival calculus involving at least one-half (1/2) of the teeth 3. Moderate to severe bone loss (5-7 mm pocket depth)

Case Type IV: Permanent dentition that requires a prophylaxis involving advanced periodontitis. The classification involves:

Page 15: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

1. Heavy amounts of supragingival and subgingival calculus involving more than three-fourths (3/4) of the dentition. 2. Severe bone loss (7mm or greater pocket depth) ***Patient Classifications is posted in the clinic for students referral as well.

Clinic Time Management

7:30 Arrive at clinic (Clinic manager 7:20) 7:45 Station ready 8:00 Seat patient 8:00 – 11:30 Perform tasks 11:30 Student to be signed up for a check 11:45 Patient should be out of clinic 11:45 – 12:00 Ready station for afternoon patient 12:30 Back from lunch 12:45 Station ready 1:00 Seat patient 1:00 – 4:30 Perform tasks 4:30 Student shoud be signed up for a check 4:45 Patient should be out of clinic 4:45 – 5:00 Prepare station & clinic for next day Time management deductions will occur for beginning after 7:30 a.m. & 1:00 p.m. and ending after 12:00 p.m. & 5:00 p.m. (There is a 2 point deduction for every 10 minute student is late.) Clinical competency must also be demonstrated in the following areas: 1. Need and type of radiographs 2. Individualized patient education 3. Nutritional counseling 4. Ultrasonic scaling 5. Scaling/root planning 6. Desensitization 7. Polishing 8. Fluoride 9. Study models (TBD) 10. Sealants The following clinical procedures are required and the specified minimum number of patients that must be evaluated are listed below. A minimum grade of 78% must be earned for each procedure unless noted otherwise.

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***Calculus charting will be done on each patient whis is Class II or greater. At the starting check your clinical instructor will assign the quadrant he/she wants you to chart. Once this is completed the instructor will check this area before proceeding to scale the patient.

Sealant Application Evaluation 4 teeth (can be placed on the same patient)

Patient Education To be performed on every patient (at least 2 evaluated)

Ultrasonic Instrumentation Evaluation 2 patients (must be Class II or greater of course) Subgingival Irrigation Each patient with pockets 4mm or greater (2 evaluated) Root Desensitization Evaluation 2 patients Radiographs BW adult 4 FMS adult 2 BW pediatric/mixed dentition 2 Instrumentation Evaluation 4 patients (must be a Class II or greater) Bleach 2 arches

Each student will receive a copy of all clinical forms utilized and specific grading criteria. Failure to complete all

clinical requirements can result in failure rather than an incomplete grade.

*A minimum score of 94% is required for each patient education evaluation.

A minimum score of 78% is required for each radiographic film set. All radiographs must be graded within one

week of taking, by a DMD. Radiographic pathology evaluations and radiographic technique evaluations are

required for all radiographs. You must sign the Radiology sign up sheet once Radiographs are taken. The student

is responsible to get x-rays graded within 1 week of signing up. If not there will be a seven (7) point deduction

for every week your Radiographs are not graded.

**ALL Requirements (Evaluations) are to be completed by 11/17/17

***A student who does not complete all requirements by the end of the semester or who withdraws from the

course will be dropped from the program. No grade of “I” (incomplete) will be given if a student fails to meet all

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requirements by the semester’s end. He/She will receive a grade of “E” and will be administratively dropped

from the program.

***There will be no carrying patients over into the Spring semester.

***There will be no Class III patients graded on one quadrant. The patient must be completed. Start finding

them now.

*** Your first Class III patient needs to be completed by September 15th or the student loses one letter grade.

***Your first Clinic period all students will present at 7:30 to approve scrubs. Alterations will be at instructors

discretion. Hair/nails needs to be appropriate at this time as well!!!

Case Reasoning / Supplemental Clinical Activity:

Each student will be asked to participate in periodic case-study reviews and discussion. Students will be required

to review material prior to class and be prepared to discuss and assess treatment planning given a patient history

and other pertinent data.

Each student will complete one case study on patient of their choice, who has a systemic disease. Case Study is

due by October 22nd.

Students will also complete a Dietary Analysis on one patient based on information learned in the previous Spring

semester in Dental Nutrition. This is due by November 6th.

Each student is to keep a log/journal of their patients each day. Remember important things about them. Log

systemic diseases, medicines, etc. I would do this daily, and a good time to do them would be during down time in

clinic. These need to be neat and ledgible. The journals are to be turned in at the end of the semester.

Last minute patients is just what it says “last minute patients.” A patient is only considered such if they are found

the day of the appointment. You may only have three (3) last minute patients.

Also, only four (4) free patients for the second year students.

Final Grade Calculation:

You must earn a 78% or greater average in each of the clinical and lecture components for your final grade to be

calculated as explained below. If your average is less than 78% in either component, the lesser grade of the two

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components will be your final grade. In order to continue in the Dental Hygiene Program, a final grade of “C” or

better is required.

Clinical Evaluations: 75%

Case Type I / Pediatric 15%

Case Type II 30%

Case Type III / IV 25%

Radiographs 5%

Evaluations 5%

Inactives 20%

Didactic Evaluations (Lecture) 25%

Case Study (2) 100 pts

Dietary Analysis 100 pts

Journal 100 pts

Exam 1 100 pts

Exam 2 (mid-term) 100 pts

Exam 3 100 pts

Exam 4 (final) 100 pts

Quizes 4 (25 pts. Each) 100 pts

**Class Participation 100 pts (includes attendance and part- Icipation in class and outside

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Activities) Professionalism 100 pts Total 1000 pts

**Evenly distributed per class meeting periods awarded at instructor’s discretion. One hundred points evenly

distributed per class meeting period, discussion board on Bb, case studies Bb, etc.

***Professional Performance Standards sheets will be provide for clinic and lecture for student professional

performance in both. Examples will be attached at the end of this document.

****You must pass at least two of the four exams (including final) with 78% or greater to pass this course. If

student does not pass two exams they will fail the class and therefore be dropped from the Dental Hygiene

program.

Safety Compliance Policies

All dental hygiene students will be required to adhere to all safety compliance policies and procedures in the

classroom, lab, and clinical setting (i.e. criminal background check screenings and substance abuse screenings.)

Attached at the end of this document is more information concerning the safety compliance policies.

Mid-Term Student Conference

This is to be held with each student who is not in good standing in the program one week prior to fall break.

Grading Policy:

A= 94 – 100

B= 86 - 93

C= 78 – 85

D= Less than 78%

E=

Attendance Policy:

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Attendance is imperative to succeed in the program and will be documented for each lecture and lab. If you are unable to be in class or lab you must notify the course instructor of the class/ coordinator/ or administrative assistant (Linda). If you are tardy for a lecture or lab, you must gain instructor approval to enter. If you need to leave early, you must notify the course instructor. Any disruption of class by a student regardless of the form of disruption and at the discretion of the instructor may result in dismissal from class and loss of participation points for the day. It is the responsibility of the student to contact both the class instructor and the site proctor by email if you are unable to attend class for any reason. It is the student’s responsibility to contact the instructor or site proctor for any missed assignments. If you are absent on the day of an exam, a grade of “0” will result for that exam unless prior arrangements have been made with the instructor. A valid excuse is one that is written, dated, and signed by a doctor, lawyer, etc. on office letterhead. Work or regularly scheduled appointments are not deemed acceptable excuses. This goes for guest lecturers as well. Everyone needs to be here regardless of work, etc. Children are not permitted in lectures or labs. If your child is a patient in the clinic he/she may not be left unattended while you are in clinic, lecture, or lab. Cell phones or any other electrical device must be placed in your secured area at your site, or confiscated at the beginning of lecture/clinic. Any abuse of policy may result in a zero. Emergency contact: Linda Daniel x67352/ Jennifer Adams x14791.

Missed Exam Policy:

If a make-up exam is necessary, 5% will be automatically deducted. Make-up exams may be a different exam

and format. Any missed quiz will result in a score of 0 for that quiz. No make-up quizzes will be allowed. Make-up

exams will be given as follows:

Make-up exams will be given within one week of the original exam date.

Students requiring a make-up exam must contact the appropriate instructor at each site in order to schedule

their individual exam. Make-up exam dates and times, within the the make-up weeks, will be assigned to the

student by the instructor. If a student fails to contact an instructor in order to make arrangements for a make-

up exam the student will receive a zero score for the exam.

Late Assignment Policy:

No late assignments will be tolerated. A grade of “0” will be given for any assignments turned in late!

Withdrawal Policy:

A student may withdraw from the class and receive a “W” grade at any time specified by the printed college

guideline. From the last day to drop a course without a grade through mid-term, students, at their discretion, may

officially withdraw from a class and receive a grade of “W”. After the mid-term date through the end of class work

(see Academic Calendar), this instructor will allow a student to withdraw only under extenuating circumstances,

such as illness, accident, etc. The student must see the instructor.

Information Available at the Current Student Portal

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http://www.bigsandy.kctcs.edu/current_students ARTICLE II - ACADEMIC POLICIES AND PROCEDURES http://legacy.bigsandy.kctcs.edu/StudentCode2009.ashx.pdf (Referenced in the Rules of the Community College Senate, Section VII and in the Rules of the Technical College Senate, Section VII). The following information is available on the BSCTC Homepage: www.Bigsandy.kctcs.edu go to Current Students and under Right to Know click on Student Code of Conduct. Paper copies of all the documents listed under Right to Know are also available upon request at the Admissions Office or Library on the Mayo, Pikeville and Prestonsburg Campuses. 2.1 Academic Honesty Policy 2.2 Academic Rights of Students 2.2.1 Information about course content 2.2.2 Information about course grading criteria 2.2.3 Contrary opinion 2.2.4 Academic evaluation 2.2.5 Academic records 2.2.6 Evaluation of student character and ability 2.3 Student Academic Offenses and Academic Sanctions 2.3.1 KCTCS Academic Offenses 2.3.1.1 Plagiarism 2.3.1.2 Cheating 2.3.1.3 Student Co-Responsibility 2.3.1.4 Misuse or Student Falsification of Academic Records 2.3.2 Academic Sanctions/Penalties of Students 2.3.2.2 Other Academic Sanctions 2.4 Student Appeals and Responsibilities 2.4.1 Student Responsibilities 2.4.1.1 Responsibility Involving Academic Rights of Students (section 2.0)

Please refer to flowchart: Appeals in Cases of an Alleged Violation of Student Academic Rights Figure 1) 2.4.1.2 Responsibility Involving Academic Offenses (section 2.3) When a student is believed to be guilty of any of the four academic offenses (2.3.1.1 – 2.3.1.4), a student will find information concerning responsibilities of college personnel in section 2.5.2.

ARTICLE III-NON-ACADEMIC DISCIPLINARY POLICIES AND PROCEDURES

3.1 General Regulations Concerning Student Behavior 3.2 Disciplinary Offenses

3.3 Penalties and Sanctions 3.4 Enforcement

3.5 The Procedures

3.5.1 The Role of the Chief Executive Officer in Student Disciplinary Matters 3.5.2 The College Judicial Board

3.5.2.1 Authority 3.5.2.2 Composition

3.5.2.3 Eligibility Requirements 3.5.2.4 The Appointment Process

3.5.2.5 Terms of Office 3.5.2.6 Absence

3.5.2.7 Temporary Appointments to the Judicial Board 3.5.3 The College Appeals Board

3.5.3.1 Jurisdiction on Cases of Disciplinary Offenses

3.5.3.2 Disposition of cases of Disciplinary Offenses

3.5.3.3 Composition of the College Appeals Board

3.5.3.4 Authority of the KCTCS Board of Regents in Cases Involving Suspension or Expulsion of a Student

3.6 Temporary Sanctions

CAMPUS SECURITY http://www.bigsandy.kctcs.edu/Student_Life/Campus_Security.aspx

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Learn more about our safety and security initiatives: Download the BSCTC Safety Manual (PDF) Safety Notification and Alert Procedure (SNAP) Pandemic Flu Response Plan (PDF) HIV and AIDS Information Hepatitis B Information Incident Reports KCTCS SAFETY NOTIFICATION ALERT PROCESS (SNAP) http://kctcs.edu/snap Minutes Matter — Get SNAP Messages Quickly by E-mail, Text or Call SNAP is the official Safety Notification Alert Process for the Kentucky Community and Technical College

System (KCTCS). SNAP alerts users to on-campus emergencies and college closings or delays for all 16 KCTCS colleges and the System office.

CENTER FOR ENRICHMENT RESOURCES http://www.bigsandy.kctcs.edu/en/Academics/Center_for_Enrichment_Resources.aspx The BSCTC Center for Enrichment Resources (CER) offers students’ academic assistance in all subject areas. Campus Locations: Prestonsburg Campus the CER is located in the Magoffin Building, room 219. The

Testing Center is located in the Magoffin Building, room 218. Pikeville Campus the CER is located in room N202. The Testing Center is located in room N216. Mayo Campus the CER is located in Building C, room 124. The Testing Center is located in Building C, room 112.

STUDENT RIGHT TO KNOW http://www.bigsandy.kctcs.edu/en/Academics/Student_Right_To_Know.aspx Student Code of Conduct Student Rights and Responsibilities Student Right to Know FERPA Information Drug Free Policy Harassment Free Education Student Discrimination Grievance Procedures Student Discrimination Grievance Form Student Complaint Procedure

Additional Information Available at the Current Student Portal http://www.bigsandy.kctcs.edu/current_students MAIN Academic Calendar Blackboard Email Help Library Student Service Center User Account Center ACADEMIC PROGRAMS AND CLASSES Class Schedules KCTCS Catalog Programs of Study

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STUDENT RESOURCES College Bookstore Cost & Financial Aid Cost & Financial Aid Employee Directory How To: Student Self Service Schedules, Syllabi, & Office Hours Student Life Tuition & Fees

Americans with Disabilities Act (ADA)Statement http://www.bigsandy.kctcs.edu/en/Academics/Disability_Services.aspx Students with disabilities: If you are in need of an accommodation because of a documented disability, you are required to register with Disability Support Services each semester. Contact: Janie Beverley, Coordinator for Disability Support Services; Student Center Room 103; Ph: (606) 886-7359; Toll-free 888-641-4132, ext. 67359; Email: [email protected]

BSCTC Dental Hygiene Clinic Professional Performance Standards (PPS)

Student professional performance is graded using the criteria identified below. The grade is based on a 100 point scale. Points are

deducted from the student’s overall grade for each instance in which the student does not meet professional expectations. Please

include dates and comments to support point’s deductions. Each comment must be initialed by instructor.

Dep

art

men

t

Examples: Being on time Having an appropriate patient Staying for the duration Managing time Other:_____________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

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Resp

on

sib

ilit

y Examples:

Notify coordinator when absences/issues arise Assumes responsibility for patient interactions (courtesy, confirming appointments, following HIPPA regs on confidentiality, etc.) Other:______________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

Co

nd

uct

Examples: Projecting a positive attitude Accepting constructive feedback Being courteous to others Cell phone only used to contact patients (by permission) Other:_______________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

Co

mm

un

icati

on

Examples: Working effectively with patients, students, faculty and staff Using Correct terms and grammar No social media comments about patients or clinic interactions unless approved by clinic manager Effectively and politely expressing ideas and opinions Other:_________________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

Clin

ic

Pre

para

tio

n

Examples: Bringing required materials to clinic Having all clinic supplies organized and available Keeping clinic areas clean and ready for patient care Other:__________________

1st incident x 2=_____ Subsequent x 4_____

Dates/Comments: Total points deducted:

Ap

peara

nce

Examples: Following the dress code for clinic Maintaining clinic areas clean and ready for patient care Other:__________________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

Gra

de

To calculate the final PPS grade, add the scores from each “Total Points Deducted” and subtract from100. 100-_______=_______%. 80% must be maintained for the semester or a grade drop will occur.

Final PPS % out of 100% _______________

Student Signature: ___________________Course Coordinator Signature: _________________Date:

BSCTC Dental Hygiene Classroom Professional Performance Standards (PPS)

Student professional performance is graded using the criteria identified below. The grade is based on a 100 point scale. Points are

deducted from the student’s overall grade for each instance in which the student does not meet professional expectations. Please

include dates and comments to support point’s deductions. Each comment must be initialed by instructor.

Page 25: Big Sandy Community and Technical College Course Syllabusbsctcapps.com/syllabi/docs/fall2017/RayP_DHG220_B001_Fall2017.pdfNield-Gehrig, J.S. (2013). Fundamentals of Periodontal Instrumentation

Dep

art

men

t Examples: Attending class each day Being on time Staying for the duration Other:_____________

1st incident x 2=_____ Subsequent x 4=_____ Record the number of times the student arrives late or leaves early

Dates/Comments: Total points deducted:

Resp

on

sib

ilit

y

Examples: Notify coordinator when absences/issues arise Turning in class assignments on time Read and follow all dates and criteria in course syllabi Adhere to the Student Code of Conduct policies on cheating and unethical behavior Prepare desk area for tests or quizzes with space/barriers Other:______________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

Co

nd

uct

Examples: Projecting a positive attitude Accepting constructive feedback Being courteous to others Listening to the Instructor Cell phone put away during class Other:_______________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

Co

mm

un

icati

on

Examples: Working effectively with patients, students, faculty and staff Using Correct terms and grammar Effectively and politely expressing ideas and opinions Listening when others speak Other:_________________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

Clin

ic

Pre

para

tio

n

Examples: Bringing required materials to clinic Completing homework assignments Completing worksheets and study guides Reading all assignments before coming to class Other:__________________

1st incident x 2=_____ Subsequent x 4_____

Dates/Comments: Total points deducted:

Ap

peara

nce

Examples: Following the dress code for class and maintaining good personal hygiene Appear alert and ready to learn Other:__________________

1st incident x 2=_____ Subsequent x 4=_____

Dates/Comments: Total points deducted:

Gra

de

To calculate the final PPS grade, add the scores from each “Total Points Deducted” and subtract from100. 100-_______=_______%. 80% must be maintained for the semester or a grade drop will occur.

Final PPS % out of 100% _______________

Student Signature: ___________________Course Coordinator Signature: _________________Date:

Safety Compliance Policies:

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All dental hygiene students will be required to adhere to all safety compliance policies and procedures

in classroom, lab and clinical settings (i.e. criminal background check screenings and substance abuse

screenings.)

Substance Abuse Policy:

The commitment of Big Sandy Community and Technical College (BSCTC) dental hygiene program is to

provide a quality education for our students in a safe, professional academic environment. Educational

experiences in the dental hygiene program occur in a clinical setting, on campus. To ensure that

patients, students, and faculty remain safe in this academic endeavor, the dental hygiene faculty of

BSCTC has developed a substance abuse policy as an accountability standard for these clinical activities.

This policy is meant to protect the rights of all persons involved to the fullest extent possible and will be

applied without discrimination.

Substance abuse screenings will be reviewed by a screening committee to ensure safety compliance.

Students failing to meet safety compliance standards established by the committee will be dismissed

from the program.

I. All students admitted to the dental hygiene program at BSCTC will be required to sign a form regarding the substance abuse policy of the dental hygiene program. This form will serve as proof of receipt of the substance abuse policy, proof of full understanding of the policy and proof of a willingness to abide by the policy as long as the student is enrolled in the dental hygiene program at BSCTC.

II. Students accepting admission into the dental hygiene program at BSCTC may be subjected to random or routine substance abuse screening.

III. The substance abuse screening can occur anytime the student is enrolled in the Program of Dental Hygiene at BSCTC.

IV. Students refusing to participate in the substance abuse screening will be immediately dismissed from the program.

V. Should a student be determined positive for an illegal or non-prescribed substance (with the potential to alter behavior) as deemed by the clinical facility conducting the screening, the student will be immediately dismissed from the program.

VI. Should the student demonstrate impaired behavior, regardless of the nature of the drug/substance (prescription, non-prescription, legal or illegal), the student will be immediately dismissed from the program.

VII. Exceptions to program dismissal may be granted by the President of BSCTC.

Effective date of implementation: _______________

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Criminal Background Check:

The commitment of Big Sandy Community and Technical College (BSCTC) dental hygiene program is to

provide a quality education for our students in a safe, professional academic environment. Educational

experiences in the dental hygiene program occur in a clinical setting, on campus. To ensure that

patients, students, facility personnel and faculty remain safe in this academic endeavor, the dental

hygiene faculty of BSCTC has developed a criminal background check policy as an accountability

standard for these clinical activities. This policy is meant to protect the rights of all persons involved to

the fullest extent possible and will be applied without discrimination. Criminal background checks will

be reviewed by a screening committee to ensure safety compliance. Students failing to meet safety

compliance standards established by the committee will be dismissed from the program.

I. All students admitted to the dental hygiene program at BSCTC will be required to sign a form regarding the criminal background check policy of the dental hygiene program. This form will serve as proof of receipt of the criminal background check policy, proof of full understanding of the policy and proof of a willingness to abide by the policy as long as the student is enrolled in the nursing program at BSCTC.

II. All students admitted to the dental hygiene program at BSCTC will be required to complete a criminal background check upon admission to the program.

III. Students may be required to complete a criminal background check with progression through the program.

IV. Students will be required to complete the criminal background check through the company approved by the President and dental hygiene faculty of BSCTC.

V. Students will assume all costs associated with and incurred by the criminal background check requirement.

VI. Students refusing to participate in the criminal background check process will be immediately dismissed from the dental hygiene program at BSCTC.

VII. Screening of background checks will include, but may not be limited to, the following safety compliance violations: abuse-related violations, substance abuse violations and acts of violence violations. Safety compliance violations contributing to dismissal from the program may be either felony or misdemeanor in nature.

Exceptions to program dismissal may be granted by the President of BSCTC.

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DHG 220 Clinical Dental Hygiene II

I have read and understand and accept the terms of this syllabus.

_________________________________ ____________________

Students Signature Date

_________________________________ ____________________

Pamela Ray, BS, RDH Date