Range: Alginate impression

Patient type: adult

Date of Activity: Monday, 10 August 2015, 6:30 PM
The Practical Experience Record Sheet is a true representation of my own involvement in
the task described.
1. Impression to be Disinfected (including Material and Procedure):

Guidance Notes:
Students should detail PPE used, procedure followed including handling impression,
disinfectant used, labelling & packaging used.
PATIENT INFORMATION: Sex: female Age: 48 year old - Private patient; Medical/Social
History form up to date and signed; Health: Good.

TREATMENT INFORMATION: Full Upper & Lower Dentures Impression

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)

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

- 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.

- Is replaced all the PPE.

- I select on the computer patients name, and leave open patient's records and their last x rays
toked.

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:

I have to get ready on dentist side an exam tray with:

- Mouth mirror
- Right angle probe
- Williams probe
- 3 in 1 metal tip

On my side I set up:

- Mixing Bowl
- Mixing Spatula
- Measuring scoop
- Measuring water cup
- Alginate material
- Lower Impression Tray
- Upper Impression Tray
- Adhesive for impression trays
- Shade guide
- Laboratory ticket
- Mouthwash in a dispensable cup and tissues

PROCEDURE:

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

- I pass to the dentist a selection of impression trays enabling the correct one. First, the
alginate box is shaken before open to loosen the powder.

- For the upper tray I get 3 scoops of alginate powder and put them into the mixing bowl, and
get ready the correct measures of water for Upper tray.

- When dentist allowed me to start mixing, I mix the measured water with the alignate and
with the spatula vigorously to a smooth consistency and loaded into the perforated tray and
pass to the dentist. For the lower tray, is mixed 2 scoops of alginate powder, and again, after
gets a smooth consistency is loaded into the tray and pass to the dentist.

- After impressions material had set in patients mouth, the dentist pass me back the trays. I
took them to the sink and rinse under running cold water to remove some blood, saliva and
debris. Then I spray it with impression disinfector and leave for 10 min.

- Rinse them again in running cold water to remove any remaining disinfecting solution. The
trays are immersed it in a disinfecting bath, fully immersed in a solution of up to 10%
hypochlorite (bleach) for 10 minutes. Again, is rinsed once more under running water to
remove any remaining disinfecting solution.

- Both trays are covered with wet gauze and sealed in an air tight bag.

- On lab ticket is filled with Dentist's name, patient name, age, shade, Dental practice
address, additional features, date of delivery for fitting and disinfecting and attached to the
front of the sealed bag.

2. Aim of Disinfection Procedure:

Guidance Notes:
Students should state the overall aim of the disinfection process.
Impressions should be decontaminated through chairside disinfection immediately after
removal from the patient`s mouth.

They are among the items that are considered potentially infectious.

It's so important the disinfection procedure because irreversible hydrocolloid (alginate)

impressions  invariably are contaminated with patient saliva or blood. Such fluids can
contain viral and bacterial pathogens, including HIV and hepatitis A, B, and C viruses.

Although most infectious agents do not survive for extended periods outside the body, many
pathogens, if present in high enough numbers, can survive several days in protein-containing
body fluids.

Microorganisms can be transferred from contaminated impressions to dental casts, and oral
bacteria can remain viable in set gypsum materials for up to seven days.

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 took too long to  mix the  material and  started  setting  so  had  to  mix  again.

Weaknesses
Just sprayed both trays with disinfectant spray and wrap them in wet gauze.

Alginate Impression:
Student rinsed impression under runnning water: competent
Student immersed impression in disinfectant solution according to
competent
manufacturer's instructions:
Student rinsed impression to remove disinfectant solution: competent
Student wrapped impression in damp covering: competent
Student placed impression in sealed plastic bag: competent
Student lablled impression as disinfected: competent
Student attached laboratory instruction sheet to impression: competent

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  followed  the  practice  policies  and  the  procedures  that  were  taught  to  her.
with  time  she  will improve  on  speed  and  understanding  of  different  materials
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, I can see learning from class littered through this pers so I am very
happy!

I can see you understand how it impressions are Bets Decontaminated and this is a weakness
noted by the fact that you have had to just spray them! - In future make time to
decontaminate in the appropriate manner.

Please put an aim to support learning in weakness

Witness
Good supportive feedback 
Tutor Judgement: satisfactory
Sampled by Internal
yes
Moderator:
Meets NEBDN
yes
requirements:

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 Record of Experience - Introduction

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 Record of Experience - Overview

 Record of Experience - Status

 Unit 1
 Unit 1 Introduction

 Unit 1 Section 1: Preparing and Maintaining the Cl...

 Unit 1 Section 2: Sterilisation process
 Unit 1 Section 3: Disinfection of Impressions
 Unit 1 Section 3: Introduction

 PERS 1.3.a.1 Disinfection of Impressions

 PERS 1.3.a.2 Disinfection of Impressions

 PERS 1.3.b.1 Disinfection of Impressions

 PERS 1.3.b.2 Disinfection of Impressions

 Unit 1 Supplementary Outcomes

 Unit 2
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