WREB Examination Candidates Handbook (Dental Hygiene Exam) Candidate Information

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1 Foothill College Dental Hygiene Clinic Building 5300, Room El Monte Rd Los Altos Hills, CA WREB Examination Candidates Handbook (Dental Hygiene Exam) School Coordinator: Patti Walter Chan, RDH, MS or at Candidate Information General Clinic Information: Patient Screening: The facility will not be available for candidates to screen patients. Infection Control-Standard Procedures: Personal Protective Equipment (PPE) requires the use of gloves, mask, protective eyewear and clinic gowns while providing direct patient care. Protective eyewear must include side shields. Patients must wear protective eyewear. A face shield must be used during instrumentation with the ultrasonic. Hair must be firmly secured and away from the clinician's face. Foothill College does not provide protective eyewear, face shields, lab coats of gowns for candidates or protective eyewear for patients. Sharps containers are located in every unit under the sink and must be used for disposal of all sharps including needles and used cartridges. Computers and keyboards are not to be used by candidates. Turn on master switch which located on the bracket tray. Run water through the air/water syringe into the low volume suction for 1 minute. Purge ultrasonic unit for 1 minute prior to use over the sink. EPA-approved disinfectant wipes are used to disinfect the treatment area and dental unit: counter tops, water faucet handle, soap dispenser, bracket tray, handles brackets,

2 and valves and hoses of the saliva ejector and high volume suction, and air/water syringe. Please take care when disinfecting hoses not to pull hard which can damage the hoses and electronics. Do not use disinfectant wipes on the chair upholstery. The wipes damage the material and the chairs are cleaned weekly with soap and water. Spraying disinfectant is not acceptable. Water bottles for the units will be filled by the floor assistant. Do not attempt to remove the bottle. Plastic barriers are placed over the dental chair, handles that adjust the operator chair, bracket tray including hoses and touch pads, light handles, air/water syringe, HVE, saliva ejector, slow speed handpiece, and ultrasonic unit. Attach a debris bag with tape to the dental tray. Following patient treatment, remove barriers and disposable products from the unit. Debris bag should be tied or taped closed and then placed in the biohazard waste container in the sterilization area. Purge air/water syringe or 1 minute over the sink. Disinfect all surfaces (except dental chair) with disinfectant wipes. Turn off all power switches and return operator and assistant chairs to unit. Hazardous/Regulated Waste: A debris bag should be used to collect any hazardous waste during patient treatment. Attach bag to bracket tray with tape. According to OSHA's Blood Borne Pathogen Standard, regulated waste is defined as..."any items containing liquid or semi-liquid blood or other potentially infectious materials (OPIM) and contaminated items that would release blood or OPIM in a liquid or semiliquid state if compressed." All regulated waste must be collected and disposed of in the red biohazard waste container in the sterilization area. Sterilization: Candidates should arrive with all instruments sterilized. If any candidates need to retake the exam after the last session, steam sterilization will be available. Please allow 3 hours for sterilization of instruments. Sterilization is not available unless candidate needs to retake exam during the last session. Foothill College assumes no responsibility for instruments or personal items that are lost, broken, stolen, damaged, or not retrieved within 2 days after the closing of the examination. Radiology: Candidates must bring radiographs for their patients to the exam. The radiology lab will not be available to candidates to take radiographs prior to the exam. If it is determined by examiners during the check-in process that a candidate needs to retake radiographs, please note that only digital radiographs will be available at Foothill College. Taking a panoramic and/or a full mouth series of radiographs will not be available. Foothill staff will supervise the candidate in the radiology lab but the candidate must be prepared to expose the images. A staff member will

3 process the radiographs for the candidate and print out a copy of the film. The following items will be supplied by Foothill College: Rinn XCP (blue, yellow and red) and cardboard bitewing film holders Paper and printer Non-latex gloves (S, M, L) and masks. Candidate must supply own protective eyewear Fee for each radiograph taken is $ Cash only. Equipment Information: Slow speed Handpiece Connection: The clinic is equipped with ADEC chairs and delivery units with standard connections. For slow speed hand pieces, the hole pattern connection is shown above. Equipment is not available to rent. Ultrasonic Devices: Each dental unit has a Cavitron Select SPS Ultrasonic Scaler which are available for use during the exam. Candidates must supply their own 30K ultrasonic inserts (Dentsply or Hu-Friedy inserts) if using the clinic's units. A rental fee of 25$ (cash only) will be collected during the candidate orientation if candidate elects to use the clinic's ultrasonic units. Ultrasonic inserts will not be available for rent during the exam. Candidates may use their own ultrasonic scalers. Dental units are equipped with water and power connections for ultrasonic scaling devices. Connections are housed on the side of the dental chair with a universal water connection. All candidates are expected to supply their own hand instruments. Please review the WREB Candidate Guide for required instruments for the exam. Foothill will not be supplying any instruments for the exam. Since the ultrasonic creates potentially infectious aerosols and splatter, Foothill College requires the use of the high volume evacuation (HVE) when using the ultrasonic scaler. A saliva ejector cannot take the place of the HVE. Each unit has the Ergovac which is a right angle HVE handle. The patient must do a 30 second antimicrobial rinse prior to using the ultrasonic. Supplies that will be provided for the Dental Hygiene Exam:

4 Non-latex Gloves (small, medium, large and extra large sizes) 2X2 Gauze Prophy paste and cups Sterilization Pouches Surface disinfectant wipes Antimicrobial prerinse Drinking cups Patient bibs and disposable bib clips Masks Disposable air water syringe tip Saliva ejector, HVE tips Topical Anesthetic Small trays for instruments with tray covers Sharps containers in every operatory (under sink) Paper towels and soap Plastic barriers for dental unit including clear barrier tape, plastic sleeves for tubing and large plastic bags for chair and dental unit Cotton Tip Applicators Limited amounts of blankets Operatories: Nine operatories in the dental hygiene clinic will be available for the dental hygiene exam. Nine units will be used by the examiners. All units are ambidextrous and can be set up for both right and left handed operators. Local Anesthesia: A practitioner from the school is not available to administer local anesthesia to candidates' patients. There are no exceptions to this policy. Foothill College Dental Hygiene will not make arrangements for the candidates. Candidates must also supply their own local anesthetic and needles. Language Translation: Foothill College Dental Hygiene Program will not provide translation services for candidates. Candidates who wish to bring a translator (for languages other than English) must provide all necessary accommodations. All translators must check in with the WREB Site Coordinator and School Coordinator upon arrival and will only be allowed into the clinical area when their services are required. Candidate translators must abide by all applicable candidate rules and requirements.

5 Basic Emergency and Safety Information: Fire Extinguishers: 3 are located in the 5300 building by the door to the radiology lab, the door in 5301 and in the hallway next to the clinic staff office. Eyewash Stations: please wear protective eyewear. In case of an accident, eyewash stations are located at the sinks in the sterilization area at the back of the clinic and the radiology lab. To use: remove the yellow caps, pull the metal stopper on the back of the faucet and turn on the water. Flush eyes thoroughly. Emergency Oxygen: portable oxygen tank is located at unit 11. First Aid, Emergency Kits and Defibrillator (AED): first aid supplies can be found in the clinic staff office. The emergency drug kit is located in the black filing cabinet in the staff office in the lower drawer. A portable electronic blood pressure cuff is also located in this area. The clinic manual which outlines emergency procedures and puncture protocols is on the shelf above the copier. A fire station with an AED and emergency response personnel is located on campus and is just minutes from the clinic. In case of an emergency, please exit the clinic through the main door and proceed to the library quad located to the left of the clinic. General Campus Information: Foothill College is a Smoke-free campus. Smoking is not allowed anywhere on campus. Designated smoking areas can be found in the parking lots and are clearly marked. No animals except for service animals are allowed on campus. Parking: A parking permit is required in all campus parking lots. Kiosks are located in each parking lot for your convenience. Parking rules are strictly enforced on campus. Do not park in fire lanes or in any space without a permit. Handicapped spaced are available in Lot 5 for campus access without stairs. Appropriate handicap placards are required to park in these spaces. Lot 6 has the most convenient access to the clinic. Please do not park in any spaced marked "staff." Campus Safety: The Foothill-De Anza Police department is located in the campus center, Rm For emergency assistance, call 911 from campus phones. From cell phones, call Nonemergency situations (to report non-violent crimes, non-injury vehicle accidents, or for

6 assistance), please call or dial extension from campus phones. The campus police department is closed on Sundays. Food and Beverages: During the dates of the exam, Foothill College will not have food, beverage, or cafeteria services for candidates or their patients. Patients should be advised to eat before coming to the exam or candidates may provide food for their patients. On site refrigeration will not be provided. Vending machines are located near the 5000 building. Campus Map: Map of campus and parking lots. The dental hygiene clinic is located at 5312 in building Directions to campus: from I-280, take the El Monte Rd Exit. Go east and turn right onto the college loop road. Drive to parking lot 6 where you will be able to park and then walk onto campus to the dental hygiene clinic.

7 Local Area Information Airports: the two main airports for the south bay area are listed. Mineta San Jose International Airport 1701 Airport Blvd. San Jose, CA miles from Foothill College San Francisco International Airport San Fransciso, CA miles from Foothill College Hotels: several hotels are located a few miles from the college. Residence Inn Palo Alto/Mountain View 1854 W. El Camino Real miles from Foothill College Holiday Inn Express 1561 W. El Camino Real miles from Foothill College Super 8 Mountain View 1665 W. El Camino Real miles from Foothill College America's Best Value Inn 1012 W. El Camino Real miles from Foothill College Restaurants: Many restaurants are located within a few miles of Foothill College. The Bay Area is richly diverse and you can find many types of American style and ethnic cuisines throughout the area. The Los Altos Grill is located 1.4 miles from Foothill College in downtown Los Altos at 233 3rd St.

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