PERS 1.

1b

Periodontal procedure
Range:
Patient type:
Date of Activity:
The Practical Experience Record Sheet is a true representation of my own involvement in the task described.
1. Clinical area details:

Guidance Notes:
Students should state the procedure to be carried out.
Students should detail the clinical area, the equipment switched on, and the preparation of the area for the procedure.
Students should state the particular instruments and materials (where relevant) set out, as well as the relevant patient records
PROCEDURE TO BE CARRIED OUT: Periodontal examination and scaling
TYPE OF PRACTICE: Mixed NHS and Private dental practice.
AGE AND GENDAR: 49 years old female.
MEDICAL HISTORY: fit and well, with no allergies
SOSIAL HISTORY: Non-smacker; 1-2 units of alcohol a week
CONCENT: Written signature
MEDICAL RECORDES: Patient medical history was checked and made sure that it was up to date, periodontal chart,
radiographs were available on the computer for the dentist.
EQUIPMENT SWITCHED ON: Turned on lights, dental chair, compressor unit, computer, X-ray machine, suction
pump, light cure, amalgamator, autoclave-which was filled with distillate water and TST stripe position in the firs sickle in
the morning to check sterilization process and recorded in the dated log book, ultrasonic bath filled with enzymatic
cleaning solution and water and de-gas process was started, water distillation unit and ventilation.
Patient was provided with protective eyewear and a bib.
PPE for the Dentist included- uniform, visor, disposable gloves, apron and mask.
PPE for the nurse (myself) – full uniform, including closed toe shoes, visor, apron, disposable gloves and mask.
INSTRUMENTS: On the tray prepared disposable tray liner, exam kit includes-mouth mirror, right-angel prob,
BPE prob, pocket measuring prob, tweezers, disposable 3 in1 tip, ultrasonic scaler, set of hand scaling instruments,
slow handpiece and polishing brush.
MATERIALS: Cotton rolls, floss, prophylactic polishing paste and dappen pot. interdental brushes, disposable aspiration
tip and disposable saliva ejector.
PREPARATION OF THE SURGERY:
Prior to starting I have confirmed the procedure with the dentist. I applied non-antimicrobial liquid soap to wet hands in
compliance with NICE guidelines CG139, dry them with paper towel. Placed PPE- mask, visor and gloves. Disinfected all working surfaces-
chair, control buttons, bracket table, light handles, light, spittoon, computer, cupboards, x-ray machine, amalgamator with viricidal disinfectant
in compliance with HTM01-05 and paper towels. Then I flushed the lines through with distilled water for 30seconds to make sure the suctions
were working, and the tubes were clean. Afterwards I removed PPE-gloves, mask, visor and disposed the dirty ones in the orange clinical waste
bin and applied alcohol-based hand gel.
I discussed with the dentist prior to treatment if she needs anything. Put PPE- mask, visor, gloves and set up for the
clinical procedure.
For this appointment I added disposable aspirating tip, disposable saliva ejector, fitted disposable 3 in 1 tip, applied
disposable plastic covers for armrest, light handle, head cover, all couplets for slow handpiece, 3 in 1and over the
aspirator tubes, placed disposable cup with mildly antiseptic mouthwash tablet and water provided on the side of the
chair, box of tissues. In the clinical area I placed earlier a container with a lid, filled with enzymatic solution, available to
collect the contaminated instruments. Then placed the lined tray with instruments on the bracket table, connected the
slow handpieces with polishing brush, 3 in 1 tip, suction tip and saliva ejector.
Then on the nurse’s side I set up box of gloves, visor, masks and different sizes interdental brushes.
On the dentist side I made available a box of gloves, visor, apron and mask. I also made sure that there was a patient signed treatment plan for
the consent gained for this treatment.
I invited the patient and told her to take a seat. I gave the patient protective eyewear and a bib.
Then the Dentist asked me to do a full periodontal charting on the computer.

2. Details of how clinical area managed after procedure:

Guidance Notes:
Students should explain how instruments, sharps, equipment, surfaces were decontaminated and sterilised after the procedure.
Students should give details of all relevant waste disposal techniques used.
Although the procedure was completed, I removed bib and eyewear off the patient, and started cleaning process and prepared the surgery for
the next appointment. Removed the PPE-gloves, visor, mask followed recommendations of HTM 01-05 and applied a lcohol-based hand gel,
and wore new PPE-mask, visor, gloves and stared by wiped the eyewear with virucidal disinfectant spray and paper towel and put the bib in the
clinical bin. Then I detached all the disposable tips, collected the disposable cup and dispose them into the hazardous waste bin in compliance
with HTM 07-01. Subsequently collected all the contaminated instruments from the bracket table, and place them in the container and put the lid
on. The polishing brush was placed in the sharps box complied with HTM 01-05. All other clinical waste such as cotton rolls, floss, dappen pot
with left prophy polishing paste is collected by myself and placed in the clinical waste bin. Change PPE- gloves, mask, visor and disposed in the
clinical waist. Rub alcohol-based hand gel and put a new PPE- gloves, visor and mask. Disinfected all the surfaces, chair, bracket table,
control buttons, lights, lights handles and the spittoon with virucidel disinfectant in compliance with HTM 01-05. I also ran water through water
lines for 30seconds. I applied PPE-gloves, visor, mask and disposed to the clinical waste bin and washed my hands in compliance with NICE
guidelines CG139. New clean gloves are worn in order to carry the dirty container to the decontamination room prior to sterilization. Before
starting the cleaning procedure of the instruments used gloves are removed and disposed in the clinical waste and new set of PPE- mask, visor,
plastic apron and a heavy duty gloves are put on.
Firstly, wiped the slow handpiece with non-alcoholic wipe and lubricated according to the manufacturer’s instructions and placed
on the tray ready for autoclave. Placed and scrubbed the instruments in the washing sink at the dirty area, whit a long handle nylon brush,
under water with non-foaming detergent. Measured the temperature which was under 45C.Fully drained instruments before
rinsing with distillate water in a rinsing sink. Dried the instruments with paper towel . Placed them in the cleaner basket in a
single layer at temperature of under 45C in ultrasonic bath. Which was filled early with water and enzymatic solution. The timer was set
according to the manufacturer’s instructions- 10 to 15 minutes, the lid closed to prevent aerosol contamination and the program started. When
finished, instruments were placed in the rinsing sink and rinsed with distillate water. I also verified the instruments under the magnifier glass to
make sure they were completely clean, without debris or organic waste. Next step was to laid instruments on the tray with piece of autoclave tap
in a single layer. Changed the heavy-duty gloves, rub hand gel, and put disposable gloves. Placed instruments in the “N” type autoclave- heated
to 134 C, and holds for 3.15min at 2.25 bar pressure. I disposed PPE-gloves, visor, apron, mask in the orange hazardous waste. Washed hands
with water and hand detergent according to HTM 01-05 in the washbasin and dried them with paper tissue.
When the autoclave cycle finished, I placed clean PPE- mask, gloves, visor and removed the tray from the autoclave in the clean zone in the
decontamination room. Laid them and covered with clean single used cloth. When they are cool, dried them using a single use cloth. Afterwards
placed the different instruments in a sealed view pouches and stamped them with today’s date and the expire date which will be in 12 months’
time. I ensure that their sterility is maintained until they are required for the next use. Removed the PPE-mask, gloves, visor and disposed in the
clinical bin. Afterwards the instruments were place in the drawers in the surgery workplace.

I followed the practice guidelines.

3. Reflective Account:

Guidance Notes:
Students should identify their strengths and weaknesses during the procedure and describe any action they would take to address weaknesses in
the future, if required.
My strength was that I made available all old periodontal chartings of the patient printed and marked ready for the dentist.
My weakness was that I didn’t dive the patient wet tissue to clean after the procedure.
Next time I will be more concentrated.

Surgery Preparation:
Student turned on all equipment required for the procedure:
Student donned appropriate PPE (gloves, mask, eye protection, appropriate clinical dress):
Student cleaned work surface using viricidal disinfectant or detergent solution:
Student flushed through all water lines:
Student applied disposable covers to required areas of the dental surgery e.g. light handles, control panel etc:
Student made all required patient records and radiographs available:
Identify the planned procedure and confirm with the clinician:
Student prepared all instruments, materials and equipment required for the procedure in their order of use:
Clearing Away:
Student removed all sharps safely from the clinical area:
Student disposed of all sharps appropriately:
Student disposed of clinical waste appropriately:
Student disposed of special waste appropriately:
Student transferred dirty instruments to the decontamination zone safely:
Student carried out effective instrument decontamination procedures:
Student carried out effective decontamination procedures on the surgery equipment e.g. work surface, dental chair,
spittoon dental chair, spittoon:
Student carried out procedure with consideration for the patient’s condition e.g. latex allergy:

Professionalism:
Student demonstrated professionalism throughout the procedure:
Student demonstrated effective team working throughout the procedure:
Student demonstrated effective clinical decision making throughout the procedure:
Student managed themselves and the clinical environment in line with current standards and guidelines: