Dental Hygienist Checklist

UNIVERSAL PRECAUTIONS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Use of personal protective equipment (PPE)
Clean bodily fluids

CORE RESPONSIBILITIES *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Professional code of ethics
Knowledge about federal laws and regulations in the provision of oral health care
Promote patient/client oral health and wellness
Effective communication is practiced with diverse individuals and groups
Individualized care plans
Facilitate consultations and referrals

CORE RESPONSIBILITIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Professional code of ethics
Knowledge about federal laws and regulations in the provision of oral health care
Promote patient/client oral health and wellness
Effective communication is practiced with diverse individuals and groups
Individualized care plans
Facilitate consultations and referrals

COMMUNITY INVOLVEMENT *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Assess the quality and availability of the community's oral health needs
Provide screening, referral, and educational services
Evaluate community-based oral hygiene programs
Advocate for effective oral health care for underserved populations

COMMUNITY INVOLVEMENT *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Assess the quality and availability of the community's oral health needs
Provide screening, referral, and educational services
Evaluate community-based oral hygiene programs
Advocate for effective oral health care for underserved populations

PATIENT POPULATION *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Child
Adolescent
Adult
Geriatric
Medically compromised patient
Patients with special needs
Patients from diverse cultural backgrounds

PATIENT POPULATION *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Child
Adolescent
Adult
Geriatric
Medically compromised patient
Patients with special needs
Patients from diverse cultural backgrounds

PATIENT CARE: ASSESSMENT *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Patient's concerns
Identify patients at risk for medical emergencies
Collect, record, and interpret a medical/dental history and vital signs
Recognize conditions that require referral or special precautions
Perform extra-oral and intra-oral examinations of hard and soft tissues
Identify the need for radiograph diagnostic exam

PATIENT CARE: ASSESSMENT *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practi
Patient's concerns
Identify patients at risk for medical emergencies
Collect, record, and interpret a medical/dental history and vital signs
Recognize conditions that require referral or special precautions
Perform extra-oral and intra-oral examinations of hard and soft tissues
Identify the need for radiograph diagnostic exam

PATIENT CARE: DIAGNOSIS *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Critical decision making skills
Formulate an accurate dental hygiene diagnosis
Collaborate with a supervising dentist, and/or other health professional

PATIENT CARE: DIAGNOSIS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Critical decision making skills
Formulate an accurate dental hygiene diagnosis
Collaborate with a supervising dentist, and/or other health professional

PATIENT CARE: PLANNING *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Comprehensive individualized dental hygiene care plan
Interpersonal and communication skills
Patient/client informed consent

PATIENT CARE: PLANNING *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Comprehensive individualized dental hygiene care plan
Interpersonal and communication skills
Patient/client informed consent

PATIENT CARE: IMPLEMENTATION *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Provide education to maintain oral health
Provide specialized treatment

PATIENT CARE: IMPLEMENTATION *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Provide education to maintain oral health
Provide specialized treatment

PATIENT CARE: EVALUATION *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Evaluate the effectiveness of the treatment
Modify care plans as needed

CLINICAL INFECTION CONTROL PROCEDURES *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Hand hygiene
Personal protective equipment (PPE)
Respiratory hygiene/cough etiquette
Sharps safety
Safe injection practices
Sterilization and disinfection of patient-care items and devices
Environmental infection prevention and control
Dental unit water quality

CLINICAL INFECTION CONTROL PROCEDURES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Hand hygiene
Personal protective equipment (PPE)
Respiratory hygiene/cough etiquette
Sharps safety
Safe injection practices
Sterilization and disinfection of patient-care items and devices
Environmental infection prevention and control
Dental unit water quality

VITAL SIGNS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Blood pressure monitoring
Pulse rate
Respiratory rate
Temperature

VITAL SIGNS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Blood pressure monitoring
Pulse rate
Respiratory rate
Temperature

PROCEDURES/SKILLS: CLINICAL *SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Medical and dental histories: past and present
Intraoral inspection (including charting carious lesions, periodontal diseases, existing, and missing teeth)
Extraoral inspection
Dental hygiene assessment/ dental hygiene treatment planning
Evaluation of dental hygiene services
Radiographs: Digital-based
Radiographs: Film-based
Impressions for study casts
Oral health education including health promotion, disease prevention, and behavior modification
Intra-oral imaging
Desensitization
Care for removable appliances and prostheses
Dental-related nutritional counseling
Supragingival scaling
Subgingival scaling
Root planing
Coronal polishing
Application of chemotherapeutic agents
Application of anticariogenic agents
Polish restoration
Pit and fissure sealants
Application of topical/non-injectable anesthetic agents
Assessment using Caries diagnostic scan
Application of locally applied antibiotics
Pulp vitality testing
Administration of local anesthetic: Infiltration
Administration of local anesthetic: Mandibular block

PROCEDURES/SKILLS: CLINICAL *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Medical and dental histories: past and present
Intraoral inspection (including charting carious lesions, periodontal diseases, existing, and missing teeth)
Extraoral inspection
Dental hygiene assessment/ dental hygiene treatment planning
Evaluation of dental hygiene services
Radiographs: Digital-based
Radiographs: Film-based
Impressions for study casts
Oral health education including health promotion, disease prevention, and behavior modification
Intra-oral imaging
Desensitization
Care for removable appliances and prostheses
Dental-related nutritional counseling
Supragingival scaling
Subgingival scaling
Root planing
Coronal polishing
Application of chemotherapeutic agents
Application of anticariogenic agents
Polish restoration
Pit and fissure sealants
Application of topical/non-injectable anesthetic agents
Assessment using Caries diagnostic scan
Application of locally applied antibiotics
Pulp vitality testing
Administration of local anesthetic: Infiltration
Administration of local anesthetic: Mandibular block

PROCEDURES/SKILLS: LABORATORY * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Administration of Nitrous Oxide/Analgesia
Periodontal and surgical dressing: place
Suture: place
Suture: remove
Rubber Dam: place
Rubber Dam: remove
Matrix: place
Matrix: remove
Temporary restorations: place
Temporary restorations: remove
Temporary crown: fabrication
Temporary crown: placement
Temporary crown: removal
Amalgam restorations: place
Amalgam restorations: carve
Amalgam restorations: finish
Composite resin restorations: place
Composite resin restorations: finish
Application of cavity liners and bases
Removal of excess restorative materials
Fabrication of custom impression tray

PROCEDURES/SKILLS: LABORATORY *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Administration of Nitrous Oxide/Analgesia
Periodontal and surgical dressing: place
Suture: place
Suture: remove
Rubber Dam: place
Rubber Dam: remove
Matrix: place
Matrix: remove
Temporary restorations: place
Temporary restorations: remove
Temporary crown: fabrication
Temporary crown: placement
Temporary crown: removal
Amalgam restorations: place
Amalgam restorations: carve
Amalgam restorations: finish
Composite resin restorations: place
Composite resin restorations: finish
Application of cavity liners and bases
Removal of excess restorative materials
Fabrication of custom impression tray

ELECTRONIC DOCUMENTATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian

ELECTRONIC DOCUMENTATION *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian

AGE SPECIFIC COMPETENCIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Infant (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)

AGE SPECIFIC COMPETENCIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Infant (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)