CARE PLAN RUBIC ur Competency | HP6. Evaluate and utilize methods to ensure the health and safety of the patient and the ‘Statement dental hygienist in the delivery of dental hygiene. Student Name Date 4= Meets all requirements 1/2= Needs Improvement —0= Requirements not met ] Points | ’ |__| eared | | FormsiReports | if 1 | Rubric provided with project on due date 2 |__| Patient information is present 3 |_| | Medical History findings are present | 4 | \_| Medical History risks are identified 5 {| Social and Dental history findings are present [© [1 | Social and Dental history risks are identified i 7 (__| Dental Examinations findings are present | |___\_ | Dental Examination risks are present | Plaque score calculated correctly i 10 | _\ | Bleeding score calculated correctly 47 1 {| Periodontal information assessed correclly T2_|_3 ef Dental hygiene diagnosis assessed correctly | 13 ef | Dental hygiene diagnosis ris factors or etiology stated 4 \__| Planned intervention education stated clearly for each clinical finding 5 {__| Planned intervention oral hygiene is appropriate for each clinical finding 16. \__ {TG 1 stated clearly i 17. [1 [STG 1 stated clearly 18. |_| £76 2 stated clearly (79 V [ste 2 stated clearly (20 | Yz | 116 3 stated clearly ZT Wstesstatedcieaty Lg crated by bat TF shautd be cones