Completed Case Competency

1170336 (Completed Case Competency)

Tran, Pauline
4/26/2020
Last approved by: Huang, Vivian on 03/06/2020

Completed Case
Case type (choose one) Simple <$2k 03/06/2020
Patient Chart # (from bottom of screen) 1139417 03/06/2020
Is this a CARE patient? No 03/06/2020

1) Record Management
Medical Problems managed appropriately (med history updates, Yes 03/06/2020
alerts)
Treatment Plan completed and followed in sequence Yes 03/06/2020
Treatment plan clinically acceptable Yes 03/06/2020
Treatment progressed in a timely manner Yes 03/06/2020
Treatment record complete and accurate Yes 03/06/2020
Continuing periodontal care provided on appropriate scheduled Yes 03/06/2020
intervals
Caries disease managed by appropriate CAMBRA plan and Yes 03/06/2020
interventions
Patients exhibit an improvement in their dental condition Yes 03/06/2020
Parameters of Care met Yes 03/06/2020
Please explain any "No" answers in section (1):

2) Evaluation of Completed Treatments (while under the care

of current student)
Were any Endodontic procedures unacceptable? No 03/06/2020
Were any Fixed Restorations unacceptable? No 03/06/2020
Were any Operative Restorations unacceptable? No 03/06/2020
Were any Periodontal Procedures unacceptable? No 03/06/2020
Were any Removable Procedures unacceptable? No 03/06/2020
Were any Implant Procedures unacceptable? No 03/06/2020

3) Adjustment Form
Is an Adjustment form required? (treatment rendered does not No 03/06/2020
meet the parameters of care)

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