Department of Dental Hygiene

SUMMER Semester 2020

DENTAL HYGIENE CARE I

Course Number:  DHYG 2201

Credit Hours:  2:                  

            Lecture Clock Hours per Week:                  1

            Laboratory Clock Hours per Week:            2

Course Hours/Schedule:

            Hybrid Distance Learning Course offered through

Blackboard (combination of traditional classroom instruction with computer-based distance

education.  The majority of the coursework is online with some classroom or laboratory

meetings also scheduled.)

Laboratory:    Room # 8141 and DH Clinic Rooms # 8158 & # 8160, Building 8000, Eastview Campus  August 4-7 (8:00 AM – 5:00 PM)

            Course Director:  David R Reeves DMD, MS             

                       512-260-5277 (H)

            Office:   8145

            Phone:   223-5714; Main Department Number: 223-5710

            EMAIL:dreeves@austincc.edu

Lab Faculty: 

Kate Goin, BA, RDH  kaitlyn.goin@austincc.edu; Dr. Joe Wright, DDS, FAGD gwright@austincc.edu; Veronica Ledesma, BS, RDH veronica.loeraledesma@austincc.edu

Office Hours:

By appointment: I am more than willing to meet anytime we can match our schedules during the summer.  Email or call the office or home to arrange an appointment.

Prerequisites Course:

The required prerequisite for this course is successful completion of DHYG 1260 (Clinic I).

Admission to the program. Successful completion of program semester 2.

Course Description:

Dental hygiene care for the medically or dentally compromised patient with emphasis on supplemental instrumentation techniques.  This course introduces the elements of dental hygiene care as they relate to the assessment and treatment planning of patients with complex dental and medical histories.  Emphasis is placed on the systemic disease processes and the prevention, recognition, and management of medical and dental emergencies.  Pain management principles, diagnostic technologies, and advanced instrumentation techniques are introduced.  The laboratory portion of the course includes manikin and student-partner experiences.

End-of-Course Outcomes:

Assess various patient needs, formulate a treatment plan for the medically and dentally compromised patient, and describe supplemental instrumentation techniques.

Course Rationale:

The dental hygienist as a member of the dental team must be prepared and ready to manage patients with increasingly complex medical histories and special needs to include the prevention, recognition, and management of medical and dental emergencies.  In addition to managing the more complex medical and dental treatment cases, the dental hygienist must be prepared to assess, implement, and embrace new technologies and methodologies.

Course Goals:

The dental hygiene graduate must possess the knowledge and skills necessary to assess and treatment plan patients with complex dental and medical histories. 

Therefore, the goals of this course are to provide the student with the opportunity to:

    1.     assess complex and diverse medical histories and create corresponding treatment plans, to include pain management principles

    2.     recognize and manage medical and dental emergencies

    3.     assess, implement, and communicate patient care technologies/methodologies

Course Objectives:

The general patient population is diverse in terms of age/life stages as well as the complexity of medical and dental histories.  The Department of Dental Hygiene defines the medically compromised client is an individual with a medical history of a chronic condition that requires or may possibly require treatment modifications.  

The student will be able to prepare a Dental Hygiene Care (Treatment) Plan to include:

1.            Identifying education, treatment and referral needs

2.            Prioritizing and sequencing care

3.            Determining the maintenance (recall/recare) schedule

The student will understand the principles of pain management to include use of:

4.            Nitrous oxide conscious sedation

5.            Local injectable anesthetics

6.            Non-injectable anesthetics

The student will recognize, assess, manage, and identify differential diagnosis and the preventive measures for the following conditions/emergencies:

7.         Unconsciousness to include vasodepressor syncope, postural hypotension and acute adrenal insufficiency

8.         Respiratory distress to include foreign body airway obstruction, hyperventilation, asthma, heart failure and acute pulmonary edema 

9.         Altered consciousness to include diabetes mellitus: hyperglycemia and hypoglycemia, thyroid gland dysfunction, cerebrovascular accident, seizures and alcohol overdose

10.       Chest pain to include angina pectoris, acute myocardial infarction and cardiac arrest

11.       Other drug-related emergencies to include:  local anesthetic reactions, nitrous oxide conscious sedation reactions, allergic reactions and anaphylaxis

12.       Other emergencies to include: evulsed tooth, managing a broken instrument tip and nose bleed        

Dental hygiene care requires the implementation of technologies for assessment and treatment implementation.  Therefore the student will become familiar with the following categories of technologies:

                                13.       Digital imaging

14.          Powered scaling instruments

15.          Air abrasive polishing

16.          Spectra, intra-oral camera use

17.           Laser technology with certification

This course is designed to support the student’s development in the knowledge, skills, and values required for graduation from the Program and dental hygiene licensure eligibility. Specifically this course promotes the development of the dental hygienist as defined by the following Educational Standards of the American Dental Association Commission on Dental Accreditation (ADA CODA), the Austin Competency Analysis Profile (ACAP), and the Department of Dental Hygiene competency statements.

Additionally this course is designed to support the student’s development of the following skills as defined by the Secretary of Labor's Commission on Achieving Necessary Skills (SCANS)

FOUNDATIONAL SKILLS

(a) Basic Skills:

Reading:locate, understand, and interpret written information

        Writing: communicate thoughts, ideas, information, and messages in writing

Listening:receive, attend to, interpret, and respond to verbal messages and other cues

       Speaking:organize ideas and communicate orally.

(b) Thinking Skills:

Creative Thinking:generate new ideas.

Decision Making:specify goals and constraints, generate alternatives, consider risks, and evaluate and choose the best alternative.

Problem Solving:recognize problems and devise and implement plan of action.

Visualize:organize and process symbols, pictures, graphs, objects, and other information.

Knowing How to Learn: use efficient learning techniques to acquire and apply new knowledge and skills.

Reasoning:discover a rule or principle underlying the relationship between two or more objects and apply it when solving a problem.

(c) Personal Qualities:

Responsibility:exert a high level of effort and persevere toward goal attainment.

Sociability:demonstrate understanding, friendliness, adaptability, empathy, and politeness in group settings.

Self-Management:assess oneself accurately, set personal goals, monitor progress, and exhibit self control. 

Integrity and Honesty: choose ethical courses of action

WORKPLACE COMPETENCIES

(a)  Resources: A worker must identify, organize, plan, and allocate resources effectively.

Human Resources:Assess skills and distribute work accordingly, evaluate performance and provide feedback.

(b) Interpersonal Skills: A worker must work with others effectively.

Participate as Member of a Team: contributes to group effort.

Exercise Leadership.communicate ideas to justify position, persuade and convince others, responsibly challenge existing procedures and policies.

Work with Diversity:work well with men and women from diverse backgrounds.

(c) Information: A worker must be able to acquire and use information.

Acquire and Evaluate Information.

Organize and Maintain Information.

Interpret and Communicate Information.

Use Computers to Process Information.

(e) Technology: A worker must be able to work with a variety of technologies.

Select Technology: choose procedures, tools or equipment including computers and related technologies

Apply Technologies to Task:understand overall intent and proper procedures for setup and operation of equipment.

Maintain and Troubleshoot Equipment: Prevent, identify, or solve problems with equipment, including computers and other technologies.

Required Texts and Software:       

Clark & Brunick, Handbook of Nitrous Oxide and Oxygen Sedation, 5th Ed, St. Louis:  Mosby, 2019.

Malamed, Medical Emergencies in the Dental Office, 7th Ed, St. Louis:  Mosby, 2014.

Wilkins, Esther, Clinical Practice of the Dental Hygienist, 12th Ed, Philadelphia:  Lippincott W & W, 2017.

Gehrig, Fundamentals of Periodontal Instrumentation, 8th Ed, Wolters Kluwer, 2017

ACC Dental Hygiene Clinic Manual 2019-2020

Electronic Course Handouts

BlackBoard Collaborate with webcam and microphone on either PC or MAC platform

Teaching Methods:  A variety of teaching methods are used to meet the goals of this course.  Information is presented through lecture, guest presentations, via on-line course assignments, online group discussion, small group activities, and case studies.  Text readings; audiovisual aids to include clinical slides, PowerPoint presentations, laboratory demonstrations, and teaching models are used to support the delivery of course content. Please keep in mind that online education takes effective time management and study skills.  Students will use the Blackboard learning management system of assignment instructions, submitting assignments, and collaboration.  Please refer to https://online.austincc.edu/faq/ for help with mastering online learning.

 Austin Community College District (ACC) continues to monitor the Coronavirus Disease (COVID-19) and any potential impact it may have on our college community.

In response to the increasing concerns of COVID-19 across the nation, ACC has developed these mitigation guidelines for classroom (in-person) instruction. These mitigation guidelines will be used as requirements for all classroom (in person) instruction including courses, training or instruction. All classroom (in person) instruction will be approved by an ACC panel that includes instructional and safety experts.

 ACC COVID-19 mitigation requirements (from ACC and CDC):

●        Practice social distancing by avoiding crowded areas and keeping 6 feet of distance from others.

●          Facial coverings are required at all times while in the classroom and common areas.

●          Wash your hands frequently, using soap and water for at least 20 seconds.

●          Avoid touching your face, especially your eyes, nose, and mouth.

●          Cover your mouth with a tissue or your elbow when coughing or sneezing.
 

●        Do not enter an ACC building and stay home if you have any of the following new or worsening signs or symptoms of possible COVID-19:

1.         Cough

2.         Shortness of breath or difficulty breathing

3.         Chills

4.         Repeated shaking with chills

5.         Muscle pain

6.         Headache

7.         Sore throat

8.         Loss of taste or smell

9.         Diarrhea

10.       Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit

11.       Known close contact with a person who has been lab confirmed with in the past 14 days to have COVID-19

●      Contact your healthcare provider and notify your instructor or supervisor if you have a confirmed case of COVID-19 or if you have any of the signs or symptoms list above.

●          Require hand washing prior to and after class.

●          Require use of hand sanitizer as needed to prevent infection throughout the course time.

●       Limit in-person attendance to 10 or fewer participants (Total participants 10, including instructors).

●        Ensure that a safe distance (minimum 6 feet) is maintained between all students and between students and instructors at all times.

●          In the classroom, ensure a minimum of 6 feet between all students at all times.

●         Alter schedules - Stagger classroom times and dates as needed to ensure social distancing, mitigation requirements and to limit attendees to 10.

●          Require daily documentation of attendees.

●          Required up-to-date contact information for all attendees and instructors.

●          Require reporting of all illnesses and issues associated with the course to instructors (with a specific concern about COVID-19 issues).

●       Instructors are required to report all COVID-19 associated illnesses or issues to their supervisor, Department Chair, Dean and ACC Safety & Environmental Management.

COURSE POLICIES:

 1.    Attendance/Participation:

Regular and punctual class and laboratory attendance is expected of all students.  If attendance or compliance with other course policies is unsatisfactory, the instructor may withdraw students from the class. You will be expected to “check-in” weekly via Collaborate.  Attendance at the summer lab session is mandatory for successful completion of the course.

 As an oral health preventive specialist you will be responsible for assessing, planning treating, and educating your patients.  It is essential that you have the necessary information provided via this course to adequately carry out this responsibility.  Therefore attendance at all on-campus classroom/laboratory sessions is expected.

      2.    Withdrawal:

This course complies with ACC policies regarding on attendance/class participation and withdrawal.

ACC Policy on Attendance/Class Participation

Regular and punctual class and laboratory attendance is expected of all students. If attendance or compliance with other course policies is unsatisfactory, the instructor may withdraw students from the class.

ACC Withdrawal Policy
It is the responsibility of each student to ensure that his or her name is removed from the roll should he or she decide to withdraw from the class. The instructor does, however, reserve the right to drop a student should he or she feel it is necessary. If a student decides to withdraw, he or she should also verify that the withdrawal is submitted before the Final Withdrawal Date. The Final Withdrawal Date for this semester is July 27, 2020. The student is also strongly encouraged to retain their copy of the withdrawal form for their records.

Students are responsible for understanding the impact that withdrawal from a course may have on their financial aid, veterans’ benefits, and international student status.  Per state law, students enrolling for the first time in Fall 2007 or later at any public Texas college or university may not withdraw (receive a W) from more than six courses during their undergraduate college education. Some exemptions for good cause could allow a student to withdraw from a course without having it count toward this limit. Students are strongly encouraged to meet with an advisor when making decisions about course selection, course loads, and course withdrawals. Details regarding this policy can be found in the ACC College Catalog.

Students who enroll for the third or subsequent time in a course taken since Fall, 2002, may be charged a higher tuition rate for that course.

http://www.austincc.edu/health/dhyg/current.php

1. Missed or Late Work:

Because all information in the course is built upon the last, it is imperative that assignments are not missed or late.  In the case of extenuating circumstances, the student must contact the course director to discuss the issue causing the problem and to seek an acceptable solution.

4.    Incomplete:

An instructor may award a temporary grade of Incomplete (I) to students who are unable to finish a course at the end of a semester due to an emergency or other unanticipated circumstances.  A new completion date is determined by the instructor, but it may not be later than the final withdrawal deadline in the subsequent semester.  For more information please see page 342 of the 2019-2020 catalog.

Students receiving an “I” for Spring 2020 or Summer 2020 may complete remaining course requirements and convert the I to a completion grade during the Summer or Fall 2020 semesters.  The final date for conversion of spring and summer semester incompletes is November 19th, 2020, the published final fall conversion date for Incompletes.

Students receiving an I for Spring 2020 may opt to convert the I to a W. This must be converted by July 26, 2020, and the student may then repeat the course during the Fall 2020 semester without additional charge. Students selecting the course repeat option will enroll in an available section of the same course and retake the entire course during the Fall 2020 term.

Students receiving an “I” for Spring 2020 or Summer 2020 who have not completed course requirements by the November 19th, 2020 extended conversion date may request that the I be converted to a W and that they receive a voucher to take the course in Spring 2021.  These requests will be considered by the COVID-19 Spring 2021 Hardship Review Committee.  Approval would require extenuating circumstances that did not allow the student to complete the course requirements during the extended completion time.  

Students may request an Incomplete from their faculty member if they believe circumstances warrant.  The faculty member will determine whether the Incomplete is appropriate to award or not.  The following processes must be followed when awarding a student an I grade. 

1.      Prior to the end of the semester in which the “I” is to be awarded, the student must meet with the instructor to determine the assignments and exams that must be completed prior to the deadline date.  This meeting can occur virtually or in person.  The instructor should complete the Report of Incomplete Grade form.

2.      The faculty member will complete the form, including all requirements to complete the course and the due date, sign (by typing in name) and then email it to the student.  The student will then complete his/her section, sign (by typing in name), and return the completed form to the faculty member to complete the agreement.  A copy of the fully completed form can then be emailed by the faculty member to the student and the department chair for each grade of Incomplete that the faculty member submits at the end of the semester.   

3.      The student must complete all remaining work by the date specified on the form above.  This date is determined by the instructor in collaboration with the student, but it may not be later than the final withdrawal deadline in the subsequent long semester.  

4.      Students will retain access to the course Blackboard page through the subsequent semester in order to submit work and complete the course. Students will be able to log on to Blackboard and have access to the course section materials, assignments, and grades from the course and semester in which the Incomplete was awarded.  

5.      When the student completes the required work by the Incomplete deadline, the instructor will submit an electronic Grade Change Form to change the student’s performance grade from an “I” to the earned grade of A, B, C, D, or F. 

If an Incomplete is not resolved by the deadline, the grade automatically converts to an “F.”  Approval to carry an Incomplete for longer than the following semester or session deadline is not frequently granted

5.    Scholastic Dishonesty:

      This course complies with ACC policies regarding the management of scholastic dishonesty and considers academic dishonesty a serious deficiency when assessing professional behaviors. Academic dishonesty in itself may constitute dismissal from the Program no matter how well the student is performing academically or technically.

 ACC Statement on Academic Integrity
Austin Community College values academic integrity in the educational process.  Acts of academic dishonesty/misconduct undermine the learning process, present a disadvantage to students who earn credit honestly, and subvert the academic mission of the institution. The potential consequences of fraudulent credentials raise additional concerns for individuals and communities beyond campus who rely on institutions of higher learning to certify students' academic achievements, and expect to benefit from the claimed knowledge and skills of their graduates. Students must follow all instructions given by faculty or designated college representatives when taking examinations, placement assessments, tests, quizzes, and evaluations.  Actions constituting scholastic dishonesty include, but are not limited to, plagiarism, cheating, fabrication, collusion, falsifying documents, or the inappropriate use of the college’s information technology resources.  Further information is available at https://www.austincc.edu/about-acc/academic-integrity-and-disciplinary-process

6.   Student Rights and Responsibilities:

      This course supports the ACC policies regarding freedom of expression in the classroom:

             ACC Student Rights and Responsibilities

             Students at ACC have the same rights and protections under the Constitution of the United States. These rights include freedom of speech, peaceful assembly, petition and association. As members of the community, students have the right to express their own views, but must also take responsibility for according the same rights to others and not interfere or disrupt the learning environment. Students are entitled to fair treatment, are expected to act consistently with the values of the college, and obey local, state and federal laws. www.austincc.edu/srr

         As a student of Austin Community College you are expected to abide by the Student Standards of Conduct. https://www.austincc.edu/students/students-rights-and-responsibilities/student-standards-of-conduct 

 Senate Bill 212 and Title IX Reporting Requirements 

             Under Senate Bill 212 (SB 212), the faculty and all College employees are required to report any information concerning incidents of sexual harassment, sexual assault, dating violence, and stalking committed by or against an ACC student or employee. Federal Title IX law and College policy also require reporting incidents of sex- and gender-based discrimination and sexual misconduct. This means faculty and non-clinical counseling staff cannot keep confidential information about any such incidents that you share with them.

             If you would like to talk with someone confidentiality, please contact the District Clinical Counseling Team who can connect you with a clinical counselor on any ACC campus:  (512) 223-2616, or to schedule online:  https://www.austincc.edu/students/counseling . 

             While students are not required to report, they are encouraged to contact the Compliance Office for resources and options:  Charlene Buckley, District Title IX Officer, (512) 223-7964;  compliance@austincc.edu .

             If a student makes a report to a faculty member, the faculty member will contact the District Title IX Officer for follow-up.

 Student Complaints

            A defined process applies to complaints about an instructor or other college employee. You are encouraged to discuss concerns and complaints with college personnel and should expect a timely and appropriate response. When possible, students should first address their concerns through informal conferences with those immediately involved; formal due process is available when informal resolution cannot be achieved.

          Student complaints may include (but are not limited to) issues regarding classroom instruction, college services and offices on the basis of actual or perceived race, color, national origin, religion, age, gender, gender identity, sexual orientation, political affiliation, or disability.

        Further information about the complaints process, including the form used to submit complaints, is available at: http://www.austincc.edu/students/students-rights-and-responsibilities/student-complaint-procedures

 Statement on Privacy

            The Family Educational Rights and Privacy Act (FERPA) protects confidentiality of students’ educational records. Grades cannot be provided by faculty over the phone, by e-mail, or to a fellow student.

          All grades will be posted in Blackboard and accessible only to the student and necessary faculty. 

 Safety Statement

            Health and safety are of paramount importance in classrooms, laboratories, and field activities. Students are expected to learn and comply with ACC environmental, health and safety procedures and agree to follow ACC safety policies.  Emergency Procedures posters and Campus Safety Plans are posted in each classroom and should be reviewed at the beginning of each semester.  All incidents (injuries/illness/fire/property damage/near miss) should be immediately reported to the course instructor. Additional information about safety procedures and how to sign up to be notified in case of an emergency can be found at http://www.austincc.edu/emergency

             Everyone is expected to conduct themselves professionally with respect and courtesy to all. Anyone who thoughtlessly or intentionally jeopardizes the health or safety of another individual may be immediately dismissed from the day’s activity and will be referred to the Dean of Student Services for disciplinary action.

           In the event of disruption of normal classroom activities due to an emergency situation or a continuing illness outbreak, the format for this course may be modified to enable completion of the course. In that event, students will be provided an addendum to the class syllabus that will supersede the original version.

 Campus Carry

            The Austin Community College District concealed handgun policy ensures compliance with Section 411.2031 of the Texas Government Code (also known as the Campus Carry Law), while maintaining ACC’s commitment to provide a safe environment for its students, faculty, staff, and visitors.  Beginning August 1, 2017, individuals who are licensed to carry (LTC) may do so on campus premises except in locations and at activities prohibited by state or federal law, or the college’s concealed handgun policy. 

            It is the responsibility of license holders to conceal their handguns at all times.  Persons who see a handgun on campus are asked to contact the ACC Police Department by dialing 512-223-7999.   Please refer to the concealed handgun policy online at http://austincc.edu/campuscarry

 Discrimination Prohibited

            The College seeks to maintain an educational environment free from any form of discrimination or harassment including but not limited to discrimination or harassment on the basis of race, color, national origin, religion, age, sex, gender, sexual orientation, gender identity, or disability.

           Faculty at the College are required to report concerns regarding sexual misconduct (including all forms of sexual harassment and sex and gender-based discrimination) to the Manager of Title IX/Title VI/ADA Compliance.  Licensed clinical counselors are available across the District and serve as confidential resources for students.

           Additional information about Title VI, Title IX, and ADA compliance can be found in the ACC Compliance Resource Guide available at: https://drive.google.com/file/d/1o55xINAWNvTYgI-fs-JbDyuaMFDNvAjz/view

 Use of ACC email

            All College e-mail communication to students will be sent solely to the student’s ACCmail account, with the expectation that such communications will be read in a timely fashion. ACC will send important information and will notify students of any college- related emergencies using this account. Students should only expect to receive email communication from their instructor using this account.  Likewise, students should use their ACCmail account when communicating with instructors and staff.  Information about ACC email accounts, including instructions for accessing it, are available at:  http://www.austincc.edu/help/accmail/questions-and-answers

 Use of the Testing Center

            All testing is currently online.  While campuses are closed, exams for courses will be online tests that students can take from home.  For more information about online testing at ACC, visit the Online Testing resource page: https://www.austincc.edu/academic-and-career-programs/acconline/testing.

 Using LockDown Browser and a Webcam for Online Exams

This course now requires the use of LockDown Browser and a webcam for online exams (when exams are taken from home.) The webcam can be built into your computer or can be the type that plugs in with a USB cable. Watch this short video to get a basic understanding of LockDown Browser and the webcam feature. A student Quick Start Guide (PDF) is also available.

Then download and install LockDown Browser from this link: Download Respondus LockDown Browser

To ensure LockDown Browser and the webcam are set up properly, do the following:

• Start LockDown Browser, log into Blackboard and select this course.
• Locate and select the Help Center button on the LockDown Browser toolbar.
• Run the Webcam Check and, if necessary, resolve any issues.
• Run the System & Network Check. If a problem is indicated, see if a solution is provided in the Knowledge Base. Troubleshooting information can also be emailed to our institution’s help desk.
• Exit the Help Center and locate the practice quiz named “Respondus Test Test”
• Upon completing and submitting the practice quiz, exit LockDown Browser.

When taking an online exam that requires LockDown Browser and a webcam, remember the following guidelines:

• Ensure you’re in a location where you won’t be interrupted
• Turn off all other devices (e.g. tablets, phones, second computers) and place them outside of your reach
• Clear your desk of all external materials not permitted — books, papers, other devices
• Before starting the test, know how much time is available for it and that you’ve allotted sufficient time to complete it
• Remain at your computer for the duration of the test
• If the computer or networking environment is different than what was used previously with the Webcam Check and System & Network Check-in LockDown Browser, run the checks again prior to starting the test
• To produce a good webcam video, do the following:
  • Avoid wearing baseball caps or hats with brims
  • Ensure your computer or tablet is on a firm surface (a desk or table). Do NOT have the computer on your lap, a bed, or other surfaces where the device (or you) are likely to move
  • If using a built-in webcam, avoid tilting the screen after the webcam setup is complete
  • Take the exam in a well-lit room and avoid backlighting, such as sitting with your back to a window

Remember that LockDown Browser will prevent you from accessing other websites or applications; you will be unable to exit the test until all questions are completed and submitted.

Pass/No-Pass

            ACC has temporarily implemented a Pass/No Pass option for grading.  Students are permitted (but not required) to convert any course sections to Pass/No-Pass grading. The following procedures will apply.  After receiving their grade for the semester, students will have until {insert date] to elect Pass/No-Pass grading.  Only grades of C or better in a course may be converted to P (Pass). Grades of D and F may be converted to NP (No-Pass).  All courses for which students receive passing (P) grades will count toward ACC degree requirements, which may override some departmental or college policies.  A grade of Pass/No-pass will not count toward a student's grade point average (GPA); however a grade of Pass will count toward earned semester hours. Students should consider the possible implications of electing the Pass/No-Pass option (e.g., on course transfer, GPA calculations, financial aid, etc.).  Academic transcripts will have a note added indicating the Pass/No Pass grading option is due to the Corona-virus pandemic.

 STUDENT SUPPORT SERVICES

            The success of our students is paramount, and ACC offers a variety of support services to help, as well as providing numerous opportunities for community engagement and personal growth.

 Student Support

            ACC strives to provide exemplary support to its students and offers a broad variety of opportunities and services.  Information on these campus services and resources is available at  http://www.austincc.edu/students.  A comprehensive array of student support services is available online at:

            https://www.austincc.edu/coronavirus/remote-student-support 

 Student Accessibility Services

            Students with documented disabilities who need academic or other accommodations must request them through the office Student Accessibility Services (SAS).   SAS offices are located at each major campus.  Students are encouraged to request accommodations when they register for courses or at least three weeks before the start of the semester; otherwise, the provision of accommodations may be delayed.  Students who have received approval for accommodations from SAS for this course must provide the instructor with the document titled “Notice of Approved Accommodations” from SAS before accommodations will be provided. Accommodations will not be provided retroactively.  Arrangements by the instructor for academic accommodations can only be made after he or she receives the “Notice of Approved Accommodations” from the student.

 Additional information about Student Accessibility Services is available at https://www.austincc.edu/offices/student-accessibility-services-and-assistive-technology 

 Academic Support

            ACC offers academic support services on all of its campuses. These services, which include online tutoring, academic coaching, and supplemental instruction, are free to enrolled ACC students. Tutors are available in a variety of subjects ranging from accounting to pharmacology. Students may receive these services on both a drop-in and referral basis. 

 An online tutor request can be made here:

https://de.austincc.edu/bbsupport/online-tutoring-request/

 Additional tutoring information can be found here:

austincc.edu/onlinetutoring

Library Services

          ACC has a full-service library at each of its campuses to support ACC courses and programs and to provide students with research and assignment assistance from expert faculty librarians.  ACC students have full rights and privileges to access Library Services online 24/7 via the ACC Library website and students can use their ACCeID logins to access all online materials, including ebooks, articles from library databases, and streaming videos.   ACC Libraries also provide an “Ask a Librarian” service, which allows students to reach a librarian 24/7 through online chat “live.”  Faculty librarians are also available via email and phone seven days a week during hours of operation. Visit:

 Library Website: http://library.austincc.edu

• Ask a Librarian: https://library.austincc.edu/help/ask.php
• Library Hours of Operation by Location: https://library.austincc.edu/loc/
• Email: library@austincc.edu

         In partnership with ACC’s Student Support Center, ACC Libraries also maintain a limited collection of textbooks for students (made available by Student Affairs) to borrow. Priority access to the textbook collection is given to students receiving assistance. More information is available on the ACC website by searching “Student Support Center Textbook Collection.”

 Student Organizations

            ACC has over seventy student organizations, offering a variety of cultural, academic, vocational, and social opportunities.  They provide a chance to meet with other students who have the same interests, engage in service-learning, participate in intramural sports, gain valuable field experience related to career goals, and much else.  Student Life coordinates many of these activities, and additional information is available at http://sites.austincc.edu/sl/.

 Personal Support

            Resources to support students are available at every campus. To learn more, ask your professor or visit the campus Support Center. All resources and services are free and confidential. Some examples include, among others:

  Food resources including community pantries and bank drives can be found here:

            https://www.centraltexasfoodbank.org/food-assistance/get-food-now

• Assistance with childcare or utility bills is available at any campus Support Center: http://www.austincc.edu/students/support-center.
• The Student Emergency Fund can help with unexpected expenses that may cause you to withdraw from one or more classes: http://www.austincc.edu/SEF.
• Help with budgeting for college and family life is available through the Student Money Management Office: http://sites.austincc.edu/money/.  

            A full listing of services for student parents is available at: https://www.austincc.edu/students/child-care

• The CARES Act Student Aid will help eligible students pay expenses related to COVID-19: 

            https://www.austincc.edu/coronavirus/cares-act-student-aid.   

            Mental health counseling services are available throughout the ACC Student Services District to address personal and or mental health concerns: http://www.austincc.edu/students/counseling .

            If you are struggling with a mental health or personal crisis, call one of the following numbers to connect with resources for help. However if you are afraid that you might hurt yourself or someone else, call 911 immediately.

Free Crisis Hotline Numbers:

• Austin / Travis County 24 hour Crisis & Suicide hotline: 512-472-HELP (4357)
• The Williamson County 24 hour Crisis hotline: 1-800-841-1255
• Bastrop County Family Crisis Center hotline: 1-888-311-7755
• Hays County 24 Hour Crisis Hotline: 1-877-466-0660
• National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
• Crisis Text Line: Text “home” to 741741
• Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline:   1-800-662-HELP (4357)
• National Alliance on Mental Illness (NAMI) Helpline:1-800-950-NAMI (6264)

Illness

Any ACC student or employee with symptoms or exposure to the COVID-19 virus should inform their professor(s) or supervisor and complete the college’s self reporting form:  https://cm.maxient.com/reportingform.php?AustinCC&layout_id=124

 Course Requirements/Learning Activities:

 1.         Assignments:

            The due date and time for all assignments is indicated on the course calendar or on the actual assignment documents.  Any alterations to these schedules (due/dates) will be announced via online communication with sufficient notice for change.  Students need to make note of these dates and times and with the consideration that assignments will not       be accepted for grading and a zero will be issued for the late submission.  Certainly, extenuating circumstances will be considered and will require documentation. 

 2.         Evaluations:

To successfully complete this course, you MUST complete all of the activities listed below, receive a passing score (a grade of 75% or higher) on each component AND maintain an overall course grade of 75% or higher.

 A.   Written examinations

                                                  i.    Weekly quizzes will be given to evaluate your mastery of the course content.    

                                                 ii.    Four major tests will be administered as indicated  per the course calendar; the last two exams will be the basis for obtaining nitrous oxide and laser certification. 

B.   Laboratory Assignments

Students will be assigned exercises to practice and demonstrate understanding of use of available technologies.  Criteria are forthcoming during the laboratory exercise portion of this course.

 C.   Continuing Education Courses: Students will complete on-line CE courses on BlackBoad and the Crest website www.dentalcare.com.  Refer to the topical assignment handout for the percentage weight and due dates of each course.   Submission of the corresponding certificate of course completion is required for each course and must be received by the Course Director by the assigned date no later than midnight.  YOU MUST enter the assignment number when taking the corresponding assignment quiz to get credit for that week.  Late submissions will not be accepted and will receive a grade a zero. 

 D.   One full-mouth diagnostically acceptable FMS on the assigned DXTTR/Typodont utilizing the Schick CCD technology for ½-mouth and the Digora phosphor plate

system for the other ½-mouth. Nomad may be used for this exercise as directed by Prof. Goin.  Completion of the assigned full-mouth FMS must be accessible by the Course Director via EagleSoft by the assigned date no later than the close of business (i.e., 5pm).  Late submissions will not be accepted and will receive a grade a zero. 

 Computing Your Course Grade

           The information in this syllabus is subject to change as necessary to meet the objectives of th        is course.  Changes will be announced through Blackboard and/or via email.

Overall Course Grade Assignment

                     A       =               92%-100%

                     B       =               83%-91%

                     C       =               75%-82% P

                     D       =               66%-74%

                     F        =               below 66%

P Because the information in this course is required for managing more advanced and complex patient case types, students must achieve a minimum of a "C" grade to successfully complete this course and progress to Clinic II – Dental Hygienist.

To Pass This Course, a student must achieve ALL of the following:

       1)        an overall average of 75% or better on all didactic                                         performance

            2)         completion of ALL on-line course assignments

            3)         completion of case assignment

            4)         completion of ALL laboratory assignments

Required Texts and Software:       

Clark & Brunick, Handbook of Nitrous Oxide and Oxygen Sedation, 5th Ed, St. Louis:  Mosby, 2019.

Malamed, Medical Emergencies in the Dental Office, 7th Ed, St. Louis:  Mosby, 2014.

ACC Dental Hygiene Clinic Manual 2021-2022

Electronic Course Handouts

BlackBoard

Zoom platform for office hour visit

Dental Hygiene Process of Care:  Treatment planning and general knowledge for the dental hygienist and the dental treatment team.

Medical Emergencies in the dental setting and how to handle them to include:

         1)  Altered consciousness emergencies

         2)  Chest pain emergencies

         3)  Drug related emergencies

         4)  Respiratory distress emergencies

         5)  Seizure emergencies

         6)  Unconsciousness emergencies

Dental Technology to include rationale for use and operation of:

        1)  Air polishers

        2)  Caries detection

        3)  Digital imaging

        4)  Intraoral imaging

        5)  Ultrasonic, sonic, and piezoelectric scalers

Pain management courses (on-site lab) that will cover local anesthetics, topical anesthetics rationale, pharmacokinetics, and use.

Nitrous oxide sedation course for credentialling

Laser course certification

Topic:     Management of Medical Emergencies: 

              Altered Consciousness

Upon mastery of this topic, the dental hygiene student will be able to:

1.    identify the characteristics, pathophysiology, signs and symptoms, predisposing factors, management, pharmacotherapy relationships; preventive measures, and treatment modifications for the following conditions/situations:

a.    Conscious Patient – Unusual Behavior or Altered Consciousness

        i.    Alcohol Overdose 

        ii.    Cerebrovascular Accident 

iii.    Diabetes 

iv.    Hypo- or Hyper- thyroidism 

Topic:      Management of Medical Emergencies:  Chest Pain

Upon mastery of this topic, the dental hygiene student will be able to:

1.    identify the characteristics, pathophysiology, signs and symptoms, predisposing factors, management, pharmacotherapy relationships; preventive measures, and treatment modifications for the following conditions/situations:

a.    Patient with Chest Pain

i.    Angina

ii.    Acute Myocardial Infarction 

Topic:      Management of Medical Emergencies:  Drug Related

Upon mastery of this topic, the dental hygiene student will be able to:

1.    identify the characteristics, pathophysiology, signs and symptoms, predisposing factors, management, pharmacotherapy relationships; preventive measures, and treatment modifications for the following conditions/situations:

a.    Allergies and Overdose 

i.    Allergic reaction – mild to moderate 

ii.    Anaphylaxis 

iii.    Local anesthetic overdose 

Topic:      Management of Medical Emergencies:  Respiratory Distress

Upon mastery of this topic, the dental hygiene student will be able to:

1.    identify the characteristics, pathophysiology, signs and symptoms, predisposing factors, management, pharmacotherapy relationships; preventive measures, and treatment modifications for the following conditions/situations:

a.    Respiratory emergencies 

i.    Distress

ii.    Airway obstruction

iii.    Hyperventilation

iv.    Asthma

v.    Pulmonary edema

Topic:     Management of Medical Emergencies:  Seizures and Other Dental Emergencies

           Upon mastery of this topic, the dental hygiene student will be able to:

1.    identify the characteristics, pathophysiology, signs and symptoms, predisposing factors, management, pharmacotherapy relationships; preventive measures, and treatment modifications for the following conditions/situations:

a.    Seizures 

i.    Epileptic causes

ii.    Non-epileptic causes

2.    identify the procedures for the management of this common occurrence/medical emergency:  a nosebleed.

3.    identify the procedures for the management of these dental emergencies:  a broken instrument tip/swallowed object; an avulsed tooth.

Topic:      Management of Medical Emergencies:  Unconsciousness

Upon mastery of this topic, the dental hygiene student will be able to:

1.    identify the most common emergencies that occur in the private dental office setting.

2.    identify the dental hygienist’s legal responsibility in terms of the prevention and management of medical emergencies within the oral healthcare environment.

3.    identify components of the basic emergency kit to include the drug, the drug’s dosage and administration route, and the indication for the use of the drug.

4.    identify the causes of unconsciousness.

5.    identify the characteristics, pathophysiology, signs and symptoms, predisposing factors, management, pharmacotherapy relationships; preventive measures, and treatment modifications for the following conditions/situations:

a.    Shock

b.    Unconscious Patient

i.    Vasodepressor syncope

ii.    Orthostatic/Postural hypotension

iii.    Acute adrenal insufficiency

TOPIC:   Technologies: Stain Removal

Upon mastery of this topic, the dental hygiene student will be able to:

1.    identify the mode of action, characteristics, advantages, disadvantages, indications, contraindications, and patient management considerations of the air abrasive polishing systems.

2.    compare and contrast extrinsic stain removal techniques to include the rotary polishing techniques, techniques for proximal stain removal, and the air abrasive polishing systems

3.    compare and contrast the powered scaling instruments and the air abrasive polishing systems

Topic:     Technologies: Caries Detection

DIAGNOdent (type II laser) and the

QLF technologies (quantitative light-induced fluorescence).

The student will:

1. Identify the use of the DIAGNOdent (type II laser) and the QLF technologies (quantitative light-induced fluorescence).
2. Identify the mode of action (how it works) of the DIAGNOdent (type II laser) and the QLF technologies (quantitative light-induced fluorescence).
3. Identify the characteristics for a piece of equipment typical of the DIAGNOdent (type II laser) and the QLF technologies (quantitative light-induced fluorescence).
4. Identify the start-up costs of implementing the DIAGNOdent (type II laser) and the QLF technologies (quantitative light-induced fluorescence).
5. Identify the advantages and disadvantages for the use of the DIAGNOdent (type II laser) and the QLF technologies (quantitative light-induced fluorescence).
6. Identify the indications and contraindications for the use of the DIAGNOdent (type II laser) and the QLF technologies (quantitative light-induced fluorescence).
7. Discuss related pre or post procedures related to the technologies (i.e., do you need to prepare a surface/patient prior to the use of the technology?)
8. Compare and contrast the DIAGNOdent (type II laser) and the QLF technologies (quantitative light-induced fluorescence).
9. Implement the DIAGNOdent (type II laser) during the assessment phase of patient care in the clinical setting.

TOPIC:   Technologies: Digital Imaging

Upon mastery of this topic, the dental hygiene student will be able to:

1. compare and contrast the imaging technologies: traditional x-rays; panorex, hard-wired digital sensors, and the storage phosphor imaging plates which requires the knowledge of the:
   1. characteristics
   2. start-up costs of technology implementation/maintenance
   3. the advantages and disadvantages
   4. indications and contraindications

1. implement digital imaging during the assessment phase of patient care in the clinical setting.

TOPIC:   Technologies: Intraoral Photographic Imaging

Upon mastery of this topic, the dental hygiene student will be able to:

1. Identify the types of photographic imaging currently in use in Dentistry.
2. Compare and contrast imaging systems which requires the knowledge of the:
   • characteristics
   • start-up costs of technology implementation
   • the advantages and disadvantages
   • indications and contraindications
3. Implement the intraoral image system during the assessment phase of patient care in the clinical setting.

TOPIC:   Powered Scaling Instruments

Sonic

Ultrasonic Technologies

      Magnetostrictive

      Piezo

Upon mastery of this topic, the dental hygiene student will be able to:

• identify the mode of action (how it works) of the various powered scaling instruments
• identify the characteristics various powered scaling instruments
• identify the start-up costs of implementing the various powered scaling instruments
• identify the advantages and disadvantages for the use of the various powered scaling instruments
• identify the indications and contraindications for the use of the various powered scaling instruments
• discuss related pre or post procedures regarding the technologies (i.e., do you need to prepare a patient prior, during, and after the use of the technology? )
• compare and contrast the various powered scaling instruments
• demonstrate the principles of instrumentation when incorporating the various powered scaling instruments during patient care in the clinical setting.

TOPICAL OBJECTIVES:

Anxiety and Pain Management in General

      The student will:

1.    identify the characteristics and physiology of pain.

2.    identify the aspects of pain management as they relate to patient care.

Non-Injectable Anesthetics [non-injectable local anesthetics; transoral; topical]

      The student will:

1.    given a non-injectable/topical anesthetic, identify the anesthetic’s category (e.g., amide, ester, etc.)

2.    given typical non-injectable anesthetics (e.g., Oraqix, topical benzocaine, etc.) used in dentistry compare and contrast the anesthetics mode of delivery, characteristics, indications, contraindications, advantages, disadvantages, anesthesia duration, precautions, and adverse reactions.

3.    given a patient, demonstrate the application/administration of the non-injectable anesthetics available in the ACC Dental Hygiene Clinic in accordance to accepted principles.

Local Anesthetics

      The student will:

1.    compare and contrast ester and amide anesthetic drugs.

2.    compare and contrast short-, medium-, and long-acting amide drugs.

3.    identify the contents of a local anesthetic cartridge.

4.    discuss the use of vasoconstrictor drugs regarding rationale, risks, and specific drugs utilized in dentistry.

5.    identify the indications and contraindications for the use local anesthetics.

6.    identify the common local anesthetic injections used in dentistry to include the tissues anesthetized, and the affected nerves.

7.    given local anesthetic armamentarium, assemble a typical dental syringe.

8.    compare and contrast overdose reactions and allergic responses to include the management of related medical emergencies.

9.    given a patient, prepare the patient and the armamentarium for the administration of local anesthesia in accordance to accepted principles.

Nitrous Oxide Conscious Sedation

      The student will:

10.  identify the characteristics of nitrous oxide conscious sedation in terms of chemical, physical, and pharmacological properties.

11.  identify the equipment components of the typical nitrous oxide conscious sedation system

12.  identify the indications and contraindications for the use of nitrous oxide conscious sedation (patient selection)

13.  identify the administration, monitoring, and recovery procedures when utilizing nitrous oxide conscious sedation

14.  identify the signs and symptoms of nitrous-oxide conscious sedation

15.  discuss the methods for minimizing occupational exposure to nitrous oxide.

16.  identify the advantages and disadvantages for the use of nitrous oxide conscious sedation

17.  given a patient scenario, discuss medical emergencies related to the administration of nitrous oxide conscious sedation and the management of the emergency(ies).

18.  given a preclical/laboratory setting, demonstrate the equipment set-up, care, and related infection control; patient preparation; initiation, titration, monitoring, and recovery procedures for nitrous oxide conscious sedation in accordance to accepted principles.

19.  given a patient and under the supervision of faculty in the ACC Dental Hygiene Clinic, demonstrate the management of the mobile nitrous oxide sedation equipment (pre and post-operative); patient preparation; the principles of titration; monitoring of nitrous oxide sedation; recovery procedures; and documentation in accordance to accepted principles.

identify the related statutes, rule and regulations of the State of Texas and monitored by the State Board of Dental Examiners as they related to the issues of topical and local anesthetics and nitrous oxide-oxygen sedation.

Laser Technology

The student will:

   20. Setup and demonstrate competency utilizing a diode laser for procedures including but not limited 

      to:

         a.  Laser Bacterial Reduction

          b.  Laser Assisted Periodontal Treatment

     c. Herpetic and Apthous stomatitis prophylaxis and treatment

21.  Implement laser safety protocols at all times and be able to act as a “laser safety officer” for the next work location

22. Understand the mechanism and science associated with laser therapy.