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INSTRUCTIONS for Completing: Dental Sedation Assistant Course Application for Approval by the Dental Board of California

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Dental Board of California 2005 Evergreen Street, Suite 1550, Sacramento, California P (916) F (916) INSTRUCTIONS for Completing: Dental Sedation Assistant Course
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Dental Board of California 2005 Evergreen Street, Suite 1550, Sacramento, California P (916) F (916) INSTRUCTIONS for Completing: Dental Sedation Assistant Course Application for Approval by the Dental Board of California This Application reflects the requirements of Business and Professions Code Sections , 1755, and , which each course must meet to secure and maintain approval by the Dental Board as a Dental Sedation Assistant Course for individuals seeking a Dental Sedation Assistant Permit. In the Application document, excerpts from the laws appear in normal text, while questions on the Application appear in italic text. The term B&P used in the Application document means Business and Professions Code Section. 1. Fee. A non-refundable application fee in the amount of $300 payable to the Dental Board must be submitted with the Application unless your program is accredited by the Chancellor s office of the California Community Colleges. 2. Number of Copies. One original and two copies (one of which may be on a 1x-52x compatible CD in Word format) of the Application and all required documents must be submitted. 3. Completion of Application. Each question on the Application must be answered fully. An incomplete Application will not be accepted. 4. Exhibits. All required documents must be attached as separate Attachments as indicated within the Application, and all Exhibits must be submitted with the Application unless otherwise noted. 5. Facilities, Equipment and Supplies. The Dental Board may choose to review the course facilities, equipment, and supplies. 6. Records Evaluation. The Dental Board may choose to review all of the required records such as records retained by the course director; practical and clinical examinations; minimum performance records, etc. Dental Board of California 2005 Evergreen Street, Suite 1550, Sacramento, California P (916) F (916) Dental Sedation Assistant Course Application for Approval by the Dental Board of California $300 Fee Rcpt#: File# Date of Application: Name of Applicant: Business Name: Address: City, State, Zip: Telephone: Type of Course: Community College Vocational Program Dental School Private School Other - specify: Name of Course Director: Telephone: Address: Name of Owner (if other than Course Director): Telephone: Address: I certify under penalty of perjury under the laws of the State of California that this Application and all attachments are true and correct. Signature of Course Director Date I certify that I will be responsible for the compliance of the course director with the laws governing Dental Sedation Assistant Courses approved by the Dental Board of California. I certify under penalty of perjury under the laws of the State of California that this Application and all attachments are true and correct. Signature of Owner (if other than the Course Director) Date (An Owner is the owner, if an individual, a partner, if a partnership, and the Executive Director, if a corporation.) (a) Educational Setting/Student Prerequisite. The course shall be established at the post-secondary educational level. (Excerpt: B&P 1755(a)(5)) 1. Is the program established at the post-secondary educational level? 2. Will each student be required to have completed six months of work experience as a dental assistant prior to commencing the course? Attach as Attachment to Question 2 a description of how the course will assure that the dental assistant has completed such experience. (b) Administration. Adequate provisions for the supervision and operation of the course shall be made. (Excerpt: B&P 1756(a)) 3. Will adequate provisions for the supervision and operation of the course be made? (c) Course Director/Faculty. The course director shall possess a valid, active, and current license issued by the board. He or she shall actively participate in and be responsible for the day-to-day administration of the course, including the following requirements: (1) Maintaining for a period of not less than five years copies of curricula, program outlines, objectives, grading criteria, and copies of faculty credentials, licenses, and certifications, and individual student records, including those necessary to establish satisfactory completion of the course. (2) Informing the board of any major change to the course content, physical facilities, or faculty, within 10 days of the change. (3) Ensuring that all staff and faculty involved in clinical instruction meet the requirements set forth in law. (Excerpt: B&P 1755(b)) Each faculty member shall have been licensed or permitted for a minimum of two years and possess experience in the subject matter he or she is teaching. No faculty member shall instruct in any procedure that he or she is not licensed or permitted to perform. (Excerpt: B&P 1755(c)) The course director or faculty may, in lieu of a license issued by the board, possess a valid, active, and current license issued in California as a certified registered nurse anesthetist or a physician and surgeon. (Excerpt: B&P (a)) All faculty responsible for clinical evaluation shall have completed a two-hour methodology course in clinical evaluation prior to conducting clinical evaluations of students. (Excerpt: B&P (a)) All faculty and staff involved in the direct provision of patient care shall be certified in basic life support procedures, including cardiopulmonary resuscitation. Recertification intervals may not exceed two years. The course director shall ensure and document compliance by faculty and staff. A course shall not be required to ensure that students complete instruction in basic life support prior to performing procedures on patients. (Excerpt: B&P 1755(f). All students, faculty, and staff involved in the direct provision of patient care shall be certified in basic life support procedures, including the use of an automatic electronic defibrillator. (Excerpt: B&P (c)(3)) 4. Does the course director possess a valid, active, and current license issued by the Board? Attach as Attachment to Question 4 the name and license number of the proposed course director. 5. Will the course director actively participate in and be responsible for the day-to-day administration of the course as specified above? 3 6. Has each faculty member been licensed for at least two years, including a valid, active, and current California license as a certified nurse anesthetist or a physician and surgeon, and possess experience in the subject matter he or she is teaching? Attach as Attachment to Question 6 a table containing the name and license number of each faculty member. 7. Has each faculty member responsible for clinical evaluation completed a two-hour methodology course in clinical evaluation? Attach as Attachment to Question 7 a copy of the certificate of completion of a two-hour methodology course in clinical evaluation for each faculty member. 8. Will all faculty and staff involved in the direct provision of patient care be certified in basic life support procedures, including the use of an automatic electronic defibrillator? Attach as Attachment to Question 8 a copy of each faculty and staff members CPR card. (d) Student Certificate of Completion. A certificate or other evidence of completion shall be issued to each student who successfully completes the course and shall include the student's name, the name of the course, the total number of course hours, the date of completion, and the signature of the course director or his or her designee. (Excerpt: B&P 1755(d)). 9. Will a certificate or other evidence of completion be issued to each student who successfully completes the course as specified above? Attach as Attachment to Question 9 a copy of the certificate of completion. (e) Emergency Management. A written policy on managing emergency situations shall be made available to all students, faculty, and staff. (Excerpt: B&P 1755(f)). 10. Does the course have a written policy on managing emergency situations, and will it be made available to all students, faculty, and staff? Attach as Attachment to Question 10 a copy of the policy. (f) Infection Control/Hazardous Waste Disposal Protocols. The course shall establish written clinical and laboratory protocols to ensure adequate asepsis, infection, and hazard control and disposal of hazardous wastes, that comply with the board's regulations and other federal, state, and local requirements. The course shall provide these protocols to all students, faculty, and appropriate staff to ensure compliance with these protocols. Adequate space shall be provided for preparing and sterilizing all armamentarium. All reusable armamentarium shall be sterilized and nonreusable items properly disposed. (Excerpt: B&P 1755(f)) 11. Will OSHA attire and protective eyewear be required for each student? 12. Does the course have written clinical and laboratory protocols to ensure adequate asepsis, infection and hazard control, and disposal of hazardous wastes, that comply with the board's regulations and other Federal, State, and local requirements, and will such protocols be provided to all students, faculty and appropriate staff? Attach as Attachment to Question 12 a copy of such protocols for the following: PPE; equipment and supply infection control; biohazardous waste; management of occupational exposure to blood and body fluids; infection control protocol for operatory set-up and clean-up; infection control protocol during dental treatment; disinfection; sterilization; sanitization; barrier use; surface disinfection. 4 13. Is adequate space provided for preparing and sterilizing all armamentarium? Attach as Attachment to Question 13 a description of how reusable instruments are properly sterilized before use on patients. (g) Length of Course. The course shall be of a sufficient duration for the student to develop minimum competence in all of the duties that dental sedation assistant permitholders are authorized to perform, but in no event less than 110 hours, including at least 40 hours of didactic instruction, at least 32 hours of combined laboratory and preclinical instruction, and at least 38 hours of clinical instruction.. (Excerpt: B&P (b)) 14. Will the length of the course be of sufficient duration for each student to develop minimum competency in all of the duties that dental sedation assistant permitholders are authorized to perform, but no less than 110 hours, including at least 40 hours of didactic instruction, at least 32 hours of combined laboratory and pre-clinical instruction, and at least 38 hours of clinical instruction? Specify the hours for each of the following: Didactic: Laboratory: Pre-Clinical: On-Site Clinical: Extern Clinical: (h) Faculty/Student Ratios. Facilities and class scheduling shall provide each student with sufficient opportunity, with instructor supervision, to develop minimum competency in all duties for which the course is approved to instruct. (Excerpt: B&P 1755(e)) Laboratory Instruction: There shall be at least one instructor for every 14 students who are simultaneously engaged in laboratory instruction. Preclinical instruction: There shall be at least one instructor for every six students who are simultaneously engaged in preclinical instruction. Clinical instruction: There shall be at least one instructor for every six students who are simultaneously engaged in clinical instruction. (Excerpt: B&P ) 15. Will there be at least the following number of instructors per student who are simultaneously engaged in the following instruction: 1 for every 14 students during laboratory instruction, 1 for every 6 students engaged in pre-clinical instruction, and 1 for every 6 students engaged in clinical instruction? Attach as Attachment to Question 15 the following information in a table or chart in the following format for those sessions applicable to the course (do not complete these charts): Maximum Students enrolled per session: Number of Operatories: Faculty/Student Ratios Didactic: Laboratory: Clinical: Class Session* Hours** Total Number of Students Total Number of Faculty Providing Instruction (including Course Director) Names of Faculty Providing Instruction (including Course Director) 5 *Class Session describe the day or days the class(es) meet, i.e., Monday and Wednesday evenings. **Hours provide the hours per day(s) (i) Facilities and Resources. Facilities and class scheduling shall provide each student with sufficient opportunity, with instructor supervision, to develop minimum competency in all duties for which the course is approved to instruct. (Excerpt: B&P 1755(e)) The location and number of general use equipment and armamentaria shall ensure that each student has the access necessary to develop minimum competency in all of the duties for which the course is approved to instruct. The course provider may either provide the specified equipment and supplies or require that the student provide them. Nothing in this section shall preclude a dental office that contains the equipment required by this section from serving as a location for laboratory instruction. The minimum requirement for armamentaria includes infection control materials specified by the Division of Occupational Safety and Health and the regulations of the board, protective eyewear, mask, and gloves for each student and faculty member, and appropriate eye protection for each piece of equipment. (Excerpt: B&P 1755(e)(1) and (2)) The following are minimum requirements for equipment and armamentaria: one pulse oximeter for each six students; one automated external defibrillator (AED) or AED trainer; one capnograph or teaching device for monitoring of end tidal CO2; blood pressure cuff and stethoscope for each six students; one pretracheal stethoscope for each six students; one electrocardiogram machine, one automatic blood pressure/pulse measuring system/machine, and one oxygen delivery system including oxygen tank; one IV start kit for each student; one venous access device kit for each student; IV equipment and supplies for IV infusions including hanging device infusion containers and tubing for each six students; one sharps container for each six students; packaged syringes, needles, needleless devices, practice fluid ampules and vials for each student; stop watch or timer with second hand for each six students; one heart/lung sounds mannequin or teaching device; tonsillar or pharyngeal suction tip, endotrachial tube forceps, endotracheal tube and appropriate connectors, suction equipment for aspiration of oral and pharyngeal cavities, and laryngoscope in the ratio of at least one for each six students; any other monitoring or emergency equipment that the regulations of the board require for the administration of general anesthesia or conscious sedation; and a selection of instruments and supplemental armamentaria for all of the procedures that dental sedation assistant permitholders are authorized to perform. (Excerpt: B&P (c)(1)) 16. Do the facilities and class scheduling provide each student with sufficient opportunity, with instructor supervision, to develop minimum competency in duties that Dental Sedation Assistants are allowed to perform? Attach as Attachment to Question 16 a description of the entire facility, identifying the location of the following major areas of instruction: lecture area; laboratory; dental operatories or surgical suites; and, sterilization area. 17. Do the location and number of general use equipment and armamentaria ensure that each student has the access necessary to develop minimum competency in the duties that Dental Sedation Assistants are allowed to perform? Do they include all of the equipment and armamentaria specified in Business and Professions Code Section (c)(1) (see above)? Attach as Attachment to Question 17 a list of the types, location, and number of the required equipment and armamentarium. 18. Will protective eyewear, mask, gloves, and clinical attire be required of or provided to student and faculty member, and appropriate eye protection be provided for each piece of equipment? (j) Operatories. Clinical instruction shall be of sufficient duration to allow the procedures to be performed to clinical proficiency. Operatories shall be sufficient in number to allow a ratio of at least one operatory for every five students who are simultaneously engaged in clinical instruction. 6 Each operatory shall contain functional equipment, including a power-operated chair for treating patients in a supine position, operator and assistant stools, air-water syringe, adjustable light, oral evacuation equipment, work surface, and adjacent hand-washing sink. Each operatory shall be of sufficient size to simultaneously accommodate one student, one instructor, and one patient. (Excerpt: B&P 1755(e)(3)) (2) Each operatory used for preclinical or clinical training shall contain either a surgery table or a power-operated chair for treating patients in a supine position, an irrigation system or sterile water delivery system as they pertain to the specific practice, and all other equipment and armamentarium required to instruct in the duties that dental sedation assistant permitholders are authorized to perform. (Excerpt: B&P (c)(2)) 19. Are operatories or surgical suites sufficient in number to allow a ratio of at least one for every five students who are simultaneously engaged in clinical instruction? Are they of sufficient size to simultaneously accommodate one student, one instructor, and one patient? Do they contain functional equipment, including either a surgery table or a power-operated chair for treating patients in a supine position, an irrigation system or sterile water delivery system, operator and assistant stools, air-water syringe, adjustable light, oral evacuation equipment, work surface, and adjacent hand-washing sink? Attach as Attachment to Question 19 a description of the operatories or surgical suites, their number, and a list of the equipment and supplies that are housed in that area. (k) Course Content. A detailed course outline shall clearly state curriculum subject matter and specific instruction hours in the individual areas of didactic, laboratory, and clinical instruction. General course objectives and specific instructional unit objectives shall be stated in writing, and shall include theoretical aspects of each subject as well as practical application. Objective evaluation criteria shall be used for measuring student progress toward attainment of specific course objectives. Students shall be provided with all of the following: (1) Specific unit objectives and the evaluation criteria that will be used for all aspects of the curriculum including written, practical, and clinical examinations. (2) Standards of performance that state the minimum number of satisfactory performances that are required for each procedure. (3) Standards of performance for laboratory, preclinical, and clinical functions, those steps that constitute a critical error and would cause the student to fail the procedure, and a description of each of the grades that may be assessed for each procedure. (Excerpt: B&P 1755(h)) Didactic Instruction. Didactic instruction means lectures, demonstrations, and other instruction without active participation by students. The approved provider or its designee may provide didactic instruction via electronic media, home study materials, or live lecture methodology if the provider has submitted that content for approval. (Excerpt: B&P ) Laboratory and Clinical Instruction. Laboratory instruction means instruction in which students receive supervised experience performing procedures using study models, mannequins, or other simulation methods. (c) Preclinical instruction means instruction in which students receive supervised experience performing procedures on students, faculty, or staff members. (d) Clinical instruction means instruction in which students receive supervised experience in performing procedures in
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