Big Sandy Community and Technical College

Course Syllabus

PS Number: 49721 Semester: Fall Year: 2017

Faculty Name: Carmen Fields, RDH, BS Title: Associate Professor

Course Prefix and Number: DAH 101 Course Credit Hours: 2

Course Prerequisites: Admission into the Dental Assisting/Dental Hygiene Integrated Program and completion of program pre-requisites; Dental Hygiene: ENG 101 and BSL 110; Dental Assisting: –Bio 130 or Bio 135 or Bio 137 or Bio 139. Current CPR card for Healthcare Providers. Lecture 1.5 credits (22.5 contact hours) Laboratory 0.5 credits (30 contact hours)

Course Title: Infection Control and Medical Emergencies

Catalog Course Description: Examines current regulatory mandates, specific step-by-step procedures related to infection control, management of hazardous materials in the dental office, management of emergency situations and basic concepts of pharmacology.

Instructor Contact Information:

Campus Location: London - SCC Laurel North

Building & Room: Building 1, Room 135

Office Hours: Monday 8 AM- Noon (online only) Tuesdays 9-4

Office Phone Number: 606-878-4712

Alternate Number:606-886-3836 Ext. 67352

Best Times to Call: Tuesday 9-4

KCTCS Email: Cfields0079@kctcs.edu

Special Instructions: Linda Daniel, Staff Associate (606) 886-3863 ext 67352 Staff Associate (606) 877-1421 ext. 4791 (London)

Supervisor Contact Information:

Name: Jill Keaton, DMD

Campus Location: Prestonsburg Campus

Building & Room: Johnson – 113B

Office Phone Number: 606-889-4726

KCTCS Email: Jkeaton0008@kctcs.edu

Text and Supplies:

Grimes Medical Emergencies Essentials for the Dental Professional, Grimes 2nd ed. Pearson (ISBN 9780133065626) Miller Infection Control and Management of Hazardous Materials for the Dental Team, Miller 5th ed. Elsevier (ISBN 9780323400619) ***Students must have internet access, as this course is taught completely online via Blackboard.

KCTCS General Education Competencies

Students should prepare for twenty-first century challenges by gaining: A. Knowledge of human cultures and the physical and natural worlds through study in the sciences and

mathematics, social sciences, humanities, histories, languages, and the arts. Method to Achieve Competency:

B. Intellectual and practical skills, including

inquiry and analysis

critical and creative thinking

written and oral communication

quantitative literacy

information literacy

teamwork and problem solving Method to Achieve Competency:

C. Personal and social responsibility, including

civic knowledge and engagement (local and global)

intercultural knowledge and competence

ethical reasoning and action

foundations and skills for lifelong learning Method to Achieve Competency:

D. Integrative and applied learning, including synthesis and advanced accomplishment across general and specialized skills.

Method to Achieve Competency:

Course Specific Competencies (Student Outcomes):

1. Describe therapeutic agents commonly used in the management of the dental patient. 2. Identify and explain the components of a drug prescription. 3. Explain the purposes of the complete dental and medical record and its component parts. 4. Obtain basic personal, medical, and dental histories and apply precautionary measures as needed. 5. Recognize the patient record as a legal document and maintain its accuracy and consistency. 6. Use a complete, reviewed medical history and preoperative vital signs to help prevent, predict,

and identify medical emergencies. 7. Demonstrate procedures for obtaining vital signs on a patient and record the findings. 8. Manage specific medical emergencies in response to given signs and signals. 9. Develop an emergency protocol for a given clinical setting and explain how it will be implemented

in a variety of emergency situations. 10. Identify the role of microorganisms in infection control with emphasis on blood-borne pathogens. 11. Identify precautionary measures that must be taken by dental personnel to prevent disease

transfer from patient to patient, patient to clinician, clinician to clinician, and clinician to community. 12. Follow current CDC and OSHA recommendations for control of blood-borne pathogens and

hazardous materials. 13. Identify steps and procedures associated with instrument processing. 14. Identify steps and procedures associated with environmental surface and equipment asepsis. 15. Identify regulations for laboratory asepsis. 16. Identify regulations and recommendations associated with the management of hazardous

materials in the dental environment.

In addition to the above competencies, the following Program Core Competencies will be addressed: 1. Ethics. 1.2 Serve all patients and the community without discrimination. 1.3 Provide humane and compassionate care to all patients. 1.5 Ensure the privacy of the patient during dental hygiene treatment and counseling and the confidentiality of patient records. 3. Professional Identity. 3.2 Expand and contribute to the knowledgebase of dental hygiene. 3.3 Assume the roles of the profession (clinician, educator, researcher, change agent, consumer advocate, administrator), as defined by the ADHA. 6. Assessment. 6.1 Obtain, review and update a complete medical, family, psychological, and dental history including an assessment of vital signs while recognizing cultural differences in populations. 6.2 Manage the patient record as a legal document and maintain its accuracy and consistency. 6.3 Determine medical conditions that require special precautions or consideration prior to or during dental hygiene treatment. 6.4 Identify the patient at risk for a medical emergency, and be prepared to handle the emergency

should it occur during an appointment. 6.6 Determine the need for referral to the appropriate health professional. 8. Implementation. 8.1 Use accepted infection control procedures. 8.7 Identify policies and procedures for increasing employee and patient safety in the dental environment

Lab Competencies (Student Outcomes): (Enter N/A if this does not apply.)

1. Utilize drug reference resources. 2. Discuss case studies. 3. Collect medical/dental history data. 4. Obtain vital signs. 5. Role play and identify emergency situations. 6. Practice dental emergency drills. 7. Perform sterilization/disinfection of dental equipment/operatory. 8. Use universal standards. 9. Practice aseptic technique.

Course Outline: Additional research/updated information will be provided by instructor in applicable sections of this course.

Instructor also reserves the right to arrange material as best fits the course of study. All exams can contain

laboratory applications as part of the exam questions.

Infection Control and Management of Hazardous Materials for the Dental Team

Chapter 1 The Scope of Microbiology and Infection Control

A. Role of Microorganisms in Infection Control B. Discovery of Microorganisms and Infection Control Procedures C. Important Activities of Microorganisms

Chapter 2 Characteristics of Microorganisms

A. Bacteria B. Viruses C. Fungi

Chapter 3 Development of Infectious Diseases

A. Steps in Disease Development B. Host-Microorganism Interactions Chapter 4 Emerging Diseases

Chapter 4 Emerging Diseases

A. Ecological Changes B. Changes in Human Demographics or Behaviors C. International Travel and Commerce D. Microbial Changes E. Breakdown in Public Health Measures F. Unexplained Emergence

Chapter 5 Oral Microbiology and Plaque Associated Diseases A. Normal Oral Microbiota B. Microbiology of Caries C. Microbiology of Periodontal diseases D. Prevention of plaque-associated diseases E. Acute dental infections

EXAM 1 (covers chapters 1-5) Chapter 6 Blood-borne pathogens

A. Viral Hepatitis B. Human Immunodeficiency Virus Disease

Ch. 7 Oral and Respiratory Diseases

A. Oral Diseases B. Systemic Diseases with Oral Lesions C. Respiratory Diseases D. Waterborne Disease Agents E. Methicillin-Resistant Staphylococcus aureus F. MERS-CoV

Chapter 8 Infection Control Rationale and Regulations

A. Rationale for Infection Control B. Recommendations and Regulations C. Summary of the Occupational Safety and Health Administration

Bloodborne Pathogens Standards D. Summary of Centers for Disease Control and Prevention Infection E. Control Recommendations for Dentistry

Chapter 10 Immunization

A. Tetanus B. Influenza C. Hepatitis B

EXAM 2 (covers Chapter 6,7,8, 10)

_________________________________________________________________ Chapter 11 Hand Hygiene

A. Hands and Disease Spread B. Protective Value of Hand Hygiene C. Hand Hygiene Agents D. Hand Hygiene Procedures

Chapter 12 Personal Protective Equipment A. Gloves B. Masks

C. Protective Eyewear D. Protective Clothing E. Placing and Removing Equipment Barriers F. Properties of Protective Equipment Chapter 13 Instrument Processing

A. Sterilization vs. Disinfection B. Instrument Processing Procedures C. Handpiece Asepsis

Chapter 14 Surface and Equipment Asepsis

A. Types of Environmental Surfaces B. Surface Covers C. Precleaning and Disinfection D. Equipment Decontamination

Chapter 15 Dental Unit Water Asepsis

A. Presence / types of Microorganisms in dental unit water B. Types and Importance of Microorganisms in Dental Unit Water C. Biofilm in dental unit water lines D. Current Infection Control Recommendations E. Dental unit water and infection control

Chapter 16 Aseptic Techniques

A. Minimizing dental aerosols and spatter B. Preprocedure mouth rinse C. HVE D. Use of disposables E. Housekeeping and cleaning

Exam 3 (covers chapters 11-16)

Chapter 17 Laboratory and Radiographic Asepsis A. Laboratory asepsis B. Radiographic asepsis

Chapter 18 Waste Management

A. Types of Waste B. Infectious Waste Management C. Blood in a Liquid or Semiliquid Form D. Pathogenic waste E. Sharps

Chapter 20 Asepsis Protocols, SOPs, and Checklists

A. Before seating the patient B. After seating the patient C. During patient treatment D. After patient treatment

Ch. 24 The Occupational Safety and Health Administration

A. Purpose B. standards

EXAM 4(covers Chapter 17, 18, 20, 24)

Medical Emergencies Essentials for the Dental Professional

Part 1 - Emergency Preparation

A. Introduction – Chapter 1 a. Medical History b. Vital Signs c. ASA Physical Status Classification

B. The Emergency Kit - Chapter 2 a. Introduction b. Essential Drugs

C. Vital Signs and Hypertensive Urgency and Emergency – CH 3

a. Introduction b. Pulse c. Respiration d. Temperature e. Signs and Symptoms of Hypertensive Urgency and Emergency

D. Oxygen Administration - CH4 a. Oxygen Administration b. Oxygen Tank Operation

________________________________________________________________ Part 2 - Neurological Emergencies

A. Syncope – CH 5 a. Signs and Symptoms of Syncope b. Treatment of Syncope B. Shock – CH6 a. Types of Shock, Signs/Symptoms, and Treatment C. Hyperventilation – CH 7 a. Signs and Symptoms of Hyperventilation b. Treatment of Hyperventilation

Exam 5 (Chapters 1-7 Med Emergencies)

D. Seizure Disorders – CH8 a. Drug Therapy for Seizure Disorders

b. Types of Seizures c. Treatment of Seizures E. Cerebrovascular Accident – CH9 a. Types of CVA b. Treatment of CVA

Part 3 – Cardiac Emergencies

A. Angina Pectoris and Acute Myocardial Infarction – CH 10 a. Angina Pectoris b. Signs and Symptoms of an Anginal Attack c. Treatment of an Anginal Episode d. Acute Myocardial Infarction e. Treatment of an Acute Myocardial Infarction

B. Heart Failure and Acute Pulmonary Edema - CH 11 a. Signs and Symptoms of Heart Failure b. Treatment of the Patient with Heart Failure in the Dental Setting

c. Acute Pulmonary Edema d. Treatment of Patients with Acute Pulmonary Edema in the Dental setting

C. Cardiac Pacemaker and Implantable Cardioverter Defibrillator – CH 12

Malfunction a. Pacemaker or ICD Malfunction b. Signs and Symptoms of Pacemaker of ICD Malfunction

Part 4 – Respiratory Emergencies

A. Asthma – CH 13 a. Signs and Symptoms of Asthma Attacks b. Treatment of an Asthma Attack

_______________________________________________________________

B. Obstructed Airway, Aspiration, or Ingestion of a Foreign Object - CH 14 a. Signs and Symptoms of an Obstructed Airway b. Treatment of Partially and Completely Obstructed Airways C. Allergic Reactions - CH 15 a. Signs and Symptoms of Allergic Reactions b. Treatment of Allergic Reactions Part 5 – Endocrine Emergencies

A. Diabetes Related Emergencies – CH 16 a.Introduction b. Systemic Complications c. Medication/Treatments for Diabetes

________________________________________________________________ Part 6 – Bleeding Emergencies

A. Epistaxis – CH 19 a. Signs and Symptoms of Epistaxis b. Treatment of Epistaxis

B. Excessive Bleeding Following an Extraction - CH 20 a. Signs and Symptoms of Excessive Bleeding b. Treatment and Prevention of Excessive Bleeding Part 7 – Other Emergencies

A. Drug Overdose and Toxicity - CH 23 a. Central Nervous System Stimulants b. Central Nervous System Depressants

EXAM 6 (covers Chapters 8-16, 19-20 and 23)

FINAL EXAM ( TBA)

Exams are available for 5 days (Monday-Friday) via Blackboard. Exams will expire on Fridays at midnight, and will not be available after time has expired.

Exam Schedule

Exam 1 available 8-28 to 9-1 Ch. 1-5

Exam 2 available 9-11 to 9-15 Ch. 6,7,8,10

Exam 3 available 9-25 to 9-29 Ch. 11-16

Exam 4 available 10-2 to 10-6 Ch.17, 18, 20, 24

Exam 5 available 10-23 to 10-27 Ch. 1-7 (Med. Em)

Exam 6 available 11-13 to 11-17 Ch. 8-16, 19-20, 23

Final TBA during Finals Week Comprehensive

DAH 101 LAB

Check with your onsite

instructor for the day

and time of your DAH

101 Lab

Lab exercises are to be performed in your DAH 101 Lab. Students are given

written/hands on exercises/research assignments/clinical simulations that must be

completed in the LAB..

Dates will vary

according to each

campus schedule

Lab scenarios/competencies check offs must be scheduled with your onsite campus

instructor for completion. Your competencies must be completed by the end date

specified.

Student(s) are responsible for logging onto Bb each week and students are responsible

for printing lab assignment sheet(s) and bringing lab assignment sheets to their

assigned lab. An Lab Manual will be available via Bb.

Student Participation is required for each lab. Competency check offs are to be

scheduled with your instructor.

Course Structure:

Technology/Media Component:

Class is taught via Bb online instruction. Lecture outlines, notes, assignments, exams etc. will be posted to Bb. A scheduled on campus weekly laboratory with hands on applications/written assignments/research /student participation will be taught at each respective campus for the course. Videos/Power point presentations may be utilized.

Service-Learning:

NA

Course Requirements and Evaluation:

In order to continue in the DA/DH Program, a final grade of “C” or better is required. A student who withdraws from, or earns a grade lower than “C” in a course, WILL BE DROPPED from the program.

Grading Policy:

A 94-100 B 86-93 C 78-85 D 70-77 E/F less than 70 Exams 50 points each X 6 = 300 points Final Exam 200 points Lab Competencies 300 points 800 points total

Attendance Policy:

Attendance is imperative to succeed in the program and will be documented for each lecture and lab. If you are tardy for a lecture or lab, you must gain instructor approval to enter. If you need to leave early, you must notify the course instructor. Any disruption of class by a student regardless of the form of disruption and at the discretion of the instructor may result in dismissal from class and loss of participation points for the day. It is the responsibility of the student to contact both the class instructor and the site proctor by email if you are unable to attend class for any reason. It is the student’s responsibility to contact the instructor or site proctor for any missed assignments. If you are absent on the day of an exam, a grade of “0” will result for that exam unless prior arrangements have been made with the instructor. A valid excuse is one that is written, dated, and signed by a doctor, lawyer, etc. on office letterhead. Work or regularly scheduled appointments are not deemed acceptable excuses. Children are not permitted in lectures or labs. If your child is a patient in

the clinic he/she may not be left unattended while you are in clinic, lecture, or lab. Cell phones and pagers

must be turned off while you are in clinic, lecture, and lab. Any instructor, at their discretion, may take up cell phones at the beginning of class in order avoid an issue with disturbing fellow students and the course instructor. A contact number for the staff associate Linda Daniel 606-886-7352 is provided to each student should there be a need to contact a student in the case of an emergency while in lecture or lab. Any abuse of policy may result in a zero

Missed Exam Policy:

If a make-up exam is necessary, 5% will be automatically deducted. Make-up exams may be a different exam and format. Any missed quiz will result in a score of 0 for that quiz. No make-up quizzes will be allowed unless there are extenuating circumstances. Make-up exams will be given with in one week of the missed exam or a grade of “0” will result. Students requiring a make-up exam must contact the appropriate instructor at each site in order to schedule their individual exam. Make-up exam dates and times, within the make-up week will be assigned to the student by the instructor. Exams and quizzes must begin at an assigned time. If an exam is in progressand the student is tardy, the student may take the examination or quiz but it must be completed at the time announced at the beginning of the exam. Student exams are the property of the Dental Assisting/Dental Hygiene Integrated program. Upon completion and grading of exams students will be given an opportunity to review the exam in order to record their grade and to see which questions were answered incorrectly. At the end of the review students will initial the exam as proof that they were given the opportunity to review the exam. After this review has taken place the student will have no furter access to the exams, except at the discretion of the instructor.

Late Assignment Policy:

Late or missed assignments will only be accepted under extenuating circumstances. Instructor discretion will determine extenuating circumstances.

Withdrawal Policy:

A student may withdraw from the class and receive a “W” grade at any time specified by the printed college guideline. From the last day to drop a course without a grade through mid-term, students, at their discretion, may officially withdraw from a class and receive a grade of “W”. After the mid-term date through the end of class work (see Academic Calendar), this instructor will allow a student to withdraw only under extenuating circumstances, such as illness, accident, etc. The student must see the instructor.

Additional information can be found at the following site: http://www.bigsandy.kctcs.edu/Academics/Office_Hours_Schedules_and_Syllabi.aspx

ARTICLE II - ACADEMIC POLICIES AND PROCEDURES http://legacy.bigsandy.kctcs.edu/StudentCode2009.ashx.pdf

KCTCS SAFETY NOTIFICATION ALERT PROCESS (SNAP)

http://kctcs.edu/snap

Minutes Matter — Get SNAP Messages Quickly by E-mail, Text or Call

SNAP is the official Safety Notification Alert Process for the Kentucky Community and Technical

College System (KCTCS). SNAP alerts users to on-campus emergencies and college closings or

delays for all 16 KCTCS colleges and the System office.

Americans with Disabilities Act (ADA)Statement http://www.bigsandy.kctcs.edu/en/Academics/Disability_Services.aspx Students with disabilities: If you are in need of an accommodation because of a documented disability, you are required to register with Disability Support Services each semester. Contact: Janie Beverley, Coordinator for Disability Support Services; Student Center Room 103; Ph: (606) 886-7359; Toll-free 888-641-4132, ext. 67359; Email: janie.beverley@kctcs.edu

DAH 101- Infection Control and Medical Emergencies

I have read, understand and accept the terms of this syllabus.

_____________________________ __________________________

Student's Signature Date

_____________________________ __________________________

Carmen Fields, RDH, BS Date

Associate Professor