Dental Assistant Skills Checklist

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PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS:

Proficiency

I have never done the stated task.
I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient.
I have performed the task/skill several times and feel moderately comfortable functioning independently but would require a resource person nearby.
I have performed the task/skill frequently and would feel very comfortable and proficient performing it without supervision or practice.

Frequency

GENERAL RESPONSIBILITIES *

	SKILL		FREQUENCY
Obtain accurate medical history
Obtain accurate dental history
Obtain and record patient's allergies
Obtain and record patient's medications
Scheduling/canceling appointments

DENTAL RECEPTION PROTOCOL *

RADIOGRAPHY *

	SKILL		FREQUENCY
Radiation safety
Adequate film quality correctly mounted
Accurate reporting
Obtain relevant structure views

DENTAL ASSISTING DUTIES *

	SKILL		FREQUENCY
Tray set up for all procedures
Room set up for all procedures
Anesthetic set up and delivery
Ligmaject set up and delivery
Assist with high-velocity suction
X-tip set up and delivery
Nitrous Oxide protocol
Set up and delivery of Nitrous Oxide
Monitoring of Nitrous Oxide
Replenishing Nitrous Oxide and oxygen tanks
Proper prophy techniques
Proper flossing techniques
Proper fluoride techniques
Proper oral hygiene techniques
Surgical and simple extractions
Endodontics
All restorative procedures
Emergency procedures
Routine care procedures
Removal of sutures
Bone chip removal
Crown procedures (prep and deliver)
Bridge procedures (prep and deliver)
Denture and partial adjustments
Reline procedures
Post-operative procedures
Preventative treatment
Taking alginate impressions
Pouring up models and base
Writing out lab slips
Proper bite registration technique
Removal of dental cements
Mixing cements
Set up times for materials
Curing time for materials
Locating supplies in operatories and in the lab
Stocking of supplies
Replenishing supplies as needed
Unpacking of supplies
Clean-up after patient leaves
Set up for new patient

STERILIZATION *

UNIVERSAL PRECAUTIONS *

	SKILL		FREQUENCY
Use of personal protective equipment (PPE)
Clean bodily fluids

ANESTHESIA *

	SKILL		FREQUENCY
Preparation of syringe-local
Correct temperature
Advice to patient to prevent self-injury
Observe for any hyper-reactions

TREATMENT OF EMERGENCIES *

	SKILL		FREQUENCY
Basic life support systems
CPR basics

AGE SPECIFIC COMPETENCIES *

Attestation

ATTESTATION: *

I certify that the information provided above accurately reflects my experience in each of the clinical areas identified within the past three years.

If you agree with the Attestation above, please electronically sign your name. *