Dental Staff Institute Modern Dental Assisting Handbook
Content
Student Handbook
2015-2016
Dental Assisting Program: MDA001
INTRODUCTION: A NOTE FROM THE DIRECTOR
Welcome to the Dental Assisting Program at the Dental Staff Institute!
This handbook has been prepared to serve as a guide and assist you in a smooth transition as you start your
dental assisting career. This is the first of many reading assignments you will be given in next 10 weeks, so let’s
get started.
All students accepted into the Dental Assisting program are expected to familiarize themselves with the
information contained in this handbook at the beginning of the program. In the handbook is an
acknowledgement form which must be signed and returned to the program manager. It is important to keep
this handbook available for reference throughout the educational program. It is designed to supplement
the DSI Catalog by responding to policies which are specific to the Dental Assisting program. Refer to it, as
needed, to help clarify school and program policies and procedures.
The dental assisting faculty, in cooperation with administrative personnel, reserves the right to revise policy
guidelines as needed if a change is felt necessary for improvement of the program. The students will be notified
of any change at the time it takes place.
The educational program takes place in the classroom and skills lab, as well as in supervised dental offices and
other community resources. In addition to acquiring knowledge and developing the skills necessary to perform
a variety of duties, becoming a dental assistant is about becoming a professional. Professionalism is what
distinguishes people who “have a job” from those who “pursue a career.”
As a student in the Dental Assisting Program it is your responsibility for ensuring success in the program. The
instructing staff is not responsible for making students learn. As students, you are not passive in the educational
process but instead interactive participants. Competency-based instruction supports this process. You should be
self-motivated, responsible and proactive in learning while in the program and during your career.
Your Instructor is here to assist, support, guide and encourage, as well as teach you as you strive to meet the
standards of the Dental Assisting program. If you need additional help in meeting the challenges of the
program, don’t hesitate to speak with them.
Dr. Victoria L. Malz
Director
Dental Staff Institute, LLC
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Dental Staff Institute Mission Statement
The Dental Staff Institute, a member of the North Carolina Community College system, provides educational
opportunities for a diverse population. In this rapidly changing world, DSI encourages our students to lead
enriched, productive and responsible lives. The Dental Assisting Program of the Dental Staff Institute provides a
comprehensive accelerated dental assisting education, promoting quality of life and dental care for themselves,
patients, and the community.
Dental Assisting Program Goals
To provide a pleasant learning experience that will assist the students to effectively work in all phases of
dentistry as outlined by the North Carolina Dental Practice Act.
To promote dental health care and meet the job-market requirements of the community.
To prepare the students with the knowledge and skills necessary to acquire the status of Dental
Assistant Level I (DA-1). This foundation, with additional hours and experience should allow students to
sit and successfully complete the Dental Assisting National Board exam to ultimately expand their skills
and duties.
The Dental Assistant’s Pledge
“I solemnly pledge that, in the practice of my profession,
I will always be loyal to the welfare of the patients who come under my care, and to the interest of the
practitioner whom I serve.
I will be just and generous to the members of my profession, aiding them and lending them encouragement to
be loyal, to be just and to be studious.
I hereby pledge to devote my best energies to the service of humanity in that relation of life which I consecrated
myself when I elected to become a DENTAL ASSISTANT.”
Dr. C. N. Johnson
Principles of Ethics of
The American Dental Assistant’s Association
Each individual involved in the practice of dentistry assumes the obligation of maintaining and
enriching the profession.
Each member may choose to meet this obligation according to the dictates of personal conscience
based on the needs of the human beings the profession of dentistry is committed to serve. The spirit of
the Golden Rule is the basic principle of this concept.
The member must strive at all times to maintain confidentiality, and exhibit respect for the
dentist/employer.
The member shall refrain from performing any professional service which is prohibited by state law and
has the obligation to prove competence prior to providing services to any patient.
The member shall constantly strive to upgrade and expand technical skills for the benefit of the
employer and the consumer public.
The member shall additionally seek to sustain and improve the local organization, state organization,
and the American Dental Assistant’s Association by active participation and personal commitment.
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Creed for Dental Assistants
To be loyal to my employer, my calling and myself.
To develop initiative – having the courage to assume responsibility and the
imagination to create ideas and develop them.
To be prepared to visualize, take advantage of and fulfill the opportunities of my
calling.
To be a co-worker, creating a spirit of co-operation and friendliness rather one of
faultfinding and criticism.
To be enthusiastic – for therein lies the easiest way to accomplishment.
To be generous, not alone of my name but of my praise and my time.
To be tolerant with my associates, for at times I too make mistakes.
To be friendly realizing that friendship bestows and receives happiness.
To be respectful of the other person’s viewpoint and condition.
To be systematic, believing that system makes for efficiency.
To know the value of time for both my employer and myself.
To safeguard my health, for good health is necessary for the achievement of a
successful career.
To be tactful – always doing the right thing at the right time.
To be courteous – for this is the badge of good breeding.
To walk on the sunny side of the street, seeing the beautiful things in life rather
than fearing the shadow.
To always keep smiling.
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General Information
The Dental Assisting student is subject to all college standards of conduct, ethics, and disciplinary measures that
pertain to all Dental Staff Institute students.
Because you are about to enter a career that requires special conduct and behavior while in the performance of
specified duties, the student is also to adhere to the ethics and conduct listed under the regulations and policies
of the handbook and each Health Care Facility while in that facility for experience.
The Dental Assisting Program Handbook
The Dental Assisting Program Handbook is prepared as an informational aid and learning tool for students,
faculty and administration, visiting practitioners, and participating dental office staff. This handbook contains
general information, classroom policies, as well as clinical and laboratory procedures and policies. Keep this
handbook accessible at all times.
Administration, Faculty, and Staff
The following people are available to assist you.
Dr. Victoria Malz – Director of Admissions
[email protected]
Dr. Ryan Woodman – Instructor, Director of Student Services
[email protected]
Diana Teeter – Instructor, DAII, CDA
[email protected]
Lisa Hey – Instructor, DAII, CDA
[email protected]
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Student Records
A file is maintained for each student in the program in the Director’s office. The file includes admission data,
course evaluation and other information regarding progress in the program. All files are kept confidential and
are the property of the college. Arrangements to view your individual file must be made with the Program
Manager. Files will be kept for no more than three years following completion of the program.
Health Insurance and Hepatitis B Vaccination
The college does not provide health insurance for students. However, the college does have a premises accident
policy. All accidents should be reported to your instructor. We encourage all Dental Assisting students to have
current health insurance. In addition, in order to work in a clinical setting with live patients, your employer will
require you to be either vaccinated against Hepatitis B or have signed a waiver refusing the Hepatitis B
Vaccination. Reduced cost vaccinations are available for you should you wish. Proof of your Hepatitis B status or
a signed waiver form is required in order for you to be allowed into the clinical sites for your externship. No
exceptions!
Dental Assisting Malpractice Insurance
The Dental Assisting student can be legally and financially liable if another person is injured as a result of error,
omission, or negligence on the student’s part. Whether a mistake is deemed professional or personal in nature,
the student can be held liable and may be sued individually or along with the dentist.
Professional liability insurance coverage is inexpensive. We encourage students to purchase it along with
membership to The American Dental Assistant’s Association for an additional annual premium of about $10.00
for $1,000,000.00 aggregate coverage. The instructor will make forms available at graduation.
Injuries during School Hours
If a student is injured while in the classroom or didactic areas, a physician will be seen at the student’s expense
and a report of the incident will be submitted to the Director.
If an injury occurs during clinical experience at a Dental Facility, the student will complete an accident and
incident report and will seek appropriate medical care. Since the student is NOT an employee of the facility, the
injury is NOT covered by the facilities Workmen’s Compensation coverage. All Dental Assisting students should
carry current medical insurance coverage to cover these incidents.
Statement Regarding Mind-Altering Substances
The faculty of the Dental Assisting Program believes that patients and staff have the right to expect interactions
with alcohol/drug-free students. Substance abuse is a threat to the abuser, patient, and colleagues.
Any student coming to the classroom, laboratory, or clinical site with the odor of alcoholic beverage on his/her
person or behaviors that suggest being impaired by mind altering substance will be subject to disciplinary
action and/or dismissal from the program.
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Honor Code of Conduct
By becoming a dental auxiliary you are entering a health profession. There are many laws that govern your
working behavior including HIPAA privacy laws, consent statutes, OSHA and generally accepted standards of
behavior as outlined by the North Carolina Dental Board. It is important to us at the outset that you understand
and accept these professional guidelines. Failure to live up to them in the working environment can lead to
serious legal trouble for both you and your employer. With that said, from the moment you start your training,
we will expect and hold you to the highest standards.
Your orientation will include the signing of an academic honor code worded to prevent any students from
gaining an unfair advantage over other students through academic misconduct. This code includes not only
rules about your academic behavior, but your professional demeanor as well. Your failure to uphold the
standards therein may result in your dismissal without a refund of your tuition. Judgment is at our discretion and
there is no requirement for a warning.
Academic misconduct is any act that does or could improperly distort student grades or other student academic
records. Such acts include but need not be limited to the following:
Possessing, using or exchanging improperly acquired written or verbal information in the
preparation of any essay, laboratory report, examination, or other assignment included in the
course;
Unauthorized collaboration with a student in the commission of academic requirements;
Submission of material that is wholly or substantially identical to that created or published by
another person or persons, without adequate credit notations indicating authorship (plagiarism);
False claims of performance or work that has been submitted by the claimant;
Deliberate falsification of a written or verbal statement of fact to a member of the faculty so as to
obtain unearned academic credit;
Forgery, alteration or misuse of any institute document relating to the academic status of the
student.
Professional Code of Conduct:
I will approach all aspects of my education with honesty and integrity, embracing opportunities to
learn from patients, teachers, and colleagues. I will value and respect the knowledge and wisdom
of others.
I will maintain the highest standards of professional conduct academically, clinically, and socially.
I will certify only that which I have personally verified, and I will neither receive nor give
unauthorized assistance on examinations.
I will recognize my weaknesses and strengths and strive to develop those qualities that will earn
the respect of my patients, my colleagues, my family, and me. I will continue to value my relations
with those who have supported me in the past and those who will share in my future.
I will strive to earn the trust my patients place in me and the respect that society places upon my
profession. I will respect the humanity, rights, and decisions of all patients and will attend to them
with compassion and without bias, maintaining patient confidentiality, remaining tactful in my
words and actions.
I will value the diversity of patients’ experiences, cultures, and beliefs because it enhances my
ability to care for them and enriches my education. I will remember that medicine is an art as well
as a science and that warmth, sympathy, and understanding are integral to patient care.
As a dental assistant I will remain aware of my responsibilities to improve the standard of health in
my community and to increase access to care for the underserved.
By accepting these new responsibilities, I will remember the importance of my own health and
well-being as well as those of my colleagues.
I commit myself to a lifelong journey of learning how to cure, relieve, and comfort with humility
and compassion
I make this pledge solemnly, freely, and upon my honor.
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Confidentiality
When a patient enters a health care facility, the facility assumes an obligation to keep in confidence all that
pertains to that patient and his/her affairs. Every person employed in that facility shares this responsibility.
As a student, it is possible to hear information regarding doctors, assistants, patients, and others, which must be
considered confidential and not discussed with anyone else.
No patient chart shall be copied in total or part. Failure to observe this confidentiality is not only a breach of
ethics, but could involve the student and/or other individuals in legal proceedings and discipline.
Students must sign a Clinical Confidentiality Contract at the beginning of each clinical rotation. Signed contracts
will be kept in each student’s file.
American Dental Assistant’s Association (ADAA)
We strongly suggest that you join the American Dental Assistant’s Association as a student member.
ADAA offers a student membership at a substantially discounted rate of $25.00. Many benefits are available to
the student member.
Volunteer Work
During the length of the Dental Assisting Program, there may be activities and events, which will allow student
volunteers. Some of these events may include, but are not limited to the following:
Community Service
Health Fairs – Career Fairs – Club Fairs
Vocational Education Week activities
National Children’s Dental Health Month (February)
Dental Assistant’s Recognition Week (March)
Seminars and Conventions
Volunteer work helps you gain self-confidence, pride, self-satisfaction, and feelings of belonging. It enhances
qualities of leadership, communication and organization. As a member of the Dental Assisting Program you may
have the opportunity to represent yourself as well as the school in these activities.
Syllabus and Class Schedules
A syllabus is prepared for each of the Dental Assisting courses which contain the goals and objectives for that
individual course. Syllabi can be found as part of the Dental Assisting Handbook. Syllabi should be kept
accessible at each class.
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Academic Standards
Weekly Module Grades
Each weekly class will be started with a review and questions about the previous week’s material. It is in your
best interest to study and review the assignments outside of class and bring any questions you may still have
with you to the session. At the end of the review, a written examination will be administered regarding this
material. Exams may encompass multiple choice and short description questions. Students must obtain a grade
of 70% or better in order to pass the module. Students who do not obtain a passing score must make
arrangements to retake the examination on their own time before graduation. Students who fail the retake exam
must audit the section in the next available term and again retake the examination. Students who fail more than
two modules are subject to academic review. If it is apparent that adequate progress cannot be achieved,
students may continue to audit the course but will NOT receive a DAI certificate. Successful completion of the
CPR, OSHA and Radiography units may still be obtained, however, no additional retakes will be allowed.
Students may be considered for readmission into the next available session and given a 50% discount of the
then current tuition fee. These cases will be handled on an individual basis.
CPR Certification
The CPR class is being administered by an accredited American Red Cross agency and you will receive CPR/AED,
Emergency Oxygen, Emergency Response and Disease Transmission prevention certifications directly from
them. Students will be required to satisfactorily pass both the written and practical examinations.
OSHA Certification
Students must attend the OSHA training module and successfully pass a written examination in accordance with
the standards set by the North Carolina Dental Board.
Dental Radiography
Students will have the opportunity as part of the MDA curriculum to satisfy the requirements towards a North
Carolina Radiography certification. In addition, this course is open to assistants who are required to have this
certification who are working or who wish to work in North Carolina. Students must pass both the written and
clinical portions of this section as defined by the state. You will be allowed to audit this portion and retake the
examination one time in the next available term. Passing the radiography portion is a prerequisite for
successfully passing the MDA course.
Final Examinations and Clinical Performance
A final Examination covering all of the didactic and clinical modules will be administered in the last week of the
MDA program. This exam will count as 40% of your final grade when averaged with your module grades. A score
of 70% or more is required to successfully complete the course.
*Internship
After completion of the MDA course, you must complete 12 hours of internship in an approved facility. The
supervising doctor will complete a review of your performance during your internship. Your certificates will be
awarded after a passing review is received. **YOU MUST SUCCESSFULLY COMPLETE THE 12 HOURS OF
INTERNSHIP WITHIN 6 WEEKS OF THE LAST DAY OF THE COURSE!!! If 12 hours of internship are not
completed in full by this time, the student will need to audit the full MDA001 course when it is next available.
Only then will certificates be distributed and the student considered graduated. There is no additional fee if a
student is required to audit the course. There are no refunds if the student decides to not audit the course and
thus not graduate from the course.
Textbooks
All textbooks and materials required for the Dental Assisting program are provided. A current list of required
and recommended textbooks is available in each syllabus.
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Children on Campus
Children of any age are distracting to the students and instructors and are not allowed to attend any classes,
conferences with instructors, or skills labs (unless the child is to be a patient). College employees cannot babysit or supervise children for students.
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Attendance Policy
Attendance requirements will follow the Dental Staff Institute attendance as stated in the college catalog.
DSI recognizes that regular attendance is the student’s responsibility. The instructor may evaluate the lack of
attendance in terms of the course requirements and take a reasonable course of action. Students who miss class or are
absent for any reason are still responsible for completing all course requirements.
DA1 Classes at DSI are designed to follow an accelerated curriculum. Because of this, it is very important that you
commit your class time on your schedule and not miss any modules. Modules may only be missed in the case of
an absolute emergency. Should it be necessary to miss a module, please give as much advance notice as
possible.
Students may miss only one module for a documented emergency. You may study the material at home and still
take the module exam the following week to keep up with your classmates; however, in order to receive your
certification, you must audit the missed module during the next available session. If you did not pass the
examination for that module, you may retake it only after you have audited it.
OSHA, CPR and Radiography modules may not be made up. Should you fail to attend these modules, you will
need to take them at additional cost with us or provide proof that you have obtained those certifications
elsewhere in order to receive your DA1 certificate.
You are expected to be ready to start on time. Tardiness affects not only you. The disruption affects your
classmates as well. A consistent pattern of tardiness will not be tolerated and you may be asked to withdraw
from the course without a tuition refund.
In addition to the above policy, which applies to all DSI courses, the following policies are also in effect:
Attendance is mandatory for all scheduled class periods and is used as a portion of the grade. The
instructor is not a truant officer, it is the student’s responsibility, not the instructor’s, to make a contact
and obtain any missed assignments, tests, etc. Any assignment due on the day of an absence will be
considered late. No extensions will be given for an assignment given on the day of an absence unless
the appropriate arrangements are completed by the student and approved by the instructor.
Attendance and participation is mandatory in all scheduled skills lab experiences. Completion of the
skills covered in the lab is part of the requirement to successfully pass. Failure to complete the skills
within the specified time frame will result in an “unsatisfactory” lab grade.
Attendance at the assigned clinical facility is mandatory on all scheduled days of clinical experience. In
the event of illness, it is the student’s responsibility to notify the Program Manager and the clinical
facility at least one hour prior to the scheduled arrival time. Should a clinical absence occur the student
is responsible to meet with the Program Manager and arrangements for remediation will be at the
discretion of the Program Manager.
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Student Dress Code and Appearance
All students in the Dental Assisting Program will adhere to the following dress code:
Classroom Theory – street clothes
Lab and Clinical Uniform – Any solid-colored scrub type pants, culottes, skort, or skirt. Any solid-colored
lab jacket and colored solid or print shirt (free of logos) or scrub top, with no midriff showing. White or
solid-colored professional shoes, crocs or sneakers, clean and polished, with non-skid soles. NO open
toed shoes will be allowed.
In addition to the dress code the following standards of appearance are required for all clinic and lab days.
OSHA standards and guidelines for the dental office will be followed and reinforced while in the Dental Assisting
Program.
Uniforms – Students are to wear the required uniform for the appropriate day. Uniforms must be
cleaned and pressed if necessary.
Lingerie – White or nude lingerie is to be worn under the uniform. Absolutely NO prints! All lingerie
must be covered by the uniform at all times.
Shoes – White or ceil or royal blue professional shoes, clean and polished, with non-skid soles. NO
backless or open toed shoes. White or nude nylons or solid white or blue socks are to be worn with
shoes at all times.
Scrub pants must be worn high enough on the hips and tops must come low enough that no bare skin
on the midriff or lingerie is showing. Tops must also modestly cover the cleavage area.
Hair – Hair must be clean, neat, off the face, and off the collar.
Make-up – Make-up must be used in moderation. No heavy colognes or perfumes.
Nails – Finger nails must be kept clean and short: if used, nail polish is to be clear neutral or a pale
muted color. Artificial nails are not acceptable during any portion of the Dental Assisting
program.
Jewelry and Body Ornaments – A wristwatch with a second hand and a plain wedding band are the
only acceptable pieces of jewelry allowed in the clinical and lab setting. If ears are pierced, only one
pair of small post-type earrings should be worn, absolutely no hoops or dangling earrings are
acceptable. All other forms of decorative jewelry and piercing must be removed or covered up.
Oral Piercing – Tongue, lip or cheek piercing is NOT a highly approved or recommend procedure in the
dental profession, therefore is strictly prohibited during the time spent in the Dental Assisting
Program.
Personal Hygiene – Daily baths, shampoos, and use of a good deodorant are a must. Men are to be
clean-shaven or, if wearing beards or mustaches, are to keep them neat and no longer than 2 inches in
length.
Oral Hygiene – Good oral hygiene is a must since one is expected to set an example for ones’ patients.
Chewing gum is prohibited in all dental lab and clinical settings.
Professional and appropriate language is a must and will be used in the classroom, lab and clinical
settings at all times.
The use of cell phones is prohibited while you are in the classroom, lab or clinical. All cell phones must
be turned off during those times.
You are a guest at the clinical facilities, please be courteous and polite by leaving your personal affairs
at home.
Uniform inspections will be conducted and used as a part of the evaluation for grading. Students who are
unwilling to follow these regulations will be asked to leave the clinical setting or classroom lab. Those hours
missed will be required as makeup time.
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Test Taking Policy
Written module tests will be given at each session following a brief review of the previous week’s material.
Additional skills examinations may be given at the discretion of the instructor with or without advance notice. If
the student is absent on the day of a scheduled test, arrangements to take the test will be made on an individual
basis outside of regular class time. Eighty percent (80%) of the earned score will be recorded. NO retakes on
any test are allowed.
All written finals will be given during the last session prior to your internship. All clinical lab exercises will
be scheduled by the lab instructor. Failure to take the final exam will result in a failing grade for the class
and therefore dismissal from the program.
Deficiency Notices
The purpose of the deficiency notice is to inform the student of his/her status in theory, laboratory, or
clinical learning, if a problem exists, and to provide a means of communication between student and
instructor. A deficiency notice will be sent when:
There are excess absences in the classroom and/or clinical setting.
There is a persistent below 70% grade average in one or more subjects.
Clinical/Laboratory performance and/or behavior are unsatisfactory.
Remediation for Deficiencies
When the faculty identifies that a student’s clinical performance is less than satisfactory, every effort is made to
facilitate student remediation. When the faculty identifies that a student is having academic and/ or study
problems, and/or excessive absences, the faculty may recommend to the director that this student be placed on
a contract and the expectations of the faculty clearly defined in writing.
Contractual Agreements
Within the course timeframe, a student who demonstrates minimal success indicating weakness in certain area
of learning will be evaluated on an individual basis. He/She may be given the opportunity to enter into a written
contractual agreement with the instructor and program manager to pursue recommendations for strengthening
identified areas of weakness. These may include but are not limited to:
Study Skills classes
Additional audio-visual material
Assigned self-study
Written work
Learning time with clinical lab instructor and/or peer tutor
The student is responsible for implementing the plan of correction and reviewing it with the program manager
for mutual ongoing evaluation and implementation. Various opportunities are given to every student to
successfully complete all the components of the Dental Assisting Program.
Disciplinary Action
Every effort will be made to help the student succeed in the Dental Assisting Program. Should disciplinary
action be necessary, the degree will depend upon the seriousness of the offense. Disciplinary action may
constitute a request the student leave the program.
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Dismissal from the Dental Assisting Program
A student may be requested to leave the program at any time for any of the following reasons:
1. Grades below passing in more than one module.
2. Unsafe or unethical practice in the clinical area; any action or statement that is harmful or potentially
detrimental to the patient:
a. Inability to apply theory to clinical practice
b. Inability to determine capabilities and limitations
c. Inability to follow written and oral instructions
d. Inability to demonstrate assisting at the level of education
e. Any derogatory language or action toward doctors, staff or patients
3. Consistently coming to the classroom or clinical area poorly prepared,
such as, but not limited to:
a. Illness
b. Fatigue from lack of sleep
c. Impaired reflexes and/or judgment
d. Family/ personal crisis
e. Substance abuse
4. False and Fraudulent Behavior – Integrity, honesty, dependability and trustworthiness are the most
important characteristics of a dental assistant. Dishonesty and cheating in any form, in any area
(academic, and/or clinical) denote the lack of these characteristics. A determination that the student
has demonstrated dishonesty/cheating in examinations, written work and/or clinical work will warrant
dismissal from the Dental Assisting Program.
When a student is identified as having a problem serious enough to warrant dismissal from the program, the
following steps are initiated:
1.
2.
3.
4.
Student’s problem is identified by the instructor and discussed with the student.
The instructor discusses the situation with the school Director.
The Director and the instructor confer with the student and if applicable identify remediation measures
and time frame for completion.
If remediation is not possible or satisfactory, the student will be asked to withdraw from the program.
The student is notified of the faculty decisions for dismissal and given an opportunity to meet with the director
and program manager.
Readmission Policies
Student Withdrawal – A student who withdraws from the Dental Assisting Program is eligible to apply for
readmission to the program on an individual basis.
Course Failure Withdrawal – A student may apply for readmission to the program or sequence of courses failed
the next enrollment period. Acceptance will depend on space availability and faculty recommendation.
Transportation
Students are responsible for their own transportation to campus, clinical sites and program related field trips,
and therefore it is imperative that each student has access to a reliable vehicle. All theory classes are held at our
main office in Matthews. Clinical experiences are throughout the Charlotte metro area.
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Clinical Sites
Dental Offices throughout the Charlotte Metro Area have agreed to provide clinical sites for program students
and have signed a contract with the Dental Staff Institute. Only contracted facilities can be used as clinical sites.
Clinical sites will be assigned to each student at the beginning of each internship. There will be a maximum total
of three (3) rotations equaling 12 hours of clinical experience. It is the student’s responsibility to have reliable
transportation to and from the clinical site.
Hours at a clinical site may vary from the regularly scheduled hours; in order to complete the required hours in
the program, the student is expected to keep the same hours as the assigned site. Refusal to attend the clinical
site assigned will be cause for dismissal from the program.
Dental Assisting National Board (DANB) Exams
National certification for Dental Assistants is available through the Dental Assisting National Board and consists
of three written exams. Students in DSI’s Dental Assisting Program will obtain the foundation needed to take
this examination. After obtaining 3,500 hours (about 2 years) of clinical experience candidates meeting eligibility
requirements as outlined by DANB may sit to take the exam. Successful completion of this examination is
currently recognized by the State of North Carolina as providing a DA-2, or expanded-duties dental assisting
certification. DSI encourages you to continue to grow and be successful in your career. Once you have met your
DA-2 certifications, we offer several classes to add additional skills to your armamentarium. Additional
information about the DANB examination can be found online at:
http://www.danb.org/exams/examinfo.asp
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DENTAL STAFF INSTITUTE: RECEIPT OF STUDENT HANDBOOK
We are requesting that you acknowledge that you have received a copy of the school handbook
containing the disciplinary policy. Please complete the form below and return it to your
instructor.
My signature verifies that I have received a Student Handbook. I am aware that I am expected to
read this information and will be held accountable for its content. If I have any questions, I will
discuss them with my instructor or school administrator.
___________________________________________
Print Name of Student
___________________________________________
Signature of Student
_____________________________
Date
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DSI HEPATITIS B VACCINE WAIVER
Name _____________________________ Course __________________________
(please print)
Social Security Number _______________________ D.O.B. _________________
Hepatitis B (HBV) is a serious viral infection of the liver that can lead to chronic liver disease,
cirrhosis, liver cancer, liver failure, and even death. The disease is transmitted by blood and/or
body fluids and many people will have no symptoms when they develop the disease. The primary
risk factors for Hepatitis B are sexual activity and injecting drug use. This disease is completely
preventable. Hepatitis B vaccine is available to all age groups to prevent Hepatitis B viral
infection. A series of three (3) doses of vaccine are required for optimal protection. Missed doses
may still be sought to complete the series if only one or two have been acquired. The HBV
vaccine has a record of safety and is believed to confer lifelong immunity in most cases.
MARK ONE:
I understand that due to my occupational exposure to blood or other potentially infectious
materials I may be at risk for acquiring hepatitis B virus (HBV) infection. I have been given
the opportunity to be vaccinated with hepatitis B vaccination at this time and I decline the
vaccination. I understand that by declining this vaccine, I continue to be at risk of acquiring
hepatitis B. If in the future I continue to have occupational exposure to blood or other
potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can
receive the vaccination series.
I have completed the hepatitis B vaccine series in the past.
I have received __________ injection(s) of the hepatitis B vaccine series in the past.
I have a history of a previous hepatitis B infection, documented by either lab test or
physician diagnosis.
Other _______________________________________________________________
SIGNATURE ____________________________________ Date ___________________
WITNESS SIGNATURE ___________________________________
If you have completed the series or have proof of immunity, please attach documentation to this waiver.
17
Dental Assisting
Classification of Dental Assistants In North Carolina
Delegable Functions | Radiography Requirement
Dental Assistant I and Dental Assistant II
In North Carolina, there are two classifications for Dental Assistants (DAI and
DAII.) North Carolina does NOT certify assistants. Classification is based on
experience and/or training as listed below. It is up to the employer to verify
an assistant's qualifications and determine if he/she is a DAI or DAII.
To be classified as a Dental Assistant II, an assistant must meet one (1) of the
following criteria:
1) successful completion of:
a) an ADA-accredited dental assisting program and current certification in CPR; or
b) one academic year or longer in an ADA-accredited dental hygiene program, and
current certification in CPR
2) successful completion of:
a) full-time employment and experience as a chairside assistant for two years
(3,000 hours) of the preceding five, during which period the assistant may be trained in
any dental delivery setting and allowed to perform the functions of a Dental
Assistant II under the direct control and supervision of a licensed dentist;
b) a 3-hour course in sterilization and infection control;
c) a 3-hour course in dental office emergencies;
d) radiology training consistent with G.S. 90-29(s)(12);and
e) current certification in CPR; or
3) successful completion of the certification examination administered by the Dental
Assisting National Board, and current certification in CPR.
Radiography Requirement
A certified dental assistant [(one who successfully completes the DANB exam (see (3)
above)] or an assistant who completes an ADA-accredited dental assisting or dental
hygiene program may take radiographs without further examination. All others,
including those who move to North Carolina from out-of-state, must successfully pass
an equivalency exam. This exam may be challenged after completing "seven hours of
instruction in the production and use of dental x-rays and an education program of not
less than seven hours in clinical dental radiology." You must be able to prove that you
have the minimal amount of training to be eligible to take the radiology equivalency
exam, or you may take a course prior to taking the exam. Any Board approved
radiography course is acceptable and any approved course's final examination is
recognized as the equivalency exam.
18
DELEGABLE FUNCTIONS IN NORTH CAROLINA AS OF AUGUST 1, 2000
DAII
RDH
Take Impressions for Study Models & Opposing
Casts
X
X
Apply Sealants after DDS has Examined Patient &
Prescribed Procedure
X
X
Insert Matrix Bands and Wedges
X
X
Place Cavity Bases and Liners
X
X
Place and/or remove Rubber Dams
X
X
Cement Temp. Restorations using Temp. Cement
X
X
Apply Acid Etch Materials/Rinses
X
X
Apply Bonding Agents
X
X
Remove Periodontal Dressings
X
X
Remove Sutures
X
X
Place Gingival Retraction Cord
X
X
Remove Excess Cement
X
X
Flush, Dry & Temporarily Close Root Canals
X
X
Place & Remove Temp. Restorations
X
X
Place & Tie In or Untie & Remove Ortho. Arch Wires
X
X
Insert Interdental Spacers
X
X
Fit (size) Orthodontic Bands or Brackets
X
X
Apply Dentin Desensitizing Solutions
X
X
FUNCTION
DAI
Perform Periodontal Screening
X
Perform Periodontal Probing
X
Perform Subgingival Exploration for or Removal of
Hard or Soft Deposits
X
Perform Sulcular Irrigation
X
Apply Sulcular Antimicrobial or Antibiotic Agents
X
Perform Extra-Oral Adjustments of any Temp.
Restoration or Appliance
X3
Initially Form & Size Orthodontic Arch Wires &
Place Arch Wires after Final Adj & Approval by DDS
X
X
X
X
Apply Topical Anesthetics/DentiPatchâ
X
X
X
Apply Topical Fluoride
X
X
X
Expose Radiographs
X1
X1
X
Write Laboratory Work Orders
X2
X2
X
Write Prescriptions (Drugs)
X2
X2
X
X
X
X3
X
X
X
X4
X4
X
X
X
X
Remove Sutures
Polish Dentures
X3
Take wax bites
Monitor Pt.'s under Nitrous Oxide
Oral Hygiene Instruction
19
Polish Coronal Portion of Tooth -X6
X5
X
Place Amalgam in Prep w/ Carrier
X
X
X
Take Pulse, Blood Pressure & Temperature
X
X
X
Place Ligature Wire or Lock Pins
X
X
Insert Spacer Wires or Springs
X
X
1-After satisfactory completion of ONE of the following: (1) the North Carolina radiography
equivalency examination, (2) dental assisting school (an ADA-accredited program), (3) the
Dental Assisting National Board examination (1-800-367-3262), or (4) classification as a
DAII in North Carolina.
2 - Exact words must be dictated by the dentist
3 - Extra-orally, upon instruction by the dentist and re-insertion by the dentist
4 - After completing a 7-hour Board-approved course in nitrous oxide-oxygen conscious
sedation, unless included in ADA-accredited program (DAII).
5 - After completing a 7-hour (3 hours didactic, 4 hours clinical) course in coronal polishing.
6 - Use of a hand-held brush & appropriate polishing agents OR a combination of a slowspeed handpiece (not to exceed 10,000 rpm) with an attached rubber cup or bristle brush
and appropriate polishing agents.
20
2015-2016
Dental Assisting Program: MDA001
INTRODUCTION: A NOTE FROM THE DIRECTOR
Welcome to the Dental Assisting Program at the Dental Staff Institute!
This handbook has been prepared to serve as a guide and assist you in a smooth transition as you start your
dental assisting career. This is the first of many reading assignments you will be given in next 10 weeks, so let’s
get started.
All students accepted into the Dental Assisting program are expected to familiarize themselves with the
information contained in this handbook at the beginning of the program. In the handbook is an
acknowledgement form which must be signed and returned to the program manager. It is important to keep
this handbook available for reference throughout the educational program. It is designed to supplement
the DSI Catalog by responding to policies which are specific to the Dental Assisting program. Refer to it, as
needed, to help clarify school and program policies and procedures.
The dental assisting faculty, in cooperation with administrative personnel, reserves the right to revise policy
guidelines as needed if a change is felt necessary for improvement of the program. The students will be notified
of any change at the time it takes place.
The educational program takes place in the classroom and skills lab, as well as in supervised dental offices and
other community resources. In addition to acquiring knowledge and developing the skills necessary to perform
a variety of duties, becoming a dental assistant is about becoming a professional. Professionalism is what
distinguishes people who “have a job” from those who “pursue a career.”
As a student in the Dental Assisting Program it is your responsibility for ensuring success in the program. The
instructing staff is not responsible for making students learn. As students, you are not passive in the educational
process but instead interactive participants. Competency-based instruction supports this process. You should be
self-motivated, responsible and proactive in learning while in the program and during your career.
Your Instructor is here to assist, support, guide and encourage, as well as teach you as you strive to meet the
standards of the Dental Assisting program. If you need additional help in meeting the challenges of the
program, don’t hesitate to speak with them.
Dr. Victoria L. Malz
Director
Dental Staff Institute, LLC
2
Dental Staff Institute Mission Statement
The Dental Staff Institute, a member of the North Carolina Community College system, provides educational
opportunities for a diverse population. In this rapidly changing world, DSI encourages our students to lead
enriched, productive and responsible lives. The Dental Assisting Program of the Dental Staff Institute provides a
comprehensive accelerated dental assisting education, promoting quality of life and dental care for themselves,
patients, and the community.
Dental Assisting Program Goals
To provide a pleasant learning experience that will assist the students to effectively work in all phases of
dentistry as outlined by the North Carolina Dental Practice Act.
To promote dental health care and meet the job-market requirements of the community.
To prepare the students with the knowledge and skills necessary to acquire the status of Dental
Assistant Level I (DA-1). This foundation, with additional hours and experience should allow students to
sit and successfully complete the Dental Assisting National Board exam to ultimately expand their skills
and duties.
The Dental Assistant’s Pledge
“I solemnly pledge that, in the practice of my profession,
I will always be loyal to the welfare of the patients who come under my care, and to the interest of the
practitioner whom I serve.
I will be just and generous to the members of my profession, aiding them and lending them encouragement to
be loyal, to be just and to be studious.
I hereby pledge to devote my best energies to the service of humanity in that relation of life which I consecrated
myself when I elected to become a DENTAL ASSISTANT.”
Dr. C. N. Johnson
Principles of Ethics of
The American Dental Assistant’s Association
Each individual involved in the practice of dentistry assumes the obligation of maintaining and
enriching the profession.
Each member may choose to meet this obligation according to the dictates of personal conscience
based on the needs of the human beings the profession of dentistry is committed to serve. The spirit of
the Golden Rule is the basic principle of this concept.
The member must strive at all times to maintain confidentiality, and exhibit respect for the
dentist/employer.
The member shall refrain from performing any professional service which is prohibited by state law and
has the obligation to prove competence prior to providing services to any patient.
The member shall constantly strive to upgrade and expand technical skills for the benefit of the
employer and the consumer public.
The member shall additionally seek to sustain and improve the local organization, state organization,
and the American Dental Assistant’s Association by active participation and personal commitment.
3
Creed for Dental Assistants
To be loyal to my employer, my calling and myself.
To develop initiative – having the courage to assume responsibility and the
imagination to create ideas and develop them.
To be prepared to visualize, take advantage of and fulfill the opportunities of my
calling.
To be a co-worker, creating a spirit of co-operation and friendliness rather one of
faultfinding and criticism.
To be enthusiastic – for therein lies the easiest way to accomplishment.
To be generous, not alone of my name but of my praise and my time.
To be tolerant with my associates, for at times I too make mistakes.
To be friendly realizing that friendship bestows and receives happiness.
To be respectful of the other person’s viewpoint and condition.
To be systematic, believing that system makes for efficiency.
To know the value of time for both my employer and myself.
To safeguard my health, for good health is necessary for the achievement of a
successful career.
To be tactful – always doing the right thing at the right time.
To be courteous – for this is the badge of good breeding.
To walk on the sunny side of the street, seeing the beautiful things in life rather
than fearing the shadow.
To always keep smiling.
4
General Information
The Dental Assisting student is subject to all college standards of conduct, ethics, and disciplinary measures that
pertain to all Dental Staff Institute students.
Because you are about to enter a career that requires special conduct and behavior while in the performance of
specified duties, the student is also to adhere to the ethics and conduct listed under the regulations and policies
of the handbook and each Health Care Facility while in that facility for experience.
The Dental Assisting Program Handbook
The Dental Assisting Program Handbook is prepared as an informational aid and learning tool for students,
faculty and administration, visiting practitioners, and participating dental office staff. This handbook contains
general information, classroom policies, as well as clinical and laboratory procedures and policies. Keep this
handbook accessible at all times.
Administration, Faculty, and Staff
The following people are available to assist you.
Dr. Victoria Malz – Director of Admissions
[email protected]
Dr. Ryan Woodman – Instructor, Director of Student Services
[email protected]
Diana Teeter – Instructor, DAII, CDA
[email protected]
Lisa Hey – Instructor, DAII, CDA
[email protected]
5
Student Records
A file is maintained for each student in the program in the Director’s office. The file includes admission data,
course evaluation and other information regarding progress in the program. All files are kept confidential and
are the property of the college. Arrangements to view your individual file must be made with the Program
Manager. Files will be kept for no more than three years following completion of the program.
Health Insurance and Hepatitis B Vaccination
The college does not provide health insurance for students. However, the college does have a premises accident
policy. All accidents should be reported to your instructor. We encourage all Dental Assisting students to have
current health insurance. In addition, in order to work in a clinical setting with live patients, your employer will
require you to be either vaccinated against Hepatitis B or have signed a waiver refusing the Hepatitis B
Vaccination. Reduced cost vaccinations are available for you should you wish. Proof of your Hepatitis B status or
a signed waiver form is required in order for you to be allowed into the clinical sites for your externship. No
exceptions!
Dental Assisting Malpractice Insurance
The Dental Assisting student can be legally and financially liable if another person is injured as a result of error,
omission, or negligence on the student’s part. Whether a mistake is deemed professional or personal in nature,
the student can be held liable and may be sued individually or along with the dentist.
Professional liability insurance coverage is inexpensive. We encourage students to purchase it along with
membership to The American Dental Assistant’s Association for an additional annual premium of about $10.00
for $1,000,000.00 aggregate coverage. The instructor will make forms available at graduation.
Injuries during School Hours
If a student is injured while in the classroom or didactic areas, a physician will be seen at the student’s expense
and a report of the incident will be submitted to the Director.
If an injury occurs during clinical experience at a Dental Facility, the student will complete an accident and
incident report and will seek appropriate medical care. Since the student is NOT an employee of the facility, the
injury is NOT covered by the facilities Workmen’s Compensation coverage. All Dental Assisting students should
carry current medical insurance coverage to cover these incidents.
Statement Regarding Mind-Altering Substances
The faculty of the Dental Assisting Program believes that patients and staff have the right to expect interactions
with alcohol/drug-free students. Substance abuse is a threat to the abuser, patient, and colleagues.
Any student coming to the classroom, laboratory, or clinical site with the odor of alcoholic beverage on his/her
person or behaviors that suggest being impaired by mind altering substance will be subject to disciplinary
action and/or dismissal from the program.
6
Honor Code of Conduct
By becoming a dental auxiliary you are entering a health profession. There are many laws that govern your
working behavior including HIPAA privacy laws, consent statutes, OSHA and generally accepted standards of
behavior as outlined by the North Carolina Dental Board. It is important to us at the outset that you understand
and accept these professional guidelines. Failure to live up to them in the working environment can lead to
serious legal trouble for both you and your employer. With that said, from the moment you start your training,
we will expect and hold you to the highest standards.
Your orientation will include the signing of an academic honor code worded to prevent any students from
gaining an unfair advantage over other students through academic misconduct. This code includes not only
rules about your academic behavior, but your professional demeanor as well. Your failure to uphold the
standards therein may result in your dismissal without a refund of your tuition. Judgment is at our discretion and
there is no requirement for a warning.
Academic misconduct is any act that does or could improperly distort student grades or other student academic
records. Such acts include but need not be limited to the following:
Possessing, using or exchanging improperly acquired written or verbal information in the
preparation of any essay, laboratory report, examination, or other assignment included in the
course;
Unauthorized collaboration with a student in the commission of academic requirements;
Submission of material that is wholly or substantially identical to that created or published by
another person or persons, without adequate credit notations indicating authorship (plagiarism);
False claims of performance or work that has been submitted by the claimant;
Deliberate falsification of a written or verbal statement of fact to a member of the faculty so as to
obtain unearned academic credit;
Forgery, alteration or misuse of any institute document relating to the academic status of the
student.
Professional Code of Conduct:
I will approach all aspects of my education with honesty and integrity, embracing opportunities to
learn from patients, teachers, and colleagues. I will value and respect the knowledge and wisdom
of others.
I will maintain the highest standards of professional conduct academically, clinically, and socially.
I will certify only that which I have personally verified, and I will neither receive nor give
unauthorized assistance on examinations.
I will recognize my weaknesses and strengths and strive to develop those qualities that will earn
the respect of my patients, my colleagues, my family, and me. I will continue to value my relations
with those who have supported me in the past and those who will share in my future.
I will strive to earn the trust my patients place in me and the respect that society places upon my
profession. I will respect the humanity, rights, and decisions of all patients and will attend to them
with compassion and without bias, maintaining patient confidentiality, remaining tactful in my
words and actions.
I will value the diversity of patients’ experiences, cultures, and beliefs because it enhances my
ability to care for them and enriches my education. I will remember that medicine is an art as well
as a science and that warmth, sympathy, and understanding are integral to patient care.
As a dental assistant I will remain aware of my responsibilities to improve the standard of health in
my community and to increase access to care for the underserved.
By accepting these new responsibilities, I will remember the importance of my own health and
well-being as well as those of my colleagues.
I commit myself to a lifelong journey of learning how to cure, relieve, and comfort with humility
and compassion
I make this pledge solemnly, freely, and upon my honor.
7
Confidentiality
When a patient enters a health care facility, the facility assumes an obligation to keep in confidence all that
pertains to that patient and his/her affairs. Every person employed in that facility shares this responsibility.
As a student, it is possible to hear information regarding doctors, assistants, patients, and others, which must be
considered confidential and not discussed with anyone else.
No patient chart shall be copied in total or part. Failure to observe this confidentiality is not only a breach of
ethics, but could involve the student and/or other individuals in legal proceedings and discipline.
Students must sign a Clinical Confidentiality Contract at the beginning of each clinical rotation. Signed contracts
will be kept in each student’s file.
American Dental Assistant’s Association (ADAA)
We strongly suggest that you join the American Dental Assistant’s Association as a student member.
ADAA offers a student membership at a substantially discounted rate of $25.00. Many benefits are available to
the student member.
Volunteer Work
During the length of the Dental Assisting Program, there may be activities and events, which will allow student
volunteers. Some of these events may include, but are not limited to the following:
Community Service
Health Fairs – Career Fairs – Club Fairs
Vocational Education Week activities
National Children’s Dental Health Month (February)
Dental Assistant’s Recognition Week (March)
Seminars and Conventions
Volunteer work helps you gain self-confidence, pride, self-satisfaction, and feelings of belonging. It enhances
qualities of leadership, communication and organization. As a member of the Dental Assisting Program you may
have the opportunity to represent yourself as well as the school in these activities.
Syllabus and Class Schedules
A syllabus is prepared for each of the Dental Assisting courses which contain the goals and objectives for that
individual course. Syllabi can be found as part of the Dental Assisting Handbook. Syllabi should be kept
accessible at each class.
8
Academic Standards
Weekly Module Grades
Each weekly class will be started with a review and questions about the previous week’s material. It is in your
best interest to study and review the assignments outside of class and bring any questions you may still have
with you to the session. At the end of the review, a written examination will be administered regarding this
material. Exams may encompass multiple choice and short description questions. Students must obtain a grade
of 70% or better in order to pass the module. Students who do not obtain a passing score must make
arrangements to retake the examination on their own time before graduation. Students who fail the retake exam
must audit the section in the next available term and again retake the examination. Students who fail more than
two modules are subject to academic review. If it is apparent that adequate progress cannot be achieved,
students may continue to audit the course but will NOT receive a DAI certificate. Successful completion of the
CPR, OSHA and Radiography units may still be obtained, however, no additional retakes will be allowed.
Students may be considered for readmission into the next available session and given a 50% discount of the
then current tuition fee. These cases will be handled on an individual basis.
CPR Certification
The CPR class is being administered by an accredited American Red Cross agency and you will receive CPR/AED,
Emergency Oxygen, Emergency Response and Disease Transmission prevention certifications directly from
them. Students will be required to satisfactorily pass both the written and practical examinations.
OSHA Certification
Students must attend the OSHA training module and successfully pass a written examination in accordance with
the standards set by the North Carolina Dental Board.
Dental Radiography
Students will have the opportunity as part of the MDA curriculum to satisfy the requirements towards a North
Carolina Radiography certification. In addition, this course is open to assistants who are required to have this
certification who are working or who wish to work in North Carolina. Students must pass both the written and
clinical portions of this section as defined by the state. You will be allowed to audit this portion and retake the
examination one time in the next available term. Passing the radiography portion is a prerequisite for
successfully passing the MDA course.
Final Examinations and Clinical Performance
A final Examination covering all of the didactic and clinical modules will be administered in the last week of the
MDA program. This exam will count as 40% of your final grade when averaged with your module grades. A score
of 70% or more is required to successfully complete the course.
*Internship
After completion of the MDA course, you must complete 12 hours of internship in an approved facility. The
supervising doctor will complete a review of your performance during your internship. Your certificates will be
awarded after a passing review is received. **YOU MUST SUCCESSFULLY COMPLETE THE 12 HOURS OF
INTERNSHIP WITHIN 6 WEEKS OF THE LAST DAY OF THE COURSE!!! If 12 hours of internship are not
completed in full by this time, the student will need to audit the full MDA001 course when it is next available.
Only then will certificates be distributed and the student considered graduated. There is no additional fee if a
student is required to audit the course. There are no refunds if the student decides to not audit the course and
thus not graduate from the course.
Textbooks
All textbooks and materials required for the Dental Assisting program are provided. A current list of required
and recommended textbooks is available in each syllabus.
9
Children on Campus
Children of any age are distracting to the students and instructors and are not allowed to attend any classes,
conferences with instructors, or skills labs (unless the child is to be a patient). College employees cannot babysit or supervise children for students.
10
Attendance Policy
Attendance requirements will follow the Dental Staff Institute attendance as stated in the college catalog.
DSI recognizes that regular attendance is the student’s responsibility. The instructor may evaluate the lack of
attendance in terms of the course requirements and take a reasonable course of action. Students who miss class or are
absent for any reason are still responsible for completing all course requirements.
DA1 Classes at DSI are designed to follow an accelerated curriculum. Because of this, it is very important that you
commit your class time on your schedule and not miss any modules. Modules may only be missed in the case of
an absolute emergency. Should it be necessary to miss a module, please give as much advance notice as
possible.
Students may miss only one module for a documented emergency. You may study the material at home and still
take the module exam the following week to keep up with your classmates; however, in order to receive your
certification, you must audit the missed module during the next available session. If you did not pass the
examination for that module, you may retake it only after you have audited it.
OSHA, CPR and Radiography modules may not be made up. Should you fail to attend these modules, you will
need to take them at additional cost with us or provide proof that you have obtained those certifications
elsewhere in order to receive your DA1 certificate.
You are expected to be ready to start on time. Tardiness affects not only you. The disruption affects your
classmates as well. A consistent pattern of tardiness will not be tolerated and you may be asked to withdraw
from the course without a tuition refund.
In addition to the above policy, which applies to all DSI courses, the following policies are also in effect:
Attendance is mandatory for all scheduled class periods and is used as a portion of the grade. The
instructor is not a truant officer, it is the student’s responsibility, not the instructor’s, to make a contact
and obtain any missed assignments, tests, etc. Any assignment due on the day of an absence will be
considered late. No extensions will be given for an assignment given on the day of an absence unless
the appropriate arrangements are completed by the student and approved by the instructor.
Attendance and participation is mandatory in all scheduled skills lab experiences. Completion of the
skills covered in the lab is part of the requirement to successfully pass. Failure to complete the skills
within the specified time frame will result in an “unsatisfactory” lab grade.
Attendance at the assigned clinical facility is mandatory on all scheduled days of clinical experience. In
the event of illness, it is the student’s responsibility to notify the Program Manager and the clinical
facility at least one hour prior to the scheduled arrival time. Should a clinical absence occur the student
is responsible to meet with the Program Manager and arrangements for remediation will be at the
discretion of the Program Manager.
11
Student Dress Code and Appearance
All students in the Dental Assisting Program will adhere to the following dress code:
Classroom Theory – street clothes
Lab and Clinical Uniform – Any solid-colored scrub type pants, culottes, skort, or skirt. Any solid-colored
lab jacket and colored solid or print shirt (free of logos) or scrub top, with no midriff showing. White or
solid-colored professional shoes, crocs or sneakers, clean and polished, with non-skid soles. NO open
toed shoes will be allowed.
In addition to the dress code the following standards of appearance are required for all clinic and lab days.
OSHA standards and guidelines for the dental office will be followed and reinforced while in the Dental Assisting
Program.
Uniforms – Students are to wear the required uniform for the appropriate day. Uniforms must be
cleaned and pressed if necessary.
Lingerie – White or nude lingerie is to be worn under the uniform. Absolutely NO prints! All lingerie
must be covered by the uniform at all times.
Shoes – White or ceil or royal blue professional shoes, clean and polished, with non-skid soles. NO
backless or open toed shoes. White or nude nylons or solid white or blue socks are to be worn with
shoes at all times.
Scrub pants must be worn high enough on the hips and tops must come low enough that no bare skin
on the midriff or lingerie is showing. Tops must also modestly cover the cleavage area.
Hair – Hair must be clean, neat, off the face, and off the collar.
Make-up – Make-up must be used in moderation. No heavy colognes or perfumes.
Nails – Finger nails must be kept clean and short: if used, nail polish is to be clear neutral or a pale
muted color. Artificial nails are not acceptable during any portion of the Dental Assisting
program.
Jewelry and Body Ornaments – A wristwatch with a second hand and a plain wedding band are the
only acceptable pieces of jewelry allowed in the clinical and lab setting. If ears are pierced, only one
pair of small post-type earrings should be worn, absolutely no hoops or dangling earrings are
acceptable. All other forms of decorative jewelry and piercing must be removed or covered up.
Oral Piercing – Tongue, lip or cheek piercing is NOT a highly approved or recommend procedure in the
dental profession, therefore is strictly prohibited during the time spent in the Dental Assisting
Program.
Personal Hygiene – Daily baths, shampoos, and use of a good deodorant are a must. Men are to be
clean-shaven or, if wearing beards or mustaches, are to keep them neat and no longer than 2 inches in
length.
Oral Hygiene – Good oral hygiene is a must since one is expected to set an example for ones’ patients.
Chewing gum is prohibited in all dental lab and clinical settings.
Professional and appropriate language is a must and will be used in the classroom, lab and clinical
settings at all times.
The use of cell phones is prohibited while you are in the classroom, lab or clinical. All cell phones must
be turned off during those times.
You are a guest at the clinical facilities, please be courteous and polite by leaving your personal affairs
at home.
Uniform inspections will be conducted and used as a part of the evaluation for grading. Students who are
unwilling to follow these regulations will be asked to leave the clinical setting or classroom lab. Those hours
missed will be required as makeup time.
12
Test Taking Policy
Written module tests will be given at each session following a brief review of the previous week’s material.
Additional skills examinations may be given at the discretion of the instructor with or without advance notice. If
the student is absent on the day of a scheduled test, arrangements to take the test will be made on an individual
basis outside of regular class time. Eighty percent (80%) of the earned score will be recorded. NO retakes on
any test are allowed.
All written finals will be given during the last session prior to your internship. All clinical lab exercises will
be scheduled by the lab instructor. Failure to take the final exam will result in a failing grade for the class
and therefore dismissal from the program.
Deficiency Notices
The purpose of the deficiency notice is to inform the student of his/her status in theory, laboratory, or
clinical learning, if a problem exists, and to provide a means of communication between student and
instructor. A deficiency notice will be sent when:
There are excess absences in the classroom and/or clinical setting.
There is a persistent below 70% grade average in one or more subjects.
Clinical/Laboratory performance and/or behavior are unsatisfactory.
Remediation for Deficiencies
When the faculty identifies that a student’s clinical performance is less than satisfactory, every effort is made to
facilitate student remediation. When the faculty identifies that a student is having academic and/ or study
problems, and/or excessive absences, the faculty may recommend to the director that this student be placed on
a contract and the expectations of the faculty clearly defined in writing.
Contractual Agreements
Within the course timeframe, a student who demonstrates minimal success indicating weakness in certain area
of learning will be evaluated on an individual basis. He/She may be given the opportunity to enter into a written
contractual agreement with the instructor and program manager to pursue recommendations for strengthening
identified areas of weakness. These may include but are not limited to:
Study Skills classes
Additional audio-visual material
Assigned self-study
Written work
Learning time with clinical lab instructor and/or peer tutor
The student is responsible for implementing the plan of correction and reviewing it with the program manager
for mutual ongoing evaluation and implementation. Various opportunities are given to every student to
successfully complete all the components of the Dental Assisting Program.
Disciplinary Action
Every effort will be made to help the student succeed in the Dental Assisting Program. Should disciplinary
action be necessary, the degree will depend upon the seriousness of the offense. Disciplinary action may
constitute a request the student leave the program.
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Dismissal from the Dental Assisting Program
A student may be requested to leave the program at any time for any of the following reasons:
1. Grades below passing in more than one module.
2. Unsafe or unethical practice in the clinical area; any action or statement that is harmful or potentially
detrimental to the patient:
a. Inability to apply theory to clinical practice
b. Inability to determine capabilities and limitations
c. Inability to follow written and oral instructions
d. Inability to demonstrate assisting at the level of education
e. Any derogatory language or action toward doctors, staff or patients
3. Consistently coming to the classroom or clinical area poorly prepared,
such as, but not limited to:
a. Illness
b. Fatigue from lack of sleep
c. Impaired reflexes and/or judgment
d. Family/ personal crisis
e. Substance abuse
4. False and Fraudulent Behavior – Integrity, honesty, dependability and trustworthiness are the most
important characteristics of a dental assistant. Dishonesty and cheating in any form, in any area
(academic, and/or clinical) denote the lack of these characteristics. A determination that the student
has demonstrated dishonesty/cheating in examinations, written work and/or clinical work will warrant
dismissal from the Dental Assisting Program.
When a student is identified as having a problem serious enough to warrant dismissal from the program, the
following steps are initiated:
1.
2.
3.
4.
Student’s problem is identified by the instructor and discussed with the student.
The instructor discusses the situation with the school Director.
The Director and the instructor confer with the student and if applicable identify remediation measures
and time frame for completion.
If remediation is not possible or satisfactory, the student will be asked to withdraw from the program.
The student is notified of the faculty decisions for dismissal and given an opportunity to meet with the director
and program manager.
Readmission Policies
Student Withdrawal – A student who withdraws from the Dental Assisting Program is eligible to apply for
readmission to the program on an individual basis.
Course Failure Withdrawal – A student may apply for readmission to the program or sequence of courses failed
the next enrollment period. Acceptance will depend on space availability and faculty recommendation.
Transportation
Students are responsible for their own transportation to campus, clinical sites and program related field trips,
and therefore it is imperative that each student has access to a reliable vehicle. All theory classes are held at our
main office in Matthews. Clinical experiences are throughout the Charlotte metro area.
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Clinical Sites
Dental Offices throughout the Charlotte Metro Area have agreed to provide clinical sites for program students
and have signed a contract with the Dental Staff Institute. Only contracted facilities can be used as clinical sites.
Clinical sites will be assigned to each student at the beginning of each internship. There will be a maximum total
of three (3) rotations equaling 12 hours of clinical experience. It is the student’s responsibility to have reliable
transportation to and from the clinical site.
Hours at a clinical site may vary from the regularly scheduled hours; in order to complete the required hours in
the program, the student is expected to keep the same hours as the assigned site. Refusal to attend the clinical
site assigned will be cause for dismissal from the program.
Dental Assisting National Board (DANB) Exams
National certification for Dental Assistants is available through the Dental Assisting National Board and consists
of three written exams. Students in DSI’s Dental Assisting Program will obtain the foundation needed to take
this examination. After obtaining 3,500 hours (about 2 years) of clinical experience candidates meeting eligibility
requirements as outlined by DANB may sit to take the exam. Successful completion of this examination is
currently recognized by the State of North Carolina as providing a DA-2, or expanded-duties dental assisting
certification. DSI encourages you to continue to grow and be successful in your career. Once you have met your
DA-2 certifications, we offer several classes to add additional skills to your armamentarium. Additional
information about the DANB examination can be found online at:
http://www.danb.org/exams/examinfo.asp
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DENTAL STAFF INSTITUTE: RECEIPT OF STUDENT HANDBOOK
We are requesting that you acknowledge that you have received a copy of the school handbook
containing the disciplinary policy. Please complete the form below and return it to your
instructor.
My signature verifies that I have received a Student Handbook. I am aware that I am expected to
read this information and will be held accountable for its content. If I have any questions, I will
discuss them with my instructor or school administrator.
___________________________________________
Print Name of Student
___________________________________________
Signature of Student
_____________________________
Date
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DSI HEPATITIS B VACCINE WAIVER
Name _____________________________ Course __________________________
(please print)
Social Security Number _______________________ D.O.B. _________________
Hepatitis B (HBV) is a serious viral infection of the liver that can lead to chronic liver disease,
cirrhosis, liver cancer, liver failure, and even death. The disease is transmitted by blood and/or
body fluids and many people will have no symptoms when they develop the disease. The primary
risk factors for Hepatitis B are sexual activity and injecting drug use. This disease is completely
preventable. Hepatitis B vaccine is available to all age groups to prevent Hepatitis B viral
infection. A series of three (3) doses of vaccine are required for optimal protection. Missed doses
may still be sought to complete the series if only one or two have been acquired. The HBV
vaccine has a record of safety and is believed to confer lifelong immunity in most cases.
MARK ONE:
I understand that due to my occupational exposure to blood or other potentially infectious
materials I may be at risk for acquiring hepatitis B virus (HBV) infection. I have been given
the opportunity to be vaccinated with hepatitis B vaccination at this time and I decline the
vaccination. I understand that by declining this vaccine, I continue to be at risk of acquiring
hepatitis B. If in the future I continue to have occupational exposure to blood or other
potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can
receive the vaccination series.
I have completed the hepatitis B vaccine series in the past.
I have received __________ injection(s) of the hepatitis B vaccine series in the past.
I have a history of a previous hepatitis B infection, documented by either lab test or
physician diagnosis.
Other _______________________________________________________________
SIGNATURE ____________________________________ Date ___________________
WITNESS SIGNATURE ___________________________________
If you have completed the series or have proof of immunity, please attach documentation to this waiver.
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Dental Assisting
Classification of Dental Assistants In North Carolina
Delegable Functions | Radiography Requirement
Dental Assistant I and Dental Assistant II
In North Carolina, there are two classifications for Dental Assistants (DAI and
DAII.) North Carolina does NOT certify assistants. Classification is based on
experience and/or training as listed below. It is up to the employer to verify
an assistant's qualifications and determine if he/she is a DAI or DAII.
To be classified as a Dental Assistant II, an assistant must meet one (1) of the
following criteria:
1) successful completion of:
a) an ADA-accredited dental assisting program and current certification in CPR; or
b) one academic year or longer in an ADA-accredited dental hygiene program, and
current certification in CPR
2) successful completion of:
a) full-time employment and experience as a chairside assistant for two years
(3,000 hours) of the preceding five, during which period the assistant may be trained in
any dental delivery setting and allowed to perform the functions of a Dental
Assistant II under the direct control and supervision of a licensed dentist;
b) a 3-hour course in sterilization and infection control;
c) a 3-hour course in dental office emergencies;
d) radiology training consistent with G.S. 90-29(s)(12);and
e) current certification in CPR; or
3) successful completion of the certification examination administered by the Dental
Assisting National Board, and current certification in CPR.
Radiography Requirement
A certified dental assistant [(one who successfully completes the DANB exam (see (3)
above)] or an assistant who completes an ADA-accredited dental assisting or dental
hygiene program may take radiographs without further examination. All others,
including those who move to North Carolina from out-of-state, must successfully pass
an equivalency exam. This exam may be challenged after completing "seven hours of
instruction in the production and use of dental x-rays and an education program of not
less than seven hours in clinical dental radiology." You must be able to prove that you
have the minimal amount of training to be eligible to take the radiology equivalency
exam, or you may take a course prior to taking the exam. Any Board approved
radiography course is acceptable and any approved course's final examination is
recognized as the equivalency exam.
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DELEGABLE FUNCTIONS IN NORTH CAROLINA AS OF AUGUST 1, 2000
DAII
RDH
Take Impressions for Study Models & Opposing
Casts
X
X
Apply Sealants after DDS has Examined Patient &
Prescribed Procedure
X
X
Insert Matrix Bands and Wedges
X
X
Place Cavity Bases and Liners
X
X
Place and/or remove Rubber Dams
X
X
Cement Temp. Restorations using Temp. Cement
X
X
Apply Acid Etch Materials/Rinses
X
X
Apply Bonding Agents
X
X
Remove Periodontal Dressings
X
X
Remove Sutures
X
X
Place Gingival Retraction Cord
X
X
Remove Excess Cement
X
X
Flush, Dry & Temporarily Close Root Canals
X
X
Place & Remove Temp. Restorations
X
X
Place & Tie In or Untie & Remove Ortho. Arch Wires
X
X
Insert Interdental Spacers
X
X
Fit (size) Orthodontic Bands or Brackets
X
X
Apply Dentin Desensitizing Solutions
X
X
FUNCTION
DAI
Perform Periodontal Screening
X
Perform Periodontal Probing
X
Perform Subgingival Exploration for or Removal of
Hard or Soft Deposits
X
Perform Sulcular Irrigation
X
Apply Sulcular Antimicrobial or Antibiotic Agents
X
Perform Extra-Oral Adjustments of any Temp.
Restoration or Appliance
X3
Initially Form & Size Orthodontic Arch Wires &
Place Arch Wires after Final Adj & Approval by DDS
X
X
X
X
Apply Topical Anesthetics/DentiPatchâ
X
X
X
Apply Topical Fluoride
X
X
X
Expose Radiographs
X1
X1
X
Write Laboratory Work Orders
X2
X2
X
Write Prescriptions (Drugs)
X2
X2
X
X
X
X3
X
X
X
X4
X4
X
X
X
X
Remove Sutures
Polish Dentures
X3
Take wax bites
Monitor Pt.'s under Nitrous Oxide
Oral Hygiene Instruction
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Polish Coronal Portion of Tooth -X6
X5
X
Place Amalgam in Prep w/ Carrier
X
X
X
Take Pulse, Blood Pressure & Temperature
X
X
X
Place Ligature Wire or Lock Pins
X
X
Insert Spacer Wires or Springs
X
X
1-After satisfactory completion of ONE of the following: (1) the North Carolina radiography
equivalency examination, (2) dental assisting school (an ADA-accredited program), (3) the
Dental Assisting National Board examination (1-800-367-3262), or (4) classification as a
DAII in North Carolina.
2 - Exact words must be dictated by the dentist
3 - Extra-orally, upon instruction by the dentist and re-insertion by the dentist
4 - After completing a 7-hour Board-approved course in nitrous oxide-oxygen conscious
sedation, unless included in ADA-accredited program (DAII).
5 - After completing a 7-hour (3 hours didactic, 4 hours clinical) course in coronal polishing.
6 - Use of a hand-held brush & appropriate polishing agents OR a combination of a slowspeed handpiece (not to exceed 10,000 rpm) with an attached rubber cup or bristle brush
and appropriate polishing agents.
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