Range: intra-oral

Patient type: adult

Date of Activity: Friday, 27 November 2015, 9:00 AM
The Practical Experience Record Sheet is a true representation of my
I confirm
own involvement in the task described.
1. Radiography procedure Carried Out:

Guidance Notes:
Students should state how the area was prepared, the equipment switched on, the safety and
PPE requirements considered, and how they assisted the clinician and the patient during the
procedure.Students should describe the patient on which the treatment was carried out.
PATIENT INFORMATION: Sex: Female Age: 35 year old - NHS patient; Medical/Social
History form up to date and signed; Health: Good. Patient consent: Gained, plan signed.

TREATMENT INFORMATION: Check up routine

CLINICAL AREA AND PREPARATION:

First thing in the morning I put on a clean uniform and footwear. Hand wash following the
correct sequence by NHS .

Make sure my hair is been tied back. I wear the correct P.P.E (Gloves, Mask,Goggles)

EQUIPMENT SWITCHED ON AND CHECKED:

- Lights
- Chair
- Dental unit & light
- Computer (Sign in with the dentist)
- Light cure
- Amalgamator
- X-ray machine
- Autoclaves (type B and N/S)
- R.O water machine
- Compressor
- Pouching machine
- Ultrasonic Machine
- R.O Machine
- Water Distiller (if necessary)
- Assistina Machine

- Dentist unit dental bottle is filled with purified water (RO machine) and flush water lines
for 2 minutes.

- Work surfaces wiped with alcohol free disinfectant and a microfibre cloth and put on
disposable covers.

- Surgery zoned into clean and dirty areas. The decontamination room  is adjoined.

- Put water and disinfectant solution into dirty instrument container and keep in dirty zone of
the surgery away from clean zone.
- All surfaces in decontamination room are wiped with disinfectant and wipes and microfibre
clothes.

- The ultrasonic machine is filled up with clean water and correct amount of ultrasonic
cleaner (30 ml of solution), then I switch the machine on for 7 minutes at 30 degrees
centigrade.

- Both autoclaves (type B and N/S) are clean and I wipe the inside and door seal; after
draining all the dirty water I fill the water tanks with purified water from distiller water
machine.

- The helix device and strip are placed in vacuum autoclave and press "B" cycle then start.

- The sterilizer class 6 strip is placed into "N" cycle non-vacuum autoclave and press 134
degrees cycle.

- Remove items from cold sterilizer bath, rinse and dry.

- I check day list already printed from the reception, and ensure there are enough exam and
treatment instruments/trays set up for the day.

- Check if all lab work has been collected from dentist box.

- Dentist and myself follow the 13 steps for hand washing done by NHS, placed new PPE
(gloves, mask and my safety glasses).

- I select on the computer patient's name,  leave open their records.

LIST OF INSTRUMENTS set up on dentist side:

- Mouth mirror
- Right angle probe
- Williams Probe
- 3 in 1 metal tip (air, water syringe)

LIST OF INSTRUMENTS/MATERIALS ON MY SIDE:

- Patient Bib, googles and bib holder
- Mouthwash in a disposable cup and tissues
- Fast suction tube
- Saliva ejector
- Spittoon funnel
- Bite - Wings holder
- 2 intra oral films

PROCEDURE:
- After medical and social question forms has been filled up and recorded on the system by
the receptionists, I bring  the patient into the room and provide a bib and safety glasses,
always making sure and asking if patient is comfortable to start the procedure.

- Dentist first welcomes the patient and ask if patient has problems/pains recently. Ask about
teeth-cleaning habits, diet, smoking and drinking and give advice on the most appropriate
ways to keep your mouth, teeth and gums healthy.

- Is carried out a full examination of mouth, teeth and gums.

- Whilst dentist is checking each teeth for signs of decay, the gums and checking for signs of
oral cancer or other pathology diseases, I do the Palmer Charting (tooth charting) and the
Basic Periodontal Examination (BPE) on the computer, saving all the changes on the
Patient's file.

- Dentist does a more thorough exam, including a thorough look at patient's entire mouth,
head and neck area.

- The last x-rays recorded were a long time ago, dentist decides to take other x-rays (bite
wings usually) to see if there's some changes.

- I pass the bite-wings holder with a x-ray film on to the dentist. Is placed inside of the mouth
for the patient to bite on.

- The dentist places on the correct side of the patient mouth the x ray machine collimator.
Denstist and myself leave the room (around 2m distance) and press the botton to take the
radiograph. Same procedure into other side of the oral cavity. This procedure is pain-free.

- The dentist pass to me both xrays.

- I disinfect the x-ray films with non-alcohol disinfectant wipes and I go to the x ray room for
development.

- Turn on the x ray machine.

- I select from the software on the computer patient's file and start the process

- Adjust the image and  SAVE, after that I take the x ray films from the machine and seal
them into a new x-ray envelope.

-  I go back to the surgery and open the xrays on the computer. The radiographs provide the
best way for the dentist to see a need for root canal treatment (RCT), fillings, or bone loss
witch means gum diseases.

2. Details of the processing of the radiograph either manually, automatically or

digitally:

Guidance Notes:
Students should give details of how they carried out this procedure and how they would
maintain the relelvant equipment on a daily and monthly basis.Students should describe the
waste disposal procedures relevant to the items and equipment used.Students should state
the Quality Assurance of the radiograph produced, and explain its relevance
Xrayys examinations are an important tool that help dentists to diagnose, plan treatments and
monitor both treatments and lesion development.
The safe and effective use of xray equipment is important to the protection of the patient,
other members of the public and all members of the dental team.

The risks associated with the necessary exposure to ionising radiation may be substantial,
and must be minimised through meticulous adherence to good practice as set out in the
following guidelines.

The guidelines helpfully deal with key issues pertaining to equipment, quality assurance,
notification, risk management..(IRR99 radiation regulations, the ALARA principle).

3. Reflective Account:

Guidance Notes:
Students should identify their strengths and weaknesses during the procedure and describe
any action they would take to address weaknesses in the future, if required.
STRENGTHS: Instruments for the procedure were set up ready for the patient, all equipment
check and working well.

WEAKNESSES: none....lots of xray are taken everyday in surgery, is very comon and
usually  it is a quick procedure.

15-12-2015:
Quality  Assurance (Q&A) is to ensure  consistently  adequate  diagnostic information 
whilst  keeping  doses  as  low as practical.

The equipment is constructed  and  installed  by European  standards. Manufacturers  of this

equipmenys must provide  adequate information  on  use,  testing  and  maintenance. That
anything which can potentially lead to extra irradiation of either patient, staff or general
public haa to be meticulously monitored.

Routine  tests  are  then  carried  out  to  monitor the  performance  of  the  equipment. The x-
ray  sets  must be  regularly  checked for  radiation  safety  at  least  once  every  3 years.

When taking an xray, we should input  the correct  exposure  parameters, stay away 2 metres
from the collimator observing patient  during  the exposure and maintain the infection 
control  protocol.

In this practice we use the digital xray machine. Every morning we check if the scanner is
working properly. Regularly we check our plates for any scrashes or any problems.

Preparation:
Student turned on all equipment required for the procedure: competent
Student donned appropriate PPE (gloves, mask, eye protection,
competent
appropriate clinical dress):
Student cleaned work surface using viricidal disinfectant or detergent
competent
solution:
Student applied disposable covers to required areas of the dental
competent
surgery e.g. light handles, control panel etc:
Student made all required patient records and radiographs available: competent
Student identified the planned procedure and confirmed with the
competent
clinician:
Student established zoning of clean and dirty areas within the
competent
working field:
Student donned x-ray monitoring badge if applicable: competent

During Procedure:
Student provided the patient with a bib and safety glasses: competent
Student follwed safe practice procedures throughout: competent
Student monitored the patient throughout: competent
Student reassured the patient during the treatment: competent

For Manual Processing:

Student checked all solution levels are sufficient, and that the
competent
temperature was correct:
Student locked the door: competent
Student switched on safe lights: competent
Student unwrapped the exposed film packet and clipped the film on
competent
to the hanger touching the film surface:
Student immerses film in the developer abd agitates: competent
Student leaves film in the solution for approximately 5 minutes at
competent
20iC (timer set):
Student rinses the film in water for about 10 seconds to remove
competent
residual developer:
Student immerses the film in the fixer for about 8-10 miuntes (timer
competent
set):

For Digital Processing:

Student inserts exposed sensor plate into the scanner: competent
Image is stored appropriatly for access at any time: competent

For Automatic Processing:

Student checks levels of solution: competent
Student turns machine on: competent
Student inserts film packet through hand ports: competent
Student presses start button: competent
Student opens film packet within the hand ports: competent
Student inserts film: competent
Film is collected from the other end of the machine: competent

Equipment Maintainance (Daily):

Student should carry out the following tasks relevant to the
equipment in use:
Student cleans storage plates: competent
Student checks equipment wires: competent
Student carries out visual check for scrathes and defects: competent
Students checks processing chemicals to ensure they are not spent: competent
Student cleans dark room work surface: competent
Student rotates film stock: competent
Student checks dark room filter light: competent
Student checks warning light outside designated area: competent

Waste Disposal:
Student disposes of tissues, gloves, barrier envelopes and masks as
competent
hazardous waste:
Student disposes of lead foil in special waste: competent

Professionalism:
Student demonstrated professionalism in his/her duties and effective
competent
team working towards the delivery of safe, effective care:
Student demonstrated effective clinical decision making throughout
competent
the task:
Student managed themselves and the clincial environment in line
competent
with current standards and guidelines:
Student demonstrated knowledge and clinical skills appropriate to the
competent
patients condition:
Student communicated appropriately, effectively and sensitively with
competent
the pateient, their relatives or carers and colleagues:
4. Witness Feedback

This Section should be completed by the GDC (or other) registrant who witnessed the
activity of the student and is assessing their competence. Constructive feedback will help the
student to develop their performance in the workplace.
Witness Assessment of Competency:
Carolina is developing well, she is good at checking  when pts had BWs last and dhe is good
at developing them
I confirm that the performance of the student demonstrated
I confirm
competence as indicated in the table above
5. Tutor Feedback

This section should be completed by the GDC registrant who is assessing all sections of the
completed PER and is normally based at the Training Centre. Constructive feedback will
help the student to develop their performance in the workplace.
Tutor Feedback to Student:
10/12/15

This PERS is a good start but it needs quite a bit added to it consider these points and amend
and resent
a) Safety measure, Please add
b) Testing-equipment
C) Q&A-2

16/12/15
Good clear work
Tutor Judgement: satisfactory
Sampled by Internal
Moderator:
Meets NEBDN
requirements:
Skip Navigation

Navigation
 My learning
o Site home
o Site pages
o My profile
o Current course
 RoE
 Participants
 News & announcements
 Record of Experience - Introduction
 Behavioural Standards
 Principles of Good Practice
 Record of Experience - Overview
 Record of Experience - Status
 Unit 1
 Unit 2
 Unit 3
 Unit 3 Introduction
 Unit 3 Section 1: Clinical Assessment
 Unit 3 Section 2: Assisting in Taking and Processi...
 Unit 3 Section 2: Introduction
 PERS 3.2.a Assisting in Taking and
Processing a Ra...
 PERS 3.2.b Assisting in Taking and
Processing a Ra...
 PERS 3.2.c Assisting in Taking and
Processing a Ra...
 Unit 3 Supplementary Outcomes
 Unit 4
 Unit 5
 Summation
 Resources
o My courses

Skip Practical Experience Record

Practical Experience Record
Currently active task

Completed

To be completed by

The relevant Internal Moderator

Instructions

Complete your entries and save them.

If you are satisfied with this PERS, complete it by clicking "Finish step".

To return this PERS to the tutor, click "Send back".

To return this PERS to the student, click "Reset workflow".

Skip Settings

Settings
 Dataform activity administration
o Permissions
o Index
o Messaging
o Manage


Course administration

My profile settings

Site administration