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TREATMENT
Number: 081-840-0169
Effective Date: 2002-Sep-12
Conditions: You are wearing a mask and gloves. You will need an air/water syringe, toothbrush, dental
floss, disclosing solution, dental instruments, 2x2 gauze, prophy paste, a polishing cup, petrolatum, plastic
model of the teeth, ultrasonic scaler, dental handpiece, cotton tipped applicators, mirror, explorer, and
saliva ejector.
Standards: The patient was prepared for treatment without causing the patient discomfort, and the
equipment was prepared without error.
Performance Steps
3. Cover the instruments with a sterile towel after setup procedures have been completed.
Performance Measures GO NO GO
1. Placed a sterile towel on the tray prior to setting up. _____ _____
3. Covered the instruments with a sterile towel after the setup procedures were
completed. _____ _____
Evaluation Guidance: Score each soldier according to the performance measures in the evaluation
guide. Unless otherwise stated in the task summary, the soldier must pass all performance measures to
be scored GO. If the soldier fails any step, show what was done wrong and how to do it correctly.
References: