* 이번 호에서는 Group 1-A( 중요도와 출제빈도가 높음)와 Group1-B(중요도는 높으나 출제빈도는 낮음)를 소개합니다.
Graup 1-A = 가장 중요하면서 높은 출제빈도에 해당하는 치과위생사 업무수행에 관한 항목으로 구성되어 있음.
(34개 항목으로 구성되어 있으며 각 항목별로 3문항씩 총 220문항 중에서 100문항(40-45%) 정도 출제)
1. Assessment (* The Dental Hygienist...)
- general health history
- oral health history & compares current to previous findings
- head and neck region
- intraoral tissues other than periodontium
- gingivae
- periodontal attachment & adjacent bone,
- client's oral self-care,
- dental radiographs,
- the need for management of client pain, anxiety & discomfort
- risk factors/marks for pathologies other than caries & periodontal diseases(e.g., oral cancer screening),
- The Dental Hygienist selects, Identifies, interprets & critiques relevant scientific/professional information,
- The Dental Hygienist Identifies client's oral health education
- The Dental Hygienist interprets data to determine client's oral health status/needs
- The Dental Hygienist determines and utilizes appropriate communication strategies
- Complies with applicable policies, ethical guidelines, regulations, and organizational structure
- Documents assessment records accurately, legibly, and comprehensively
2. Palnning (no competencies)
3. Implementation (* The Dental Hygienist...)
- applies principles of client health and safety
- applies principles of client health and safety
- applies principles of practitioner health and safety
- applies appropriate infection control measures
- applies principles of instrumentation
- applies principles of ergonomics
- abides by regulations and applicable policies
- applies principles of ethical practice
- applies principles of effective communication
- documents dental hygiene interventions accurately, legibly, and comprehensively
- teaches the client oral self care techniques and strategies
- utilizes equipment according to manufacturer's specifications
- maintains instruments and equipment
- manages continuing care, maintenance or supportive periodontal therapy
- performs non-surgical periodontal therapy, including soft tissue management, by hand instrumentation
- exposes and processes intra-oral radiographs
- applies strategies to ensure continuing competence in current practice environment
4. Evaluation(* The Dental Hygienist...)
- documents responses to interventions accurately, legibly, and comprehensively
Graup 1-B = 가장 중요하면서 높은 출제빈도에 해당하는 치과위생사 업무수행에 관한 항목으로 구성되어 있음.
(35개 항목으로 구성되어 있으며 각 항목별로 2문항씩 총 220문항 중에서 65문항(30-40%) 정도 출제)
1. Assessment (* The Dental Hygienist...)
- assesses epidemiological and demographic data
- assesses oral health data in a community setting
- assesses oral manifestations of medication
- assesses vital signs
- selects and interprets appropriate oral health indices
- identifies client's oral health goals
- assesses barriers to the client's achievement of oral health (e.g., economics, attitudes, habits, values, and access)
- assesses the need for consultation and referrals within the health care delivery system
- assesses risk factors/markers for caries
- assesses the need for safety risks and emergency measures
2. Planning(* The Dental Hygienist...)
- develops priorities with the client(e.g., needs and values)
- supports the client in making an informed choice (e.g., risks, costs, benefits, and time lines) among interventions
- obtains informed consent for dental hygiene care plan
- documents dental hygiene care plan accurately, legibly, and comprehensively
- revises te plans of services/programs when necessary
3. Implementation(* The Dental Hygienist...)
- adapts and applies clinical techniques (e.g., aseptic technique, operator/client positioning) to a community setting
- adapts and applies clinical techniques for clients with special needs
- applies principles of teaching and learning
- teaches proper selection and use of appropriate oral care products including chemotherapeutics
- provides information regarding dental treatment (e.g., rationale for treatment and explanation of other treatment options)
- provides information on microbiology of oral conditions
- utilizes materials according to manufacturer's specifications
- implements strategies to manage client pain, anxiety and discomfort
- ensures provision of care in emergency situations
- performs non-surgical periodontal therapy, including soft tissue management, by powered instrumentation
- implements appropriate care of dental implants
- monitors the client for adverse reactions to interventions
- manages hazardous substances and wastes
4. Evaluation(* The Dental Hygienist...)
- verifies that the client has received the planned services
] - discusses changes in knowledge and perception of oral health with the client
- utilizes measurable criteria in the evaluation of outcomes
- evaluates the effectiveness of interventions over time
- evaluates the need further dental hygiene interventions
- evaluates the need for further consultation and referrals within the health care delivery system
- evaluates own performance against practice standards
* Canada의 National Dental Hygiene Certification Board에서 제공하는 NDHCE, 2004 Application Guide에서 발췌한 내용입니다.
* 다음 호에는 Group 2-A와 2-B(List of Competencies)를 소개합니다.
