KSU CD Policy Procedurs Final

KING SAUD UNIVERSITY
COLLEGE OF DENTISTRY
POLICY AND PROCEDURES MANUAL
© 2011 College of Dentistry, 0

King Saud University. All rights reserved
Copyrights
All material published in this Policy and Procedures Manual is the property of College of
Dentistry, King Saud University. Copyright and other intellectual property laws protect these
materials. Therefore reproduction or retransmission of the contents, in whole or in part, in any
manner, without the prior written consent of the Dean of the College will be deemed as violation of
copyright law. Contact information for requests for permission to reproduce or distribute materials
available through this report is given below:
The Vice Dean, Quality and Development,

College of Dentistry, King Saud University
P.O. Box 60169, Riyadh
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Kingdom of Saudi Arabia

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Office: 966-1-467-7406
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Mobile: 966-555-415-198
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email:halawanyh@gmail.com
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Table of Contents
Part A: Administration
Article I. Dental Program Policies and Procedures
Article II. Organizational Chart
Article III. Dental Program Summary
Article IV. Documentation
Section B: Human Resources

Article I. Definitions
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Article II. Employment

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Section 2.01 Appointment and Promotion of faculty

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Section 2.02 Employment contract of Non- Saudis

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Section 2.03 Part-time employment

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Section 2.04 Cancellation

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Section 2.05 Renewal

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Section 2.06 Termination

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Article III. Duties

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Section 3.01 Discipline

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Article IV. Regular working hours

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Section 4.01 Absenteeism

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Section 4.02 Tardiness

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Article V. Salaries, allowances and compensations

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Section 5.01 Faculty members, lecturers, language teachers and assistants

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Section 5.02 Doctors

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Section 5.03 Engineers

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Section 5.04 Researchers and their assistants and technicians

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Section 5.05 Administrators and clerical

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Section 5.06 Assistant technicians and craftsmen

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Section 5.07 Workers in specialized areas
Section 5.08 Part time workers
Article VI. Vacations / Leaves

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Section 6.01 Specific policies governing the college of dentistry

Section 6.02 Regular vacation time and extensions
(a) Combining vacation time to use at a later date
(b) Compensation of work during official holidays
(c) Compensation for vacations at the end of service
Section 6.03 National Holidays:
(a) Eid al-fitr and Eid Al-Adha
(b) The National Day of the Kingdom
Section 6.04 Emergency Leave
Section 6.05 Sick leave and conditions that apply
Section 6.06 Companion leave:
(a) For accompanying a patient.
(b) For accompaniment during study or work abroad.
Section 6.07 Study leave and conditions that apply
(a) Exam Attendance Leave
Section 6.08 Unpaid leave
Section 6.09 Sabbatical Leave
Section 6.10 Maternity or child care leave and conditions that apply
Section 6.11 Death of husband leave
Section 6.12 Procedures for applying for vacation/leave
Section 6.13 Extended duties or services
(a) Scientific consulting

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(b) Delegation, secondment

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(c) Attending conferences and symposiums and seminars

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Part C: Clinical Services
Article VII. Definitions
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Section 7.01 Students Clinic

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Section 7.02 Interns Clinic

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Section 7.03 Specialist Clinic

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Section 7.04 Oral and Maxillofacial Surgery & Diagnostic Sciences (MDS) Clinic
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Section 7.05 Prosthodontic (SDS) Clinic

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Section 7.06 Restorative Dentistry (RDS) Clinic

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Section 7.07 Pedodontic Clinic

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Section 7.08 Periodontic Clinic

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Section 7.09 Orthodontic Clinic

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Section 7.10 University Staff Clinic (USC)

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Section 7.11 Isolation Clinic (Controlled Rooms)

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Section 7.12 Hygienist Clinic

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Section 7.13 Implant Operating Room Clinic

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Section 7.14 Registration, Appointments and Records Division (RARD)

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Section 7.15 Central Supplies and Sterilization Division (CSSD)

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Section 7.16 Dental Radiology Division

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Section 7.17 Dental Auxillary Services Department (DASD)
Article VIII. General Clinical Operations

Section 8.01 General Clinical Guidelines- Food and Drink in clinics
Section 8.02 General Clinical Guidelines- Supervision of children
Section 8.03 General Treatment Guidelines- Best interest of patient
Section 8.04 General Treatment Guidelines- Preparatory Communication
Section 8.05 General Treatment Guidelines- Case Presentation
Section 8.06 General Treatment Guidelines- Maximizing oral health care
Section 8.07 General Treatment Guidelines- Prevention & maintenance in treatment plan.
Section 8.08 General Treatment Guidelines- Informed consent
Section 8.09 General Treatment Guidelines- Faculty approval
Section 8.10 General Treatment Guidelines- Treatment supervision
Section 8.11 General Treatment Guidelines- Conservative Treatment
Section 8.12 General Treatment Guidelines- Patient Medication
Section 8.13 General Treatment Guidelines- Record of treatment
Section 8.14 General Treatment Guidelines- Completion of care maintenance
Section 8.15 Professional attitude towards patients- Greeting Patient
Section 8.16 Professional attitude towards patients- Courtesy to patient.
Section 8.17 Professional attitude towards patient- Respect of patients.
Section 8.18 Professional attitude towards patient- Respect of culture.
Section 8.19 Professional attitude towards patient- Instructing Patients
Section 8.20 Professional attitude towards patient- Self control.
Section 8.21 Professional attitude towards patient- Achieving college goals.
Section 8.22 Patient Information Policy- Patient Information Packet
Section 8.23 Patient Information Policy- Informed consent of adults
Section 8.24 Patient Information Policy- Informed consent of minors
Section 8.25 Patient Information Policy-Provision of information for decision making
Section 8.26 Patient Information Policy- Patient Privacy & Confidentiality
Section 8.27 Clinical Ethics- Adherence to ethical standards
Section 8.28 Clinical Ethics- Non-discrimination of patients.
Section 8.29 Clinical Ethics- Upholding standards of the dental profession.
Section 8.30 Dentists Rights- Refusal to treat patient
Section 8.31 Dentists Rights- Referral of patient
Section 8.32 Dentists Rights- Consultation
Section 8.33 Patients Rights- Humanitarian Rights
Section 8.34 Patient Rights- Consultation or second opinion
Section 8.35 Patient Rights- Patient Responsibility
Section 8.36 Clinical Research- Ethical Approval
Section 8.37 Clinical Research- Patient consent
Section 8.38 Clinical Research- Procedure documentation.
Section 8.39 Clinical Research- Notification of Clinics.
Section 8.40 Clinical Research- Notification of Administration.
Section 8.41 Clinical Research- Documents required.
Section 8.42 Clinical Research- Record & Document control
Section 8.43 Patient Records- Physical Protection
Section 8.44 Patient Records- Confidentiality.
Section 8.45 Working Hours- Normal working hours
Section 8.46 Working Hours- Summer working hours
Section 8.47 Working Hours- Ramadan working hours
Section 8.48 Dress Code- Clinical Attire
Section 8.49 Dress Code- For Instruments Processing

Article IX. Patient Registration and appointments
Section 9.01 Patient Booking- General Guidelines
Section 9.02 Patient Booking- Eligibility
Section 9.03 Patient Booking- Patient agreement
Section 9.04 Patient Booking-Types of Files
Section 9.05 Patient Booking-Patient screening
Section 9.06 Patient Booking- Documents Required
Section 9.07 Patient Booking- Opening a patient file
Section 9.08 Patient Booking- Designating cases to clinics
Section 9.09 Patient Booking-Registering an appointment for primary care clinics
Section 9.10 Patient Booking-Appointments in Primary Clinics
Section 9.11 Patient Booking-Registering an appointment for student clinics
Section 9.12 Patient Booking-Registering an appointment for specialist and faculty clinics
Section 9.13 Patient Booking-Patient Transfer
Section 9.14 Patient Booking-Late Patient
Section 9.15 Patient Booking-Failure to Come
Section 9.16 Patient Booking-Special Booking for Students and Faculty Members
Section 9.17 Patient Booking-Medical Reports
Article X. Dental Radiology

Section 10.01 Radiographic Safety- Safety standards and protocols
Section 10.02 Radiographic Safety- Safety of Patients exposed to radiographs
Section 10.03 Radiographic Safety- Pregnant Patients
Section 10.04 Radiographic Safety- Safety of Radiography technicians
Section 10.05 Radiographic Safety- Pregnant Radiograph technicians
Section 10.06 Radiographic Safety- Equipment Periodic Checkups
Section 10.07 Radiographic Safety- Darkroom Periodic Checkups
Section 10.08 Radiographic Procedure- Making Radiographs
Section 10.09 Radiographic Procedure- Cone Beam Computerized Tomography (CBCT)
Section 10.10 Radiographic Procedure- Sialography
Article XI. Infection Control

Section 11.01 Infection Control-General Policies
Section 11.02 Infection Control- Knowledge of IC Policies
Section 11.03 Infection Control- Responsibility of Clinicians
Section 11.04 Infection Control- Responsibility of Dental Assistance
Section 11.05 Infection Control- Monitoring on IC Adherence
Section 11.06 Infection Control- Non-compliance
Section 11.07 Infection Control-Labeling of Hazardous Chemicals
Section 11.08 Infection Control-Vaccination Policy for Workers in the Clinic
Section 11.09 Infection Control- IC when making Radiographs
Section 11.11 Infection Control when Making Dental Radiographs

Article XII. Emergencies in the dental clinic
Section 12.01 Emergencies-Premedication
Section 12.02 Emergencies-Needle Stick and Sharp Object Injury
Section 12.03 Emergencies-Basic Life Support Training
Section 12.04 Emergencies-Medical Emergency
Section 12.05 Emergencies-Risk Assessment of a Medical Emergency
Section 12.06 Emergencies-Medically compromised or handicapped patients
Section 12.07 Emergencies-Drugs Needed to Manage Medical Emergencies
Section 12.08 Emergencies-Equipment Needed to Deal with a Medical Emergency
Section 12.09 Emergencies-Management of Medical Emergencies in Dental Practice
Article XIII. Instrument Requests and sterilization

Section 13.01 Instrument & Material Requests and Returns
Section 13.02 Receipt, Decontamination and Disinfection of Reusable Items
Section 13.03 Instrument Cleaning
Section 13.04 Instrument Processing
Section 13.05 Assembly, Wrapping and Instrument Sterilization
Section 13.06 Autoclave Loading and Unloading of Instruments
Section 13.07 Sterile Pack Storage
Section 13.08 Monitoring Steam Autoclaves
Section 13.09 Cleaning Procedures for Sterilizers (Autoclaves)
Section 13.10 Sterilizer Failure Recall
Section 13.11 Recall of Sterilized Instruments
Section 13.12 Disposal of Medical Waste in Dental Clinics and Offices

Part D: Laboratory, Safety and Maintenance
Article XIV. Definitions
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Section 14.01 Production Labs

Section 14.02 Student Labs
Section 14.03 Preparatory section
Section 14.04 Fixed restoration section
Section 14.05 Removable restoration section
Section 14.06 Chrome cobalt section
Section 14.07 Orthodontic section
Article XV. Dental Laboratory Policy

Section 15.01 Working Hours of Production Labs
Section 15.02 Reception of cases
Section 15.03 General Policies of lab
Section 15.04 Policies of Preparatory section
Section 15.05 Alginate Impressions
Section 15.06 Shade Taking
Section 15.07 Die Trimming
Section 15.08 Glazing
Section 15.09 Noble Metal Alloy
Section 15.10 Work done for Standard cases
Section 15.11 Work done for Specific systems
Section 15.12 Work done for Implant cases
Section 15.13 Work done by Removable restoration section
Section 15.14 Work done by Chrome cobalt section
Section 15.15 Work done by Orthodontic section
Article XVI. Students' laboratory

Section 16.01 Working hours of Student Laboratories
Section 16.02 Issuance of Student materials
Section 16.03 Preparation of Course Materials
Section 16.04 Cleanliness and Maintenance
Article XVII. Histopathology Laboratory Policy (CDRC)

Section 17.01 Receiving of biopsy case
Section 17.02 Requesting chemicals and reagents
Section 17.03 Machines and equipments maintenance
Article XVIII. Electron Microscope Laboratory Policy

Section 18.02 Photographing specimens
Section 18.03 Work done by the Electron Microscope section
Section 18.04 Mounting of Specimens
Section 18.05 Fees for the Scanning Electron Microscope
Section 18.06 Purchases for the Scanning Electron Microscope Section
Article XIX. Physical Laboratory Research Centre Policy

Section 19.02 Responsibilities of Researchers
Section 19.03 Responsibilities of Research Assistants
Section 19.04 Fees of Physical Lab

Article XX. Microbiology Laboratory Research Centre
Section 20.01 Microbiology Laboratory Policy
Article XXI. Animal Facility Laboratory Policy

Section 21.01 Animal Facility Laboratory Policy
Article XXII. Maintenance and Technical Services Policy

Section 22.01 Duties of Maintenance Department
Section 22.02 Scheduling of Jobs
Section 22.03 Work performed by the biomedical Technician
Section 22.04 Spare parts
Section 22.05 Non biomedical Maintenance
Section 22.06 Preventive Maintenance
Section 22.07 Documentation
Article XXIII. Photography Department Policy

Section 23.01 Scheduling of appointments
Section 23.02 Requests
Section 23.03 Issuance of Identification Cards
Section 23.04 Storage of Photographs
Part E: Student Guidelines
Article XXIV. Admissions Policies and conditions
Section 24.01 Conditions and requirements
Section 24.02 E- Admissions
Article XXV. Registration Policies
Section 25.01 Issuance of Student ID cards
Article XXVI. Leaves, absences and vacations
Section 26.01 Warnings
Section 26.03 Expulsion

Section 26.04 Leave of absence
Section 26.05 Postponement

Section 26.06 Suspension
Article XXVII. Stipends and allowances
Section 27.01 Monthly Stipends
Section 27.02 Honors rewards
Section 27.03 Disability allowance

Article XXVIII.Exams and grading
Article XXIX. Learning Resources
Article XXX. Extracurricular activities
Section 30.01 Extracurricular Activities and Student Care Programs
Section 30.02 Vocational Training, Skills and hobby Development
Article XXXI. Students rights and protection
Section 31.01 Academic rights and obligations
Section 31.02 Rights and Obligations in patient care
Section 31.03 Non-academic rights and obligations
Article XXXII. Transfer and withdrawal

Article XXXIII. Graduation
Section 33.01 First/Second Honor Ranking
Section 33.02 GPA
Section 33.03 Letters of Reference

Part F. Quality Assurance
Article XXXIV. Continuous Quality Improvement (Clinical)

Article XXXV. Risk Management/Program Monitoring

A. General Administrative Affairs
Article I. General Policies
Section 1.01 Non- discrimination
Section 1.02 Cleanliness and orderliness within college premises.
Observe cleanliness and orderliness at all times within college premises.
Section 1.03 Preservation and maintenance of college properties

Do your share in preserving and maintaining college properties through the proper handling and
usage of machine and equipments.
Section 1.04 Professional ethics and conduct

All staff in the college must play a role model in the professional ethics and conduct for students and
the public, this college being a great teaching institution.
Section 1.05 No smoking policy

Section 1.06 Honesty and respect for the college property
Honesty and respect for the college property is mandatory. Share in the practice of economy through
proper handling of machine, apparatus, other equipments and disposable materials.
Section 1.07 Professional attitude towards co-workers-Courtesy

Courtesy, cooperation and harmonious interpersonal relationship must be highly observed among all
clinic staff to promote a wholesome working atmosphere in the clinic.
Section 1.08 Professional attitude towards co-workers-Respect one’s position.

Respect one’s position, whether in authority or not. Every position is just too important to be taken
for granted.
Section 1.09 Professional attitude towards co-workers- Correction of errors

Errors or mistakes in the performance of certain tasks can be corrected. Mean words, criticisms and
negative remarks against a fellow worker are unfair. Build your co-worker’s confidence and help in
his improvement.
Section 1.10 Professional attitude towards work- Love your work.

Love your work. Do your best to do extremely well in your present position.
Section 1.11 Professional attitude towards work- Responsibility.

Always think that whatever work you have accomplished will speak of you and of the institution you
are working.
Section 1.12 Professional attitude towards work- Deadlines

Always beat the deadline. Submit your outputs on time. Aim for improvement in your job.
Experiences vary each day. Use these to improve your work capabilities.
Section 1.13 Professional attitude towards work- Enjoyment

Find enjoyment in your work. You can work and be happy at the same time.
Section 1.14 Professional attitude towards work- Additional responsibilities.
Be ready and willing to accept additional responsibilities when exigency of the service demands.
Section 1.15 Issuance of ID cards

At the first week of each year, all faculty, staff and students must apply and receive an ID card. It is
compulsory to wear ID cards at all time on college premises.

PART B. HUMAN RESOURCES
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Article II. Definitions1T
Section 2.01 References
1) The laws regarding Human Resources are derived in this policy and procedure manual is
derived from several governmental documents, which entail within them their own
definitions. The translation of these laws are for general understanding purposes, however
the original Arabic version is the governing law.
2) This document includes the regulations from the below guidelines. Each policy will indicate
as a reference the article it corresponds to in the original document.
3) The regulations concerning Saudi Faculty members are subject to the policies and
procedures set forth by the "Regulations concerning Saudi faculty members and those of
similar status in directive number 4/6/1417 decided by the Higher Education Council and
approved by the Custodian of the Two Holy Mosques, on 22/8/1418 H. (#7/B/12457).
4) All employment of Non-Saudis are subject to the policies and procedures set forth by the
"Regulations of employment is issued by the Saudi Council of Higher Education No. (03.04.1417
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H) taken at the (fourth) meeting of the Higher Education Council held on 07.02.1417 H crowned
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with the consent of the Custodian of the Two Holy Mosques, Chairman of the Board of Higher
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Education guidance wire No. (7 / b / 16 785) dated 11/4/1417 H.

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5) All work (whether full or part time) are subject to the rules stated forth by the "Saudi Labor
law" for staff and the "Regulations of Saudi Faculty" for academic positions.

Section 2.02 Faculty Members:
1) All Members of the college who work in an academic capacity including Professors, Associate
Professors, Assistant Professors. The policies stated in this document also apply to Lecturers,
Demonstrators, language teachers, and research assistants.
Section 2.03 Staff:
1) All staff who work in a non-academic capacity including administrative staff and dental
assistants and technicians and maintenance workers.
Section 2.04 Students:
1) All students enrolled for study in the college, including diploma, bachelors, postgraduates.
This term also applies to students not enrolled in the college using the premises of the
college, such as Dental Hygiene program students, Saudi Board Students, and Dental
Assisting students training from outside the college.
Section 2.05 Ministry:
1) Ministry of Labor; Minister: Minister of Labor.
Section 2.06 Labor Office:
1) The administrative authority assuming jurisdiction over the labor affairs within an area
specified by a decision of the Minister.
Section 2.07 Employer:
1) Any natural or corporate person employing one or more workers for a wage.
Section 2.08 Worker:
1) Any natural person working for an employer and under his management or supervision for a
wage, even if he is not under his direct control.
Section 2.09 Minor:
1) Any person of fifteen and below eighteen years of age.
Section 2.10 Work:
1) The effort exerted in all human activities in execution of a (written or unwritten) work
contract regardless of their nature or kind, be they industrial, trade, agricultural, technical or
otherwise, whether physical or mental.
2) For individuals it is their usual business activities.
3) For firms it is the activities for which the firm has been established as stated in its articles of
incorporation, franchise contract – if a franchise company- or Commercial Register.

4) Temporary Work is work considered by its nature to be part of the employer’s activities, the
completion of which requires a specific period or relates to a specific job and ends with its
completion. It shall not exceed ninety days in either case.
5) Incidental Work is work that is not considered by its nature to be part of the usual activities
of an employer, and its execution does not require more than ninety days.
6) Seasonal Work is work that takes place in known periodical seasons.
7) Part-time Work is work performed by a part-time worker for an employer and for less than
half the usual daily working hours at the firm, whether such a worker works on a daily basis
or on certain days of the week.
Section 2.11 Continuous Service:
1) Uninterrupted service of a worker for the same employer or his legal successor from the
starting date of service. Service shall be deemed continuous in the following cases:
(1) Official holidays and vacations.
(2) Interruptions for sitting for examinations in accordance with the provisions of this Law.
(3) Worker’s unpaid absences from work for intermittent periods not exceeding twenty days
per work year.
Section 2.12 Basic Wage:
1) All that is given to the worker for his work by virtue of a written or unwritten work contract
regardless of the kind of wage or its method of payment, in addition to periodic increments.
2) Actual Wage is the basic wage plus all other due increments decided for the worker for the
effort he exerts at work or for risks he encounters in performing his work, or those decided
for the worker for the work under the work contract or work organization regulation. This
includes:
(1) The commission or percentage from sales or profits paid against what the worker markets,
produces, collects or realizes from increased or enhanced production.
(2) Allowances the worker is entitled to for exerted effort, or risks he encounters while
performing his job.
(3) Increments that may be granted in accordance with the standard of living or to meet family
expenses.
(4) Grant or reward: What the employer grants to the worker and what is paid to him for
honesty or efficiency and the like, if such grant or reward is stipulated in the work contract or
the work organization regulation of the firm or if customarily granted to the extent that the
workers consider it part of the wage rather than a donation.
(5) In rem privileges: what the employer commits himself to provide to the worker for his work
by stating it in the work contract or the work organization regulation and its estimated at a
maximum of two months basic wage per annum, unless it is otherwise determined to exceed
that in the work contract or the work organization regulation.
Section 2.13 Month:

1) Thirty days, unless it is otherwise specified in the work contract or the work organization
regulation.
Section 2.14 Regulations:
1) The Implementing Regulations of this Law.

Article III. Employment
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Section 3.01 Appointment and Promotion of faculty

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1) Appointment of demonstrators, lecturers, language teachers, and research assistants

dependent on a recommendation from the department council in which the applicant will
work. This decision is forwarded to the permanent committee for Demonstrators, Lecturers,
Language teachers and Research Assistant Affairs college council for a further decision. The
decision is forwarded then for a decision from the College Council. The final decision is
overseen by permanent committee at the University level, headed by the vice rector for
Graduate Studies and Scientific Research. The appointment is based on and approval from
the Rector of the University (Ref 1-Art 3, 4, 5, 7)
2) Appointments for Faculty members are according to recommendations from the specific
Department Council and College Council and Scientific Council and appointment shall be
through a decision from the University Council (Ref 1-Art15).
Section 3.02 Conditions for Appointment of Faculty

1) The applicant for an Assistant Professor must hold a PhD or equivalent from a Saudi
University or any other recognized University, and the University Council has the right to add
additional requirements (Ref 1-Art 11).
2) The University Council has a right, when required and based on a recommendation from the
specific Department council, College Council and Scientific Council to appoint Assistant
Professors without the condition of holding a PhD in the specialties that do not provide
PhD's or according to specific regulations set (Ref 1-Art 12).
Section 3.03 Categorization for appointment according to level and rank
1) The categorization for appointment according to level and rank are for purposes of salary
equation.
2) The applicant for demonstrator who has completed 7 years of bachelor degree shall be
employed at the 4th level of demonstrator rank (Ref 1- Art 9).
3) The applicant who has transferred from the list of teaching jobs to the list of Faculty Jobs,
and holds a PhD or equivalent shall be appointed to Assistant Professor in the specialty in
which he has received his PhD. His prior experience in teaching will be considered each year
for a year, as long as he shall not exceed the last level of Assistant Professor Rank. This also
applies to those with a Bachelor or Master degree to be applied to Rank of Demonstrator or
Lecturer respectively (Ref 1-Art 17).

4) The appointed faculty shall placed at the first level of the rank he is appointed to, unless his
salary at the time of appointment is equal to or more than the salary given at the first level, in
which case he shall be appointed to the first level that exceeds his current salary.
Accordingly, the promoted faculty member shall be placed at the first level of the rank he is
promoted to, unless his salary at the time of promotion is equal to or more than the salary
given at the first level, in which case he shall be placed at the first level that exceeds his
current salary (Ref 1-Art 18).
5) The Professor who has reached his last level of his Rank shall continue to receive a yearly
bonus after the last level accrued, and this only applies to the Rank of Professor (Ref 1-Art
20).
6) For purposes of reimbursements, rewards and benefits; Faculty, Lecturers and

demonstrators shall be handled similar to government employees based on the following
equation (Ref 1- Art 19):
a) Demonstrator: Rank 8
b) Lecturer: Rank 9
c) Assistant Professor: Rank 12
d) Associate Professor: Rank 13
e) Professor: Rank 14
Section 3.04 Conditions for Promotion of Faculty Members:
1) Conditions for Promotion to Associate Professor (Ref 1-Art 21):
a) Must have served a minimum of four years at KSU or at any other accredited university,
provided that at least one year was at KSU.
b) Must present the minimum amount of research work required for promotion as stated in
Article 32 of the regulations.
c) This research work must have been published or accepted for publication while the candidate
was an Assistant Professor.

2) Conditions for Promotion to Professor (Ref 1-Art 22):
a) Must have served a minimum of four years at KSU University or any other accredited
university, provided that at least one year was at KSU.
b) Must present the minimum amount of research work required for promotion as stated in
Article 33 of the regulations.
c) This research work must have been published or accepted for publication while the candidate
was an Associate Professor.
3) Faculty member may request promotion 6 months before the end of the allotted time (Article
23).
Section 3.05 Requirements for Promotion
1) The requirements for promotion are as below (for a total of 100 points). However the
University Council sets the criteria for the evaluation of participation in teaching, as well as
services rendered to the University and the community in light of the recommendation of
Academic Council.
a) Scientific Production awarded 60 points
b) Teaching awarded 25 points
c) Community and University service awarded 15 points.
d) (Ref 1-Art 25, 27)
2) The total points accumulated by the Faculty Member should not be less than 60. In the case
of promotion to the rank of Associate Professor, a minimum of 35 points must come from
research work, as opposed to 40 points in the case of Professor. Promotion to the rank of
Associate Professor is based on the majority vote of the three referees. Promotion to the
rank of Professor is based on the unanimous decision of the three referees. In case two
referees recommend promotion, while the third does not, all research work will be sent to a
fourth referee, whose decision will be final (Ref 1-Art 28).
Section 3.06 Units of Research Work
1) A research work is regarded as one unit if it is entirely written by one individual and half a
unit if it has been done by two. If the research was carried out by more than two individuals,
it will be regarded as half unit for the principal author and a quarter units for each of the
others. If another collective research is considered for promotion then it will count as a
quarter unit for each researcher.

Section 3.07 Research Work accepted
1) The minimum research work submitted for promotion by a Faculty Member includes the
following (Ref 1-Art 29):
a) Research published or accepted for publication in refereed academic journals. The Academic
Council defines the criteria for the acceptance of refereed journals.
b) Refereed research work submitted to conferences or specialized scientific symposia provided

they are published in full, or accepted for publication. Only one such unit will be accepted.
c) Refereed research, whether published or accepted for publication, by specialized university

research centers.
d) Refereed university textbooks and reference books. Only one unit is accepted.
e) Refereed editions of rare books. Only one unit is accepted.
f) Refereed translations of specialized books. Only one unit is accepted.
g) Books and research work published by academic council or scientific bodies approved by the
Scientific Council, provided they have been refereed. Only one unit is accepted.
h) Inventions and patents of creative products from patent offices approved by the Academic
Council.
i) Creative work in accordance with the rules set by the KSU Council, upon the recommendation
of the Academic Council. Only one unit is accepted.
Section 3.08 Publication in specialized refereed journals
1) Some Publications must be in specialized refereed journals (Ref 1-Art 30):
2) In the case of Faculty Members applying for promotion to Associate Professor at least one
research unit should be in specialized refereed journals.
3) For promotion to Professor, a minimum of two research units must be presented/published

in specialized refereed journals.
Section 3.09 Minimum Publications accepted
1) The minimum research work required to be submitted for promotion to the rank of
Associate Professor should include four units, published or accepted for publication at least,
two of which should be singly authored (ref 1- Art 32)
2) The minimum research work required to be submitted for promotion to the rank of
Professor should include six research units published or accepted for publication, at least
three of which should be singly authored.
3) KSU Council based on the recommendation of the Academic Council, has the right to grant an
exemption for certain specializations, provided that three units have actually been published.

Section 3.10 Variation of Publication Outlets
1) Research work submitted by a Faculty Member for promotion should be published or

accepted for publication in more than one type of publication. The various types of
publication are not issued by a single university or scientific organization (Ref 1-Art 31).
Section 3.11 Requirement of ISI Publications
1) Beginning in 2012; A minimum of ISI-indexed publications is required for promotion of

faculty members in health and science disciplines as follows:
a) Either one of the following conditions shall be fulfilled upon applying for promotion:
i) 50% of research units required for promotion should be ISI- indexed. This shall only apply to
units published in 2012 onward.
ii) 50% of publications submitted for promotion should be ISI-indexed. This shall only apply to
units published in 2012 onward.
b) All ISI-indexed research published/accepted before 2012 shall be counted to the benefit of the
applicant in the percentage referred to in a and b above.
Section 3.12 Publication in electronic journals
1) Regarding publication in peer reviewed electronic journals for the purpose of academic
promotion: The electronic journals without hard copy should have the same standards
applied to the traditional peer reviewed journals (hard copy) and these are:
a) The Editor in chief must be at the rank at leastAssociat professor
b) The majority of the member s of the editorial board should be at the rank of at least associate
professor or equilvelenat.
c) The journal should declare the regularions of submission, peer review process and acceptance
of papers. The peer review process should involve at least two reviewers.
d) The journal should have been published regularily for at least two years or should have
published as least six issues regularily.
e) The published or accepted papers in electronic journals should not exceed one unit of the
minimum units required for promotion, and this does not apply to ISI-indexed electorinci
journals.
Section 3.13 Publication taken from Masters or PhD dissertation
1) The research work required for promotion must not be taken from the candidate’s Master’s
thesis or Ph.D. dissertation or from his/her previous publications. If the Academic Council
finds that something has been taken from any of the three sources mentioned above, the
candidate will not be permitted to apply again for promotion until a year is passed starting
from the date of the relevant resolution of the Academic Council.
Section 3.14 Referees for Academic Promotion

1) Referees for academic promotion should be at the rank of Professor. However, in the case of
promotion to Associate Professor, one of the referees is permitted to be an Associate
Professor.
Section 3.15 Date of Promotion
1) The academic promotion of a Faculty Member takes effect from the date of the relevant
resolution of the Academic Council. His promotion, on the other hand, will come into effect
from the date of the executive resolution, provided that there is a vacant position
appropriate to the promotion concerned.
Section 3.16 Loan, Delegation and Deputation considerations for promotion purposes:
1) There are certain considerations for the purpose of promotion regarding the duration of
loan, delegation, or deputation.
2) The entire period will be taken into account if the loan, delegation, or deputation is to an
academic institution in the field of the candidate’s specialization.
3) Half of the period will be taken into account if the loan, deputation or deputation is to a non-
academic institution in the field of the candidate’s specialization.
4) The period will not be taken into account for promotion if the candidate did not work in the
field of his specialization.
Section 3.17 Procedures for promotion:
1) The faculty member fills in the promotion form (electronically) and submits it to the
Department council, this form includes:
a) Educational and employment qualifications and employment history
b) Declaration of teaching duties
c) Declaration of Community and University Services
d) Copies of scientific production
e) Any other information to support request for promotion
f) Any information or documents that the department, college or scientific council require.
2) The Department council and scientific council representative shall look onto the application
and make sure it is complete. It shall then send a recommendation to the College Board with
suggested names of 8 specialized referees. The college council shall then approve this
decision and forward it to the Scientific Council (Article 26.
3) The college council shall then study the matter and perform the following;
a) Choose 5 referees to evaluate the scientific production; 3 primary evaluators and 2 secondary
evaluators (to use as needed). Two of the evaluators should be from outside the University.

b) Send the Scientific output and information pertinent to promotion to the evaluators in an
anonymous manner for evaluation.
c) Make a decision on the promotion of the candidate or refusal, based on the evaluation of the
evaluators, and the activities of the candidate in teaching and Community and University
service.
d) If the decision is refusal for promotion due to the weakness of scientific output; then a decision
is made regarding the state of the articles submitted concerning which are deemed to be
discarded and those that may be re-used for re-application. The re-application must include at
least one publication – at least- for the applicant to associate professor and 2 publications for
application to professor.
Section 3.18 Employment of Non- Saudis

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Section 3.19 Part-time employment

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1) Full-time workers who are affected by a collective temporary reduction in their normal
working hours for economic, technical or structural reasons shall not be considered part-
time workers.
Article IV. Regular Work

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Section 4.01 Job descriptions
1) All duties and work shall be declared in the job descriptions of respected workers jobs with
outlined authority and responsibilities.
Section 4.02 Discipline

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1) Disciplinary actions are set forth by the Saudi Labor.

2) The disciplinary penalties that may be inflicted on workers:
a) Warning.
b) Fines.
c) Withholding allowance or postponing it for a period not exceeding one year if prescribed by
the employer.
d) Postponement of promotion for a period not exceeding one year if prescribed by the employer.
e) Suspension from work and withholding of wages.
f) Dismissal from work in cases set forth by the law.
3) Penalties not provided for in this Law or in the work organization regulation.
4) The penalty shall not be made harsher in the event of repeated violation if one hundred
eighty days have elapsed since the previous violation was committed, calculated from the
date the worker is informed of the penalty for that violation.
5) A worker may not be accused of any offense discovered after the elapse of more than thirty
days, nor shall he be subjected to a disciplinary penalty after the elapse of more than thirty
days from conclusion of the investigation and establishment of the worker’s guilt.

6) A worker may not be subjected to disciplinary penalty for an act committed outside the
workplace unless such act is related to the job, the employer or the manager in-charge.
Nor may a worker be fined for a single violation an amount in excess of a five-day wage, and
no more than one penalty shall be applied for the same violation. No more than a five-day
wage shall be deducted from his wages in one month in payment of fines, or his suspension
from work without pay may not exceed five days a month.
7) A disciplinary action may not be imposed on a worker except after notifying him in writing of
the allegations, interrogating him, hearing his defense and recording the same in minutes to
be kept in his file. The interrogation may be verbal in minor violations the penalty for which
does not go beyond a warning or a deduction of a one-day salary. This shall be recorded in
minutes.
8) The worker shall be notified in writing of the decision of imposing the penalty on him. If he
refuses to receive the same or if he is absent, the notice shall be sent to the address shown in
his file by registered mail. The worker may object to the decision of imposing the penalty
upon him within fifteen days, excluding official holidays, from the date of notifying him of the
final decision. The objection shall be filed with the Commission for the Settlement of Labor
Disputes which shall be required to issue its decision within thirty days from the date of
registering the objection.

1) The employee shall give reason for his absence and his absence will be deducted from his
annual leave if his excuse is valid and accepted.
Section 4.04 Tardiness

1) Tardiness will be collected on a daily basis and will be considered one day deduction from
leave of pay if it reaches 7 hours collectively
Article V. Vacations / Leaves

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Section 5.01 Specific policies governing the college of dentistry

1) The Immediate Supervisor shall award the staff points for their work overtime, which will be
translated to leave time as follows: (10 points each equivalent to one day).
2) A staff member who is needed by the college to be on duty during the holidays and vacation
leave Hajj al-Fitr will be compensated as follows; (each equivalent to eight hours a day).
3) The employee shall be granted leave for participation in special events like university
graduation and the determination of the duration of leave in a will be left for the discretion of
the organizing committee.
4) The employee will be granted leave for the employees to participate in personal interviews
and examinations for the students during the admissions periods as determined by the type
of participation.

Section 5.02 Regular vacation time and extensions
1) Employee is entitled to a normal period of thirty-six (36) days for each year of service with
full pay according to the latest salary.
2) The employee may receive her salary in advance if the duration of leave is one month and
above.
3) This leave may be enjoyed all at once at a single time or at intervals of not less than five days
of leave.
4) Vacations may not be extended more than once.
Section 5.03 National Holidays:

(a) Eid al-fitr and Eid Al-Adha
1) Al-Fitr holiday starts the beginning of the twenty-fifth day of the month of Ramadan and
ending at the end of the fifth day of the month of Shawwal.
2) Eid al-Adha holiday starts the beginning on the fifth day of the month of Dhu al-Hijjah and
ends at the end of the fifteenth day of the month.
3) If the Eid holiday begins on Sunday, then it shall start the weekend prior to that and if the
end of a holiday of Eid is on Tuesday, then it shall extend to include weekend following.
(b) The National Day of the Kingdom
1) The National Day of the Kingdom corresponding to 23 September of the calendar year will be
granted as an official leave.
2) If the National Day falls on a Friday, then the following Saturday shall be an official holiday.
3) If the National Day falls on a Thursday, then the preceding Wednesday shall be an official
holiday.
4) If the National Day falls on a Tuesday and a Eid holiday begins on the following Thursday,
then the holiday starts from the beginning of the National Day.
Section 5.04 Emergency Leave

1) An employee may after the approval of his immediate supervisor be absent with full pay
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for reasons of emergency for up to five days during one fiscal year.
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Section 5.05 Sick leave and conditions that apply

1) An employee is entitled to sick leave in four years, not exceeding two years according to the
following order: (six months full pay and six months on half salary, six months a quarter of
salary and six months without salary) and calculated the beginning of four years from the
date of the beginning of sick leave

2) If the employee is sick with a serious diseases that the specialized consultant has deemed
serious, then the employee is entitled to sick leave within four years according to the
following order: (a year with full pay and three months on half salary and three months
salary and a quarter of six months without salary) and starts from the date identified his
absence from work.
3) If it is determined that the employee has a serious disease while receiving sick leave, it shall
be amended from the initial date according to leave deserved.
4) All sick leaves must have proof of sick leave with a medical report.
5) The employee's salary may be paid in advance during sick leave, provided that the leave is
less than a month. If the patient dies during the leave, the workplace shall not reprocess what
was paid.
Section 5.06 Companion leave:

(a) For accompanying a patient.
1) The employee may request a leave in cases in which a staff member is obliged to
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accompany one of his relatives for treatment or the mother wishes to accompany her child,
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who does not exceed seven years old, and if the time needed to accompany exceeds that
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deserved from Regular vacations, as determined by the medical reports, provided that:
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- The patient is one of the children of the employee, or his spouse or a dependent (a
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parent, brother or sister). 6T
- The patient is deemed required to have a companion, and the employee is a legal
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Muhram for a female treated abroad or in a city other than where she resides. 6T 6T 6T 6T 6T 6T 6T 6T
(b) For accompaniment during study or work abroad.
1) The employee is eligible for a leave to accompany his legal guardian as a companion.
Section 5.07 Study leave and conditions that apply

1) The employee may be granted study leave without pay if he holds a qualification at least
complete high school or its equivalent provided:
a) He has spent in service (three years) or at least evaluate his performance career
b) That the subject matter of his work-related in the study
2) The workplace of the employee has a right to request reports on the employee's study
progress. If the employee stops his study or his progress is hindered, then the workplace
may stop the study and request his return.
3) If the employee has circumstances that call for cutting his study leave, he may return to
work, subject to approval by his work.
4) If the employee does not achieve the purpose for which the leave was granted, then the
study leave will not be counted for purposes of appointment or promotion.

Section 5.08 Maternity or child care leave and conditions that apply
1) The female employee deserves a maternity with full pay for 60 days. If the employee wishes
to take a leave for childcare, then she is allowed to apply for a leave for a period or several
periods for a maximum of three years for all her term of service, with a quarter salary pay
after the delivery of her child, provided that she will not receive less than 1500 sr according
to the following conditions:
a) This leave must be applied for within the first three years of the child's age.
b) The administration may delay this leave for a period not exceeding 60 days from the day of
application if the workplace requires so, and the leave may be extended if the administration
agrees within the time specified earlier.
Section 5.09 Death of husband leave

1) The female employee is allowed a full paid vacation following death of her husband for the
period of "Idda" (4 months and 10 days).

Part C. Clinical Services

Article V11. Definitions
This includes the clinics of KSUCD in campuses, the male building in Darraiyah University Campus
(DUC) and the female building in Malaz University Campus (MUC). The Darraiyah University
Campus (DUC) is the main building of KSUCD and its clinical floor is divided into the following
sections:
Section 7.01 9T Students Clinic
The Students Clinic is the teaching clinic for the undergraduate students. It has modern dental
facilities dedicated to patient oral healthcare. Dental students provide care under the supervision of
experienced faculty members and perform both general dentistry and specialty care. Dental students
here often work at a slower pace than in the Specialists Clinic. At each step, a faculty member will
check on the progress of the student. For many patients, spending extra time in receiving quality
healthcare is worth the wait especially when it is free of charge.
Section 7.02 9T Interns Clinic
Interns spend one-year training program after graduation. A special clinic section in the clinical hall
is reserved for them. They provide primary and specialized dental care to the patients as part of their
training. They treat patients with dental emergency as well as patients with regular appointments.
Section 7.03 9T Specialist Clinic
Staff (faculty members), graduate students, and Saudi board residents work in these clinics.
Section 7.04 9T Oral and Maxillofacial Surgery & Diagnostic Sciences (MDS) Clinic
These clinics provide curative services in the treatment of oral diseases and various types of face and
jaw surgery, including major surgeries. Surgeries are also performed in King Khalid University
(KKUH) and King Abdul-Aziz University Hospitals (KAUH). The Oral and Maxillofacial Surgeons
cover the hospitals emergencies 24 hours throughout the year.
Section 7.05 9T Prosthodontic (SDS) Clinic
All types of teeth replacement takes place in these clinics. Replacements include removable and
fixed prostheses on natural teeth or implants. These clinics also provide the graduate students with
the required training in prosthodontics.
Section 7.06 9T Restorative Dentistry (RDS) Clinic
These clinics are equipped with digital radiology, in which specialists in conservative dental
treatment and endodontic work. Graduate program students in operative and endodontics are trained
in these clinics.

Section 7.07 9T Pedodontic Clinic
These clinics have an appropriate atmosphere to deal with children. The clinics also provide special
management for children with special needs. Some treatments are carried out under general
anesthesia in King Abdul-Aziz University hospital (KAUH). The clinics are equipped with all tools
needed to perform sedation.
Section 7.08 9T Periodontic Clinic
These clinics provide periodontal treatment for patients with periodontal disease. Plastic gingival and
corrective bone surgery is also performed by professionals. Postgraduate students training takes
place in these clinics under the supervision of the College Staff.
Section 7.09 9T Orthodontic Clinic
These clinics provide orthodontic treatment for arrangement of badly aligned teeth. Some congenital
malformations such as cleft lip and palate and surgical correction of skeletal deformities are carried
out with the help of the Oral and Maxillofacial Surgery team.
Section 7.10 University Staff Clinic (USC)

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Dental care for faculty members at the King Saud University is carried out in special clinics designed
to fulfill the needs for the university staff and their families. These clinics have been equipped with
all modern tools. Qualified dentists in all dental specialties of treatment work in these clinics.
Section 7.11 9T Isolation Clinic (Controlled Rooms)
These clinics are designed to treat patients with contagious diseases using advanced techniques to
prevent disease transmission. It is designed for extra precaution to treat such patients, though a
standard universal infection control measures are applied in all the other clinics when treating any
patient.
Section 7.12 Hygienist Clinic

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This is a special section in the clinics where oral hygiene is carried out by hygienists.
Section 7.13 9T Implant Operating Room Clinic
Special clinic allocated for the implant surgery where the missing teeth are replaced by artificial
ones. Different specialties participate in the implant surgeries namely, the oral and maxillofacial
Surgeons, prosthodontics and periodontists. Different implant systems are used in the clinics. The
prosthetic phase will be completed after healing period by a prosthodontist faculty or post graduate
students.

Support Services
Section 7.14 9T Registration, Appointments and Records Division (RARD)
This department is responsible for receiving and registering patients and keeping patients files and
records. The department also organizes patient's appointments for students and staff who are working
in the clinics. Employees at this department also follow-up patient’s referrals to different specialties
and regulate transfer patients from outside the college.
Section 7.15 9T Central Supplies and Sterilization Division (CSSD)
In these centers, sterilization and disinfection of all instruments, headpieces and other equipments
used in the treatment of patients is carried out. Three centers are available in the clinical hall
operated by qualified professionals.
Section 7.16 9T Dental Radiology Division
There are special clinics belonging to the Division of Radiology for performing diagnostic imaging.
Special diagnostic procedures such as CT scan images and the Sialography are being performed. A
number of specialists in the field of radiology in addition to a number of technicians work and teach
in this division.
Practical laboratory works are being done so that students will be able to acquire the needed
knowledge and skills on the techniques and procedure on radiographic examination, processing and
mounting of films and scientific way of interpreting radiographs
Radiology division, although considered as independent unit as far as technical management is

concerned, carries out collaborative functions with the other area of the clinic.
Mission
1. To render quality diagnostic service to patients by means of intraoral, extra oral

and special radiographic procedures.
2. Provide extensive education and practical training to students in the field of radiology.
Section 7.17 Dental Auxiliary Services Department (DASD)
The Clinical Area of the College of Dentistry operates largely through the services of the Dental
Auxiliary Services Department (DASD). This department provides the biggest share of clinic
manpower and carries the greatest bulk of responsibilities and support services in attaining the major
objectives of the clinical procedures.

Planning, preparation and control of clinical schedules of students, interns, general practitioners,
teaching staff and all the clinic auxiliary staff is the major responsibilities of which are fully
delegated by the Director of Clinics to the Chief of the Dental Auxiliary Services Department.
The Chief of the Department, the Clinical Area Supervisors, and Section Heads of the DASD are all
committed for: (a) the total management and control of all the clinical activities, (b) the full
implementation of the standard policies and procedures in the clinics and (c) the efficient and
effective management of the educational program in the clinical area.
Main Functions of the Department
1. To provide an organized supportive services for the students/clinicians working in the clinics.
2. To help dental students to achieve an excellent clinical experience.
3. To provide assistance to the Director of Clinics in the organization, implementation, supervision
and coordination of the different programs in the clinics to ensure maximum efficiency within the
department.
4. Facilitates an efficient scheduling system for students, clinical staff, clinicians and patients.
5. Implements and maintains clinical professional discipline among students, clinical staff, patients
and the public as outlines and imposed by the College’s authorities. These are concerning
acceptable conduct and behavior in the clinics.

Article VIII. General Clinical Guidelines/Standards
General Clinical Guidelines

Section 8.01 General Clinical Guidelines- Food and Drink in clinics
Under no circumstances, should anyone be exempted from bringing in and taking any drinks or foods
in any form in the clinic.
Section 8.02 General Clinical Guidelines- Supervision of children

The college does not provide facilities and staff for supervision of children while undergoing
treatment.
General Treatment Guidelines
Section 8.03 General Treatment Guidelines- Best interest of patient

The College will not provide any type of care which is not in the best interest of the patient.
Section 8.04 General Treatment Guidelines- Preparatory Communication

Preparatory communication is utilized during each stage of data collection in order to inform the
patient of impending procedures and to minimize anxiety.
Section 8.05 General Treatment Guidelines- Case Presentation

A complete case presentation is provided to the patient (or guardian) that thoroughly explains the
ideal and alternative treatment plans in non-technical and non-threatening language.
Section 8.06 General Treatment Guidelines- Maximizing oral health care

Strategies to maximize oral health and the patient’s partnership in maintaining this state of health
will be stressed.
Section 8.07 General Treatment Guidelines- Prevention & maintenance in treatment plan.
Each comprehensive treatment plan will include preventive components and a maintenance program
pursued in parallel with other definitive care.
Section 8.08 General Treatment Guidelines- Informed consent

Informed consent must be obtained from the patient (or guardian) prior to initiation of treatment.
Section 8.09 General Treatment Guidelines- Faculty approval

Faculty approval/signatures are obtained prior to initiating dental care for patients.
Section 8.10 General Treatment Guidelines- Treatment supervision

All treatment will be delivered under the supervision of KSUCD faculty member
Section 8.11 General Treatment Guidelines- Conservative Treatment

Treatment will be provided as conservatively as possible
Section 8.12 General Treatment Guidelines- Patient Medication

Medications will be prescribed as appropriate for the needs and presentation of each individual
patient to address prophylactic, symptomatic, or treatment indications.
Section 8.13 General Treatment Guidelines- Record of treatment

At each appointment all treatment provided will be recorded in the patient’s record according to the
KSUCD patient record protocol and will be signed by the student and countersigned by the faculty
supervisor.
Section 8.14 General Treatment Guidelines- Completion of care maintenance

Upon completion of comprehensive care, the patient will be placed on a follow-up schedule in the
hygienist clinics developed to maintain his/her oral health.
Professional attitude or workers towards patients
Section 8.15 Professional attitude towards patients- Greeting Patient

Always make the patient feel that he/she is welcomed. A sincere greeting coupled with smile can
establish immediate good relationship with the patient.
Section 8.16 Professional attitude towards patients- Courtesy to patient.

The patient’s need is important and cannot be ignored. Let the patient know of your interest to serve
him/her through your kind and cordial words. Courtesy means a lot.
Section 8.17 Professional attitude towards patient- Respect of patients.

Maintain respect and confidence of patients through sincere and honest service.
Section 8.18 Professional attitude towards patient- Respect of culture.

Respect patient’s cultural practices and individual differences. Provide special concern to human
dignity.
Section 8.19 Professional attitude towards patient- Instructing Patients

Be patient in giving instructions. Do not let the patient leave the area without an assurance that he
clearly understood your instructions.
Section 8.20 Professional attitude towards patient- Self control.

Even in the most difficult and trying times, never lose self-control. Patient should never leave the
area unhappy.
Section 8.21 Professional attitude towards patient- Achieving college goals.

A good accomplishment done to a patient is a good accomplishment done for the college. Always
work towards the fulfillment of common goals for the college.
Patient Information Policy
Section 8.22 Patient Information Policy- Patient Information Packet

A patient information packet, explaining College of Dentistry clinic policies regarding patient rights
and responsibilities as well as the treatment policies of the College, will be provided to each patient
at their initial screening appointment. The information is also available on the College website.
Faculty and student providers should be familiar with the information provided and ensure that their
patients have read and understand the information.

Section 8.23 Patient Information Policy- Informed consent of adults
Fully informed consent is essential to the ethical practice of dentistry and reflects the patient’s right
of self-decision. A clinician (student or faculty) must get valid consent before starting treatment or
physical investigation, or providing personal care, for a patient. Before proceeding for any treatment,
expected outcomes must be fully explained and understood by the patient. Thus, a Consent Form
shall be filled up by the patient (parent/guardian) in accordance with the policy of the college.
Any competent mature adult person may fully consent to treatment. A person is considered
competent if he/she has sufficient understanding and capacity to make and communicate reasonable
decisions. A legally appointed guardian may consent to the treatment for an incompetent adult. No
patient will be treated in KSUCD clinics without signing the Patient Consent and Agreement form.
Section 8.24 Patient Information Policy- Informed consent of minors

A parent or legally appointed guardian must consent to the treatment for young children and
mentally disabled adults. Parents or legal guardians have a right to an explanation regarding the
options for behavioral management of children, and are responsible to ask for additional information
if they do not understand explanations. Siblings, friends, or any person other than a parent or legal
guardian cannot provide consent. No patient will be treated in KSUCD clinics without signing the
Patient Consent and Agreement form.
Section 8.25 Patient Information Policy-Provision of information for decision making

Clinician must provide all the necessary information that the patients needs to give informed consent
and make their decisions prior to the start of any procedure and/or treatment so that the patient will
understand the purpose, probable results, alternatives, and risks involved, and to participate actively
(with family members when appropriate) in decisions regarding their dental care. This involve
explaining complex dental diagnosis, prognoses and treatment regimes in simple language,
confirming or correcting information that the patients may have obtained elsewhere (e.g., from
another health practitioner, magazines or the internet), ensuring that patients understand the
treatment options (including the option of no treatment) advantages and disadvantages of each,
answering any questions they may have, and understanding whatever decision the patient has
reached and, if possible, the reasons for it.
Section 8.26 Patient Information Policy- Patient privacy & confidentiality

Dentists are obliged to respect patient's privacy and safeguard the confidentiality of patient records.
Dentists shall maintain patient records in a manner consistent with the protection of the welfare of
the patient. All communications and records pertaining to the patient care will be treated as
confidential within the dental care team. All patient’s dental and medical records confidential and
protected from loss or misuse, read only by individuals involved in their dental care or by individual
authorized by law or regulations. Upon request of a patient or another dental practitioner, dentists
shall provide any information in accordance with applicable law that will be beneficial for the future
treatment of that patient.

Clinical Ethics
Section 8.27 Clinical Ethics- Adherence to ethical standards

The King Saud University College of Dentistry (KSUCD) calls upon all students, faculty members,
and staff to follow high ethical standards which have the benefits of the patient as their primary goal.
The privilege of being a dentist comes with a responsibility to society and to fellow members of the
profession to conduct ones professional activities in a highly ethical manner. The dentist –patient
relationship is the cornerstone of dental ethics. Faculty, students and staff are expected to adhere
closely to dental ethics published in the College’s Dental Ethics Manual and the Student Code of
Conduct.
Section 8.28 Clinical Ethics- Non-discrimination of patients.

The dental treatment in KSUCD is provided without discrimination based on patient’s gender,
sexual, racial, religious, or ethnic characteristic. Service to the public includes the delivery of quality,
component, and timely care within the bounds of the clinical circumstances presented by the patient.
Section 8.29 Clinical Ethics- Upholding standards of the dental profession.

While serving the public, students, faculty and staff have the obligation to act in a manner that
maintains or elevate the esteem of the profession. It is unethical for a dentist to render, or cause to be
rendered, substandard.
Dentists Rights
Section 8.30 Dentists Rights- Refusal to treat patient

The dentist may, in non-emergency cases, refuse to treat a patient for personal or professional
reasons which might infringe the quality of the service rendered to the patient. Provided that such
refusal should not cause harm to the patient's health, and that there is another dentist who could
perform the treatment.
Section 8.31 Dentists Rights- Referral of patient

The dentist should refer the patient in the following situations:
1. Dentist can’t provide good quality type of treatment
2. Dentist feels that another dentist can provide a better service.
3. Patient needs specialized treatment of the patient condition
4. Other dentists has more advanced and effective means
The dentist should not delay the referral, whenever such referral is in the best interest of the patient.
When referring the patient to another dentist, the information which he/she believes necessary for the
treatment should be provided.
Section 8.32 Dentists Rights- Consultation

Dentist should refer the patient for consultation if he deems that a consultant can provide the dentist
with necessary information regarding the case or the patient needs supplementary treatment to the
treatment the patient has provided.

Patient Rights
Section 8.33 Patients Rights- Humanitarian Rights

To be treated respectfully and courteously by students, faculty and staff.
To be treated by competent personnel.
To be treated in with effective use of time.
To be provided with safe care within the established dental environment.
To be protected from physical, verbal or psychological insult.
To be receive full information disclosure according to the guidelines set forth by the Patient
Information Policy
The patient has the right to be able to discuss any questions with the assigned student, a patient
service representative, or a member of the faculty or staff.
Section 8.34 Patient Rights- Right of Dental Care

1. To receive comprehensive care given without discrimination.
2. To have appropriate assessment and management of pain.
3. To have emergency treatment carried out without delay during available working hours.
4. To receive a continuous and complete dental treatment that meets the standards of care in the
profession.
5. To be able to discontinue treatment at any time and be informed of the medical and dental
consequences of the actions.
6. To consult another dentist and be furnished with the necessary dental reports and information
for such consultation.
Section 8.35 Patient Rights- Patient Responsibility-

1. To deal with dental college staff and other patients in a decent manner and respect their
privacy.
2. To report changes in health status and to give accurate and complete dental and medical
information.
3. To be respectful of clinic personnel and other patients as well as clinic property.
4. To attend scheduled appointments promptly, or call or come to the booking office to make
necessary changes in appointments as early as possible (at least 24 hours ahead).
5. To follow post-operative instructions, take medications as prescribed and assist with the care
being provided during appointments.
6. To comply with the university rules and regulations, as informed by university personnel.
7. To understand that the College of Dentistry is an educational institution and that dental
treatment provided may proceed at a pace slower than anticipated.
Clinical Research

Section 8.36 Clinical Research- Ethical Approval
All clinical research projects and studies must have ethical approval from the Dental Research
Ethical Review Committee of the College of Dentistry Research Center (CDRC).
Section 8.37 Clinical Research- Patient consent

Patients’ approval should be obtained before the study in a form of informed consent. It is the
responsibility of the researcher(s) to explain to the patients the nature of the study and get their
signed approval which is kept in the patient’s file.
Section 8.38 Clinical Research- Procedure documentation.

The study procedure which will be performed on the patients should be documented on the patient’s
file clinical notes.
Section 8.39 Clinical Research- Notification of Clinics.

Primary Investigator(s) should write a letter to the director of clinics explaining their study with the
approval letter from CDRC. The needed help from the Directorate of Clinic should be explained in
the letter for proper actions to be made.
Section 8.40 Clinical Research- Notification of Administration.

If Director of the Clinics or the Assistant Director of Clinics is/are involved in the clinical study, the
letter should be directed to the Vice Dean for Administrative Affairs for approval.
Section 8.41 Clinical Research- Documents required.

Checklist of the needed documents for clinical studies to be presented to the Directorate of Clinics:
1. CDRC approval letter
2. Letter from Primary Investigator(s) to the Director of Clinics, explaining the type of the
clinical study and the needed help from Directorate of Clinics
3. If approved, the Director of Clinics will send an approval letter to the PI(s), with a copy to the
clinical area Head/Supervisor, where the study will be rendered for facilitation.
Section 8.42 Clinical Research- Record & Document control

All documents related to the application for clinical research projects and studies will be kept in a
special folder in the Directorate of Clinics office for future references.
Patient Records
Section 8.43 Patient Records- Physical Protection

No patient’s record should be taken out of the main booking area or the local reception area under
any circumstances.
Copying of any patient’s documents is not allowed.
Section 8.44 Patient Records- Confidentiality.

Any person who will be exposed to patient’s information must sign the King Saud University
College of Dentistry Confidentiality Agreement Form.
Working Hours
Section 8.45 Working Hours- Normal Clinical working hours

Normal Clinical Working Hours during the academic school year are as follows:
• Clinical Staff –
Saturday - Wednesday:
Morning Session 8:00 AM - 12:00 Noon
Afternoon Session 1:00 PM - 5:00 PM
Thursday:
• Postgraduate and Undergraduate Students
• Clinician [ Interns, Saudi Board Residents ]
Thursday [Interns] :
• Specialist, General Practitioner (USC Clinicians)
Morning Session 8:30 AM – 12:00 Noon
Afternoon Session 1:00 PM – 4:00 PM
• Faculty
Section 8.46 Working Hours- Summer working hours
Summer Working Hours are
Morning Session 8:00 AM- 12:00 PM
Afternoon Session 1:00 PM- 4:00 PM
Section 8.47 Working Hours- Ramadan working hours

Ramadan working hours
For Non-Clinical Staff 10:00 – 3:00
For Dental Auxillary & Admin Staff 9:00- 3.:00
Schedule of Clinical Sessions
Morning Session 9:45 AM-12 PM
Afternoon Session 12:45 AM -3:00 PM

Dress Code
Section 8.48 Dress Code- Clinical Attire

All staff, visitors must comply with the Departmental Dress Code.
1. Scrub Suits: All Faculty [Professors, Associate Professors, Assistant Professors, Lecturers,
Demonstrators, Senior Registrars] and Clinicians [Consultants, Specialists, and General
Practitioners] are required to be in their prescribed scrub suits, should be light green and
white coats at all times when they are in the clinic.
• Postgraduate, Saudi Board, and Interns should wear scrubs under their disposable
gowns. Scrubs must be dark green.
• Female Interns are required to wear long, loose-fitting dresses with white coat [long
and completely buttoned] or scrubs under white coat. The hair should be completely
covered with scarf that is not decorated or transparent and refrain from using
perfumes, heavy cosmetics, nail polish and high-heeled shoes.
• Undergraduate students must wear scrubs under their disposable gowns. Scrubs must
be blue with no lettering and maintained in a clean and presentable manner. Scrubs
must be worn as a unit; it is not acceptable to wear a scrub top with a regular pant or
to wear scrub pants with a t-shirt or other shirt.
• Under no justifiable reason should a clinician be allowed to work with patients when
they are not in their official clinic attire.
2. Uniforms: Some departments may require employee to wear uniforms instead of street
clothes in the clinic. Employees must follow the dress code guidelines set by the
administrators in these areas.
3. Identification cards must be worn on the left breast pocket at all times when within the
clinic.
Section 8.49 Dress Code- For Instruments Processing

All staff, visitors must comply with the Departmental Dress Code.
Purpose
To ensure that staff are properly attired according to the requirements of their work area.
Procedures
1. On entering the Steri-Center Department, all staff will change into departmental uniform
provided in the changing area.
2. Staff moving into the wash area, who will be engaged in the handling and processing of
incoming equipment, will put on an extra protection gown, gloves and protective goggles in
addition to the departmental uniform.
3. When leaving the wash area, working personnel should remove and discard the gown and
gloves, and wash their hands.
4. Prior to entering the preparation area, all staff and visitors will wash and dry their hands.
Staff coming from other areas will wear the departmental uniform and must comply with the
dress code when moving to other areas of the department.
Article IX. Patient Registration and Appointments
Section 9.01 Patient Booking- General Guidelines
No new patient should be booked for any dental treatment without going through the routine
standard procedures on admission, registration and screening.
Section 9.02 Patient Booking- Eligibility

Patients that are allowed to be treated in the college are delineated and are categorized according to
type of treatment eligible for in the following table:
CODE DESCRIPTIONS ELIGIBILITY

DU1 Saudi Faculty Staff of KSU and Eligible in all areas including USC
their dependents and Ortho Clinic
DU2 Non-Saudi Faculty Staff of KSU Eligible in all areas including USC
and their dependents and Ortho Clinic
D1 Saudi national KSU employees Eligible in all areas except USC and
(non-faculty) and their Ortho Clinic
dependents
D2 Non-Saudi national, KSU employee Eligible in all areas except USC and
(non-faculty and their Ortho Clinic
dependents
D3 Saudi national, non-KSU employee Eligible in all areas except (USC
and Ortho Clinic
D4 Non-Saudi national, non-KSU Eligible for student courses
employee (postgraduate, undergraduate)
and emergency treatment only
Eligibility regulations are applied when referring patients to the Orthodontic clinic and USC, which
cover DU1 and DU2 category only.
Section 9.03 Patient Booking- Patient Agreement

Upon assurance of Eligibility and screening of patients, all patients must sign an “Agreement Form”-
which includes the following:
1. Consent to be treated by all and any clinicians of the college according to patient and clinician
needs.
2. Agreement to comply with appointments and consequences of failure to attend appointments.
Section 9.04 Patient Booking- Types of Files

A Primary Care File is issued to all new patients who seek immediate and limited treatment
regardless of what categories the patient belong to.
A Regular File is issued for screened patient and requested by the clinician or student for continuing
the treatment. If requested by student, the form should be countersigned by the Course Director or
supervising faculty member. It applies preferably to the patient with DU1, DU2,D1, D2 and D3
categories. The D4 category can only be issued a regular file if the case is suitable for student
courses.
Section 9.05 Patient Booking- Patient screening
No new patient should be booked for any dental treatment without going through the routine
standard procedures on screening.
Purpose
To screen all new patients, evaluate their dental needs and refer them to the appropriate specialty.
The initial screening examination may take about forty five (45) minutes.
Procedures
1. All new patients upon completion of their registration are brought to the clinical area for a
rapid screening.
2. The registration data is examined for completeness. This includes appropriate patient
signatures and chart entries.
3. The consent form (for pediatric patients) must be reviewed for signature
4. The medical history is reviewed. Additional questions for completeness are asked. The
history should be countersigned by the examiner.
5. Extra-oral and intra-oral examination is completed making appropriate notes.
6. A prescription for radiographs is documented in the chart.
7. Once radiographs are completed the patient is assigned to the appropriate speciality.
8. In the screening form, sequential treatment and corresponding department/course must be
included.
9. Red sticker is attached to medical alert on the upper right side of the file as a precautionary
sign if the patient suffers from any communicable disease.
10. Clinician should accomplish appointment request form for first time patient and also
succeeding appointments. Original copy will be taken by the appointment secretary and the
other copy will be attached to the patient’s appointment card.
11. The patient must be briefed of his/her scheduled appointment explaining that, he/she should
come to his scheduled appointment. Failure to come for three (3) consecutive times would
lead to removal of his/her name from the patient’s list.
12. The patient must be instructed to report directly to the reception area.
13. No further appointment is given to a newly screened patient other than with hygienist, unless
indicated in the treatment plan.
14. The patient must be reminded that if he/she needs subsequent appointment at the end of each
session as advised by the attending student/clinician, he should go back the appointment
secretary to register the needed appointment.
Section 9.06 Patient Booking- Documents Required in Files

Before booking the patient for his appointment after screening, the following forms should be
completed and included in the patient regular file:
a. Patient’s Personal Data
b. Health Questionnaire
c. Patient’s History and Examination
d. Initial Treatment Plan
e. Patient’s Dental Chart
f. Patient Classification Card
g. Screening Form
h. Tracer Card
Regular patients file should routinely be examined for completeness. This includes appropriate
patient signatures and chart entries.
a. Patient medical and dental history

b. Sequential treatment plan
c. Updated Patients dental chart
d. Progress and treatment record
Section 9.07 Patient Booking-Opening a patient file

To open a file, the eligible patient must supply the following documents:
1. A copy of their ID (Saudi) or Hafiza or Iqama (Non-Saudi)
2. A photo identification card
3. Names and dosages of medications taking if any
4. Any records important for his/her medical/dental condition.
At the time of registration the patient must complete the following:
1. Basic information
2. Health history questionnaire
3. Chief complaint
4. General consent
5. Privacy statement
6. Copy of the ID
Section 9.08 Patient Booking- Designating cases to clinics

Patient assigning is done after the patient has been screened and initial treatment plan has been
prepared by the screening clinician.
Depending on the clinical condition/findings the patient will be referred to:
a. PCC for performing needed treatment

b. Undergraduate courses
c. Postgraduate/Saudi Board clinics
d. Specialist clinic
Appointments are based on the schedule of students and clinicians.
A form will be filled up by the clinicians/students if the patient needs another appointment.
The appointment secretary books patient coming from the waiting list lined-up on a first come-first
serve basis for every vacant slot of the clinician’s appointment book.
Appointments are given by phone.
Section 9.09 Patient Booking-Registering an appointment for primary care clinics

1. Patients are required to arrive early 30-60 minutes prior to the beginning of a clinical session to
the main RARD area:
i. Morning Session starts at 8:00 AM
ii. Afternoon Session starts at 1:00 PM
2. There is separate reception counters for male and female.
3. Patient will be registered on a first come first served basis in the primary care clinic (PCC).
Section 9.10 Patient Booking-Appointments in Primary Care Clinics

The primary Functions of Primary Care Clinic (PCC) are
1. To treat patients with dental emergency (Treatment on an emergency basis will usually
consist of providing relief of pain or swelling only).
2. To treat urgent dental condition that may get worse if not treated on time
3. To treat certain conditions that requires minimal time of treatment
4. To prepare and refer educational cases needed by the students or course
5. To enable the clinicians (intern) to perform general practice
6. To minimize the number of patients in the waiting list
The time allowed for each patient in primary care clinic shouldn’t exceed 45 minutes. For major
procedures, time could be extended.
A primary care patient can be referred only to student upon request of the booking area if the case is
needed by the course.
Section 9.11 Patient Booking-Registering an appointment for student clinics

Section 9.12 Patient Booking-Registering an appointment for specialist and faculty clinics
Section 9.13 Patient Booking-Patient Transfer
Transferring of patient from one student or clinicians to another is not acceptable unless a duly-
signed and well accomplished Patient Transfer Request Form is presented.
Request made by the students must be countersigned by the Course Director.
Conditions that permit patient transfer are:
1. Cases requiring referral

2. If the treating clinician is no longer working in the College, the unfinished procedures of the
patients can be completed by other student/clinicians. This will be facilitated by Course
Director for students, Program Directors for postgraduate students, and by the Director of
Clinics through RARD for other clinicians.
Section 9.14 Patient Booking-Late Patient

• Patient who came late for 15 minutes with their appointment time can be seen upon the discretion
of the attending clinician.
• Patient with one hour or more appointment who arrived late for 30 minutes or more may be given
another appointment by the appointment secretary without asking an approval from the attending
student/clinician.

• Patient who arrived late for three consecutive times during his appointments must be given a
warning before subsequent appointment must be given. The patient must be informed that
further negligence of his appointment time may deprive him of any future appointment.
Section 9.15 Patient Booking-Failure to Come

• Patients who failed to attend his/her appointment in the clinic for three times, successive or non-
successive, without prior notification (at least 24 hours before the appointment) either on the
telephone or personally presenting himself/herself in the booking area, will be subjected for
cancellation of file and the right to avail treatment in the College will be terminated.
• Justified patient excuse can be discussed with patient relation officer or the Directorate of the
Clinics.
Section 9.16 Patient Booking-Special Booking for Students and Faculty Members
All the patients should be treated in the clinic according to an regular clinical schedule, in cases for
need of special booking, the following protocols will be followed to control patient treatment
services in the clinic.
All special booking assistant will be arranged by the Chief DASD, with the approval of the Director
of Clinics.
Special booking should be arranged at least (preferred more) 24 hrs. prior.
Special booking is preferably scheduled on Thursday, Saturday morning or on Wednesday afternoon.
Clinic Supervisors, Head Sections on the area should provide him / her with clinic and dental
assistant depending on the availability.
Procedures:
1. Undergraduate Students
Students are required to fill-up a special booking request form with complete name, file number of
the patient and procedure to be made, signed by the Course Director or faculty in-charge of the said
courses, and approved by the Director of Clinics.
2. Postgraduate Students
Students are required to fill-up a special booking form with complete name, file number of the
patient and procedure to be made, signed by the Program Director or supervisors, and approved by
the Director of Clinics.
3. Interns
Interns are required to fill-up a special booking form with complete name, file number of the patient
and procedure to be made, signed and approved by the Director of Clinics.
4. Faculty Members

Faculty members are required to fill-up a special booking form with complete name, file number of
the patient, and procedure to be made, with the approval of the Director of Clinics.
Section 9.17 Patient Booking-Medical Reports

Upon the request of the patient, the medical/dental report will be issue by the attending clinician
filling up the dental report form.

Article X Dental Radiology
Section 10.01 Radiographic Safety- Safety standards and protocols

Operators of X-ray units shall pay special attention to ensure that the right radiological equipment
and techniques are used when performing radiological procedures, to ensure all patients are treated
with “recommended safety standards and protocols” in an appropriate manner to minimizing
radiation exposure to the patient, self, and other members of the healthcare team.
Section 10.02 Radiographic Safety- Safety of Patients exposed to radiographs

1. The radiation must be kept according to ALARA principle (AS Low As Reasonably
Achievable).
2. When operating an X-ray machine for diagnosis, students or persons in training shall work
under the direct supervision of an experienced operator authorized by the person in charge of
the division.
3. They shall not be allowed to irradiate patients until they have received sufficient instruction
in the precautions necessary for the safe operation of the equipment.
4. The X-ray tube shall be rigidly fixed and correctly aligned within its tube housing.
5. The tube head shall maintain its exposure position without drift or vibration during the
examination.
6. Dental films shall be placed in a fixed position. If the patient is a child or in a weak condition,
the film can be held by an accompanying adult who is suitably protected.
7. Gonadal lead shielding and, when appropriate, thyroid lead shielding shall be provided for all
X-ray exposures on children and persons of reproductive age.
Section 10.03 Radiographic Safety- Pregnant Patients

Gonadal lead shielding and, when appropriate, thyroid lead shielding shall be provided for all X-ray
exposures on persons of reproductive age and pregnant patients.
Section 10.04 Radiographic Safety- Safety of Radiography technicians
1. Each X-ray worker should wear a personal dosimeter (TLD) during work near an X-ray
source.
2. The X-ray exposure should be controlled only from a lead shielded control booth where
the patient can be observed through a viewing window having lead-equivalent thickness
conforming to the rest of the shielding.
3. Control knobs for adjusting kilo voltage, milliamperage, power-on, or X-ray-on switches
shall have their functions clearly and durably labeled.
4. All pilot lights, which indicate that the control panel is ready to be energized, shall be
functioning properly at all times.
5. It is not allowed to energize more than one tube at a time and an indicating light will
show which tube is connected and ready to be energized.
6. Lead-lined localizing collimators or cones shall be used with all dental equipment. Such
collimators or cones shall provide the maximum practical field size.
7. Open-ended cones shall be used for intraoral examinations.
8. The equipment is provided with an automatic timer, which will terminate the exposure
after a preset time or earlier at the discretion of the operator.
9. The X-ray tube housing or cone shall not be held by hand during exposure.
10. No person other than the intended patient may place any part of his or her body within the
direct beam.
11. Under no circumstances may the film be held by a person occupationally exposed to X-
ray radiation.
Section 10.05 Radiographic Safety- Pregnant Radiograph technicians

A specific dose limit has been set for female X-ray workers. As soon as a pregnancy is confirmed,
the pregnant X-ray worker must be limited to an external radiation exposure dose for the balance of
the pregnancy of 5 milliseverts (5mSv) received through external exposure, measured at the surface
of the abdomen. A personal dosimeter provided by the division must be worn in order to monitor the
dose to the abdomen every two weeks if possible. Dosimeter or TLD should be worn at the waist
level as close as possible to the surface of the abdomen. This limit, 5 mSv doses to the abdomen, is
intended to prevent developmental defects incurred by X-ray exposure of the embryo or fetus, and to
reduce the potential risk of childhood cancer
A female X-ray worker must notify in writing her immediate supervisor as soon as she knows she is
pregnant so that necessary recommendations can be made and precautions taken to provide the
appropriate degree of radiation protection to the fetus during the term of pregnancy.
Section 10.06 Radiographic Safety- Equipment Periodic Checkups

1. Regular maintenance and associated checks should be performed in accordance with the
recommendation of the manufacturer.
2. Periodic calibrations of X-ray tube output.
3. Date and actions to correct any fluctuations of the X-ray equipment output.
4. Visual evaluation of tube head, movements or oil leakage.
5. Measurement of beam size to ensure that it does not exceed the regulatory requirements.
6. Accuracy of kVp is within plus or minus 10% of the selected kVp.
7. Accuracy of timer within plus or minus 10% of a pre selected time.
8. Radiation output should be consistent.
9. Strict quality assurance is followed for the processors and darkroom.
10. Each machine has a file to record all the problems encountered and records are maintained
and filed in the Radiology Department.
Section 10.07 Radiographic Safety- Darkroom Periodic Checkups
The following processor maintenance should be followed:
Daily
1. Run roller transport cleanup films.

2. Check developer and fixer rollers.
3. Check chemistry.
4. Turn processor on and check water temperature.
5. When processors are ready, perform step-wedge test.
Weekly
Clean the wash rollers.
Monthly
1. Perform Penny test to check for darkroom light leakage.

2. Radiographers should only accept requests for examinations which are properly authorized in
accordance with established or recognized criteria.
Section 10.08 Radiographic Procedure- Making Radiographs

1. The requesting student/clinician should fill out the Patient X-ray Request Form.
2. The radiology receptionists accept and register the request after checking it has been correctly
filled and signed by requesting clinician and for student to be countersigned by the
supervising faculty member.
3. Requisition that has a color coded sign for a controlled disease should have a special care.
4. The patients should be advised to go to the correct area to take the radiographs.
5. Patients are not allowed to take their radiographs. The assistants or students or clinician are
allowed to get the radiographs after it is processed and labeled in a mounting frame.
6. All radiographs can be taken in the same day except request that has many procedures that
might affect the workload. This can be given appointments such as:
a. Cone Beam Computerized Tomography (CBCT)
b. Complete Mouth X-ray (20 CMS)
c. Sialography
7. The Cone Beam CT (CBCT) and the Sialography should be approved by a radiology faculty
member and signed in the request form.
8. Radiographs that remain in the Radiology Division are endorsed by log file to the booking area.
9. CMS duplicates can be kept in the division to avoid retakes.
Section 10.09 Radiographic Procedure- Cone Beam Computerized Tomography (CBCT)

1. Request for CBCT must be approved by a faculty in the radiology clinic before booking the
patients.
2. CBCT examinations must not be carried out unless a history and clinical
examination have been performed.
3. CBCT examinations must be justified for each patient to demonstrate that the benefits
outweigh the risks.
4. CBCT should not be repeated ‘routinely’ on a patient without a new risk/benefit assessment
having been performed.
5. CBCT should only be used when the question for which imaging is required cannot be
answered adequately by lower dose conventional (traditional) radiography.
6. A thorough clinical evaluation must be carried out if a soft tissue examination is required so
can be referred to conventional medical CT or MRI, rather than CBCT.

7. CBCT equipment offered a 2 different volume sizes which examinations must use the
smallest that is compatible with the clinical situation to provide less radiation dose to the
patient.
8. A quality assurance program is implemented for CBCT unit, including equipment, techniques
and quality control procedures.
9. Aids to accurate positioning (light or laser beam markers) must always be used.
10. For staff protection from CBCT equipment, all those involved with CBCT must have
received adequate theoretical and practical training for the purpose of radiological practices
and relevant competence in radiation protection.
Section 10.10 Radiographic Procedure- Sialography

Sialography a specialized radiographic technique in which a contrast medium is introduced in a
retrograde fashion into the duct of salivary gland.
Procedures
1. Prepare sterilized examination kit, canula, contrast media, dilating duct device and lemon.
2. Follow the cubical infection control guidelines.
3. A through explanation of examination to the patient must be made.
4. Consent must be signed by the patient.
5. Any removable dental material, jewelry and other artifacts causing opaque items must be
removed.
6. The radiologists should check the history of an allergic reaction, history of contrast sensitivity
and any acute infection.
7. Avoid over filling of contrast medium into the injection area.

Article XI. Infection Control
Section 11.01 Infection Control- General Policies

Patients will receive care consistent with the policies and procedures in the KSUCD Infection
Control Manual.
Infection Control Manual is available as hard copy in the clinical area or on the College’s web site.
Universal precautions for infection control will be utilized for all patients’ care including use of
protective barriers.
Section 11.02 Infection Control- Knowledge of IC Policies
All students, faculty and staff must read the KSUCD Infection Control Manual and Environmental
Health and Safety Guidelines and attest to and adhere to the published policies and procedures of
infection control.
Section 11.03 Infection Control- Responsibility of Clinicians
1. Treat all patients as if they are having infectious diseases.

2. Wear clean clinic gown for all procedures. Gowns must not be worn outside clinical area
3. Keep hair short or restrained. Loose hair or garments must not come near or contact patient or
instruments. Disposable hair covers are available.
4. Wear mask, gloves, and protective eyewear, with solid side shields, for all clinical procedures.
Remember, gloves go on last.
5. Before putting on gloves, wash hands with soap and cool water for ten seconds, rinse and repeat.
Wash hands again immediately after gloves are removed. If no visible soil evident on hands, one
may wash hands with an alcohol based hand product that does not require water.
6. Use over-gloves or remove gloves when leaving the immediate treatment area, or when touching
non-sterile or non-disinfected items (e.g. amalgamator, writing in a chart, etc…).
Section 11.04 Infection Control- Responsibility of Dental Assistants

All Dental Assistants have specific duties and responsibilities to adhere to for strict infection control
Before Patient Treatment
1. Disinfect the following items by applying liberal amounts of approved surface disinfectant,
wiping to remove debris, and reapplying the disinfectant, leaving wet for five minutes.
• operating light (avoid using disinfectant on the back of the reflector surface) handle
• control and hose of air-water syringe
• saliva ejector and high-volume evacuator
• hand piece hoses
• holders for above items

• dental chair, dental unit surfaces, counter tops, sink faucets and any other items that may
be touched during treatment
When possible, spray into a towel rather than onto surfaces to reduce airborne disinfectant. Never
spray into electrical connections or controls.
2. Run water at full volume through air-water syringe for at least one minute.
3. Place disposable cover over headrest.
4. Place disposable plastic wrap over operating light handles and switch, dental chair controls,
and operator chair adjustment lever.
5. Affix clinic tan waste bag for easy access, place paper barriers on counter surfaces, cover
bracket tray with barrier provided. Place required items for patient treatment on surface. Only
anticipated quantities should be visible.
6. Sterile instruments must be checked and instruments should be opened in front of patient.
During Treatment
1. Rinse impressions under gently running water immediately after removal from patient's
mouth, spray with disinfectant, and place in zip-lock bag.
2. Use one-handed scoop technique for recapping needles, or use a self-sheathing needle.
3. If leaving the immediate treatment area is necessary, gloves must be removed or over gloves
must be worn.
After Treatment
1. Discard blades, needles, wires, emptied plastic syringes with needles attached and endodontic
files in sharps container. Broken glass from a test tube or beaker should be placed in the sharp
container as well. Foil wrapping from the blades should not be disposed of in the sharp
container.
2. Place all pharmacy waste (e.g., local anesthetic cartridges/carpules) into the pharmacy waste
container that has a “For Incineration Only” label affixed to it.
3. Place contaminated disposable items (e.g., saliva ejector, high-volume evacuator tip, headrest
cover, patient bib) in waste bag. Unused supplies exposed to aerosols must be disposed of or
sterilized for reuse.
4. Prepare instruments, hand pieces, bur block, etc. for sterilization. Remove gross debris,
arrange instruments in proper order in cassette, and return to sterilization area window.
5. Remove and dispose plastic barriers.
6. Dispose contaminated tan waste bag in large, red biohazardous waste container.
7. Disposable gowns, unless visibly soiled with blood, should be disposed in a regular trash
receptacle.
8. Any item that has visible blood on it or had blood in it needs to be disposed in the red
biohazardous waste container. Suction canisters need to be emptied into a sink and disposed
into the biohazardous trash waste container.
9. Disinfect treatment area as outlined above.
10. Remove personal protective equipment, dispose gloves in the biohazardous waste container,
and wash hands.
Section 11.05 Infection Control- Monitoring on IC Adherence

Monitoring of the application at the infection control procedures is the responsibility of all the
workers in the clinics, reports of violation of such policies will be directed to the head or supervisor
at the clinical area, Chief DASD or the Director of Clinics.
Section 11.06 Infection Control- Non-compliance

Verbal or written warning will be forwarded to any personnel who violate the infection control
policies in the clinics by the Director of Clinics. Repeated violation of infection control policies by
the clinical staff may lead to termination of contract by the Director of Clinics. Repeated violation of
infection control policies by faculty or student will be reported to infection control committee in the
college for proper action which may lead to suspension from clinical activity.
Students, faculty, and staff found to be non-compliant are required to attend a remedial class on
infection control.
Section 11.07 Infection Control-Labeling of Hazardous Chemicals

Potentially hazardous chemicals will be labeled, stored and dispensed properly.

1. No one is allowed to work in the clinic without receiving the first dose of hepatitis – B vaccine.
Succeeding doses to be completed as per advice of KKUH.
2. All students are required to have Hepatitis-B vaccination before starting their clinical courses [3rd
year students]. They are provided with a College form for vaccination to be accomplished in
KKUH.
3. All staff is required to have Hepatitis-B vaccination.
4. During epidemic periods, required vaccination is given to the staff and students [e.g., H1N1, flu]
influenza vaccine.
5. During Hajj time, clinical workers are required to have meningitis vaccination every two years.
Section 11.09 Infection Control- IC when making Radiographs

During all the radiographic procedures the dental radiographic technician should be aware not to
touch any surfaces that can be cross contaminated.
Preparing to Take Dental Radiographs

The Surfaces to be covered include: Chair headrest, control adjustments, exposure buttons, control
panels, X-ray tube heads.
After the patient has been seated, hands can be washed or disinfected, dried, and gloves placed.
Taking Dental Radiographs

Gloves should always be worn when taking radiographs and handling film packets. Other personal
protecting equipment should be used when the spattering of patient body fluids is likely. The
sterilized film should be placed into disposable film holder.
After Taking Dental Radiographs
After removal of the film and film holder from the patient's mouth, the plastic wrap should be
removed off the film and disposed into a sterilized paper cup or paper towel
All the used plastics that cover chair headrest, control adjustments, exposure buttons, control panels,
and x-ray tube heads should be disposed of into appropriate waste containers.
Developing Dental Radiographs
A new glove can be used for more protection. Films should be dried. Film packets should be opened
in the designated area and placed in the processor.
Packets covers and content should be disposed of into appropriate waste containers.
The area should be cleaned and gloves removed.

Article XII. Emergencies in the dental clinic
Section 12.01 Emergencies-Premedication
Section 12.02 Emergencies-Needle Stick and Sharp Object Injury

Following incidents of occupational exposure of an operator to blood and or other body fluids, the
exposed individual is requested to report to Chief Nurse and Course Director in the floor followed by
reporting to Accident and Emergency in King Abdul-Aziz University Hospital or King Khalid
University Hospital as soon as possible after the incident.
Applies to:
• percutaneous [needlestick injury, laceration, cuts, non-intact skin, mucous membrane
exposure, or permucosal [e.g. ocular, mouth]
• exposure of a health care worker to blood or any other body fluids, the exposed individual is
requested to do, obtain the history of the source patient including diagnosis, age, sex, history
of transfusions, drug use, sexual partners, and if they have had a HIV test.
The procedure followed should be as follows:

1. Immediate care of the site:
a. Let the site bleed freely
b. Wash wound or skin exposure site with soap and water and flush mucous membranes
with water as soon as possible but do not scrub
c. Cover with a waterproof dressing
d. Flush clean water at permucosal area [ocular, mouth].
2. Contact the person in charge at KKUH:

a. Employee Clinic – PCC ll [ Ext. 91284]
b. Adult Emergency [Ext. 91284,91296] or
c. Primary Care Clinic [Ext. – Male 91306 Female 91288] to determine the need for
prophylaxis against Hepatitis B infection or other infectious diseases.
3. Document the incidence using the Needle-stick and Sharp Object Injury Report
Report the incidence to the Head/Supervisor of the clinical area or the Chief DASD. The
Chief DASD then should report this to the Director of Clinics for further documentation and
management
Section 12.03 Emergencies-Basic Life Support Training

Basic life support for the faculty, specialists, Saudi Board, postgraduates and clinical staff is
mandatory. It is part of the requirement to acquire when applying for the Saudi Commission for
Health Specialties license.
Undergraduate students in their third year and fifth year of study are obliged to be licensed in BLS as
part of their training requirement.
Staff should learn the modifications to adult Cardio-Pulmonary Resuscitation (CPR) for use in
children. Staff should update their skills at least annually.
All new members of staff should have resuscitation training as part of their induction programme.
Training can be undertaken locally within the dental practice or within local and regional training
centers (CPR Training).There should be stress reduction protocol especially for the anxious patients.
Section 12.04 Emergencies-Medical Emergency

All dental practitioners and dental care professionals may have to deal with medical emergencies. All
members of staff need to know their role in the event of a medical emergency. Members of staff need
to be trained in dealing with such an emergency. Dental teams should practice together regularly in
simulated emergency situations.
Section 12.05 Emergencies-Risk Assessment of a Medical Emergency

A comprehensive medical and drug history must be undertaken to identify patients at particular risk
and take measures to reduce the chance of a problem arising. History taking should not be delegated
to another member of the dental team and patient completed health questionnaires are only
acceptable if augmented by a verbal history taken by the dental practitioner. Modifying the planned
treatment or referral to a hospital may be appropriate for some dental procedures in selected patients.
Dental practitioners should routinely assess patients using a risk stratification scoring system, e.g.,
the American Society of Anaesthesiologists (ASA) classification. This may help identify patients
with a higher risk of medical emergencies occurring during treatment. Such systems can be
incorporated into a specifically designed medical history questionnaire so that the risk scoring
becomes part of the routine medical history.
As patients’ medical problems and medication can change frequently, dental practitioners must
demonstrate that medical and drug histories are formally updated at least annually and interim
changes noted at treatment visits. Liaison with the patient’s general practitioner may be necessary.
Section 12.06 Emergencies-Drugs Needed to Manage Medical Emergencies
To manage the most common medical emergencies encountered in general dental practice the
following drugs should be available as essential drugs:

1. Glyceryl trinitrate (GTN) spray (400 micrograms / dose)
2. Salbutamol aerosol inhaler (100 micrograms / actuation)
3. Adrenaline injection (1:1000, 1mg/ml)
4. Aspirin dispersible (300mg)
5. Glucagon injection 1mg/ml
6. Oral glucose solution / tablets / gel / powder- (Hypostop Gel)
7. Midazolam 10mg/ml (buccal or intranasal)
8. Oxygen 10-15 L/min
Drugs like I/V Dextrose, Hydrocortisone and Chlorphenramine can be kept additionally provided
there is an experienced and qualified operator. Wherever possible, drugs in solution should be stored
in a pre-filled syringe.
Quick use of drugs for medical emergencies in general dental practice is to be encouraged. It might
be difficult to administer drugs through intra venous route in an emergency. In such circumstances,
intramuscular, inhalational, sublingual, buccal and intranasal routes are all good to administer drugs.
All drugs should be stored together in a purposely-designed ‘Emergency Drug’ storage container.
Oxygen cylinders should be of sufficient size to be easily portable but also allow for adequate flow
rates, e.g., 10-15 litres per minute, until the arrival of an medical assistance or the patient fully
recovers. A full ‘D’ size cylinder contains 340 litres of oxygen and should allow a flow rate of 10-15
litres per minute for between 20 and 30 minutes. Two such cylinders may be necessary to ensure the
supply of oxygen does not fail when it is used in a medical emergency.
Drugs should be checked frequently for expiry date, ideally, weekly. A planned replacement
programme should be in place for drugs that are used or reach their expiry date.
Section 12.07 Emergencies-Equipment Needed to Deal with a Medical Emergency

The following equipment should be available and in good functioning condition:
1. Portable oxygen cylinder (D size) with pressure reduction valve and flow-meter
2. Oxygen face mask with tubing
3. Basic set of Oro-pharyngeal airways (sizes 1, 2, 3 and 4)
4. Pocket mask with oxygen port
5. Self-inflating bag and mask apparatus with oxygen reservoir and tubing (1 L size bag)
6. Variety of well fitting adult and child face masks for attaching to self-inflating bag
7. Portable suction with appropriate suction catheters and tubing e.g., the Yankauer sucker
8. Sterile syringes and needles
9. ‘Spacer’ device for inhaled bronchodilators
10. Automated blood glucose measurement device
11. Pulse Oximeter
12. Sphygmomanometer
13. Automated External Defibrillator (AED)

Medical Emergency equipment should have good infection control with most of the things 'single
use' and latex free.
Section 12.08 Emergencies-Management of Medical Emergencies in Dental Practice

When a medical emergency arises in the dental office, the following protocol should be followed:
i) Early identification of the patient 'at risk' is to be encouraged.

ii) Pre-empting any medical emergency by recognising an abnormal breathing pattern, an
abnormal patient colour or abnormal pulse rate, allows appropriate help to be summoned,
e.g., medical assistance, prior to any patient collapsing.
iii) A systematic approach to recognising the acutely ill patient based on the ‘ABCDE’
principles is recommended
Accurate documentation of the patient’s medical history should further allow those ‘at risk’ of
certain medical emergencies to be identified in advance of any proposed treatment. In the event of
any significant medical emergency a medical assistance should be summoned at the earliest
opportunity. Immediately after any medical emergency, many patients may be clinically unstable and
may require admission to hospital.
Medical Emergency Procedures in the Dental Clinics
1. The first dental assistant should position the patient in a supine position. Then call for help
and stay with the patient. Assist as directed.
2. The second dental assistant will page for the Oral surgeon at telephone no. 78543 for “Code
blue” 3x stating the location clearly and slowly. Inform the OMFS secretary at telephone no.
77423, calling the ambulance depending on the evaluation of the oral surgeon. Assist as
directed.
3. The third dental assistant will take the oxygen cylinder, sphygmomanometer, glucometer to
the area. Check the blood pressure, pulse and respiratory rate. Assist as directed.
4. The supervisor directs the entire procedure until the Oral surgeon arrives. Write down the
time the emergency occurred, the paging done and when the Oral surgeon arrives at the area.
Records all the treatment and measures undertake by the team to be filed in the patient’s file.
Assist as directed.

Article XIII. Instrument Requests and sterilization
Section 13.01 Sterilization- Instrument & Material Requests and Returns

To insure the security of clinical instruments; all instrument requests and returns must be
documented.
Procedure:
Instruments Request
1. The CSSD technician receives from the dental assistant the Borrower’s Slip or Requisition
Slip for disposable and non-disposable items.
2. It should indicate the borrower’s name, date, instruments/materials needed, quantity required and
cubicle to be occupied by the dental assistant. The slip should be signed.
3. The requested items are prepared and issued by the CSSD technician. He/she fills out the
column “Quantity Issued” accordingly and signs in the column “Issued by.”
4. The dental assistant checks the contents of the packs while at the counter to make sure all the
needed requested instruments/materials are there.
Instruments Return
1. After each clinical session, dental assistants will return the used instrument to the CSSD.
2. The CSSD technician counts the instruments returned by the Dental Assistant and countercheck
them with the Borrower’s Slip.
3. Each item is crossed out to indicate that the instrument is returned.
4. If all items are returned, the original Borrower’s Slips is given to Dental Assistant. If there is any
lacking or missing instruments, the CSSD Technician provides a new Borrower’s Slip to the
Dental assistant.
5. The Dental Assistant transfers all the missing or lacking Instruments to the new Borrower’s Slip
but returns the original Slip to the Dental Assistant.
6. The CSSD Technician puts the date the instruments are returned signs in the column “Received
and Checked By”.
Section 13.02 Sterilization- Receipt, Decontamination and Disinfection of Reusable Items

All used instrument and equipments must be processed following the standard operating procedure in
cleaning and decontamination of instruments
Purpose
To ensure that all used/soiled instruments and equipment returned to the CSSD is cleaned and
disinfected to an acceptable standard.
Procedures
1. Receiving area – used/soiled instruments and devices are process. Pre-sterilization

disinfection takes places wherein the used/soiled instruments are directly soak in a soaking
pan with disinfecting solution for a minimum of 15 minutes.

2. Staff working in this area will wear protective clothing at all times in compliance with the
standard precautions dress. PPE in additional to the uniform code for the specific working
environment and may include:
a. gloves
b. aprons, gowns, overalls (single-use, fluid-repellent, disposable)
c. masks
d. face and eye protection
3. Identify the correct process for the items to be decontaminated.
Section 13.03 Sterilization- Instrument Cleaning
Pre-soak instruments are loaded in a tray ready for cleaning in the washer/disinfector or ultrasonic
machine. When washing instruments manually, standard universal precaution must be applied at all
times.
Section 13.04 Sterilization- Instrument Processing

Policy
All instruments and hand piece used in intra-oral care must be sterilized and maintained sterile until
used.
Purpose
To insure that all instruments used are sterile.
Procedures
1. At the end of each procedure all instruments and hand piece used shall be removed from the
patient care area.
2. Instruments that can be ultrasonically or wash in washer disinfector shall be packaged in trays
and returned for processing.
3. Instruments that cannot be ultrasonically cleaned shall be cleaned by hand using heavy duty
gloves with an enzymatic cleaner.
4. Instruments that are cleaned must then be packaged for sterilization.
5. Trays and packaged instruments must be returned to CSSD for processing in the
decontamination area.
6. Once returned, the instruments are cleaned via ultrasonic or thermal disinfector means.
7. Cassettes and pack of instruments are packaged, sealed and dated with the date of
sterilization.
Section 13.05 Sterilization- Assembly, Wrapping and Instrument Sterilization

Policy
All instruments should be assembled, wrapped and sterilized according to the guidelines.

Purpose
To insure all sets of instruments are correctly packed and ready for use.
Procedures
1. CSSD Staff will ensure that the order of the production meets the appropriate demand of the
clinics.
2. After decontamination, all processed items are received into the preparation room.
3. Upon inspection any item that is rejected due to evidence of debris and some bioburden are
placed in a plastic bag and identified before being returned for the washroom staff to take
action.
4. Dull and broken instruments must be replaced or repaired. All hinged or articulated
instruments are placed inside the pouch in an open position (e.g. extraction forceps,
haemostatic forceps, scissors, etc.). Carbon steel items that will corrode during steam
sterilization will be treated with a rust inhibitor.
5. Clean instruments are packed and seal using heat seal or self-seal pouch. If S.S. cassettes are
being used, the items must be double wrapped. Packaging materials should be compatible
and designed for the type of sterilization being used.
6. Packed instruments, cassettes and container are arranged in S.S. autoclave trays in such a way
that there will be a free flow of steam during the cycle. Packs of instruments should be dry
before unloading inside the chamber of the autoclave.
7. Sterile packages should be stored in a manner that preserves the integrity of the package.
Section 13.06 Sterilization- Autoclave Loading and Unloading of Instruments
Policy
All instruments should be assembled, wrapped and sterilized according to the guidelines.
Purpose
To insure all sets of instruments are correctly packed and ready for use.
Procedures
1. CSSD Staff will ensure that the order of the production meets the appropriate demand of the
clinics.
2. After decontamination, all processed items are received into the preparation room.
3. Upon inspection any item that is rejected due to evidence of debris and some bioburden are
placed in a plastic bag and identified before being returned for the washroom staff to take
action.
4. Dull and broken instruments must be replaced or repaired. All hinged or articulated
instruments are placed inside the pouch in an open position (e.g. extraction forceps,
haemostatic forceps, scissors, etc.). Carbon steel items that will corrode during steam
sterilization will be treated with a rust inhibitor.
5. Clean instruments are packed and seal using heat seal or self-seal pouch. If S.S. cassettes are
being used, the items must be double wrapped. Packaging materials should be compatible
and designed for the type of sterilization being used.
6. Packed instruments, cassettes and container are arranged in S.S. autoclave trays in such a way
that there will be a free flow of steam during the cycle. Packs of instruments should be dry
before unloading inside the chamber of the autoclave.
7. Sterile packages should be stored in a manner that preserves the integrity of the package.
Section 13.07 Sterilization- Sterile Pack Storage
Policy
The sterility of all packs must be maintained in the CSSD, and that product integrity is not
compromised.
Purpose
To ensure the safe storage of all sterile packs.
Procedures
1. The storing area will be kept clean and tidy at all times.
2. The staff will ensure that stock is rotated and will monitor stock levels.
3. Wrapped packages of sterilized items are examined before use to ensure that the barrier wrap
has not been compromised during handling and storage.
4. Any compromised instrument package (e.g. dropped, torn, or wet) will be re-cleaned, re-
packed and re-sterilized.
5. Pack of sterile items should not be stored under sink or in other location where they might
become wet or compromised.
6. All finished products produced by CSSD will have a shelf life of 1 month, depending on
packaging, handling and storage conditions.
7. Commercially produced (manufactured) sterile packs will have a shelf life as described by
the manufacturer.
Section 13.08 Sterilization- Monitoring Steam Autoclaves

Policy
All sterilized instrument must undergo monitoring before any instruments can be issued in the clinic.
Purpose
To monitor that all autoclaves are functioning effectively and efficiently.
Procedures
Physical Monitors
Monitor all autoclave component track and record time, temperature and pressure during each cycle,
printouts, gauges, round charts, etc.
Bowie-Dick Test

1. The first cycle will be a warm up of the machine. Bowie-Dick test will be put inside the
empty chamber on a pre-vacuum cycle. Complete the test and record Bowie-Dick Test
according to the procedure number.
2. A complete uniform color change in Bowie-Dick Test – PASS
- The sterilization process was effective since it indicates no air was present.
3. Incomplete color change - FAIL
- Indicates air was present and sterilization was not achieved.
- Repeat the test. If results still show a FAIL, do not use autoclave.
Chemical Indicators (C I)
1. Test Result Color change according to manufacturer’s reference (PASS)

2. Test Result Color change uneven and/or not according to the
Manufacturer’s reference (FAIL)
Biological Indicators (B I)
1. This biological test is performed once a week. It is performed in the first load of the day as
well as any loading containing implant devices.
2. Sterilizer number, load and date on the indicator. Place (test) indicator into a package and put
in the area of the autoclave that is most difficult to sterilize, (over the drain or in the center of
a full load). Run the cycle.
3. Check the chemical indicator on the Attest indicator for a color change from rose to brown.
Close RRBI cap by pressing down. Crush the glass ampule in designated crushing well built
into the incubator. Tap b bottom of the vial on a tabletop until media wets spore strip at
bottom of vial. Place the RRBI into an incubation/reader well. Cover it and wait for either
the red or green indicator light so signal the result. Activate the processed indicator by
inserting into the incubator activator at the center.
4. Incubate an activated but not sterilized biological indicator to verify that the test
microorganism is alive and ready for use in testing.
5. Interpretations
• A negative ( - ) Test
Spores were eliminated. The sterilization process was successful.
• A positive ( + ) Test
Sterilization process failure. Recall all loads since last negative test.
Do not process any other loads until biological indicators test negative in 3 successive cycles.
Section 13.09 Sterilization- Cleaning Procedures for Sterilizers (Autoclaves)

Policy
Weekly cleaning of the autoclave is necessary to keep the apparatus clean and free from scales and
rust and lint
Purpose

To maintain the Autoclave in a good working order and, to prevent the contamination of items due to
deposits from walls of the sterilizer, leaking gasket or plugged drain.
Procedures
1. Staff must follow the manufacturer’s guidelines in cleaning of all autoclaves.

2. On a daily basis, inspect the door gaskets for cracks and clean with a lint-free cloth,
according to manufacturer’s recommendations.
3. The drain screen must be removed and clean out any debris that may be trapped.
4. The outside stainless steel paneling must be wiped out with lint-free cloth.
5. Damp dust the loading trolley carriages, racks, baskets or trays that hold items in the
sterilizer.
6. The autoclave must be turned off and allowed to cool.
7. Thoroughly clean the entire inside surface including the walls, rear panel, floor and inside the
door, according to manufacturer’s recommendations.
8. A non-abrasive cleaning product should be used to clean stubborn stains or marks on stainless
steel.
9. Finally, rinse thoroughly using tap water or wipe with clean lint-free cloth moistened with tap
water.
Section 13.10 Sterilization- Sterilizer Failure Recall

Policy
The CSSD staff must make sure that all sterile items leaving the CSSD are sterile.
Purpose
To ensure that any packages/items suspected in the event of a positive biological test on a sterilizer,
indicating sterilizer failure is identified, quarantined, collected, investigated and the findings
recorded.
Procedures
The trays/pack of instruments will be recalled in the event of failed quality management test (i.e.
Biological Test).
1. Traceability
• The trays/pack of instruments must be recorded for easy traceability.
• The details of batch number, date and washer cycle numbers must be recorded for the
trays/pack of instruments that has been decontaminated.
• When trays are unloaded after processing, a record is kept of the batch number in the
relevant washer log book.
• Traceability of batches can therefore be achieved by referral to records.
2. Recall
• A recall is authorized by the CSSD supervisor.
• Affected departments will be advised verbally, with confirmation advisory notices in
writing, that a particular tray from a batch should not be used.
• The following details must be indicated:

a. The name of the sets to be recalled
b. The sterilization date
c. Details of the action to be taken
d. Reasons for the recommended actions and any likely associated hazards
e. The departments are requested to check their stock for any tray in recall bath
Section 13.11 Sterilization- Recall of Sterilized Instruments

Policy
All instruments are dated prior to sterilization with the date of sterilization to facilitate calling the
sterilized items.
Purpose
To insure that in the event of an autoclave malfunction, a recall of all instruments sterilized between
the last good spore test and the failed spore test can be reprocessed.
Procedures
1. All instruments packaged for sterilization shall be dated with the date of sterilization.
2. Spore testing is done on a weekly basis. Bowie Dick Tests are run daily.
3. In the event of a positive spores test all instruments sterilized from the date of the last
negative spore test through the last cycle shall be recalled.
4. All the instruments that fit into the above category shall be re-sterilized in another autoclave
or once two successive spore tests are negative.
Section 13.12 Sterilization- Disposal of Medical Waste in Dental Clinics and Offices
Biohazard Waste
1. Human surgery specimens or tissues removed during surgery may be contagious to human
due to contamination by infectious agent such as extracted human teeth must be disinfected.
Blood soaked waste which at the point of transport from the generator’s site, at the point of
disposal, or thereafter, contains recognizable blood fluid, fluid blood products, containers or
equipment containing blood that is fluid known to be infected with diseases that is highly
communicable to humans. This includes items that drip blood when compressed (dressing,
gauze or cotton rolls and containers containing blood fluid) must be placed in a “biohazard
bag” with the international biohazard symbol. The bag must be placed for storage, handling
or transport in a rigid leak-proof container with tightly fitting lid. The container must also be
in good condition and labeled with “BIOHAZARD”.
2. Excess amalgam in the clinics is placed in a dark bottle container, containing x-ray fixer
solution. It is labeled and available in all the clinics.
3. Used needles, scalpel and hypodermic needles with syringes, blades, needles, and root canals
files are placed in the disposable container for contaminated sharp to be incinerated.
4. They are collected in the clinic and stored in a cold room in the basement, then transported by
a registered hazardous waste company for proper disposal.
5. Wastes that are not categorized as medical waste are placed in a trash can:
a. All non-bloody or merely blood-tainted waste (as distinguished from blood soaked)
b. Disposable gloves
c. Disposable facemask

d. Plastic barriers
e. Paper towels
f. Paper products and packaging
g. Garbage (anything potentially recyclable should not be disposed)

Part D. Laboratory, Safety and Maintenance

Article XIV. Definitions
Section 14.01 Production Labs
Section 14.02 Student Labs
Section 14.03 Preparatory section
Section 14.04 Fixed restoration section
Section 14.05 Removable restoration section
Section 14.06 Chrome cobalt section
Section 14.07 Orthodontic section
Article XV. Dental Laboratory Policy
Section 15.01 Working Hours of Production Labs
1) The working hours of the production lab are between 8: 00 am and 5:00 pm,
Saturday to Wednesday.
2) Reception time is between 8:00 am and 12:00 pm for the morning session and 1:00
pm to 4:30 for the afternoon session.
1) All incoming cases are received by the Laboratory Receptionist ONLY.
2) All lab requests should be accompanied with duly signed authorization form.
3) The Student/Clinician should fill out the laboratory form completely with clear and
concise instructions with all fields filled out.
4) All Student cases not duly signed by the Course Director should not be accepted by
the Lab Receptionist.
5) Request for a specific Laboratory Technician by the Clinician to handle the

Laboratory work is acceptable provided the Tech approached for this request is not
over loaded.
6) All requests not accompanied with the relevant armamentarium such as articulators,
mounting rings, casts etc. would be delayed until the lacking armamentarium are
provided.
7) The receptionist will perform the following duties;
a) Register all incoming cases from the Clinic and outgoing cases from the laboratory
b) Receive and check incoming laboratory cases of faculty, specialists, demonstrators, interns,
postgraduate and undergraduate students
c) Check the forms if the course director/supervisor has duly signed for every steps
d) Ensure equal distribution of cases to the Laboratory Technicians

e) Ensure all cases submitted to the production laboratory for any procedure are complete e.g.
articulator, mounting rings, face bow, opposing cast and shade
f) Coordinate and follow up cases with clinicians, dental assistants and technician
g) Prepare and index finished cases/outgoing case
h) Keep accurate records of all statistics required.
Section 15.03 Duties performed by lab
1) No students are allowed to enter the Production Laboratory unless accompanied by

the Laboratory Director or Course Director.
2) Any required communication has to be arranged through the head sections.
3) Cases should not be transferred between the DUC and MUC Laboratories.
Section 15.04 Policies of Preparatory section:
1) The Preparatory section will pour primary and final impressions for all incoming
cases to the laboratory except for pindexing for fixed restorations.
2) The Section will fabricate custom trays as per request of clinicians for all incoming
cases to the laboratory.
3) The section will receive and process alginate impressions
Section 15.05 Alginate Impressions
1) Alginate impression materials should be sent to the preparatory section immediately and
other cases at the end of morning & afternoon sessions.
2) The scheduled time of receiving Alginate Impressions at the Laboratory Reception Desk is:
9:00--11: 30 AM------Morning Session
2:00--04: 30 PM------Afternoon Session
3) No Alginate impressions shall be received by the Laboratory Receptionist after 11:30 am and
4:30 pm.
4) Impressions made after these hours should be poured by the students themselves.
5) All incoming impressions should be properly disinfected following the regulation of the
College.
6) All alginate impressions should be poured within thirty (30 min) of receiving the impression.

7) Alginate impression material should be removed from the stock trays after pouring, thereby
reducing the risk of spreading pathogens in the lab.
Section 15.06 Shade Taking
1) All shade guides used in the lab are the same used in the clinic. The lab is not responsible for
shades taken from different guides.
2) Under graduate students are responsible for taking the suitable shade for their patients.
3) Per request, laboratory technician may be asked to take the shade for post graduate students
and faculty patients.
Section 15.07 Die Trimming
1) Under graduate students are responsible for die trimming of their laboratory work.
2) Laboratory technician is responsible for die trimming for the faculty laboratory work.
3) Per course director’s request, the laboratory can do die trimming for postgraduate student’s
laboratory work.
Section 15.08 Glazing
1) Prosthetic laboratory can do Glazing for all laboratory work that has been fabricated
outside the School Dental Laboratories, but with no responsibility for any damage
(The clinician must provide a proper firing temperature).
Section 15.09 Noble Metal Alloy
1) Fabrication of the metal framework for crown and bridge cases using NOBLE METAL
ALLOY (Precious Alloy) is highly encouraged by the dental laboratory
2) It is the patients responsibility to provide the dental laboratory with the required
amount of the alloy according to the ‘’Metal Request Form’’ given to the patient by
the Clinician.
3) Excess noble alloy from the previous cases should be re-used for new patients' cases
to avoid waste and reduce financial cost to the patient.
4) The following guide is for weights for noble alloy required for the framework:
a) Pontic: 3 gms,
b) PFM: 2 gms,
c) Full crown: 3 gms,
d) Post & Core: 3 gms.
Section 15.10 Work done for Standard cases

1) The following work will be done for standard cases:
a) Mount diagnostic wax-up
b) Make provisional restorations
c) Pour final impressions
d) Pindex
e) Fabricate Master and solid model preparation
f) Perform Articulation and wax-up
g) Invest and cast
h) De-invest
i) Sandblast
j) Trim the framework
k) Apply Porcelain
l) Glazing
m) Finishing and polishing.
Section 15.11 Work done for Specific systems
1) The section will perform the following procedures for specific systems;
a) CAD/CAM restorations
b) Porcelain fused to metal restorations (PFM)
c) All ceramic restorations
d) Empress Cases (Pouring final impression, trim the cast, Wax-up, investing, casting and
grinding, Porcelain application, Glazing).
Section 15.12 Work done for Implant cases
1) The section will perform the following procedures for Implant cases;
a) Pouring final impression
b) Application of gingival mask
c) Wax-up
d) Invest casting and de-investing
e) Porcelain application

f) Glazing and polishing.
Section 15.13 Work done by Removable restoration section
1) The section will perform the following duties:
a) Construction of Complete/Transitional Partial Dentures record blocks
b) Arrangement of Teeth for Complete/Provisional Dentures
c) Processing Complete/Provisional Dentures in heat curing acrylic resin
d) Finishing and polishing Complete/Provisional Dentures
e) Acrylic Denture Repairs
f) Reline and Rebase.
2) The section will perform the following duties per request:
a) Mounting casts of Complete/Transitional Partial Dentures.
Section 15.14 Work done by Chrome cobalt section
1) The section will perform the following duties;
a) Survey, block out and duplicate the master cast using investment material to produce
refractory cast
b) Investing the Wax pattern
c) Cast the RPD Wax framework, disinvest, sandblast
d) Finish and polish accordingly ready for metal try-in
e) Construct attached tray for Altered Cast Technique
f) Construct record block on the altered cast.
2) The wax-up of RPD Framework will only be according to the design on the signed
authorization form.

Section 15.15 Work done by the Orthodontic section
1) The section will perform the following duties;
a) Pour working casts
b) Pour Orthodontic Study Models (OSM
c) Pour the impression
d) Trim the casts
e) Finish, polish and buff
f) Fabricate Simple removable appliances
g) Draw the design on the cast
h) Bend the appliance components
i) Apply Ortho-resin to form the base
j) Cure in pressure pot
k) Trim, finish and polish
l) Fabricate the Night Guard
m) Fabricate functional appliances such as Quad Helix Appliance
n) Habit Breaking Appliance (HBA)
o) Fabricate Fixed Appliances (space maintainers)
Article XVI. Students' laboratory

Section 16.01 Working hours of Student Laboratories
1) The Laboratory is open from 8:00 AM to 5:00 PM, continously, even during the lunch
break.
Section 16.02 Issuance of Student materials
1) Students are issued disposable and non disposable materials and instruments at the
beginning of each session.
2) Students are required to make clearance of all accountabilities in the Phantom

Laboratory, Pre-Clinical Prostho lab & the Production lab at the end of each session.
Section 16.03 Preparation of Course Materials

1) The lab supervisor will prepare all Course Moulds, Course models as requested by
the course directors.
2) The Lab supervisor will process all prostheses produced by the students during
laboratory sessions.
Section 16.04 Cleanliness and Maintenance
1) The lab supervisor will coordinate the maintenance and cleaning of the pre clinical
Laboratory.
Article XVII. Histopathology Laboratory Policy (CDRC)

Section 17.01 Reception of biopsy case
1) For funded and Non-funded researches to be done in the Histopathology Research

Lab, researchers should fill-up the job request form for the lab, submit it to the
department secretary for the approval of the CDRC Director, then present it to the
technician in-charge of the lab.
2) For biopsy cases received from other government hospitals, Official Stamp from the
hospital or from the Ministry of health is required to be seen on the Laboratory
Sheet.
3) The receptionist will be responsible for the following duties;
a) Assuring that Laboratory sheet with complete information about the patient is submitted to
the lab together with the specimen
b) Recording in the computer of the specimen received and assigning a laboratory number is
then done
c) Trimming and sectioning of the tissue block
d) Staining, mounting and labeling the specimen for the microscopic reading.
Section 17.02 Processing of specimens
1) Processing of the specimens at 11:00 am is strictly observed, for the machine to

finish by 7:00am the following day and start embedding them.
2) The pathologist on duty should be informed of specimen grossing.
3) Releasing of Pathology reports is done by sending a hard copy, e-mail or fax to the
clinician.
Section 17.03 Fees for Histopathological processing

1) Charges for the faculties, doctors, professors working in the College are then charged
10SR per sample, while researchers that are not working in the College are then
charged of 30SR per sample.
2) For biopsy cases received from private clinics are then being charged at 250 SR per
biopsy case.
3) Additional charges for private biopsy cases received are also being implemented. The
amount of 250SR/sample for cases done by the clinicians not working in the College
and 125SR /sample for private cases done by clinicians working in the College.
4) Payments by the researchers are immediately given to the technician in-charge for
the issuance of the official receipt. Money collected is immediately endorsed to the
department secretary attached with the copy of the job request form.
Section 17.04 Requesting chemicals and reagents
1) Chemicals and reagents for the lab are to be requested from CDRC Director.
2) Procedures:
a) Fill up the requisition form for chemicals and reagents, stating the amount/quantity needed.
b) The form should be signed and approved by the CDRC Director.
c) Then submit it to the person in-charge of chemicals and reagents.
Section 17.05 Machines and equipments maintenance
1) For machines still under service warranty, directly contact the company for service
check-up.
2) For machines with expired warranty the maintenance department will check the
machine, and if there is a problem beyond the scope of the maintenance department,
the company will be contacted.
3) Procedures:
a) Inform the dental maintenance department for machine check-up
b) Fill up “job service done” form.

Article XVIII. Electron Microscope Laboratory Policy
1) All work to be requested from the scanning electron microscopy section should be
accompanied with an Electron Microscopy Job Request Form filled with the Name of
the researcher, Position, Department and number of samples to be processed.
2) The request should be approved by the CDRC Director for the preparation and use of
the SEM Laboratory.
3) The researcher should bring the samples or specimens to the SEM Laboratory for
processing.
4) The reception should schedule the date and time for the observation and
photographing of the samples.
Section 18.02 Photographing specimens
1) The researcher should attend and sit with the SEM technician for the actual
observation and photographing of all the samples or specimens.
Section 18.03 Work done by the Electron Microscope section
1) The duties performed by the section for Biological specimens include;
a) Fixation
b) Post-Fixation
c) Dehydration
d) Drying through the use of Critical Point Dryer
e) Mounting
f) Metal coating of the specimens
g) Observing the specimens through scanning electron microscope.
Section 18.04 Mounting of Specimens
1) Non-biological specimens must be mounted using the double adhesive carbon tapes
or conductive paints before gold sputtering, observation and photographing the
images using the JSM – 6360 LV.
2) The researchers are required to have advance notice of at least 3 days prior to the
observation and analysis of the specimens For Elemental Analysis using the Energy
Dispersive System (EDS).
Section 18.05 Fees for the Scanning Electron Microscope

1) Payments for the SEM laboratory services will be done in the same laboratory where
the researcher needs its specimens to be processed. The recommended
charges/service fees for Scanning Electron Microscopy Laboratory (SEM) either
Funded of Non-Funded researches will be as follows:
a) KSU Staff/Faculty, post-graduates, Interns, Students: 10SR per specimen
b) Staff/Students from other Colleges of KSU:
15 SR per specimen
c) Outside the University:
30 SR per specimen
2) All Service Fees should be remitted at the end of the month to the Secretary of the
CDRC.
Section 18.06 Purchases for the Scanning Electron Microscope Section
1) All requests to purchase must be put into writing and submitted for approval by the
CDRC Director.
2) All invoices for purchases must be under the College of Dentistry Research Center.

Article XIX. Physical Laboratory Research Centre Policy
1) All Faculty, Postgraduate, Intern and Non KSUCD staff should register their
application at the CDRC Directors office.
2) The request should be approved by the CDRC Director for the preparation and use of
the Physical Laboratory.
3) The request should be accompanied by a copy of the approved proposed research for
proper documentation.
4) The reception's duty includes;
a) Making an appointment a week in advance to reserve the machine
b) Making new appointments according to the availability of the machine
c) Orientation of the researcher regarding the use of the Physical laboratory
Section 19.02 Responsibilities of Researchers
1) The researcher's responsibility includes;
a) Attending the appointment on time,
b) Notify the laboratory ahead of time in case of changes,
c) Bring their own materials to accomplish their research,
d) Sign in and out with the physical laboratory daily log sheet,
e) Properly fill up the job request form of all the data required on a daily basis,
f) Maintain a good working atmosphere by cleaning after using the facilities
Section 19.03 Responsibilities of Research Assistants
1) The research assistant duties include;
a) Assisting the researcher on how to operate the machine and its proper use.
Section 19.04 Fees of Physical Lab
1) Payment should to be settled the same day that the specimen was analyzed
2) Original receipt will be issued both for Funded or Non Funded research.

Article XX. Microbiology Laboratory Research Centre
Section 20.01 Microbiology Laboratory Procedures
1) The duties of this section include; finding the relationship between bacteria and fungi
and different diseases and finding appropriate solutions to eliminate them;
receiving specimens from dental clinics and performing tests on them.
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2) The reception duties include; is to receive the request and make sure the data on
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the sample is accurate (name and number of patient's medical file) and type of test
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that is required.
3) The duties of the microbiology lab include: Prepare media, inoculating needles and
slides to analyze the specimen; note of the time of incubation needed for the
specimen; check organisms present in the media; gram stain specimens; utilize
antibiotic discs; record results obtained.
Article XXI. Animal Facility Laboratory Policy
Section 21.01 Animal Facility Laboratory Policy

Article XXII. Maintenance
Section 22.01 Duties of Maintenance Department
1) The duties of the maintenance department supervisor includes;
a) Receipt of calls for repair services and assistance from the clinic/s;
b) Repairs of dental unit/s and other biomedical and laboratory equipment;
c) Check status of replacement part/s through “his” system network.
Section 22.02 Scheduling of Jobs
1) The assignment of biomed technician to the job is on a first come first serve basis.
2) All calls and job done will be recorded and filed immediately for record purposes.
Section 22.03 Work performed by the biomedical Technician
1) The duties of the biomed technician include;
a) Scheduling of major repair job;
b) Repair and troubleshoot dental units, hand-pieces, and other related biomed equipment
system that malfunction in the college;
c) Perform preventive maintenance and repair services done during leave of students.
2) Procedures for Maintenance Department
a) Quick isolation of the equipment fault / error isolation will be done
b) Temporary repair will be carried out when the unit presently utilized by the doctor or
students to avoid clinical treatment disruption,
c) Unit repair will then be done after the clinic time.
Section 22.04 Spare parts
1) If the unit requires replacement spare parts, then inquiry of spare parts availability
from the main store will be done immediately.
2) If the parts are on stock, requisition for the needed parts will be made; if no parts
available on the stock, department supervisor will then be informed and do the parts
requisition procedure.
3) The purchasing department chairman will also be informed, the list of needed spare
parts will be prepared and submitted for an emergency purchase request, signed by
the Director General for administration and the chairman of purchasing department
will also sign to facilitate the purchasing process.

Section 22.05 Non biomedical Maintenance
1) None related to biomedical job request such as; building facilities deficiency
maintenance repair; modifications are coordinated to different department of the
Sub Contractor building maintenance for the immediate action to facilitate
maintenance repair procedure, and follow up status for all coordinated requested
jobs from sub – contractor building maintenance.
Section 22.06 Preventive Maintenance
1) Dental preventive maintenance will be implemented during semester breaks, when

the students are on vacation.
Section 22.07 Documentation
1) Accomplishment service request forms will be prepared by the technician after each
service done checked and signed by the requester or clinic area supervisor, filed,
saved for reports documentations.

Article XXIII. Photography Department Policy
Section 23.01 Scheduling of appointments
1) The policy for photography taking schedule is strictly first come, first serve.
2) Anyone among the photographers who are available during clinical calls will respond
or attend to the request.
3) In cases of general surgery for maxillofacial which is done at KKUH, scheduling

should be done in advance.
Section 23.02 Requests
1) Request Forms should be properly filled up by the student or doctor who are
requesting for the shooting of their clinical case
Section 23.03 Issuance of Identification Cards
1) Issuance and making of identification card for students, faculties and staff is based
upon the directive and approval of the College administrator
Section 23.04 Storage of Photographs
1) All Clinical shots are downloaded in the photography computers for proper filing and
recording.
2) Clinical Shots are stored and backed up in case of loss.
3) The shots are downloaded onto removable disks or CD’s to be claimed by the
students or doctors.

Part E. Student Guidelines

E. Student Affairs
Section 25.01 Admission policies and conditions
All Admission eligibility, requirements, policies and procedures are in accordance to the University
Policies and Procedures of Admission outline in:
http://ksu.edu.sa/Students/ProspectiveStudents/Admissionrequirements/Pages/Bachelors.aspx
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http://ksu.edu.sa/Students/ProspectiveStudents/Admissionrequirements/Pages/Diploma.aspx
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Section 25.02 Requirements for Admission to dental college:

1) The student must hold the general secondary certificate (i.e. High School Diploma) or any
equivalent from inside or outside the kingdom of Saudi Arabia.
2) The general secondary certificate or any equivalent must not be more than 5 years old.
3) The student must have good behavior and conduct.
4) The student must successfully pass the examination or the interview held by the senate.
5) The student must be medically fit.
6) The student must obtain the approval from his employer allowing him to study if he works in
the public or private sector.
7) The student must meet any conditions assigned by the senate at the time of registration.
8) The student should not have been expelled from any university due to disciplinary or
academic reasons.
9) The student who already has a bachelor’s degree or any equivalent will not be admitted for
another bachelor’s degree. However, the senate is entitled to some exceptions.
10) The selection occurs between the applicants who meet the conditions on the basis of their
scores (the general secondary certificate examination, the admission tests if they are
available, and the special rate. in addition to the general potential tests).
11) The acceptance of students will be initially based on the university acceptance into combined
preparatory program, and the acceptance in the college will depend on the ranking of the
students GPA after the preparatory year and the numbers of position available.
Section 25.03 Number of students accepted to college

The college shall submit to the University Council the number of students that can be accepted each year in
the faculty.
Section 25.04 E-Admission

All admission is performed through the internet.

Procedure for E-Admission:
1) The students must undergo the necessary tests held by the National Center for Measurement
and Assessment.
2) The student must read the admission conditions through the university electronic gate or the
deanship of admission and registration website http://dar.ksu.edu.sa
3) The students fill in the form with the necessary data and the desired courses of study through
the e-admission website within the allotted period of time.
4) When the period of admissions is over, the students will be admitted on the basis of those
who have met all the admission requisites and those who have not. Admission depends on the
equivalent average and the desired college.
5) Passing the personal interview is a must in some colleges.
6) After the respective evaluation, admitted students are informed through e-mail and mobile
messages (SMS). The students receive information about the colleges and fields of study
where they were selected. Admitted students must visit their accounts through the university
electronic gate to print the form of nomination and the application form.
Article XXVI Registration Policies

Section 26.01 Registration policies
1) The college follows a yearly curriculum system, and as such registration will be done Based
on the schedules set forth by the college in the system.
2) Students with special considerations (transfer, failed students, and the like) will be dealt with
specifically on a case basis depending on the discretion of the vice dean of the academic
affairs.
3) The students can automatically register the desired courses during every academic semester. The
students may enter the academic system gate by using a user name and password to cancel courses,
add courses, modify the schedule, confirm registration and print the schedule. The student must
confirm his registration within the first week of the semester. The yearly load is based on the
schedule fixed by the college.
4) The student who is not willing to study in the first semester or in any semester must apply for
withdrawal, otherwise he will fail in the courses of that semester. If the student encounters any
problems concerning his registration, he must go to the college registers or the vice dean for
academic affairs.
Section 26.02 Student Reference Letters

The Deanship of Students Affairs issues reference letters to the students for various purposes. The
Deanship of Admissions and Registration Affairs issues the letters referring to the student's
academic status in the university and letters necessary outside the kingdom.
Article XXVII Vacations and leaves
Section 27.01 Leaves and vacations
The leaves are the official summer vacation, and national holiday and Eid Holidays and mid semester and mid-year
breaks as appointed yearly by the academic schedule set forth by the university.
Article XXVIII Warnings and disciplinary actions
Section 28.01 General Disciplinary actions
The following actions are subjected to disciplinary actions and may be ground for dismissal:
1) Every action that infringes upon honor and dignity or breaches upon good conduct and
behavior in or out of the University.
2) Every action that breaches the rules and regulations of the university.
3) None attendance of lectures, preclinics or clinics.
4) Cheating on exams or conduct in the cheating on exams.
5) Disruption of exam rules or quite during the exams.
6) Organizing societies or activities that oppose the rules and regulation.
7) Destroying or trying to destroy college facilities, equipments or books in libraries.
8) Misuse of college facilities.
9) Production or distribution of brochures or flayers or collection of funds without consent of
college.
10) Attendance of students in another’s place in the exam, whether the student attended on
someone else’s behalf or had someone attend on his behalf in the university or out side the
University.
11) Fraud or forgery in any shape or form.
12) Smoking within the college premises or non-cleanliness.
13) Non –civilized or ill-mannered behavior with colleagues.
Section 28.02 Disciplinary action for Low academic performance

The student will receive an academic warning if his accumulative average remains at or below
(2.00) and he will be expelled if he receives three consecutive warnings.
Any absences due to illness should be justified by a valid medical report. The student will not be
allowed to continue the course or participate in the final examinations if his percentage of
attendance is less than (75%) of the lectures and practical lessons allotted for the course. The
student who is deprived of attending the final examination will fail that course.
Section 28.04 Expulsion
The student shall be discharged from university in the following cases:
1) If the student receives a maximum of thee academic warnings due to his low
accumulative average (less than 2). The student may have a fourth chance to increase
his accumulative average assuming that he will obtain 48 points by studying 12 units.
This process is automatically calculated.
2) If the student does not finish the university requirements within a maximum of half
the duration allotted for his graduation. In addition to the program duration, the
college council may give the student an additional chance to finish the university
requirements within a maximum of double the duration allotted for graduation, based
upon specific conditions.
Section 28.05 Postponement
1) The student is allowed to apply for postponement before the end of the first week of the
semester, if he presents an excuse acceptable by the dean, and the postponement duration
must not exceed two consecutive semesters or a maximum of three inconsecutive
semesters.
2) The students applying for postponement during the academic year are not allowed to
postpone two consecutive years or more than a maximum of two inconsecutive years
throughout the duration of study, otherwise, the student’s file will be cancelled and he
will be terminated from the University. The postponement is not calculated within
duration necessary for fulfilling the requirements of graduation.
Section 28.06 Withdrawal

1) Students may apply for withdrawal from a course 5 weeks before the exams of a semester
course, or 8 weeks before the exam of a yearly course and is subjected to the approval of
the dean of the college.
2) The student can completely withdraw from the university if he finishes the clearance
procedures, returns the student I.D. card and brings his identity documents to restore his
file. If the student is willing to re-register in the university after withdrawal, he will
undergo the regulations of suspension.
3) When a student withdraws from the university, he must take the following points into
consideration.
a. The period of his withdrawal from university is counted as if he was suspended from study.
b. The student who withdraws from university will not be granted a stipend until he registers in
a new semester.
c. Monthly stipends are not granted during the summer semester unless the student registers in
the summer semester.
d. The student must submit a letter of clearance concerning housing, library and other
university facilities.
3) Withdrawal policies and procedures are performed online in accordance to the University
Policies and Procedures of withdrawal outline in:
http://ksu.edu.sa/sites/KSUArabic/Deanships/dar?Pages?Postpone.aspx
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Section 28.06 Suspension
Article XXIX. Stipends and allowances

Section 29.01 Rules of Allowance & Stipends

1) Students are provided with monthly allowances, stipends for students with disabilities,
monetary rewards for honor students according to the rules set forth by the University
Council.
a) All Saudi national students are granted stipends at the undergraduate and postgraduate levels
of study provided they do not work in the public sector. In addition, the scholarship students
from abroad and the students from Saudi mothers are also granted monthly stipends. The
stipends are deposited in the bank and the students are issued ATM cards by their respective
colleges. The stipend is 1000 Saudi Riyals for students of scientific studies, 850 Saudi
Riyals for the students of humanitarian studies and 900 Saudi Riyals for postgraduate
students.
b) Stipends are issued during the regular period of the program assigned for graduation on the
basis of the study plan approved by the university council. Example: The regular duration of
the college of arts is four years. The regular duration starts from the time of admission into
the semester including withdrawal and transfer semesters but not postponed semesters.
c) Stipends are not granted during the summer semester unless the student registers in the
summer semester or studies the second semester preceeding the summer semester.
d) Stipends are not granted to students who withdraw from or postpone the semester.
e) Stipends are not granted to the students who received academic warnings due his
accumulative average being less than (2.00).
f) Postgraduate students are granted exceptional stipends of 900 Saudi Riyals for reference
books and materials as well as an additional 3000 Saudi Riyals for printing the thesis and
4000 Saudi Riyals for printing the dissertation once a year.
g) Students who score an excellent average consecutively (i.e. both semesters) in one year are
granted an extra allowance.
h) 10 Saudi Riyals are deducted from the allowances for the students fund.
Section 29.02 Stipends for disabilities
1) Disabled students are granted an additional stipend for disabilities. The stipend is divided into
two classes:
•First type: students with severe disabilities.
•Second type: students with moderate disabilities.
2) These types of disabilities are classified by the Ministry of Labor and Social Affairs. Disabled
students apply for a disability allowance at the Deanship of Student Affairs.
Article XXX Grading & Exams

Section 30.01 Policies of Exams and Grading
The policies for exams and grading are those set in the “Policies of Study and Examinations- Amended
Saffar 1431” Provided by the University Council.
Section 30.02 Calculation of Grades for Courses
The grades of class work are calculated in two ways:

1) Oral exams, practical exams, researches, class activities or all of these choices or some of
these choices in addition to at least one written exam.
2) OR at least two written exams.
Section 30.03 Calculation of Grades for Research Courses
If research courses entail more than one semester, the student receives (IP) in his record.
Section 30.03 Calculation of grade for student not completing the course requirements
By fulfilling the requirements of the course, the student will obtain the grade of that course.
However, if the student cannot fulfill the course within the allotted time, the council of the college
may approve an (IC) grade in his record. This grade is not calculated in his semester average nor in
his accumulative average unless he fulfill the requirements of that course. If one academic semester
passes without changing the (IC) grade in the student’s record due to not fulfilling the course, the
(IC) grade is replaced by (F) which is calculated in his semester average and in his accumulative
average.
Section 30.04 Cheating
1. Copying answers from notebooks, handouts or books, other students, or the use of cellular
phones to discuss or obtain answers from another student during exams is prohibited.
2. In addition, changing the answers on a returned examination and then request regarding is also
considered cheating and is a prohibited and cheater will be subjected to denial from examination
and disciplinary council.
3. Unless otherwise specified, take-home examinations are given with the understanding that
students may consult notes and references, but not other students. Students who submit work
either not their own or without clear attribution of its sources may be subject to disciplinary
action.
4. Cheating or violating the rules and regulations of the final examination are violations that entail
disciplinary action based upon the disciplinary system issued by the university council.
Section 30.05 Plagiarism
All work submitted to meet course requirements is expected to be a student’s own work. In the
preparation of work submitted to meet course requirements, students should always take great care
to distinguish their own ideas and knowledge from information derived from sources. Whenever
ideas or facts are derived from student’s reading and research the sources must be indicated. The
term ‘sources’ includes not only published primary and secondary material, but also information
and opinions gained directly from other people. The responsibility for using the proper forms of
citation marks, and the source must be credited. Paraphrased material also must be completely
acknowledged.
Section 30.06 Collaboration with other students
The amount of collaboration with others that is permitted in the completion of assignments (whether
written, lab work, or clinical) can vary, depending upon the policy set by the course instructor.
Students must assume that collaboration in the completion of assignments is prohibited unless
explicitly specified by the instructor. Students must acknowledge any collaboration and its extent in
all submitted work. This requirement applies to collaboration on editing as well as collaboration on
substance.
Section 30.07 Remarking

The council of the college that teaches the course (in necessary cases) approves re- marking
answer sheets within a duration not exceeding the beginning of the following semester.
a) The student may apply to the department that presents the course to re-mark his answer sheet
which will be referred to the college council within a maximum of one month after the end of
the final examination.
b) The student may not apply for a request to re-mark his answer sheet beforehand, as his
request will be invalid.
c) The student must not apply for re-marking the answer sheets for more than one single course
during one semester.
d) A written form is filled out including the items 1,2,3 stated above in addition to: student’s
name, I.D. number, course number(s), course code(s), course name(s), branch number, the
semester, absence rate, accumulative average, warnings, instructor’s name, examination date,
reason(s) for re-marking request and a pledge from the student regarding the accuracy of
information submitted in the form.
e) In case of approval, the college council constitutes a committee including at least three staff
members who will re-mark the answer sheet(s) and present a report to the college council who
will give a final decision.
Section 30.08 Semester Average and Accumulative Average
Semester Average and Accumulative Average:
1) Semester Average: The result of dividing the sum of points obtained by the student by
the number of units representing the courses the student has studied in any semester. The
points are calculated by multiplying the academic unit with the equivalent grade the
student gets in each course.
2) Accumulative Average: The result of dividing the sum of points obtained by the student
in all the courses that he has studied by the number of units representing these courses.
Section 30.09 Student General Grades
The general grade of the student when he graduates (based on his accumulative average) shall be as
follows:
• Excellent: if the student’s accumulative average is not less than (4.50).
• Very Good: if the student’s accumulative average ranges from (3.75) to less than (4.50).
• Good: if the student’s accumulative average ranges from (2.75) to less than (3.75).
• Pass: if the student’s accumulative average ranges from (2.00) to less than (2.75).
Section 30.10 Obtaining Honor Ranking
The first honor rank is granted to the student who scores an accumulative average ranging from
(4.75) to (5.00) at the time of graduation. The second honor rank is granted to the student who
scores an accumulative average ranging from (4.25) to less than (4.75) at the time of graduation.
Section 30.11 Student progress to following semester before completion of previous semester

The council of the college that teaches the course may allow the student to study the requirements of
any course in the following semester on the basis of a recommendation by the instructor of the
course.
Section 30.12 Examination Policies

1) The student shall not have more than 2 final exams in a day.
2) The students shall not be permitted to enter the exam after 30 minutes from the start of the
exam, nor shall he be allowed to exit before 30 minutes of the start of the exam.
Article XXXI Learning Resources

Section 31.01 Borrowing from Libraries
The university students, the teaching staff and officials are allowed to borrow books from the libraries of the
university in accordance with the approved borrowing system.
Section 31.02 Automatic Borrowing
Borrowing is carried out automatically (automated system) either at Prince Salman central library, at the central
library for girls in Al Malaz or at the university studies library for girls in Olysha and at the libraries in the dental
college.
Section 31.03 Reserve Books
At the request of teaching staff, the library administration keeps all copies of particular books (as they are used for
teaching purposes only) in special halls to be used inside the library called Reserve Books.
Section 31.04 Photocopying of Books or periodicals
University users are allowed to Photocopy. There machines works by magnetic cards (they are available in the
Xeroxing service office on the third floor). In addition, the Xeroxing section in the deanship (the second floor)
presents microfilms at competitive prices.
Section 31.05 Library Hours
Library Hours of Prince Salman Library
From 8 am. To 9 pm. (Sat - Wed for male students)
From 8 am. To 5 pm. (Thursday for female students)
Library Hours of Malaz Central Library:
Library Hours of Dental College Library at Malaz:
Library Hours of Dental College DUC Reading Room:
Article XXXII Extracurricular activities

Section 32.01 Extracurricular activities and student Care

The Anti-Smoking Clinic represents a comprehensive service provided to all the members of the community. The
Division of Social Services affiliated with the Deanship of Student Affairs presents this program.
Article XXXIII Students rights, Obligation and Protection

Section 33.01 Academic rights and obligations
Section 33.02 Timely Attendance of Lectures and Clinics
Students must show up on time for lectures and clinics. Tardiness exceeding 5 minutes for lectures
or 15 minutes for clinics will be considered as absence.
Section 33.03 Lying or cheating

Integrity is essential for any student. Cheating and/or lying by any student are considered conduct
unbecoming of a professional and prima facia (on its’ face) evidence of a lack of moral fitness.
Violators will be subjected to disciplinary action. Likewise, students having direct or indirect
knowledge of cheating, lying or deception of any kind who does not report such activity will also be
subject to disciplinary action up to and including dismissal from the college.
Section 33.02 Rights and Obligations in Patient Care
Section 33.03 Student Documentation of Procedures in Patient files
Each procedure must be signed as soon as it is performed (according to each course outline),
indication that the instructor has seen and approved it. Instructors are otherwise not expected to sign
late entries. Every procedure and file must be signed before 4:30 pm, to allow time for clean up and
return of instruments, as stated by director of clinics.
Section 33.03 Student obligation in case Patient failure to attend clinic

If a scheduled patient fails to come on his scheduled student clinic within 30 minutes, the student
should get a patient from the primary care clinics. If there are no patients for emergency that day,
the student should assist one of his/her classmates. Students are not allowed to leave the clinical hall
before 4:30 P.M without written consent from course director.
Section 33.04 Non-academic rights and obligations
Section 33.05 Student Attire
Proper attire should be worn by students at all time during their attendance at the college. This attire
is subjected to regulations set forth by the academic vice deanship for general student attire, and the
clinical director for clinical attire during the treatment of patients and attendance in the clinical hall.
Section 33.06 Personal Conduct

Personal conduct that is prohibited by Islamic law is strictly prohibited on Academic ground.
Students found in violation are subjected to disciplinary action up to and including dismissal from
college.
Section 33.07 Noise and Loitering in Hallways

Noise will be kept to a minimum at all times in the hallways and corridors. During breaks between
classes, students will not loiter in nor block the hallway, stairs or clinical halls. Students will
respectfully and quickly clear a path for patients, visitors, staff or other personnel to move about and
conduct college affairs. Quiet will be maintained at all times so as not to disrupt other classes or
employee at work. Breaks will be taken in designated areas only.
Section 33.08 Smoking and Tobacco Use

Tobacco use and smoking are not permitted inside any building including dormitory. Tobacco use
and smoking will be permitted only outside the college. Any student found to be smoking in the
premises will be subjected to disciplinary action.
Section 33.09 Alcohol and Drugs

The use or possession of alcoholic beverages and/or illicit drugs anywhere on College campus is
strictly prohibited. Prescription drugs, prescribed by licensed and authorized medical practitioner
will be allowed when:
1) The student holds a valid prescription bearing the student’s name on the container label.
2) Any student using prescribed medication(s) will provide in writing, reasonable data
concerning the type of medication(s) and its possible side effects.
Any student found in this condition will be deemed to have committed a major violation and is
subject to dismissal from the college
Section 33.10 Harassment

Harassment is strictly prohibited. Harassment includes verbal or physical activities that may be
religious, physical or racial. Verbal or physical conduct implied or overt that could reasonably be
construed to demean or have similar effects on another person, group of persons or a person’s
employer is prohibited. All persons attending the college will treat others with dignity and respect.
The college will not tolerate harassment and is intended to be a safe environment that is free of
unwanted harassment or distractions.
Unsolicited harassment is defined as unwelcome advances, requests, or other verbal or physical
conduct of a harassing nature, regardless of medium or means, when:
1) Submission to such conduct is made either explicitly or implicitly a term or condition of an
student's grade; or
2) Submission to or rejection of such conduct by an individual is used as the basis for grades
that might affect such student; or
3) Such conduct has the purpose or effect of unreasonably interfering with an students or
creating an intimidating, hostile, or offensive training environment.
4) Displaying, whether intentionally or unintentionally, any inappropriate pictures, cartoons or
calendars anywhere on the school campus to include private lockers
A complaint is defined as an accusation of harassment based on unwelcome behaviors. Anyone may

initiate a complaint. Complaints may be oral or written. Such complaints may be made to the
Student Affairs.
Article XXXIV Transfer

Section 34.01 Transfer
All Transfer eligibility, requirments, policies and procedures are in accordance to the University
Policies and Procedures of transfer outline in :

http://ksu.edu.sa/Students/ProspectiveStudents/Pages/Transferrequierments.aspx
7T 7T
Section 34.02 Transfer from one university to another

Upon the approval of the Dean of the particular college that the student is transferring to,
the student will be admitted into the university in accordance with the following
requisites:
1- The student should have studied at an accredited college or university.
2-The student shall not be admitted into the university if he is transferring for disciplinary
and/or academic reasons.
3-The student shall meet the transferring conditions specified by the college council.
4- The number of required units the transferred student should study at King Saud
University should not be less than 60% of the total units required for the bachelor’s
degree by the university.
5-The college council equates courses that the student has studied out of the university
according to the recommendation of the Deanships’ councils. The equated courses are
registered in the student’s academic record, but they are not calculated in his
accumulative average.
6- If it turns out after the transfer that the student was dismissed for disciplinary or
academic reasons, his registration is cancelled from the date of his transfer to the
university.
7- Transferring the student occurs in any semester from one university to another in
accordance with the aforementioned procedures and the dates which he is transferred to
the university shall be in accordance with the general conditions of transfer.
Section 34.03 Transfer from One Faculty to another inside the university:
Firstly, this process will occur by the approval of the Deans of the two respective
faculties. The student is allowed to transfer in accordance with the conditions determined
by the college in which student is willing to transfer to.
Secondly: all courses previously studied by the student along with the scores and
accumulative averages are fixed in the academic record of the student who is transferred
from one college to another.
Section 34.04 Transfer from one course of study to another within the College
Upon the approval of the dean of the college, the student is allowed to transfer from one
course of study to another in accordance with the conditions set by the college council.
All courses previously taken by the student, along with the scores, accumulative and
semester averages are all fixed in the academic record of the student during his university
study.

Article XXXV Graduation
Section 35.01 Graduation Requirements
The student can graduate if he finishes all requirements of hours of a program with a minimum
grade of acceptance (D). The student will not be considered graduated till the university council
agrees to present him the degree.
Procedure of graduation:
1) The prospective graduates must go to the Deanship of Admissions and Registration Affairs to
make sure that they have fulfilled the requirements of graduation
2) The student must fill in the form related to the graduation book within the first week of the
semester in which graduation is expected.
3) They must submit the following:
a) One photo (4x6): (for male students only).
b) One copy of Passport (page one, for those who want to write their names in English).
c) Identification card (one copy for Saudi male students) or Family notebook for Saudi
female students.
4) The graduate student must go to the Deanship of Admission and Registration Affairs file section
and obtain a clearance letter to be signed by the respective Departments.
Section 35.02 Requirements of Candidates of obtaining 1st/ 2nd honor rank:
1) The student should not fail in any course he has studied in the university or any other
university
2) The student should fulfill the university requirements within a maximum of the average
duration expected for graduation.
3) The student should study at King Saud University a minimum of (60%) of the graduation
requirements.
4) If the student meets the conditions above and he scores an accumulative average ranging
from (4.75) to (5.00), he will be granted the first honor rank. However, the student who
scores an accumulative average ranging from (4.25) to less than (4.75) is granted the second
honor rank.

Part F. Quality Assurance

Article XXXVI. Continuous Quality Improvement (Clinical)
1) PURPOSE
The purpose of the Dental Clinic Continous Quality Plan (CQP) is to continuously improve the quality of
care provided to patients by members of the Dental College. This will be accomplished thought the
efforts of the Dental Faculty and Staff both inter and intra-departmentally within the college.
2) Responsibility
The individual responsible for the quality assurance and improvement activities of the Dental College is
Vice Dean for Quality and Development. The VDQD may delegate this responsibility to the other
members of the dental staff. It shall also be the responsibility of the dental QA Coordinator to
coordinate interdepartmental activities with the CQP programs of those departments so as to provide
for quality improvement throughout the facility.
3) Indicators
The dental staff as a group will develop a set of indicators of quality of care for each of the important
aspects of care being monitored. Each indicator will be objective, measurable, and based on current
knowledge and clinical experience. Indicators must be easily replicated in order to track improvement.
Each indicator will specify a patient care activity, event, or outcome that is to be monitored and
evaluated to determine if patient care conforms to current standards.
Modifying Indicators
Indictors will be reviewed regularly. Indicators that are consistently met may be considered to be
removed and other issues examined.
Sentinel Events
1. Additionally, certain unpredictable occurrences in the dental clinic (usually small in number but
with very high morbidity or mortality) are of such importance that all such occurrences must be
carefully examined, even though objective criteria cannot be formulated in advance for them.
Examples of such sentinel events would include:
• Deaths in the dental clinic
• Allergic reactions/anaphylactic reactions to medications.
• Formal complaints or lawsuits.
2. In addition to other processes set into motion by such events, dentists review each sentinel
event and a Quality Improvement Activities Summary submitted to the QAI Coordinator for the
facility to be reviewed by the QA Committee.

4) Threshold for Evaluation
Each indicator in focused studies will have thresholds established based on QA documents, national
averages, recommendations of appropriate experts, and other generally accepted sources. Comparison
of the gathered data for each indicator with the appropriate threshold will then determine if further
evaluation is indicated. Due to the high potential for morbidity or mortality, all sentinel events will be
reviewed. All indicators appended to this plan will have the threshold and its source indicated.
5) Collection and Organization of Data

Routine collection of information in the Dental College concerning important aspects of patient care will
be made utilizing maintenance records and patient satisfaction surveys among others. The data source
for each indicator is identified with the indicator, as is the frequency of collection and the responsibility
for collection and analysis of the data.
6) Evaluation of Data
Once data have been collected and organized, they are evaluated to determine whether there is a
problem and/or opportunity for care improvement. Evaluation of the data will determine if thresholds
have been exceeded or if trends have been established.
Other forms of feedback besides exceeded thresholds, such as staff or patient reports or suggestions,
bench-marking with similar facilities, important single events, etc., can also be used to identify other
opportunities to improve care.
7) Corrective Actions
If the evaluation identifies a problem, department staff should determine what action is necessary to
solve the problem. A plan of corrective action identifies who or what is expected to change; who is
responsible for implementing action; what action is appropriate in view of the problem's cause, scope,
and severity; and when change is expected to occur. Emphasis will be placed on focusing actions on
processes of care rather than of individuals. If a needed action exceeds the department's authority,
recommendations are forwarded to the QA Committee.
To be effective, corrective action must be appropriate for the problem's cause. Three common causes of
problems are:
• Insufficient knowledge, skills or attitudes
• Defects in the system;
• Deficient behavior or performance.
After an appropriate time has elapsed since a corrective action has been taken, reevaluation must occur
to see if the corrective action was successful. This assessment of action and documentation will be used
to show sustained (trend analysis) improvement in the quality of patient care.
8) Communication of Results to the Staff
It is essential that monitoring and evaluation information be communicated to the necessary

individuals and departments throughout the community. Such interaction of information will begin
with clinical dental staff meetings. Minutes of these meetings will be kept, and reports will be
forwarded to the QA Officer. Integrating quality improvement information contributes to the detection
of trends, performance patterns, or potential problems that affect more than one clinic or department of

the facility. It also allows the information gathered to be used in granting and reassessing privileges
and in conducting other performance evaluations such as employee performance standards.
9) Annual Appraisal
The effectiveness of the Dental Clinics Continuous Quality Program will be evaluated annually by the
Vice Dean for Quality and Development. This annual reappraisal of the CQ Program will include
evaluation of the clinics, including the scope, effectiveness, objectiveness, comprehensives of the
current activities, and community input from internal sources or patient satisfaction surveys. The
results of this evaluation will be reported to the Dean of the College.
10) Confidentiality
All QI records shall be maintained in total confidentiality as applicable.
Article XXXVII. Risk Management/Program Monitoring

PURPOSE
The purpose of this Risk Management plan is to continuously improve the quality of dental program
and reduce risk that may be introduced through dental care provided at the dental college.
PROCEDURE
Program Elements
Clinical Director will coordinate risk management with Vice Dean for Quality and Development.
Incident and accident reports will be completed and processed as per Dental Clinic policy. Valid patient
and employee complaints will be referred to the appropriate staff for appropriate management.
A program review and infection control review will be conducted annually. Results will be submitted to
Vice Dean for Quality and Development. Deficiencies will be address in a meeting, through continuing
education, or other appropriate means.
Tracking
Clinical Director will ensure appropriate certifications such as CPR, radiology, CE, and other mandatory
certifications are maintained by dental staff. Additionally, dental staff is responsible for maintaining
facility required training such as Electrical Safety, Fire Safety, Infection Control, MSDS, Blood Borne
Pathogens, and Hazard Communications training as per facility safety guidelines
Bi-annual (each semester) quality assurance activity report will be submitted to the Vice Dean for
Quality and Development.


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KING SAUD UNIVERSITY

POLICY AND PROCEDURES MANUAL

© 2011 College of Dentistry, 0

The Vice Dean, Quality and Development,

Kingdom of Saudi Arabia

© 2011 College of Dentistry, 1

Article I. Dental Program Policies and Procedures

Article II. Organizational Chart

Article III. Dental Program Summary

Article IV. Documentation

Section B: Human Resources

© 2011 College of Dentistry, 2

Article II. Employment

Section 2.01 Appointment and Promotion of faculty

Section 2.02 Employment contract of Non- Saudis

Section 2.03 Part-time employment

Section 2.04 Cancellation

Section 2.05 Renewal

Section 2.06 Termination

Article III. Duties

Section 3.01 Discipline

Article IV. Regular working hours

Section 4.01 Absenteeism

Section 4.02 Tardiness

Article V. Salaries, allowances and compensations

Section 5.01 Faculty members, lecturers, language teachers and assistants

Section 5.02 Doctors

Section 5.03 Engineers

Section 5.04 Researchers and their assistants and technicians

Section 5.05 Administrators and clerical

Section 5.06 Assistant technicians and craftsmen

Section 5.07 Workers in specialized areas

Section 5.08 Part time workers

Article VI. Vacations / Leaves

Section 6.01 Specific policies governing the college of dentistry

© 2011 College of Dentistry, 3

(a) Combining vacation time to use at a later date

(b) Compensation of work during official holidays

(c) Compensation for vacations at the end of service

Section 6.03 National Holidays:

(a) Eid al-fitr and Eid Al-Adha

(b) The National Day of the Kingdom

Section 6.04 Emergency Leave

Section 6.05 Sick leave and conditions that apply

Section 6.06 Companion leave:

(a) For accompanying a patient.

(b) For accompaniment during study or work abroad.

Section 6.07 Study leave and conditions that apply

(a) Exam Attendance Leave

Section 6.08 Unpaid leave

Section 6.09 Sabbatical Leave

Section 6.11 Death of husband leave

Section 6.12 Procedures for applying for vacation/leave

Section 6.13 Extended duties or services

(a) Scientific consulting

(b) Delegation, secondment

(c) Attending conferences and symposiums and seminars

© 2011 College of Dentistry, 4

Section 7.01 Students Clinic

Section 7.02 Interns Clinic

Section 7.03 Specialist Clinic

Section 7.05 Prosthodontic (SDS) Clinic

Section 7.06 Restorative Dentistry (RDS) Clinic