Range: Scale and polish procedure

Patient type: adult

Date of Activity: Tuesday, 11 August 2015, 4:30 PM
The Practical Experience Record Sheet is a true representation of my
own involvement in the task described.
1. Preventative Procedure Carried Out:

Guidance Notes:
Students should state the procedure to be carried out.Students should explain how the
clinincal area was made ready for this particular procedure, how they assisted both the
clinician and the patient during the procedure, and to be able to describe their role during
the procedure.Students should describe the patient on which the treatment was carried out.
PATIENT INFORMATION: Sex: Male Age: 24 year old - NHS patient; Medical/Social
History form up to date and signed; Health: Good. Patient concert: Gained, plan signed.

CLINICAL AREA AND PREPARATION:

- Place 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)

- All surfaces in surgery are wiped with non-alcohol free disinfectant wipes, dentist chair
water lines flushed for a minimum of 30 seconds (between patients, 2 min at start/end of the
day)

- Surgery zoned into clean and dirty areas with a decontamination room adjoined.

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

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

EQUIPMENT SWITCHED ON AND CHECKED:

- Chair
- Dental unit & light
- Computer (Sign in with the dentist)
- Autoclaves  (type B and N/S)
- Ultrasonic bath machine

LIST OF INSTRUMENTS/materials in dentist side:

- Examination tray:

Mouth mirror
Right angle Probe
Periodontal probe
College tweezers
Slow speed hand piece
Polishing disposable brush
Set of scalers (sickle, briault, jacquette)
3 in 1 metal air/water syringe
Ultrasonic scaler machine
Scaler tip
Cotton wool roll
Phophy paste

LIST OF INSTRUMENTS/materials on my side:

Mouthwash in a disposable cup and tissues

Fast suction tube
Saliva ejector
Spittoon funnel
Patient Bib, googles, and bib holder
Tray sample of inter-dental brushes, manual/electrical brushes, denture sample, tooth paste
and mouthwash examples for further explanation.

PROCEDURE:
- I bring  patient into the surgery and provide a bib and safety glasses, always make sure and
ask if patient is comfortable to start the procedure.

- Whilst dentist start scaling around the gums and polishing, I keep all mouth area dry and
clean from bites of plaque aspirating with fast suction tube and ejector saliva.

- After procedure is done, I let patient rinse their mouth.

- Explanation given to patient about ‘dental cleaning’ and along with tooth brushing,
flossing, mouthwashes and healthy eating, good diet, give up of bad habits, can help to
reduce the risk of gum disease and tooth decay.

2. Aim of the Procedure:

Guidance Notes:
Students should state the overall aim of the process.
A scale and polish  is a very common dental treatment which is carried out as a form of oral
preventative medicine. In other words, it is designed to form part of a dental hygiene plan
with the aim of keeping your teeth clean and healthy.

Patients go home with other attitude, more conscious about the risks,  paying attention on
sugar levels, and time spent brushing their teeth every day.

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
I set up all equipment and materials were required

WEAKNESSES
I should be more quicker. Need to improve my computer skills to help dentist to record
patient's record.
- I do have good computer skills, but because the software is a type of software's we dont use
at home, is just for work (dentists software) was not familiar for me. Now I am getting used
to.

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 flushed through all water lines: competent
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
Identify the planned procedure and confirm with the clinician: competent
Student established zoning of clean and dirty areas within the
competent
working field:
Student prepared all instruments, materials and equipment required
competent
for the procedure in their order of use:

During Procedure:
Student provided the patient with a bib and safety glasses: competent
Student aspirated and retracted soft tissues when appropriate to
competent
maintian a clear field of vision for the clinician:
Student monitored the patient throughout and made the clinicain
competent
aware of any issues:
Student reassured the patient during the treatment: competent

After Procedure:
Student ensured that no sign of the treatment was left on the patients
competent
face or clothing:

Professionalism:
Student demonstrated professionalism throughout the procedure: competent
Student demonstrated effective team working throughout the
competent
procedure:
Student demonstrated effective clinical decision making throughout
competent
the procedure:
Student managed themselves and the clinical environment in line
competent
with current standards and guidelines:
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  has  grasped  the  reasons  for  certain  procedures  and  the  different  instruments 
used  in  a  dental  surgery.
she  has  shown  competence  and  is getting  faster  with  preparing  for  the  procedures. 
her  communication  skills  are  improving  and  so  is  her  english.  with  time  her  written 
english  will also  improve 
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:
14/8/15

Good work Carolina , you have worked hard to produce a good clear pers in this area - in
most ways it's fine and I would complete this pers - you have not put patient type so I have to
send it back

a) Patient type at the top should be selected

b) Please write an aim for your weakness noted in reflective account

**In general speed is not something I like to see as a weakness or an aim - it can make us
forget things, drop things and also cut corners -  I would like you to become more efficient
and successful

25/8/15
Good clear answers and updates! Keep up the good work
Tutor Judgement: satisfactory
Sampled by Internal
Moderator:
Meets NEBDN
requirements:
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