It is the responsibility of the Dental Hygienist to adhere to policies and procedures as stated in the ICE Health Service Corps (IHSC) Policies and Procedures Manual.
DUTIES AND RESPONSIBILITIES:
1. Interpretation and translation activities within the scope of the employees duties
2. Assess these employees language abilities to ensure their competency to perform language services for particular duties; and describe plans for enhancing employees language abilities
3. Completes preliminary dental examinations on new dental service patients. The hygienist reviews patients medical and dental history for evidence of past and present conditions such as medical illness and use of drugs which may complicate or alter dental hygiene treatment.
4. Examines the teeth and surrounding tissue for evidence of plaque and periodontal disease and chart findings: inspects the mouth and throat for evidence of disease such as oral cancer; interprets routine x-rays to identify tooth structures, calculus, and abnormalities such as cavities and deep periodontal pockets.
5. Refers abnormalities such as cavities; traumatic occlusion, and suspicious lesions to the dentist. Prepares dental hygiene treatment plans for patient including assessment of the problem, type of oral hygiene care required, and the sequence of appointments needed to complete treatment.
6. Performs a complete oral prophylaxis on ambulatory and non-ambulatory patients. Performs deep subgingival scaling, root planning, and curettage under local anesthesia. Polishes the teeth and applies stannous fluoride for hypersensitivity and caries prevention. Gives home care instructions to patients after curettage.
7. Provides bedside prophylactic treatment using specialized procedures for comatose patients, neurosurgical patients, and other type of nonambulatory patients.
8. Assists the dentist by making repairs and adjustments to the teeth by smoothing rough edges of restorations, removing overhanging margins of fillings, reducing sharp edges of fractured teeth, polishing and finishing amalgam restorations, and inserting temporary fillings in teeth.
9. Instructs patients at chairside in oral hygiene, brushing and flossing techniques, and periodontal aids which increase the amount of stimulation to the teeth. Plans and adapts instructions in home care techniques, tailoring them to the oral hygiene needs and oral problems of individual patients. Explains to patients the causes of periodontal disease and tooth decay, and the importance of diet as it relates to oral and systemic health.
10. Regularly instructs nurses and nursing assistants in the proper techniques of oral hygiene to be applied to the bedridden, handicapped, disabled and chronically ill patients. Presents lectures and demonstrations in oral health care to various patient groups such as diabetics, hemodialysis patients, and drug or alcohol dependent patients, using slides denture models, toothbrushes, charts, and other education materials.
11. Exposes, develops and processes radiographs on patients including bite wing, periodical and panoramic x-rays. Adjusts voltage, amperage, and timing of x-ray equipment. Selects type of radiograph that will be necessary for patients mouth. Positions film and machine to insure coverage of area to be x-rayed. Mounts and labels X-rays.
12. Maintains patients record of treatment. Records oral conditions of teeth and surrounding tissues, progress and therapy notes, appointments, and the number of patients treated and type of treatment administered.
13. Assists the dentist by applying the concepts of four-handed dentistry to maintain a field of operation through the use of retraction, suction, irrigation, drying, placing and removing cotton rolls and shields, lighting, etc, during all dental procedures.
1. Maintains CPR/BLS certification.
2. Cultural Competency.
3. Interpersonal Skills.
4. Good Oral/Written Communication Skills.