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© 2010 – 2018 National Dental Assisting Examining Board Confidential NDAEB only • Do not copy or distribute
Candidate Handbook for the
Clinical Practice Evaluation Revised January 2018
National Dental Assisting Examining Board
Introduction The National Dental Assisting Examining Board has developed and maintains the Clinical Practice Evaluation (CPE) to aid Canadian Dental Assisting Regulatory Authorities (CDARA) in the licensure/listing/ certification/registration of dental assistants in Canada. The purpose of the CPE is to protect the public by confirming that persons entering the dental assisting profession possess the skills necessary to perform their dental assistant duties safely and effectively. Candidates applying for the Clinical Practice Evaluation must successfully complete the NDAEB Written Examination or hold the NDAEB Certificate by Transfer of Credentials (without examination) prior to being eligible for the CPE. International applicants are advised the NDAEB certificate process consists of two parts: the written examination, followed by the CPE. In lieu of the CPE, international applicants may choose to voluntarily complete formal intra-oral dental assisting education at a Canadian institute. The institute’s graduates must be eligible to write the NDAEB examination. Contact the NDAEB office or visit the NDAEB website: www.ndaeb.ca for information regarding dental assisting education programs. Candidates choosing voluntary education in lieu of CPE are advised that education completed at programs which are not accredited by the Commission on Dental Accreditation of Canada will not meet the regulatory requirements for most Canadian provinces. The CDARA may require graduates of Canadian nonaccredited programs to successfully complete the CPE to be considered for licensure/certification/ registration. Candidates who are uncertain as to their licensure status are advised to consult the CDARA in the province they intend to work in before enrolling in a non-accredited education program. Candidates are advised that the decision to require the NDAEB certificate for provincial licensure/certification/registration rests with the Canadian Dental Assisting Regulatory Authority (CDARA). For regulatory information, contact the provincial CDARA to confirm the need to hold the NDAEB certificate before applying to the NDAEB. A provincial exam and/or or clinical evaluation may be required in some jurisdictions. Candidates are advised to seek licensure/listing/certification/ registration information from the provincial CDARA in the province in which they intend to seek employment. For CDARA contact information, see the Registration and Licensure area on the NDAEB website.
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Table of Contents APPLICATION PROCESS ..............................................................................................................3 ELIGIBILITY ...................................................................................................................................3 Canadian Graduates .........................................................................................................3 InternationalApplicants (Including US graduates)...........................................................3 HOW TO APPLY..............................................................................................................................4 SPECIAL ACCOMMODATIONS....................................................................................................4 EVALUATION DATE AND CONFIRMATION..............................................................................4 FREQUENTLY ASKED QUESTIONS............................................................................................6 HOST CLINIC SAFETY, SECURITY AND ADMINISTRATIVE REQUIREMENTS .................8 EVALUATOR TRAINING AND CALIBRATION..........................................................................8 INTERACTION BETWEEN CANDIDATES AND EVALUATORS .............................................9 WHAT SKILLS ARE EVALUATED ON THE CPE? ......................................................................9 REQUIRED OUTCOMES/RESULTS .............................................................................................9 AT THE COMMENCEMENT OF EACH SKILL..........................................................................10 INFECTION PREVENTION..........................................................................................................11 USING A FULCRUM.....................................................................................................................12 PROCEDURE/MANIKINS AS PATIENTS...................................................................................13 WHEN WILL I RECEIVE THE RESULTS OF THE CPE? ..........................................................14 REPORTING CPE RESULTS TO REGULATORY AUTHORITIES ...........................................14 EVALUATION IF UNSUCCESSFUL ...........................................................................................15 APPEALS .......................................................................................................................................15 SUBSEQUENT CPE REQUIREMENT AFTER INITIAL SUCCESSFUL COMPLETION .......16 PROVINCIAL LICENSURE/LISTING/CERTIFICATION/REGISTRATION ............................16 COPYRIGHT & DISCLAIMER ....................................................................................................16 APPENDIX A: Evaluation Forms ..................................................................................................17 APPENDIX B: Clinic Uniforms, Safety Glasses or Prescription Glasses, Gloves and Masks ......31 APPENDIX C: Dental Materials Provided.....................................................................................32 APPENDIX D: References .............................................................................................................32
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Application Process Eligibility Canadian Graduates To be eligible for the CPE, applicants must: •
Have achieved a passing mark on the NDAEB Written Exam; or
•
Hold the NDAEB Certificate by Transfer of Credentials (*TOC).
1. Applicants may apply for the CPE before they receive their written exam results in order to meet CPE deadlines. Applicants who are unsuccessful on the written exam will have their application withdrawn by the NDAEB and their fees reimbursed (except for the non-refundable application fee). 2. Contact the CDARA to confirm the requirement for the NDAEB Certificate and Clinical Practice Evaluation. International Applicants (Including US graduates) International applicants wishing to attain the NDAEB certificate, including graduates of US dental assisting programs, are required to successfully complete a two part NDAEB certificate process which includes the written exam, followed by the Clinical Practice Evaluation. To be eligible for the CPE, international applicants must: •
Have achieved a passing mark on the NDAEB Written Exam.
Note: 1. International applicants may apply for the CPE before they receive their written exam results in order to meet CPE deadlines. Applicants who are unsuccessful on the written exam will have their applications withdrawn by the NDAEB and their fees reimbursed (except for the non-refundable application fee). 2. International candidates may choose to voluntarily attend academic upgrading at a Canadian dental assisting program. Upgrading programs in lieu of CPE must include all nine skills evaluated on the CPE. Programs accredited by the Commission on Dental Accreditation of Canada are highly recommended for labour mobility purposes. NOTE: The CDARA may require graduates of nonaccredited Canadian programs to successfully complete the CPE prior to licensure/registration/certification. Contact the CDARA to confirm provincial regulatory requirements before enrolling in education programs in lieu of CPE. 3. Contact the CDARA to confirm the requirement for the NDAEB Certificate.
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How to Apply •
Submit a CPE application form, with passport size photo and full payment which must be received at the NDAEB office no later than 4:30 p.m. Eastern Time on the application deadline date. Late applications will not be processed and will be returned to the applicant. Candidates are encouraged to submit applications up to six weeks in advance of the application deadline date.
Note: Candidates must apply for all skills required to complete the CPE. Candidates may not apply for partial CPE unless applying for re-evaluation of individual skills or if proof of partial education in lieu of CPE is submitted with the application. Candidates enrolled in education upgrading at the time of registration for partial CPE, must show proof that their course/program will be completed prior to the date of their clinical evaluation. If education is not completed prior to a candidate’s registered CPE, they will not be eligible and will automatically be withdrawn.
Special Accommodations •
Requests for special accommodations (form available on our website under Document Library) must be received in writing at the NDAEB office no later than 4:30 p.m. Eastern Time on the application deadline date. Written verification of the circumstances requiring special accommodation, eg. special needs, medical conditions or religious reasons, must be supported by reports, or other documentary evidence, signed by a medical practitioner, psychologist or religious leader. The NDAEB reserves the right to determine what conditions/situations constitute a valid request for special accommodations. Candidates should note that dependant on the availability of clinics in various locations in Canada, requests for special sitting dates due to religious reasons may not be possible at every sitting.
Note: Prayer Times will be observed. Candidates must submit the form “Request for Special Testing Accommodations” stating the time(s) required for prayer and the duration to facilitate scheduling by NDAEB staff.
Evaluation Date and Confirmation •
The NDAEB schedules CPE sessions quarterly. Exact dates may vary at sites across Canada. Contact the NDAEB office for details regarding dates, times and locations, or visit the NDAEB website www.ndaeb.ca. Candidates will receive an email 2-3 weeks before their scheduled CPE session directing them to the candidate portal where they can access their Admission Letter. The Admission Letter will confirm their scheduled evaluation date, time and place to report. To be allowed entry to the clinic, candidates must present their Admission Letter in printed format or on their smart phone screen, along with photo ID.
Note: Due to scheduling purposes, candidates will not be permitted to change their selected evaluation site after the application deadline date.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
•
Candidates must be aware that due to clinic availability and the number of candidates applying, evaluations are usually scheduled on weekends, including Saturday and Sunday. Session dates may also include the preceding Friday or Monday following the scheduled weekend. Please note: candidates are scheduled for one day only. Candidates must also be aware that due to reasons beyond the NDAEB’s control, evaluation dates at specific sites may change after the application deadline. In such cases, the NDAEB will advise candidates as soon as possible. While scheduling changes rarely occur, candidates should plan accordingly. Contact the NDAEB or visit the website www.ndaeb.ca for details.
Fees •
The NDAEB charges a fee of $1200.00 (CAD) for the full evaluation, which includes a non-refundable $100.00 (CAD) application fee ($1,100.00 + $100.00) and $200.00 (CAD) per skill plus a $50.00 (CAD) application fee for retakes or initial evaluation of 5 or fewer skills. Candidates registering for 6 or more skills are required to pay the full fee of $1200.00 (CAD).
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Other fees for licensure/registration/certification in a province are not included in the CPE fees and are determined by, and payable to, the Canadian Dental Assisting Regulatory Authority (CDARA). Contact the CDARA for details on provincial licensing/registration/certification fees.
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All costs associated with travel, accommodations, etc. to attend CPE session are the responsibility of the candidate.
Application Withdrawal •
Candidates may withdraw their CPE application subject to a withdrawal fee. Should you decide to withdraw, please advise the NDAEB office in writing by fax immediately. (Fax No: 1-613-526-5560). Written notification of withdrawal must be signed by the applicant, or a designated representative, and must be received by the NDAEB office prior to the CPE date.
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Candidates, registered for the CPE who fail to present without providing twenty-four (24) hours prior written notice to the NDAEB, are assessed the full fees for evaluation. In the event a candidate is unable to attend the CPE for medical or serious personal reasons, their fees may be reimbursed, or the candidate may be registered for the next session without additional charge, provided the candidate submits a letter from a physician or other professional, confirming the reason for failing to attend the CPE. Candidates must submit their documentation to the NDAEB office no later than 30 days following the CPE date in order to receive reimbursement for medical or serious personal reasons.
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Withdrawals for medical reasons or serious personal circumstances will not be assessed a withdrawal fee, except for the non-refundable application fee. The NDAEB reserves the right to determine what constitutes serious personal circumstances prior to reimbursing fees.
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Withdrawal Fees • • • • •
Withdrawal 45 days or more of CPE date = 10% of fee Withdrawal 15-44 days of CPE date = 25% of fee Withdrawal 10-14 days of CPE date = 40% of fee Withdrawal 1-9 days of CPE date = 75% of fee Withdrawal less than 24 hours of date or No Show = 100% of fee
Note: • The application fee of $100.00 (CAD) (full CPE) and $50.00 (CAD) (retakes or initial evaluation of 5 or fewer skills) are non-refundable and applies to all withdrawals, including applications withdrawn for medical reasons or serious personal circumstances.
Preparing for the Clinical Practice Evaluation Important Information This Candidate Handbook and the orientation video contain detailed information regarding the administration of the Clinical Practice Evaluation. Please review the information carefully before your scheduled Clinical Practice Evaluation session. If you have questions, contact the NDAEB office at 1-613-526-3424 or by email: [email protected] Note: The orientation video and tray setup photos are available for viewing on the NDAEB website www.ndaeb.ca Candidates are advised that every effort is made to standardize equipment, instruments and supplies at sites across Canada; however, some variations may occur. Similar items will be available along with manufacturer’s instructions.
Frequently Asked Questions Clinical Practice Evaluation Session – General Information Q: Where do I report on evaluation day? A: Candidates will be emailed notification to retrieve their Admission Letter and the Rules of Conduct from the NDAEB candidate portal approximately 2 to 3 weeks prior to their evaluation date. The admission letter will include the date, time and location of the Clinical Practice Evaluation. If a candidate has not received an email notification to retrieve their Admission Letter within 2 weeks of their evaluation session, they must contact the NDAEB office at 1-613-526-3424. Be prepared to provide a valid email address or fax number with area code.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Q: What do I bring with me on evaluation day? A: You will require: government issued photo ID such as driver’s license, passport or health card and you must present your Admission Letter in printed format or on your smart phone screen. Candidates who do not produce ID will not be evaluated. Candidates MUST bring a clinical uniform with no personal, college or dental clinic identifiers. Clinic shoes (closed toe and heel), socks/hosiery must be worn. A change area will be available. Mandatory safety glasses (clear glass only) or prescription glasses MUST be worn at all times while in the clinic. Candidates who do not bring these items will not be permitted into the clinic. Jewelry must be kept to a minimum. You may NOT use aids such as text books, papers with notes or photos, or other items in the clinic. Personal instruments and supplies are not permitted except for latex free gloves and/or masks. The use of electronics such as: cell phones, cameras, Blackberries, MP3 players, Discmans, laptops or any other electronic device is strictly prohibited in the clinic, except to show your Admission Letter to your Evaluator. All electronics must be turned off and remain off in the clinic. Devices must be stored out of view along with your identification and any other belongings such purses, wallets, photo identification in your unit. You may access your electronic devices and belongings from your unit during the break time. Do not bring valuables, the NDAEB is not responsible for any lost or stolen items. Candidates found using any electronic device in the clinic, will be escorted from the clinic, and awarded a failure on their evaluation. Q: Is there an orientation session? A: Yes. Candidates must be very familiar with the information in this handbook before arriving at the CPE session. Additionally, candidates are advised to view the video on the NDAEB website www.ndaeb.ca before reporting for the CPE session. During the orientation session, the Candidate Orientation video will be shown to remind candidates about specific aspects of the CPE. Candidates must plan to arrive on the day and time specified in the Admission Letter. One (1) hour is allotted to familiarize all candidates reporting for evaluation of four (4) or more skills. Thirty (30) minutes will be allotted for those candidates reporting for evaluation of three (3) or fewer skills. During the clinical orientation, candidates will be familiarized with the manikin and equipment, instruments and supplies. Candidates will be given an opportunity to operate equipment such as chairs, dental lights delivery units, handpieces, oral evacuation and radiography exposure buttons. Instrument trays and manufacturer’s instructions will also be available during this time. Candidates will not be permitted to assemble or manipulate equipment and supplies or practice skills on the manikin during the orientation session. Please note, the orientation will NOT be a tutorial or instructional session. Candidates arriving after the orientation session begins will not be given extra time to become familiar with the clinic, equipment and supplies. Candidates arriving after the session begins may not be evaluated. The Session Facilitator will determine if a candidate arriving late will be evaluated, based on factors at the site on that day.
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Q: Will I be permitted to ask questions during the orientation session? A: Yes. Questions regarding the clinic facility, the operation of equipment and general evaluation questions will be answered. Questions related directly to the performance of the skills being evaluated will not be discussed or answered. Q: Are visitors allowed? A: No. Visitors are not permitted under any circumstances. Child care is not available and arrangements must be made by the candidate for childcare. Q: How long does the evaluation take? A: On average, candidates attending the full CPE (9 skills) should expect to be at the facility for approximately 6 hours, including the one hour orientation. A break will be provided. You are advised to bring a light snack, bottled water or other drinks. Water/drinks and food cannot be consumed in the clinic.
Host Clinic Safety, Security and Administrative Requirements •
Rules and regulations regarding safety, security and administrative matters will be outlined by the host facility Clinic Coordinator or Session Facilitator during the orientation tour. Candidates must follow the facility’s rules.
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Safety glasses (clear glass only) or prescription glasses MUST be worn at all times in the clinical setting. Candidates who refuse to wear safety glasses or prescription glasses will not be permitted to begin the orientation or evaluation session.
Evaluator Training and Calibration •
Evaluators have been educated to apply evaluation criteria in a standardized manner through a process known as “calibration”.
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Each candidate is assigned a primary Evaluator who will assess all skills for the candidate during the session. In addition, a Session Facilitator will confirm all evaluation outcomes. This process ensures a standardized evaluation for all candidates.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Interaction Between Candidates and Evaluators •
Candidates will refrain from discussions of a personal nature with Evaluators or others associated with the CPE. Information regarding their educational background, such as school of graduation, or other personal information should not be shared. Evaluators will not permit the exchange of information not directly related to the Clinical Practice Evaluation.
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Candidates will be expected to act professionally at all times. Outbursts or offensive language will not be tolerated. Session Facilitators will dismiss candidates for this type of behavior.
What Skills are Evaluated on the CPE? •
Candidates will be evaluated on the following intra-oral skills performed on a manikin: 1. Exposes Digital Radiographic Images 2. Obtains Preliminary Impressions for Study Casts 3. Applies and Removes Dental Dam 4. Selective Coronal Polishing 5. Applies Treatment Liner 6. Applies and Removes Matrix and Wedge 7. Applies Anti-Cariogenic Topical Fluoride Gel 8. Applies Pit and Fissure Sealant 9. Applies Topical Anesthetic
(See Appendix A of this handbook for evaluation forms with criteria)
Required Outcomes/Results •
Candidates are reminded that the CPE is intended to measure ability to perform each of the skills as the operator. Evaluation forms will be used to record the candidates’ performance. Candidates will be provided with an electronic copy of their evaluation results for each skill.
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Evaluation forms are divided into two sections – “Procedure” and “Professional Practice”. In both sections, the critical criteria for each skill is indicated by a bold “dot” between the A and U columns (A . U). To be successful, the candidate must be awarded an “A” (acceptable) in each and every critical criterion. For example: In the skill “Applies and Removes Dental Dam”; if a “U” grade is awarded for the criterion “Bow and wings are completely exposed on 17” this will result in failure for this criterion. In addition, because “Bow and wings are completely exposed on 17” is a critical criterion, it will also result in failure of the skill “Applies and Removes Dental Dam”.
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•
All skills allow for a minimum of one re-attempt within the allotted time to correct errors that are not related to patient safety. If the candidate chooses to reattempt the skill, the candidate will be evaluated on their best product. For example: In the skill “Applies and Removes Dental Dam”; if the candidate is awarded a “U” grade for the critical criterion “Bow and wings are completely exposed on 17” during their first attempt, but on the second attempt the error is corrected, an “A” grade is awarded for “Bow and wings are completely exposed on 17”, the “A” grade will stand as this technical error is not related to patient safety. Critical errors awarded a “U” grade under “Professional Practice” (those that would harm the patient) at any time, on any attempt, will be awarded a “U” grade. This “U” grade will not be reversed from a “U” grade to an “A” grade even if the error is corrected on a re-attempt/reapplication. For example: In the skill “Applies and Removes Dental Dam”; if the candidate is awarded a “U” grade for the critical criterion “Safety floss is attached to any clamp being placed in the mouth” on any attempt, the candidate will also be awarded a “U” grade for the critical criterion “Performs the skill safely and with care”. This technical and patient safety error cannot be corrected on a reattempt of the skill. The “U” grade will stand even if the error is corrected. This will result in failure of the skill “Applies and Removes Dental Dam”.
At the Commencement of Each Skill •
A treatment prescription will be provided for each skill. A maximum of five (5) minutes will be permitted to read the prescription before beginning the procedure.
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Candidates will be able to refer to the treatment prescription at anytime during the performance of the skill.
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Treatment prescriptions will include the number of re-attempts/re-applications permitted within the time limit. Where skills include a placement and removal (such as “Applies and Removes Dental Dam”), both the successful placement and removal will be required during the stated time limit.
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Candidates must follow the treatment prescription exactly.
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The manufacturer’s directions (if applicable) may also be reviewed within the five (5) minutes that are permitted to read the prescription. Candidates will be able to refer to the manufacturer’s directions at anytime during the performance of the skill.
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Candidates who are ready to proceed before the five minutes have expired, may advise their Evaluator they are ready to start.
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Candidates will be directed by their Evaluator to place their mask and put on their gloves.
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Putting on gloves and placing the mask is not included in the allotted time for the skill. Once the candidate advises their Evaluator they are ready to begin the skill, the timer will be started.
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Candidates must advise their Evaluator when they are ready to have their work evaluated. At this point, the timer will be stopped and the candidate will be directed to remove their gloves and mask.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
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If the candidate wishes to re-attempt/re-apply, in the allotted time, the candidate MUST inform their evaluator BEFORE they leave the operatory. Candidates who do not request a re-attempt/re-apply before leaving the operatory will not be permitted to return to make adjustments to their work, even if time remains to complete the skill.
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Candidates will be asked to leave the operatory/station to allow the Evaluators to evaluate the product.
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For the skills “Applies and Removes Dental Dam and Applies” and “Removes Matrix and Wedge”, the candidate will be directed to, and evaluated on, the removal of the dental dam and matrix and wedge BEFORE the reattempt/re-apply. This is for the benefit of the candidate.
Professional Practice Infection Prevention •
Candidates will not be required to wash their hands prior to placing their mask and putting on their gloves.
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No over gloves or barriers will be used.
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Gloves must be worn throughout the prescribed treatment.
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Masks must be worn throughout the prescribed treatment. Masks must be placed fully covering the nose and mouth at all times. Masks may be re-worn and changed at the discretion of the candidate.
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All aspects of infection prevention must be adhered to during the prescribed procedure while the timer is running. Before the timer is started or after the timer is stopped, infection prevention is not evaluated.
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If an instrument or supply item is dropped on the floor, the timer will be stopped while the evaluator replaces it. If any other break in asepsis occurs during the prescribed procedure at any time while the timer is running, it is the responsibility of the candidate to correct the error. For example, if an instrument comes in contact with the candidate’s hair or uniform, causing cross contamination, during the prescribed procedure at any time while the clock is running, the candidate must request a new instrument. In another example, if the candidate rips their glove during the prescribed procedure at any time while the timer is running, the candidate must request an opportunity to reglove. The clock will be stopped while the correction of the asepsis error takes place.
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Breaks in asepsis during the prescribed procedure at any time, while the timer is running, on any attempts that are not corrected by the candidate will result in the awarding of a “U” grade under the critical criteria “Maintains aseptic technique during the timed procedure” and “Performs the skill safely and with care”. These patient safety errors cannot be corrected on re-attempts/reapplications and will result in failure of the skill even if all other criteria are met.
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Using a Fulcrum •
A secure intra or extra oral fulcrum will be required when using all working instruments (explorer, handpiece, burnisher, spoon excavator). An extra oral fulcrum includes a finger or hand rest on the manikin’s hard/bony structures of the maxilla or mandible.
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An intra oral “built-up” fulcrum will be acceptable.
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A fulcrum will not be required when using a mouth mirror, articulating paper holder, cotton pliers, liner applicator, Howe pliers, clamp forceps, cotton tip applicators, scissors, etch, sealant, treatment liner syringes and/or Micro tip applicator. However, these items must be used in a safe manner.
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Failure to use a secure intra or extra oral fulcrum with working instruments at any point during the prescribed procedure (explorer, handpiece, burnisher, spoon excavator) will result in the awarding of a “U” grade under the critical criteria “Maintains secure intra or extra oral fulcrum with working instruments” and “Performs the skill safely and with care”. This type of patient safety error cannot be corrected on re-attempts/re-applications and will result in failure of the skill even if all other criteria are met.
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Failure to use other instruments in a safe manner will result in a “U” grade under the critical criterion “Performs the skill safely and with care”. This type of patient safety error cannot be corrected on re-attempts/re-applications and will result in failure of the skill even if all other criteria are met.
Performing the Skill Safely and with Care •
Any negligent behavior that does or could result in injury to the patient or damage to the teeth will be awarded a “U” grade under “Performs the skill safely and with care”. This patient safety error cannot be corrected on re-attempts/re-applications and will result in failure of the skill even if all other criteria are met.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Procedure Manikins as Patients Exposes Digital Radiographic Images •
Radiographic images will be exposed on a Dexter using the paralleling technique for periapical images and the RINN bitewing equipment or tab for the bitewing, with phosphor storage plates (PSPs).
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Information specific to opening and closing the Dexter and activating the exposure button will be provided. Candidates will NOT be given instruction or a demonstration on how to assemble the RINN XCP equipment for image exposure.
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Candidates must assemble their own RINN XCP paralleling equipment and place the PSPs into the biteblock for the periapical and bitewing images. If the candidate chooses the bisecting technique for the bitewing, they must place their own bitewing tab on the plate.
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Three (3) size 2 PSPs and one (1) size 1 PSP will be provided. Two additional PSPs will be provided for retake exposures.
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Exposed images will be scanned by the NDAEB personnel in the presence of the candidate. There is no requirement for candidates to have any knowledge of scanning equipment or dental software.
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The clock is stopped during the time required to for NDAEB personnel to scan and mount the candidate’s images.
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Images will be mounted on the computer monitor by NDAEB personnel the way they were exposed.
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All images will be numbered using the International numbering system.
Obtains Preliminary Impressions for Study Casts •
The impression trays that will be provided have been fitted for each manikin.
Applies and Removes Dental Dam •
The clamp that will be provided has been fitted for each manikin.
Selective Coronal Polishing •
Lead pencil will be used to create the stain on the manikin’s teeth. The stain will match the prescription.
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Applies Anti-Cariogenic Agent - Topical Fluoride Gel •
The anti-cariogenic agent will be applied to the teeth using the tray method. The fluoride trays that will be used have been fitted for each manikin.
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On the manikin, the anti-cariogenic agent adheres to plastic teeth and is difficult to remove with suction. Candidates must demonstrate their knowledge of removing the excess anti-cariogenic agent after the trays are removed from the mouth, but there is not an expectation candidates will be able to remove all of the excess fluoride from the plastic teeth.
Applies Pit and Fissure Sealant •
The pit and fissure sealant will be applied to the prescribed tooth using cotton roll isolation.
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Although the manikin does not salivate, candidates must demonstrate their knowledge of adequate isolation and re-isolation without saliva contamination.
Applies Topical Anesthetic •
On the manikin, the muccobuccal fold is located where the gingival tissues meet the hard plastic.
When Will I Receive the Results of the CPE? •
Candidates will receive an email notification from the NDAEB four to six weeks following the evaluation date advising them that their results have been made available on the candidate portal. International candidates who have successfully completed all requirements will have their NDAEB certificate forwarded by regular mail.
Reporting CPE Results to Regulatory Authorities •
In the interest of public safety, the NDAEB will automatically release candidates’ CPE results, pass or fail, to the Canadian Dental Assisting Regulatory Authority (CDARA) in the province in which the candidate took the CPE. The NDAEB will release pass or fail CPE results to the CDARA in any provincial jurisdiction upon request by the CDARA. The release of CPE results to third parties, other than a CDARA, will only be done with the written consent of the candidate. Please refer to NDAEB privacy policy and the CPE application form for details.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Evaluation if Unsuccessful •
Candidates who are unsuccessful may apply for re-evaluation. Please see information regarding application and fees elsewhere in this handbook.
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Candidates will be given credit for successful completion of skills on previous sessions and will be reevaluated only on the skills not successfully completed on previous attempt(s).
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Candidates must be successful on all skills within 13 (thirteen) months of the initial evaluation session. Candidates failing to successfully complete the entire CPE within 13 (thirteen) months of the initial attempt will be required to retake the entire evaluation (all skills) or complete educational upgrading in lieu in order to attain the NDAEB certificate or letter indicating successful completion of the CPE.
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Candidates may attempt all skills a maximum of three (3) times (initial CPE session and two additional dates) before being directed to a Canadian dental assisting program for education upgrading. Candidates will be responsible for all costs associated with education upgrading.
Appeals •
Unsuccessful candidates have the right to appeal. Appeals must be submitted in writing and arrive at the NDAEB office no later than 4:30 p.m. (Eastern Time), 30 days following the date appearing on the results letter. A $150.00 (CAD) appeal fee must accompany the letter of appeal. The NDAEB accepts bank draft or money order payments only.
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In the event the appeal is granted, the unsuccessful attempt will be expunged from the candidate’s file. The $150.00 (CAD) appeal fee will be reimbursed and the candidate will be afforded another reevaluation at no cost to the candidate at the next available CPE session. Candidates must demonstrate competence by successfully performing all skills on the CPE.
•
Candidates are advised that NDAEB policy does not permit the issuing of the NDAEB certificate, and/or letter confirming successful completion of the Clinical Practice Evaluation (CPE) if the appeal is granted.
•
If the appeal is denied, the original result will stand. All decisions by the Appeals Committee are final and will not be revisited.
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CANDIDATE HANDBOOK for t he CLI NICAL PRACTI CE EVALUATI O N Revis ed Ja n uar y 2018
Subsequent CPE Requirement after Initial Successful Completion •
A Canadian Dental Assisting Regulatory Authority (CDARA) may require a dental assistant to retake the CPE upon re-entry to practice after a lengthy period away from the profession. Contact the CDARA for information.
Provincial Licensure/Listing/Certification/Registration •
Provincial regulations apply to the dental assisting profession in most Canadian jurisdictions. The NDAEB written exam and Clinical Practice Evaluation may only be part of the licensure/registration/certification requirements in a province. You are advised to contact the provincial Canadian Dental Assisting Regulatory Authority (CDARA) for regulatory information. (See the NDAEB website www.ndaeb.ca – Registration & Licensure).
Copyright & Disclaimer •
The NDAEB CPE Candidate Handbook and evaluation forms are protected by copyright ©.
•
While efforts have been made to ensure the accuracy of the information contained in this handbook, you acknowledge that the handbook and its contents are being provided to you on an “as is” basis without any warranties, representations or conditions regarding its accuracy and that all risk associated with its use is assumed by you. In no event will the National Dental Assisting Examining Board or its agents be liable to you for any loss or damage arising, whether directly or indirectly, from your use of this handbook, including any special, indirect, incidental or consequential damages, howsoever caused.
© 2001 – 2018 National Dental Assisting Examining Board
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National Dental Assisting Examining Board
Appendix A – Evaluation Forms
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© 2001 – 2018 National Dental Assisting Examining Board
2018
National Dental Assisting Examining Board
Appendix B Clinic Uniforms, Safety Glasses or Prescription Glasses, Gloves and Masks Clinic Attire: (Candidates must provide their own) •
Clinic uniforms with no personal, college or dental clinic identifiers. Clinic shoes (closed toe and heel) and hosiery/socks must be worn in the clinic.
Jewelry and Hair: •
Jewelry must be kept to a minimum for safety reasons.
•
Hair must be kept back off the face for safety reasons.
Safety Glasses (clear glass only): •
(Candidates must provide their own safety glasses or prescription glasses)
•
Safety glasses (clear glass only) or prescription glasses must be worn at all times in the clinic, including the radiography rooms and processing area.
Gloves: •
NDAEB will provide gloves, Candidates are permitted to bring their own – GLOVES MUST BE LATEX FREE ONLY.
•
A new pair of treatment gloves will be required for each procedure.
•
Treatment gloves will only be worn in the operatory setting and radiography rooms.
Masks: •
Masks must be worn correctly completely covering the nose and mouth. Masks will be worn at the chairside during intra-oral procedures and while exposing digital images. Masks can be re-worn and changed at the discretion of the candidate.
Personal Instruments and Supplies – Not Permitted •
NDAEB will provide all equipment, instruments and supplies.
•
Personal dental equipment, instruments and supplies will not permitted.
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Appendix C Dental Materials Provided Candidates must use the instruments, equipment and supplies provided at the site. Dental dam punching templates will not be provided. Tray setup photos are available on the NDAEB website: www.ndaeb.ca (CPE) in MS PowerPoint format. Note: Photos of the instruments and supply tray setups are generic. Evaluation sites may not provide exact instrument and supply items as shown in the photos. Some items may be substituted for similar instruments or materials. Manufacturer’s instructions will be provided. The following is a generic list of some of the materials that will be provided at each site: 1. 2. 3. 4. 5.
Jeltrate impression material (fast-set) with manufacturer’s instructions Prophy paste (fine grit) Light cured cavity liner, various brands with manufacturer’s instructions One minute anti-cariogenic topical fluoride gel with manufacturer’s instructions Light cured pit and fissure sealant material with etchant, various brands, with manufacturer’s instructions 6. Pre-dispensed topical anesthetic gel with manufacturer’s instructions
Appendix D References 1. Clinical Practice of the Dental Hygienist, 12th EditionWilkins (2017) ISBN 978-1-4511-9311-4 (Chapter 15: Dental Biofilm and Other Soft Deposits; Chapter 22: Dental Stains and Discolorations; Chapter 23: Indices and Scoring Methods; Chapter 28: Oral Infection Control: Toothbrushes and Toothbrushing; Chapter 29: Oral Infection Control: Interdental Care; Chapter 36: Fluorides; Chapter 37: Sealants; Chapter 44: Dentin Hypersensitivity; Chapter 45: Extrinsic Stain Removal; Chapter 46: Tooth Bleaching); or Intraoral Prevention Procedures and Practicum (Selected Chapters from Clinical Practice of the Dental Hygienist, 12th Edition, By Esther M. Wilkins), Customer Edition, Wolters Kluwer Health (2016), ISBN: 978-1-49511-9311-4 2. Dental Assisting, A Comprehensive Approach, 5th Edition Delmar (2018), ISBN 978-1-305-96763-2 3. Modern Dental Assisting, 12th Edition, Torres and Ehrlich (2018), ISBN 978-0-323-43030-2
© 2001 – 2018 National Dental Assisting Examining Board
Candidate Handbook for the
Clinical Practice Evaluation Revised January 2018
National Dental Assisting Examining Board
Introduction The National Dental Assisting Examining Board has developed and maintains the Clinical Practice Evaluation (CPE) to aid Canadian Dental Assisting Regulatory Authorities (CDARA) in the licensure/listing/ certification/registration of dental assistants in Canada. The purpose of the CPE is to protect the public by confirming that persons entering the dental assisting profession possess the skills necessary to perform their dental assistant duties safely and effectively. Candidates applying for the Clinical Practice Evaluation must successfully complete the NDAEB Written Examination or hold the NDAEB Certificate by Transfer of Credentials (without examination) prior to being eligible for the CPE. International applicants are advised the NDAEB certificate process consists of two parts: the written examination, followed by the CPE. In lieu of the CPE, international applicants may choose to voluntarily complete formal intra-oral dental assisting education at a Canadian institute. The institute’s graduates must be eligible to write the NDAEB examination. Contact the NDAEB office or visit the NDAEB website: www.ndaeb.ca for information regarding dental assisting education programs. Candidates choosing voluntary education in lieu of CPE are advised that education completed at programs which are not accredited by the Commission on Dental Accreditation of Canada will not meet the regulatory requirements for most Canadian provinces. The CDARA may require graduates of Canadian nonaccredited programs to successfully complete the CPE to be considered for licensure/certification/ registration. Candidates who are uncertain as to their licensure status are advised to consult the CDARA in the province they intend to work in before enrolling in a non-accredited education program. Candidates are advised that the decision to require the NDAEB certificate for provincial licensure/certification/registration rests with the Canadian Dental Assisting Regulatory Authority (CDARA). For regulatory information, contact the provincial CDARA to confirm the need to hold the NDAEB certificate before applying to the NDAEB. A provincial exam and/or or clinical evaluation may be required in some jurisdictions. Candidates are advised to seek licensure/listing/certification/ registration information from the provincial CDARA in the province in which they intend to seek employment. For CDARA contact information, see the Registration and Licensure area on the NDAEB website.
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Table of Contents APPLICATION PROCESS ..............................................................................................................3 ELIGIBILITY ...................................................................................................................................3 Canadian Graduates .........................................................................................................3 InternationalApplicants (Including US graduates)...........................................................3 HOW TO APPLY..............................................................................................................................4 SPECIAL ACCOMMODATIONS....................................................................................................4 EVALUATION DATE AND CONFIRMATION..............................................................................4 FREQUENTLY ASKED QUESTIONS............................................................................................6 HOST CLINIC SAFETY, SECURITY AND ADMINISTRATIVE REQUIREMENTS .................8 EVALUATOR TRAINING AND CALIBRATION..........................................................................8 INTERACTION BETWEEN CANDIDATES AND EVALUATORS .............................................9 WHAT SKILLS ARE EVALUATED ON THE CPE? ......................................................................9 REQUIRED OUTCOMES/RESULTS .............................................................................................9 AT THE COMMENCEMENT OF EACH SKILL..........................................................................10 INFECTION PREVENTION..........................................................................................................11 USING A FULCRUM.....................................................................................................................12 PROCEDURE/MANIKINS AS PATIENTS...................................................................................13 WHEN WILL I RECEIVE THE RESULTS OF THE CPE? ..........................................................14 REPORTING CPE RESULTS TO REGULATORY AUTHORITIES ...........................................14 EVALUATION IF UNSUCCESSFUL ...........................................................................................15 APPEALS .......................................................................................................................................15 SUBSEQUENT CPE REQUIREMENT AFTER INITIAL SUCCESSFUL COMPLETION .......16 PROVINCIAL LICENSURE/LISTING/CERTIFICATION/REGISTRATION ............................16 COPYRIGHT & DISCLAIMER ....................................................................................................16 APPENDIX A: Evaluation Forms ..................................................................................................17 APPENDIX B: Clinic Uniforms, Safety Glasses or Prescription Glasses, Gloves and Masks ......31 APPENDIX C: Dental Materials Provided.....................................................................................32 APPENDIX D: References .............................................................................................................32
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Application Process Eligibility Canadian Graduates To be eligible for the CPE, applicants must: •
Have achieved a passing mark on the NDAEB Written Exam; or
•
Hold the NDAEB Certificate by Transfer of Credentials (*TOC).
1. Applicants may apply for the CPE before they receive their written exam results in order to meet CPE deadlines. Applicants who are unsuccessful on the written exam will have their application withdrawn by the NDAEB and their fees reimbursed (except for the non-refundable application fee). 2. Contact the CDARA to confirm the requirement for the NDAEB Certificate and Clinical Practice Evaluation. International Applicants (Including US graduates) International applicants wishing to attain the NDAEB certificate, including graduates of US dental assisting programs, are required to successfully complete a two part NDAEB certificate process which includes the written exam, followed by the Clinical Practice Evaluation. To be eligible for the CPE, international applicants must: •
Have achieved a passing mark on the NDAEB Written Exam.
Note: 1. International applicants may apply for the CPE before they receive their written exam results in order to meet CPE deadlines. Applicants who are unsuccessful on the written exam will have their applications withdrawn by the NDAEB and their fees reimbursed (except for the non-refundable application fee). 2. International candidates may choose to voluntarily attend academic upgrading at a Canadian dental assisting program. Upgrading programs in lieu of CPE must include all nine skills evaluated on the CPE. Programs accredited by the Commission on Dental Accreditation of Canada are highly recommended for labour mobility purposes. NOTE: The CDARA may require graduates of nonaccredited Canadian programs to successfully complete the CPE prior to licensure/registration/certification. Contact the CDARA to confirm provincial regulatory requirements before enrolling in education programs in lieu of CPE. 3. Contact the CDARA to confirm the requirement for the NDAEB Certificate.
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How to Apply •
Submit a CPE application form, with passport size photo and full payment which must be received at the NDAEB office no later than 4:30 p.m. Eastern Time on the application deadline date. Late applications will not be processed and will be returned to the applicant. Candidates are encouraged to submit applications up to six weeks in advance of the application deadline date.
Note: Candidates must apply for all skills required to complete the CPE. Candidates may not apply for partial CPE unless applying for re-evaluation of individual skills or if proof of partial education in lieu of CPE is submitted with the application. Candidates enrolled in education upgrading at the time of registration for partial CPE, must show proof that their course/program will be completed prior to the date of their clinical evaluation. If education is not completed prior to a candidate’s registered CPE, they will not be eligible and will automatically be withdrawn.
Special Accommodations •
Requests for special accommodations (form available on our website under Document Library) must be received in writing at the NDAEB office no later than 4:30 p.m. Eastern Time on the application deadline date. Written verification of the circumstances requiring special accommodation, eg. special needs, medical conditions or religious reasons, must be supported by reports, or other documentary evidence, signed by a medical practitioner, psychologist or religious leader. The NDAEB reserves the right to determine what conditions/situations constitute a valid request for special accommodations. Candidates should note that dependant on the availability of clinics in various locations in Canada, requests for special sitting dates due to religious reasons may not be possible at every sitting.
Note: Prayer Times will be observed. Candidates must submit the form “Request for Special Testing Accommodations” stating the time(s) required for prayer and the duration to facilitate scheduling by NDAEB staff.
Evaluation Date and Confirmation •
The NDAEB schedules CPE sessions quarterly. Exact dates may vary at sites across Canada. Contact the NDAEB office for details regarding dates, times and locations, or visit the NDAEB website www.ndaeb.ca. Candidates will receive an email 2-3 weeks before their scheduled CPE session directing them to the candidate portal where they can access their Admission Letter. The Admission Letter will confirm their scheduled evaluation date, time and place to report. To be allowed entry to the clinic, candidates must present their Admission Letter in printed format or on their smart phone screen, along with photo ID.
Note: Due to scheduling purposes, candidates will not be permitted to change their selected evaluation site after the application deadline date.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
•
Candidates must be aware that due to clinic availability and the number of candidates applying, evaluations are usually scheduled on weekends, including Saturday and Sunday. Session dates may also include the preceding Friday or Monday following the scheduled weekend. Please note: candidates are scheduled for one day only. Candidates must also be aware that due to reasons beyond the NDAEB’s control, evaluation dates at specific sites may change after the application deadline. In such cases, the NDAEB will advise candidates as soon as possible. While scheduling changes rarely occur, candidates should plan accordingly. Contact the NDAEB or visit the website www.ndaeb.ca for details.
Fees •
The NDAEB charges a fee of $1200.00 (CAD) for the full evaluation, which includes a non-refundable $100.00 (CAD) application fee ($1,100.00 + $100.00) and $200.00 (CAD) per skill plus a $50.00 (CAD) application fee for retakes or initial evaluation of 5 or fewer skills. Candidates registering for 6 or more skills are required to pay the full fee of $1200.00 (CAD).
•
Other fees for licensure/registration/certification in a province are not included in the CPE fees and are determined by, and payable to, the Canadian Dental Assisting Regulatory Authority (CDARA). Contact the CDARA for details on provincial licensing/registration/certification fees.
•
All costs associated with travel, accommodations, etc. to attend CPE session are the responsibility of the candidate.
Application Withdrawal •
Candidates may withdraw their CPE application subject to a withdrawal fee. Should you decide to withdraw, please advise the NDAEB office in writing by fax immediately. (Fax No: 1-613-526-5560). Written notification of withdrawal must be signed by the applicant, or a designated representative, and must be received by the NDAEB office prior to the CPE date.
•
Candidates, registered for the CPE who fail to present without providing twenty-four (24) hours prior written notice to the NDAEB, are assessed the full fees for evaluation. In the event a candidate is unable to attend the CPE for medical or serious personal reasons, their fees may be reimbursed, or the candidate may be registered for the next session without additional charge, provided the candidate submits a letter from a physician or other professional, confirming the reason for failing to attend the CPE. Candidates must submit their documentation to the NDAEB office no later than 30 days following the CPE date in order to receive reimbursement for medical or serious personal reasons.
•
Withdrawals for medical reasons or serious personal circumstances will not be assessed a withdrawal fee, except for the non-refundable application fee. The NDAEB reserves the right to determine what constitutes serious personal circumstances prior to reimbursing fees.
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Withdrawal Fees • • • • •
Withdrawal 45 days or more of CPE date = 10% of fee Withdrawal 15-44 days of CPE date = 25% of fee Withdrawal 10-14 days of CPE date = 40% of fee Withdrawal 1-9 days of CPE date = 75% of fee Withdrawal less than 24 hours of date or No Show = 100% of fee
Note: • The application fee of $100.00 (CAD) (full CPE) and $50.00 (CAD) (retakes or initial evaluation of 5 or fewer skills) are non-refundable and applies to all withdrawals, including applications withdrawn for medical reasons or serious personal circumstances.
Preparing for the Clinical Practice Evaluation Important Information This Candidate Handbook and the orientation video contain detailed information regarding the administration of the Clinical Practice Evaluation. Please review the information carefully before your scheduled Clinical Practice Evaluation session. If you have questions, contact the NDAEB office at 1-613-526-3424 or by email: [email protected] Note: The orientation video and tray setup photos are available for viewing on the NDAEB website www.ndaeb.ca Candidates are advised that every effort is made to standardize equipment, instruments and supplies at sites across Canada; however, some variations may occur. Similar items will be available along with manufacturer’s instructions.
Frequently Asked Questions Clinical Practice Evaluation Session – General Information Q: Where do I report on evaluation day? A: Candidates will be emailed notification to retrieve their Admission Letter and the Rules of Conduct from the NDAEB candidate portal approximately 2 to 3 weeks prior to their evaluation date. The admission letter will include the date, time and location of the Clinical Practice Evaluation. If a candidate has not received an email notification to retrieve their Admission Letter within 2 weeks of their evaluation session, they must contact the NDAEB office at 1-613-526-3424. Be prepared to provide a valid email address or fax number with area code.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Q: What do I bring with me on evaluation day? A: You will require: government issued photo ID such as driver’s license, passport or health card and you must present your Admission Letter in printed format or on your smart phone screen. Candidates who do not produce ID will not be evaluated. Candidates MUST bring a clinical uniform with no personal, college or dental clinic identifiers. Clinic shoes (closed toe and heel), socks/hosiery must be worn. A change area will be available. Mandatory safety glasses (clear glass only) or prescription glasses MUST be worn at all times while in the clinic. Candidates who do not bring these items will not be permitted into the clinic. Jewelry must be kept to a minimum. You may NOT use aids such as text books, papers with notes or photos, or other items in the clinic. Personal instruments and supplies are not permitted except for latex free gloves and/or masks. The use of electronics such as: cell phones, cameras, Blackberries, MP3 players, Discmans, laptops or any other electronic device is strictly prohibited in the clinic, except to show your Admission Letter to your Evaluator. All electronics must be turned off and remain off in the clinic. Devices must be stored out of view along with your identification and any other belongings such purses, wallets, photo identification in your unit. You may access your electronic devices and belongings from your unit during the break time. Do not bring valuables, the NDAEB is not responsible for any lost or stolen items. Candidates found using any electronic device in the clinic, will be escorted from the clinic, and awarded a failure on their evaluation. Q: Is there an orientation session? A: Yes. Candidates must be very familiar with the information in this handbook before arriving at the CPE session. Additionally, candidates are advised to view the video on the NDAEB website www.ndaeb.ca before reporting for the CPE session. During the orientation session, the Candidate Orientation video will be shown to remind candidates about specific aspects of the CPE. Candidates must plan to arrive on the day and time specified in the Admission Letter. One (1) hour is allotted to familiarize all candidates reporting for evaluation of four (4) or more skills. Thirty (30) minutes will be allotted for those candidates reporting for evaluation of three (3) or fewer skills. During the clinical orientation, candidates will be familiarized with the manikin and equipment, instruments and supplies. Candidates will be given an opportunity to operate equipment such as chairs, dental lights delivery units, handpieces, oral evacuation and radiography exposure buttons. Instrument trays and manufacturer’s instructions will also be available during this time. Candidates will not be permitted to assemble or manipulate equipment and supplies or practice skills on the manikin during the orientation session. Please note, the orientation will NOT be a tutorial or instructional session. Candidates arriving after the orientation session begins will not be given extra time to become familiar with the clinic, equipment and supplies. Candidates arriving after the session begins may not be evaluated. The Session Facilitator will determine if a candidate arriving late will be evaluated, based on factors at the site on that day.
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Q: Will I be permitted to ask questions during the orientation session? A: Yes. Questions regarding the clinic facility, the operation of equipment and general evaluation questions will be answered. Questions related directly to the performance of the skills being evaluated will not be discussed or answered. Q: Are visitors allowed? A: No. Visitors are not permitted under any circumstances. Child care is not available and arrangements must be made by the candidate for childcare. Q: How long does the evaluation take? A: On average, candidates attending the full CPE (9 skills) should expect to be at the facility for approximately 6 hours, including the one hour orientation. A break will be provided. You are advised to bring a light snack, bottled water or other drinks. Water/drinks and food cannot be consumed in the clinic.
Host Clinic Safety, Security and Administrative Requirements •
Rules and regulations regarding safety, security and administrative matters will be outlined by the host facility Clinic Coordinator or Session Facilitator during the orientation tour. Candidates must follow the facility’s rules.
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Safety glasses (clear glass only) or prescription glasses MUST be worn at all times in the clinical setting. Candidates who refuse to wear safety glasses or prescription glasses will not be permitted to begin the orientation or evaluation session.
Evaluator Training and Calibration •
Evaluators have been educated to apply evaluation criteria in a standardized manner through a process known as “calibration”.
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Each candidate is assigned a primary Evaluator who will assess all skills for the candidate during the session. In addition, a Session Facilitator will confirm all evaluation outcomes. This process ensures a standardized evaluation for all candidates.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Interaction Between Candidates and Evaluators •
Candidates will refrain from discussions of a personal nature with Evaluators or others associated with the CPE. Information regarding their educational background, such as school of graduation, or other personal information should not be shared. Evaluators will not permit the exchange of information not directly related to the Clinical Practice Evaluation.
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Candidates will be expected to act professionally at all times. Outbursts or offensive language will not be tolerated. Session Facilitators will dismiss candidates for this type of behavior.
What Skills are Evaluated on the CPE? •
Candidates will be evaluated on the following intra-oral skills performed on a manikin: 1. Exposes Digital Radiographic Images 2. Obtains Preliminary Impressions for Study Casts 3. Applies and Removes Dental Dam 4. Selective Coronal Polishing 5. Applies Treatment Liner 6. Applies and Removes Matrix and Wedge 7. Applies Anti-Cariogenic Topical Fluoride Gel 8. Applies Pit and Fissure Sealant 9. Applies Topical Anesthetic
(See Appendix A of this handbook for evaluation forms with criteria)
Required Outcomes/Results •
Candidates are reminded that the CPE is intended to measure ability to perform each of the skills as the operator. Evaluation forms will be used to record the candidates’ performance. Candidates will be provided with an electronic copy of their evaluation results for each skill.
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Evaluation forms are divided into two sections – “Procedure” and “Professional Practice”. In both sections, the critical criteria for each skill is indicated by a bold “dot” between the A and U columns (A . U). To be successful, the candidate must be awarded an “A” (acceptable) in each and every critical criterion. For example: In the skill “Applies and Removes Dental Dam”; if a “U” grade is awarded for the criterion “Bow and wings are completely exposed on 17” this will result in failure for this criterion. In addition, because “Bow and wings are completely exposed on 17” is a critical criterion, it will also result in failure of the skill “Applies and Removes Dental Dam”.
© 2001 – 2018 National Dental Assisting Examining Board
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•
All skills allow for a minimum of one re-attempt within the allotted time to correct errors that are not related to patient safety. If the candidate chooses to reattempt the skill, the candidate will be evaluated on their best product. For example: In the skill “Applies and Removes Dental Dam”; if the candidate is awarded a “U” grade for the critical criterion “Bow and wings are completely exposed on 17” during their first attempt, but on the second attempt the error is corrected, an “A” grade is awarded for “Bow and wings are completely exposed on 17”, the “A” grade will stand as this technical error is not related to patient safety. Critical errors awarded a “U” grade under “Professional Practice” (those that would harm the patient) at any time, on any attempt, will be awarded a “U” grade. This “U” grade will not be reversed from a “U” grade to an “A” grade even if the error is corrected on a re-attempt/reapplication. For example: In the skill “Applies and Removes Dental Dam”; if the candidate is awarded a “U” grade for the critical criterion “Safety floss is attached to any clamp being placed in the mouth” on any attempt, the candidate will also be awarded a “U” grade for the critical criterion “Performs the skill safely and with care”. This technical and patient safety error cannot be corrected on a reattempt of the skill. The “U” grade will stand even if the error is corrected. This will result in failure of the skill “Applies and Removes Dental Dam”.
At the Commencement of Each Skill •
A treatment prescription will be provided for each skill. A maximum of five (5) minutes will be permitted to read the prescription before beginning the procedure.
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Candidates will be able to refer to the treatment prescription at anytime during the performance of the skill.
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Treatment prescriptions will include the number of re-attempts/re-applications permitted within the time limit. Where skills include a placement and removal (such as “Applies and Removes Dental Dam”), both the successful placement and removal will be required during the stated time limit.
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Candidates must follow the treatment prescription exactly.
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The manufacturer’s directions (if applicable) may also be reviewed within the five (5) minutes that are permitted to read the prescription. Candidates will be able to refer to the manufacturer’s directions at anytime during the performance of the skill.
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Candidates who are ready to proceed before the five minutes have expired, may advise their Evaluator they are ready to start.
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Candidates will be directed by their Evaluator to place their mask and put on their gloves.
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Putting on gloves and placing the mask is not included in the allotted time for the skill. Once the candidate advises their Evaluator they are ready to begin the skill, the timer will be started.
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Candidates must advise their Evaluator when they are ready to have their work evaluated. At this point, the timer will be stopped and the candidate will be directed to remove their gloves and mask.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
•
If the candidate wishes to re-attempt/re-apply, in the allotted time, the candidate MUST inform their evaluator BEFORE they leave the operatory. Candidates who do not request a re-attempt/re-apply before leaving the operatory will not be permitted to return to make adjustments to their work, even if time remains to complete the skill.
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Candidates will be asked to leave the operatory/station to allow the Evaluators to evaluate the product.
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For the skills “Applies and Removes Dental Dam and Applies” and “Removes Matrix and Wedge”, the candidate will be directed to, and evaluated on, the removal of the dental dam and matrix and wedge BEFORE the reattempt/re-apply. This is for the benefit of the candidate.
Professional Practice Infection Prevention •
Candidates will not be required to wash their hands prior to placing their mask and putting on their gloves.
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No over gloves or barriers will be used.
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Gloves must be worn throughout the prescribed treatment.
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Masks must be worn throughout the prescribed treatment. Masks must be placed fully covering the nose and mouth at all times. Masks may be re-worn and changed at the discretion of the candidate.
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All aspects of infection prevention must be adhered to during the prescribed procedure while the timer is running. Before the timer is started or after the timer is stopped, infection prevention is not evaluated.
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If an instrument or supply item is dropped on the floor, the timer will be stopped while the evaluator replaces it. If any other break in asepsis occurs during the prescribed procedure at any time while the timer is running, it is the responsibility of the candidate to correct the error. For example, if an instrument comes in contact with the candidate’s hair or uniform, causing cross contamination, during the prescribed procedure at any time while the clock is running, the candidate must request a new instrument. In another example, if the candidate rips their glove during the prescribed procedure at any time while the timer is running, the candidate must request an opportunity to reglove. The clock will be stopped while the correction of the asepsis error takes place.
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Breaks in asepsis during the prescribed procedure at any time, while the timer is running, on any attempts that are not corrected by the candidate will result in the awarding of a “U” grade under the critical criteria “Maintains aseptic technique during the timed procedure” and “Performs the skill safely and with care”. These patient safety errors cannot be corrected on re-attempts/reapplications and will result in failure of the skill even if all other criteria are met.
© 2001 – 2018 National Dental Assisting Examining Board
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CANDIDATE HANDBOOK for t he CLI NICAL PRACTI CE EVALUATI O N Revis ed Ja n uar y 2018
Using a Fulcrum •
A secure intra or extra oral fulcrum will be required when using all working instruments (explorer, handpiece, burnisher, spoon excavator). An extra oral fulcrum includes a finger or hand rest on the manikin’s hard/bony structures of the maxilla or mandible.
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An intra oral “built-up” fulcrum will be acceptable.
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A fulcrum will not be required when using a mouth mirror, articulating paper holder, cotton pliers, liner applicator, Howe pliers, clamp forceps, cotton tip applicators, scissors, etch, sealant, treatment liner syringes and/or Micro tip applicator. However, these items must be used in a safe manner.
•
Failure to use a secure intra or extra oral fulcrum with working instruments at any point during the prescribed procedure (explorer, handpiece, burnisher, spoon excavator) will result in the awarding of a “U” grade under the critical criteria “Maintains secure intra or extra oral fulcrum with working instruments” and “Performs the skill safely and with care”. This type of patient safety error cannot be corrected on re-attempts/re-applications and will result in failure of the skill even if all other criteria are met.
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Failure to use other instruments in a safe manner will result in a “U” grade under the critical criterion “Performs the skill safely and with care”. This type of patient safety error cannot be corrected on re-attempts/re-applications and will result in failure of the skill even if all other criteria are met.
Performing the Skill Safely and with Care •
Any negligent behavior that does or could result in injury to the patient or damage to the teeth will be awarded a “U” grade under “Performs the skill safely and with care”. This patient safety error cannot be corrected on re-attempts/re-applications and will result in failure of the skill even if all other criteria are met.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Procedure Manikins as Patients Exposes Digital Radiographic Images •
Radiographic images will be exposed on a Dexter using the paralleling technique for periapical images and the RINN bitewing equipment or tab for the bitewing, with phosphor storage plates (PSPs).
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Information specific to opening and closing the Dexter and activating the exposure button will be provided. Candidates will NOT be given instruction or a demonstration on how to assemble the RINN XCP equipment for image exposure.
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Candidates must assemble their own RINN XCP paralleling equipment and place the PSPs into the biteblock for the periapical and bitewing images. If the candidate chooses the bisecting technique for the bitewing, they must place their own bitewing tab on the plate.
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Three (3) size 2 PSPs and one (1) size 1 PSP will be provided. Two additional PSPs will be provided for retake exposures.
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Exposed images will be scanned by the NDAEB personnel in the presence of the candidate. There is no requirement for candidates to have any knowledge of scanning equipment or dental software.
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The clock is stopped during the time required to for NDAEB personnel to scan and mount the candidate’s images.
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Images will be mounted on the computer monitor by NDAEB personnel the way they were exposed.
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All images will be numbered using the International numbering system.
Obtains Preliminary Impressions for Study Casts •
The impression trays that will be provided have been fitted for each manikin.
Applies and Removes Dental Dam •
The clamp that will be provided has been fitted for each manikin.
Selective Coronal Polishing •
Lead pencil will be used to create the stain on the manikin’s teeth. The stain will match the prescription.
© 2001 – 2018 National Dental Assisting Examining Board
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CANDIDATE HANDBOOK for t he CLI NICAL PRACTI CE EVALUATI O N Revis ed Ja n uar y 2018
Applies Anti-Cariogenic Agent - Topical Fluoride Gel •
The anti-cariogenic agent will be applied to the teeth using the tray method. The fluoride trays that will be used have been fitted for each manikin.
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On the manikin, the anti-cariogenic agent adheres to plastic teeth and is difficult to remove with suction. Candidates must demonstrate their knowledge of removing the excess anti-cariogenic agent after the trays are removed from the mouth, but there is not an expectation candidates will be able to remove all of the excess fluoride from the plastic teeth.
Applies Pit and Fissure Sealant •
The pit and fissure sealant will be applied to the prescribed tooth using cotton roll isolation.
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Although the manikin does not salivate, candidates must demonstrate their knowledge of adequate isolation and re-isolation without saliva contamination.
Applies Topical Anesthetic •
On the manikin, the muccobuccal fold is located where the gingival tissues meet the hard plastic.
When Will I Receive the Results of the CPE? •
Candidates will receive an email notification from the NDAEB four to six weeks following the evaluation date advising them that their results have been made available on the candidate portal. International candidates who have successfully completed all requirements will have their NDAEB certificate forwarded by regular mail.
Reporting CPE Results to Regulatory Authorities •
In the interest of public safety, the NDAEB will automatically release candidates’ CPE results, pass or fail, to the Canadian Dental Assisting Regulatory Authority (CDARA) in the province in which the candidate took the CPE. The NDAEB will release pass or fail CPE results to the CDARA in any provincial jurisdiction upon request by the CDARA. The release of CPE results to third parties, other than a CDARA, will only be done with the written consent of the candidate. Please refer to NDAEB privacy policy and the CPE application form for details.
© 2001 – 2018 National Dental Assisting Examining Board
National Dental Assisting Examining Board
Evaluation if Unsuccessful •
Candidates who are unsuccessful may apply for re-evaluation. Please see information regarding application and fees elsewhere in this handbook.
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Candidates will be given credit for successful completion of skills on previous sessions and will be reevaluated only on the skills not successfully completed on previous attempt(s).
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Candidates must be successful on all skills within 13 (thirteen) months of the initial evaluation session. Candidates failing to successfully complete the entire CPE within 13 (thirteen) months of the initial attempt will be required to retake the entire evaluation (all skills) or complete educational upgrading in lieu in order to attain the NDAEB certificate or letter indicating successful completion of the CPE.
•
Candidates may attempt all skills a maximum of three (3) times (initial CPE session and two additional dates) before being directed to a Canadian dental assisting program for education upgrading. Candidates will be responsible for all costs associated with education upgrading.
Appeals •
Unsuccessful candidates have the right to appeal. Appeals must be submitted in writing and arrive at the NDAEB office no later than 4:30 p.m. (Eastern Time), 30 days following the date appearing on the results letter. A $150.00 (CAD) appeal fee must accompany the letter of appeal. The NDAEB accepts bank draft or money order payments only.
•
In the event the appeal is granted, the unsuccessful attempt will be expunged from the candidate’s file. The $150.00 (CAD) appeal fee will be reimbursed and the candidate will be afforded another reevaluation at no cost to the candidate at the next available CPE session. Candidates must demonstrate competence by successfully performing all skills on the CPE.
•
Candidates are advised that NDAEB policy does not permit the issuing of the NDAEB certificate, and/or letter confirming successful completion of the Clinical Practice Evaluation (CPE) if the appeal is granted.
•
If the appeal is denied, the original result will stand. All decisions by the Appeals Committee are final and will not be revisited.
© 2001 – 2018 National Dental Assisting Examining Board
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CANDIDATE HANDBOOK for t he CLI NICAL PRACTI CE EVALUATI O N Revis ed Ja n uar y 2018
Subsequent CPE Requirement after Initial Successful Completion •
A Canadian Dental Assisting Regulatory Authority (CDARA) may require a dental assistant to retake the CPE upon re-entry to practice after a lengthy period away from the profession. Contact the CDARA for information.
Provincial Licensure/Listing/Certification/Registration •
Provincial regulations apply to the dental assisting profession in most Canadian jurisdictions. The NDAEB written exam and Clinical Practice Evaluation may only be part of the licensure/registration/certification requirements in a province. You are advised to contact the provincial Canadian Dental Assisting Regulatory Authority (CDARA) for regulatory information. (See the NDAEB website www.ndaeb.ca – Registration & Licensure).
Copyright & Disclaimer •
The NDAEB CPE Candidate Handbook and evaluation forms are protected by copyright ©.
•
While efforts have been made to ensure the accuracy of the information contained in this handbook, you acknowledge that the handbook and its contents are being provided to you on an “as is” basis without any warranties, representations or conditions regarding its accuracy and that all risk associated with its use is assumed by you. In no event will the National Dental Assisting Examining Board or its agents be liable to you for any loss or damage arising, whether directly or indirectly, from your use of this handbook, including any special, indirect, incidental or consequential damages, howsoever caused.
© 2001 – 2018 National Dental Assisting Examining Board
17
National Dental Assisting Examining Board
Appendix A – Evaluation Forms
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© 2001 - 2018 National Dental Assisting Examining Board.
© 2001 – 2018 National Dental Assisting Examining Board
2018
National Dental Assisting Examining Board
Appendix B Clinic Uniforms, Safety Glasses or Prescription Glasses, Gloves and Masks Clinic Attire: (Candidates must provide their own) •
Clinic uniforms with no personal, college or dental clinic identifiers. Clinic shoes (closed toe and heel) and hosiery/socks must be worn in the clinic.
Jewelry and Hair: •
Jewelry must be kept to a minimum for safety reasons.
•
Hair must be kept back off the face for safety reasons.
Safety Glasses (clear glass only): •
(Candidates must provide their own safety glasses or prescription glasses)
•
Safety glasses (clear glass only) or prescription glasses must be worn at all times in the clinic, including the radiography rooms and processing area.
Gloves: •
NDAEB will provide gloves, Candidates are permitted to bring their own – GLOVES MUST BE LATEX FREE ONLY.
•
A new pair of treatment gloves will be required for each procedure.
•
Treatment gloves will only be worn in the operatory setting and radiography rooms.
Masks: •
Masks must be worn correctly completely covering the nose and mouth. Masks will be worn at the chairside during intra-oral procedures and while exposing digital images. Masks can be re-worn and changed at the discretion of the candidate.
Personal Instruments and Supplies – Not Permitted •
NDAEB will provide all equipment, instruments and supplies.
•
Personal dental equipment, instruments and supplies will not permitted.
© 2001 – 2018 National Dental Assisting Examining Board
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CANDI DATE HANDBOOK for t he CLI NICAL PRACTICE EVALUATI O N Rev is ed Jan uar y 2018
Appendix C Dental Materials Provided Candidates must use the instruments, equipment and supplies provided at the site. Dental dam punching templates will not be provided. Tray setup photos are available on the NDAEB website: www.ndaeb.ca (CPE) in MS PowerPoint format. Note: Photos of the instruments and supply tray setups are generic. Evaluation sites may not provide exact instrument and supply items as shown in the photos. Some items may be substituted for similar instruments or materials. Manufacturer’s instructions will be provided. The following is a generic list of some of the materials that will be provided at each site: 1. 2. 3. 4. 5.
Jeltrate impression material (fast-set) with manufacturer’s instructions Prophy paste (fine grit) Light cured cavity liner, various brands with manufacturer’s instructions One minute anti-cariogenic topical fluoride gel with manufacturer’s instructions Light cured pit and fissure sealant material with etchant, various brands, with manufacturer’s instructions 6. Pre-dispensed topical anesthetic gel with manufacturer’s instructions
Appendix D References 1. Clinical Practice of the Dental Hygienist, 12th EditionWilkins (2017) ISBN 978-1-4511-9311-4 (Chapter 15: Dental Biofilm and Other Soft Deposits; Chapter 22: Dental Stains and Discolorations; Chapter 23: Indices and Scoring Methods; Chapter 28: Oral Infection Control: Toothbrushes and Toothbrushing; Chapter 29: Oral Infection Control: Interdental Care; Chapter 36: Fluorides; Chapter 37: Sealants; Chapter 44: Dentin Hypersensitivity; Chapter 45: Extrinsic Stain Removal; Chapter 46: Tooth Bleaching); or Intraoral Prevention Procedures and Practicum (Selected Chapters from Clinical Practice of the Dental Hygienist, 12th Edition, By Esther M. Wilkins), Customer Edition, Wolters Kluwer Health (2016), ISBN: 978-1-49511-9311-4 2. Dental Assisting, A Comprehensive Approach, 5th Edition Delmar (2018), ISBN 978-1-305-96763-2 3. Modern Dental Assisting, 12th Edition, Torres and Ehrlich (2018), ISBN 978-0-323-43030-2
© 2001 – 2018 National Dental Assisting Examining Board
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