[checklist name= "Dental Assistant" mailto="credentialing@shaemarcus.com" templatedoc="1VWvi7mCr1jC9cZ6SKDfYKAtUZ762Q-dVVFv6zSSCGdg" templatedrive="1LG9WAg21_L3L-ZkZEChBzrYRhBOjpmcc" savedrive="15FFQjDXxe9nC9FkAAcuxbswGy1hq4sWm" sheetid="1xJkggLvktsyYL6zuIhdO-OURJhJTkWdDKunR11agspw"] [checklistHeading title="Dental Assistant"] Please rate your experience/frequency (within the last year) using the scale (check the appropriate boxes below) 0 = No theory and/or experience 1 = Limited experience/need supervision and/or support 2 = Experienced/minimal support needed to perform 3 = Proficient/can perform independently 4 = Expert/very experienced in the field [/checklistHeading] [checklistInputGroup name="Recruiter Information"] [checklistInput type="date" default="none"]Submit Date[/checklistInput] [checklistInput type="text"]Recruiter TEEMA email[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Personal Information"] [checklistInput type="text"]Full Name[/checklistInput] [checklistInput type="email"]Your Email[/checklistInput] [checklistInput type="text"]Your phone number[/checklistInput] [checklistInput type="text"]Last 4 of Social Security Number[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="General Skills"] [checklistInput type="scale"]Operatory Set Up[/checklistInput] [checklistInput type="scale"]Amalgam Set Up[/checklistInput] [checklistInput type="scale"]Composite Set Up[/checklistInput] [checklistInput type="scale"]RCT Set Up[/checklistInput] [checklistInput type="scale"]Crown/Bridge Set Up[/checklistInput] [checklistInput type="scale"]Oral Surgery Set Up[/checklistInput] [checklistInput type="scale"]Observation[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Radiology Skills"] [checklistInput type="scale"]Completed training tapes and passed the exam[/checklistInput] [checklistInput type="scale"]Uses safe radiation exposure practices[/checklistInput] [checklistInput type="scale"]Appropriate use of lead apron[/checklistInput] [checklistInput type="scale"]Consistent use of personal safety radiation badge[/checklistInput] [checklistInput type="scale"]Use of correct exposure setting for patient’s size[/checklistInput] [checklistInput type="scale"]Knows pregnancy radiation protocols[/checklistInput] [checklistInput type="scale"]Select the correct Kodak mount for the exam being performed[/checklistInput] [checklistInput type="scale"]Accurately fill the Kodak mount with X-rays in the correct orientation[/checklistInput] [checklistInput type="scale"]Labeling x-ray with correct tooth numbers in Kodak[/checklistInput] [checklistInput type="scale"]Knows how to create a Context in Kodak[/checklistInput] [checklistInput type="scale"]Can complete an FMX series in 30 minutes or less including Panorex[/checklistInput] [checklistInput type="scale"]Able to achieve good diagnostic quality with an accuracy of at least 90% on digital X-rays[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Panorex Skills"] [checklistInput type="scale"]Able to correctly follow opening/closing procedures with panorex and its software[/checklistInput] [checklistInput type="scale"]Can correctly position patient in panorex[/checklistInput] [checklistInput type="scale"]Uses correct infection control techniques between patients[/checklistInput] [checklistInput type="scale"]Apply software settings according to the patient’s body type and produce a diagnostic-quality panorex film [/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Sterilization Skills"] [checklistInput type="scale"]Demonstrate correct procedures required to handle both non-sterile and sterilized instruments[/checklistInput] [checklistInput type="scale"]Able to remove blood and debris from instruments before bagging or wrapping[/checklistInput] [checklistInput type="scale"]Correct use of personal protective equipment[/checklistInput] [checklistInput type="scale"]Is aware of cross-contamination potential[/checklistInput] [checklistInput type="scale"]Demonstrates pre-autoclave instrument preparation bags, dates, wrap[/checklistInput] [checklistInput type="scale"]Knows the correct autoclave settings to be used[/checklistInput] [checklistInput type="scale"]Able to identify sterilized and non-sterile instruments[/checklistInput] [checklistInput type="scale"]Follow the guidelines in the Dental Sterilization SOP[/checklistInput] [checklistInput type="scale"]Demonstrate correct procedures to complete spore testing for heat sterilization[/checklistInput] [checklistInput type="scale"]Demonstrate correct documentation procedures for heat sterilizers[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Operatory / Disinfection / Maintenance Skills"] [checklistInput type="scale"]Demonstrate correct Operatory Opening Procedures[/checklistInput] [checklistInput type="scale"]Demonstrate correct Operatory Closing Procedures[/checklistInput] [checklistInput type="scale"]Correctly disinfect the operatory between patients[/checklistInput] [checklistInput type="scale"]Follow guidelines in the Dental Room Turn Around SOP[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Scheduling Skills"] [checklistInput type="scale"]Confidently schedule appointments in eCW[/checklistInput] [checklistInput type="scale"]Can modify eCW appointment statuses (No show, confirmed, etc.)[/checklistInput] [checklistInput type="scale"]Accurately records Dentist/Hygienist next visit instructions in eCW[/checklistInput] [checklistInput type="scale"]Demonstrate appropriate phone etiquette[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="eCW Record Maintenance Skills"] [checklistInput type="scale"]Understands and observes HIPAA regulations[/checklistInput] [checklistInput type="scale"]Understand the eCW schedule and all color tracking in eCW[/checklistInput] [checklistInput type="scale"]Able to update the following categories in eCW progress notes, medications, medical history, allergies, surgical/hospitalization history, and vitals[/checklistInput] [checklistInput type="scale"]Correctly documents answers to patient smoking, chewing tobacco, and alcohol screening questions in the social history section of eCW[/checklistInput] [checklistInput type="scale"]Able to check patient’s pain level and blood pressure and correctly enter them into he vitals section of eCW[/checklistInput] [checklistInput type="scale"]Understand which eCW template to use for the HPI section of the eCW progress rate[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Routine Procedures Skills"] [checklistInput type="scale"]Know how to print patient education through eCW[/checklistInput] [checklistInput type="scale"]Able to assign an eCW note to a provider[/checklistInput] [checklistInput type="scale"]Able to switch appointments from one provider to another in eCW[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Open Dental Charting Skills"] [checklistInput type="scale"]Correctly chart in Open Dental from Dentist / Hygienist dictation[/checklistInput] [checklistInput type="scale"]Able to use charting tools in eCW (chart restorations, missing teeth, primary teeth, move teeth, draw on tooth)[/checklistInput] [checklistInput type="scale"]Able to write a complete group note in Open Dental for a procedure they performed[/checklistInput] [checklistInput type="scale"]Able to save the tooth chart to images in Open Dental for exam appointments[/checklistInput] [checklistInput type="scale"]Needs to sign the Open Dental “Prevention Counseling” procedure code 90% of all appointments[/checklistInput] [checklistInput type="scale"]Can create an Open Dental CommLog and Popup[/checklistInput] [checklistInput type="scale"]Can set complete Open Dental appointment card with correct procedures and provider (who completed the procedures)[/checklistInput] [checklistInput type="scale"]Able to accurately transfer procedure codes from Open Dental to eCW and complete all sections of the eCW “Procedure Codes” section[/checklistInput] [checklistInput type="scale"]Can navigate eCW enough to find:Past encounters, Patient Discount, last Health HX, Insurance, Patient Documents[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Consent Forms"] [checklistInput type="scale"]Can correctly complete consent forms for N2O, extractions, and RCT TX in Open Dental. Consent must be signed and printed[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Price Quotes"] [checklistInput type="scale"]Can correctly complete quote for RCT, crown/bridge, endo, partials/dentures, operative, and oral surgery treatment[/checklistInput] [/checklistInputGroup] [checklistInputGroup name="Lab"] [checklistInput type="scale"]Can take impressions while following cross-contamination protocols[/checklistInput] [checklistInput type="scale"]Can pour clinically acceptable models without air bubbles[/checklistInput] [checklistInput type="scale"]Can complete lab slip in Open Dental[/checklistInput] [checklistInput type="scale"]Explain steps and time involved in the partial/denture process[/checklistInput] [checklistInput type="scale"]Can take a blood sugar level and correctly enter the information into eCW so that it counts for Meaningful Use[/checklistInput] [/checklistInputGroup] [checklistFooter] [/checklistFooter] [/checklist]