The ABCs of Documentation · 2013-11-13 · appreciative for what you have instead of bemoaning what you don’t have. This is an attitude we might all try! Related to this mindset

Message from the president

October 2012

The ABCs of Documentation

Charts are a form of communication. Specifically, charts

provide information to other health professionals providing

care for this client. The chart must “tell the story” of the

client. It is not just a personal memory aid for the practitioner:

the chart allows other health care providers to quickly read

and understand the client’s past and present oral (and overall)

health concerns. This legal record contains evidence of the

client’s informed consent and of the assessment, diagnosis,

planning, implementation, and evaluation regarding the

client’s care.

All chart documentation, including the information on the

health history questionnaire, is confidential and cannot

be disclosed to another organization, health professional,

or individual without the consent of the client, or as: (1)

required by law, or (2) permitted by law and the CRDHA

Code of Ethics. Information can be used within the practice

environment (e.g., dental/dental hygiene office) for reasonable

purposes in providing services to the client. The Health

Information Act (HIA) applies to client’s health information

and registered dental hygienists must handle information in

compliance with the HIA. www.oipc.ab.ca/Content_Files/

Files/Publications/HIA_Guide_August_2010.pdf

continued on page 6

This article includes general principles of documentation and is included in response to questions CRDHA receives from members. Information in the article is by necessity general in nature to apply to a variety of practice settings. If you have a specific question about your particular situation, please contact CRDHA staff: [email protected].

I N T O U C H O C T O B E R 2 0 1 2

CRDHA Council members

Shirley Smith, RDHPresident

Edmontonc/o CRDHA [email protected]

Allison Boone, RDHVice President

Calgaryc/o CRDHA [email protected]

Gerry Cool, RDH Past PresidentCanadian Dental Hygienists Association Alberta Director

Carselandc/o CRDHA [email protected]

Aimee Bradley, RDHCouncillor

Slave Lakec/o CRDHA [email protected]

Joanna Czarnobaj, RDHCouncillor


Rocell Gercio-ChadCouncillor


Maureen Graham, RDHCouncillor


William KatzPublic Member


Michael LummerdingPublic Member

Grande Prairiec/o CRDHA [email protected]

Arlaine MonaghanPublic Member

Spruce Grovec/o CRDHA [email protected]

Kathy Sauze, RDHCouncillor


Publisher: College of Registered Dental Hygienists of Alberta

InTouch is published four times a year.

A D V E R T I S I N G

To place an advertisement, send camera-ready-art or typed text to: Editor, InTouch

#302, 8657 51 Avenue NW Edmonton, Alberta T6E 6A8

Phone: (780) 465.1756 Fax: (780) 440.0544 E-mail: [email protected]

Ads/graphics must be submitted as camera ready artwork in high resolution pdf format, .eps or .tiff formats with a minimum resolution of 300 dpi. Text only ads may be submitted in MS Word.

InTouch advertising rates are as follows: Full Page 7.2” x 9” $600 Half Page 7.2” x 4.375” $325 Quarter Page 3.46” x 4.375” $175 Eighth Page 3.46” x 2” $100 Website $75/two weeks

S U B M I S S I O N S

Story ideas, articles and letters are welcome. Send your submission to the Editor at:

[email protected] The Editor reserves the right to edit content, format and length.

Submission Deadlines:

November 15February 15 May 15 August 15

For more information, visit our website at:

www.crdha.ca

Inside InTouch

The College of Registered Dental Hygienists of Alberta (CRDHA) invites submissions of original research, discussion papers and statements of opinion relevant to the dental hygiene profession for it’s official newsletter, InTouch. Submissions are subject to editorial approval and may be formatted and/or edited without notice. Contributions to InTouch do not necessarily represent the views of the CRDHA, its staff or Council, nor can the CRDHA guarantee the authenticity or accuracy of reported research. As well, the CRDHA does not endorse, warrant, or assume responsibility for the accuracy, reliability, truthfulness or appropriateness of information regarding products, services, manufacturers or suppliers contained in advertisements within or associated with the newsletter. Under no circumstances, including, but not limited to, negligence shall the CRDHA be liable for any direct, indirect, special, punitive, incidental, or consequential damages arising from the use, or neglect, of information contained in articles and/or advertisements within this publication.

Message from the President 1

Message from the Registrar 3

Front & Centre 6

You’ve Been Asking 10

Noteworthy 14

Continuing Competence 17

Resources 19

Your Practice Permit will expire on October 31, 2012

Renew your registration at www.crdha.ca.It’s simple, fast

and secure.

Online registration will be open Tuesday, September 4, 2012

The deadline for renewal is October 31, 2012

To allow for processing all applications and fees should bereceived in the CRDHA office by Friday, October 5, 2012.

C R D H A I N T O U C H O C T O B E R 2 0 1 2 1

Message from the president

Celebrating Thanksgiving Day in October is the Canadian way of giving thanks for a good harvest and the blessings in one’s life. For some people the mindset of gratitude is a daily habit. They believe in being appreciative for what you have instead of bemoaning what you don’t have. This is an attitude we might all try!

Related to this mindset of gratitude is an organizational development method, Appreciative Inquiry (AI), which describes building on strengths rather than just focusing on faults and weaknesses. AI may not have been identified as such by the pioneers in the field of dental hygiene but I believe the essence of AI was present when CRDHA was formed 50 years ago (2013) and it still applies today. Strength-based thinking builds on a positive foundation to reach the desired future.

David Cooperrider and Diana Whitney are scholars frequently referred to regarding AI. They provide the following definition of AI in their booklet (2000): “AI is the cooperative search for the best in people, their organizations, and the world around them. It involves systematic discovery of what gives a system “life” when it is most effective and capable in economic, ecological, and human terms. AI involves the art and practice of asking questions that strengthen a system’s capacity to heighten positive potential. It mobilizes inquiry through crafting an “unconditional

positive question” often involving hundreds or sometimes thousands of people. In AI, intervention gives way to imagination and innovation; instead of negation, criticism, and spiraling diagnosis there is discovery, dream, and design. AI assumes that every living system has untapped, rich, and inspiring accounts of the positive. Link this “positive change core” directly to any change agenda, and changes never thought possible are suddenly and democratically mobilized.”

Some key points of AI include:

• Discover the “best of what is”— identify where a process works well.

• Dream “what might be” — envision processes that would work well in the future.

• Design “what should be”— define and prioritize the elements of processes that would work well.

• Create a Destiny based on “what will be”— implement the proposed design.

Perhaps during this time of thanksgiving we could each give thanks for the pioneers in our profession who have established a strong foundation that has afforded dental hygiene the opportunity to become a well-respected profession in Alberta while making a difference in the lives of Albertans… and let’s start to think about that 50 year celebration and how you will be a part of the future of dental hygiene.

The College of Registered Dental Hygienists of Alberta (CRDHA) exists so that Albertans will receive safe, high quality dental hygiene care from a continually advancing dental hygiene profession.

Shirley Smith

CDHA DIRECTOR

Jacki Blatz has contributed to the profession of dental hygiene as CRDHA Councillor, CRDHA

President and CDHA Director. Jacki’s term as CDHA Director is finished in October. We thank Jacki for her years of leadership, commitment and contribution to our profession. Thank you, Jacki.

Gerry Cool, CRDHA Past President, starts her term as CDHA Director in October 2012. We thank Gerry for her

willingness to volunteer in this capacity.

C R D H A I N T O U C H O C T O B E R 2 0 1 22

1. As you consider the 50th Anniversary you are invited to share your thoughts with colleagues. These could be published as part of “CRDHA Members’ 50th Anniversary Reflections”. Shirley Smith, CRDHA President, in her message in this newsletter, mentioned the Appreciative Inquiry approach which we will use as a basis for our reflections:

Discover: share your stories of special dental hygiene memories and joys of accomplishment.

Dream: envision where your profession will be in the future. What is the legacy you would like to leave behind?

Design: identify specific ways that you can accomplish your professional dream.

Create a Destiny: take steps to make your dream real. Small steps are fine!

2. Reconnect with classmates, previous co-workers and friends to brainstorm what you could do as individuals or as a group to celebrate and recognize the Anniversary.

3. Help build our archives. Share your photos of CRDHA events and members.

4. Join the CRDHA Anniversary choir to sing and celebrate. We have 3 members already and more people are welcome!

5. Participate in CRDHA Anniversary events such as the Council Reception May 3, 2013 in Edmonton.

Please contact Darlene Fraser, CRDHA Member Services Coordinator to chat about your ideas or to volunteer. Phone: 780-465-1756; Toll free: 1-877-465-1756 Email: [email protected]

In 2013 watch for: • AnewlookforCRDHA

publications• LaunchofCRDHA’senhanced

website• DentalhygieneprofessionTV

promotional spots on CTV2 during April 2013

• Newsupdatesviaemail:makesure we have your most recent email address on file

• CRDHAAnniversarycelebrationssuch as the Council Reception May 3, 2013 in Edmonton

BE PREPARED TO CELEBRATE: 2013 is CRDHA‘s 50th Anniversary Year!


Message from the registrar

Brenda Walker, RDH

Hearing Tribunal Decision Regarding Advertising

The CRDHA Hearing Tribunal recently rendered a decision that will be of interest to members who engage in advertising.

BackgroundIn January 2011 the CRDHA received a letter expressing concerns about the content of a member’s advertising and promotional materials. An investigation was conducted and the matter was referred to the Hearing Tribunal.

The Tribunal DecisionThe Hearing Tribunal accepted the parties’ Agreed Statement of Facts and the member’s acknowledgement of unprofessional conduct. It found that the member was guilty of a single occurrence of unprofessional conduct concerning advertising claims numbered 1, 2, 4, 5, 6, 8, 10 and 11 listed below, and that these claims violated s. 102 of the Health Professions Act, the CRDHA Code of Ethics and the CRDHA Standards of Practice.

Claim #1: “During her design of her course Seniors and Prescription Medications and Dental Disease, … discovered what chemicals are detrimental to the health of our population. As a result, our staff only recommend our specific herbal toothpaste, and herbal rinse to fight cavities, dry mouth and gum disease. These products are highly concentrated as they are all natural and do not contain any fillers or chemicals.”

Claim #2: “Our laser treatment is also the most natural way to treat gum infection, and loose teeth and denture sores and pus. This is due to the fact that the safe laser light kills bacteria right at the source and therefore the … may not require antibiotics.”

Claim #4: “This consistent maintenance schedule allows us the opportunity to catch small problems before they turn into large dental infections and/or gum infections. This infection can very quickly spread into the heart and lungs and can potentially be deadly...”

Claim #5: “Research shows that the number one cause of death in … is pneumonia due to dirty mouth.”

Claim #6: “Cleaning teeth every three months is the normal time for a …”

Claim #8: “If the teeth are not kept clean on a regular three month cleaning schedule, then it is very common for the fillings the Dentist has completed to break off and fall out fairly quickly.”

Claim #10: “We take a more natural approach to dental hygiene care, using a variety of safe-for-you products, including herbal pastes and rinses (which are also available for purchase).”

Claim #11: “… you can count on … to provide exceptional, personalized and gentle dental hygiene care using top-of-the-line equipment and natural, healthy and chemical free products”

“… provides exceptional, gentle, quality … dental hygiene care utilizing


Message from the registrar

top quality dental equipment to … to have healthy teeth and gums improving the function of the lungs and heart for longevity of life. In return … receives abundant referrals from healthy, satisfied, loyal clients.”

“Digital x-rays to instantly identify problem areas”

“Instantly-viewed digital x-rays which produce 80-90% less radiation”

“We offer the ‘highest quality sterilization,’ as noted on our recent routine audit by Alberta Health Services.”

“Do you require a periodontally trained dental hygienist who can provide gentle, yet thorough deep cleaning to your periodontal disease and bleeding gums?”

The Hearing Tribunal was strongly of the view that all advertising by CRDHA regulated members must comply with s. 102 of the Health Professions Act, the CRDHA Code of Ethics and Standards of Practice. Specifically, advertising should not be misleading, inaccurate or untruthful, particularly when dealing with vulnerable patients who place their trust and confidence in the healthcare provider.

In accordance with the parties’ agreement, the Hearing Tribunal reprimanded the member; ordered the member to take a course; directed the member not to use any of the above claims in advertising or promotional material in the future, nor any claims that convey the same meaning; ordered the member to pay a fine of $2,500.00, and to pay a portion of the costs of the investigation and hearing in the amount of $5,000.00.

Complaints Director Comments

Section 102 of the Health Professions Act states: “A regulated member shall not engage in advertising that is untruthful, inaccurate or otherwise capable of misleading or misinforming the public”. Pursuant to s.1(1)(pp) of the Act, the definition of “unprofessional conduct” includes (ii) contravention of this Act, a code of ethics or standards of practice.

Each member is responsible to review and abide by the Health Professions Act, CRDHA Code of Ethics, CRDHA Standards of Practice and CRDHA Rules Respecting Advertising when developing advertising and promotional materials. Each member must ensure that his or her marketing campaign does not contravene these professional standards. If you have any questions about the content of advertisements or other promotional materials being developed for your practice, you can send draft materials to the CRDHA for review or you can seek advice from your lawyer.


Call for Members for Hearing Tribunals and Review Committees

In accordance with the Health Professions Act (the Act), College Councils are required to establish and maintain a list of members who will be available to be selected by the College’s Hearings Director to form a hearing tribunal or a complaint review committee. Any hearing tribunal or complaint review committee must include 25% public representation. Public members are provided from a list maintained by the Government.

Pursuant to the Act, the hearing tribunal is responsible for conducting a full and fair hearing regarding allegations of unprofessional conduct of a member. The job of the hearing tribunal is to determine, on the basis of the evidence introduced, whether the conduct of the dental hygienist constitutes unprofessional conduct.

A complaint review committee’s powers and duties include reviewing and ratifying alternative complaint resolution settlements and conducting reviews of dismissals of complaints. The complaint review committee’s decision making powers are set out in the Act.

Hearing tribunals and complaint review committees are established on an “as needed” basis. Orientation sessions are conducted by CRDHA legal counsel prior to a hearing or complaint review committee meeting.

The list of available members is comprised of dental hygienists with experience in all spectrums of dental

hygiene practice: general practice, specialty practice, independent practice, community health and education. We would like to increase the number of members on the list to provide more flexibility in selecting dates for hearings or reviews.

We are seeking members with good knowledge of the profession and CRDHA’s professional standards and who exhibit the following qualities:

•Fair•Goodlistener•Non-biased•Respectconfidentiality•Confident•Maturejudgment

Applicants must have 5 or more years of experience as a dental hygienist. If you are interested in submitting your name as a nominee for appointment to the list of members available to be selected for hearing tribunals or reviews, please send your resume and a brief letter describing why such an appointment appeals to you. Submissions should be directed to:

CRDHA Hearings Director302, 8657 – 51 Ave. NWEdmonton, AB T6E 6A8 by November 15, 2012

Interviews will be conducted as part of the selection process.

Reporting Blood Borne Infections to the CRDHA

All health care workers with a history of human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) positivity have an ethical obligation to report to their professional regulatory authority for referral to the Provincial Expert Review Panel if they perform any exposure-prone procedures.

Exposure-prone procedures performed by dental hygienists include scaling, root planing and injection of local anaesthesia. Access to the Provincial Expert Review Panel is through referral from a health care worker’s regulatory authority.

Registered dental hygienists who have tested positively to HIV, HBV or HCV should contact the CRDHA Registrar, Brenda Walker, in person or by telephone at 780-465-1756 or toll free 1-877-465-1756 for further information and referral to the Expert Review Panel.


Front & Centre

General Principles Of Documentation

Standards of practice regarding documentation are in both the Code of Ethics and the Practice Standards. Additional guidelines regarding documentation surrounding the restricted activity of prescribing are found in the CRDHA Practice Guidelines Regarding Prescription and Non-Prescription Drugs in Dental Hygiene Practice document. The following are the general principles of documentation:

A. Information should be recorded promptly, legibly, accurately, concisely, and chronologically.

B. All entries should be in non-erasable ink, preferably blue or black.

C. Entries should be factual without editorial comments.

D. Progress notes are to be used to document communication with the client as treatment progresses. This may include missed or cancelled appointments and follow-up phone calls.

E. Services provided by the dental hygienist should be entered into the record and signed by the dental hygienist.

F. Documentation of all aspects of the Dental Hygiene Process of Care (assessment, diagnosis, planning, implementation, and evaluation) should be in sufficient

The ABCs of Documentation and The Dental Hygiene Process of Care

The Dental Hygiene Process of Care is a model that dental hygienists can follow to ensure a uniform approach to individualized care for clients.

The Dental Hygiene Process of Care consists of five phases: assessment, diagnosis, planning, implementation, and evaluation.

Completing clear and accurate documentation is part of a dental hygienist’s responsibility. The documentation is legal record that contains evidence of the client’s informed consent and of the assessment, diagnosis, planning, implementation, and evaluation regarding the client’s care.

1.ASSESSMENT

What is happening?

CLIENT

2.DIAGNOSISWhat is the diagnosis?

3.PLANNINGWhat needsto happen?

4.IMPLEMENTATION

What will we do?

5.EVALUATION

What arethe

outcomes?

Revised with permission of the Canadian Dental Hygienists Association. From Dental Hygiene: Definition, Scope, and Practice Standards (Ottawa: CDHA, May 2002), p. 7.

Revised with permission of the Canadian Dental Hygienists Association. From Dental Hygiene: Definition, Scope, and Practice Standards (Ottawa: CDHA, May 2002), p. 7.


Informed Consent

Use plain language to obtain informed consent.

Informed consent: Must be obtained before initiating dental hygiene services. You may want to consider the additional legal protection of a written consent form. If the client is a minor or lacks the capacity to make a decision, consent must be received from the client’s agent.

With informed consent, the client has been provided with information about:

•Theproposedtreatment,includingmaterialeffectsandcosts.•Significantrisksandsideeffectsoftheproposedtreatment.•Alternativetreatments.•Theconsequencesofnothavingthetreatment.

Informed consent definitions:

Agent: A parent or guardian legally authorized to act on behalf of a client. The agent may be a government agency if the client is a ward of the court regardless of the age of the client. If a client’s agent is involved for the purposes of obtaining informed consent, the level of understanding of the agent must also be considered. The client is to be involved to the extent of his or her capacity.

Minor: In Alberta, a minor is defined as any person under the age of 18 years.

Mature minor: A person under 18 who is able to consent to his or her own medical treatment, to understand the nature and consequences of the treatment, and to decide who has access to his or her medical information.

detail so that another oral health care professional can continue with the implementation of the dental hygiene care plan.

G. Dating and documentation of records should contain common language, symbols, and abbreviations that can be readily understood by professional peers.in the analysis.

Process of Care Decisions Documentation

As you progress through the Dental Hygiene Process of Care, it is crucial that you record process of care decisions and interventions appropriately. This includes documentation of the clinical need, informed consent, and medications used as a component of the dental hygiene care plan.

Clinical NeedThe decision to use a drug or other intervention is based on your thorough understanding of the client’s health history and existing clinical care needs. The oral condition that requires management should be formally diagnosed and documented in the chart.

Informed ConsentInformed consent must be obtained prior to initiating dental hygiene services. Documentation that supports the fact that the client made an informed decision should be in the chart.


Front & Centre

Abbreviations for Documentation

Dating and documentation of records should contain common language, symbols, and abbreviations that can be readily understood by professional peers.

Abbreviation Definition Abbreviation Definition

AE Acid Etch MGJ MucoGingival Junction

CHX Chlorhexidine Obs Observe incipient caries

Desen Desensitize OHI Oral Hygiene Instructions

Ext Extract Pt Patient or Client

FGC Full Gold Crown PFM Porcelain Fused to Metal

FMP Full Mouth Probe Post-op Post Operative Instructions

Fl Fluoride Treatment PFS Pit & Fissure Sealant

GP Greater Palatine PSA Posterior Superior Alveolar

HHx Health History RCT Root Canal Therapy

Hx History Rx Prescription/Prescribed

IA Inferior Alveolar RP Root Planing

I Infiltration RC Recall

IO Infraorbital Sc Scaling

LA Local Anaesthetic SSC Stainless Steel Crown

LB Long Buccal SI Supraperiosteal Infiltration

MD Medical Doctor Tx Treatment

MGI MucoGingival Involvement

Example of charting for administration of local anaesthetic with epinephrine

Adapted from the University of Alberta’s Dental Hygiene Program Clinical Procedure Manual

Date Tooth Area Progress Notes

P

A

R

Today’s date Q2 T: 20% benzocaine topical anaesthetic applied at penetration sites for Quad 2; Local anaesthetic administered with 2% lidocaine 1:100,000 epinephrine.2 carpules total; Breakdown as follows:PSA: 0.9 ml of solutionIO: 1.2 ml of solution GP: 0.6 ml of solution NP: 0.45 ml of solutionAnaesthesia was complete. No adverse effects noted. Post-operative instructions given.

S

Jane Doe, RDH


Flu Season is Approaching

Alberta Health Services relates in its Influenza Immunization Program Newsletter (Issue 2, June 2011), that the purpose of Alberta’s Seasonal Influenza Immunization Program is to reduce the incidence of influenza in Alberta and the impact of this illness on Albertans.

While the overall goal is to immunize as many Albertans as possible, Alberta Health Services (AHS) is looking to target and increase immunization rates in specific high risk groups including infants 6 to 23 months of age, individuals 65 years of age and older, individuals with chronic health conditions and long term care residents. In addition, improving immunization rates in health care workers, including staff of long term care facilities, will remain a focus. Community providers play an important role in identifying and providing influenza immunization to individuals from the high risk groups, contributing significantly to increased immunization rates within these groups.

Access Alberta Health and Wellness site for Alberta specific information about influenza:www.albertahealthservices.ca/2824.asp

Provincial, national and international influenza activity information can be found at the following links:

• Alberta-www.health.alberta.ca/health-info/influenza-evidence.html

• Canada-FLUWATCH-www.phac-aspc.gc.ca/fluwatch/index-eng.php

• USA-CDC-www.cdc.gov/flu/weekly• WorldHealthOrganization-www.who.int/topics/

influenza/en

Immunizations

This list of immunizations indicated below is now part of the Infection Prevention and Control (IPC) Standards and Risk Management for Dentistry which has been adopted by the CRDHA.

Immunizations substantially reduce both the number of Dental Health Care Provider (DHCP) susceptible to infectious diseases and the potential for disease transmission to other DHCP and patients. All DHCP should be adequately immunized against:

•HepatitisB;•Measles;•Mumps;•Rubella;(mandatedunderPublicHealthAct)•Varicella;•Influenza;and•Diphtheria,tetanus

Immunizations have been added to the IPC protocol to increase safety for the practitioner, their family and their clients. Hepatitis B and Rubella are mandatory. The IPC standard says “all Dental Health Care Providers should be adequately immunized against the other communicable diseases on the list’.

See Page 19 Resources for reference links.

The CRDHA Practice Standards (Practice Standard 1.1.8a) state that registered dental hygienists ensure personal and client safety by maintaining an up-to-date immunization status.


**A

You’ve been asking

What should I do if I sustain a needlestick or cut with an unsterilized instrument?

Scenario One: The dental team finished work at 4 pm, and it’s now 9 pm. After waiting in the hospital Emergency Department, a Registered Dental Hygienist (RDH) finally sits down with the doctor and says “Earlier today, I got a needlestick at work, and I’m really worried that I might have become infected with a blood borne disease.” The doctor asks about the incident: how the needle was used, how deep it went, whether the RDH’s wound was cleaned. He also wants to know more about the source dental patient. The RDH knows it was Mr. Jones and that his most recent medical history had nothing unusual, but it was almost a year since it was updated. No one told Mr Jones about the injury, but she could get his telephone number the next day at work.

Scenario Two: The RDH knows something is wrong as the needle slips out of her grasp and pokes her finger. She excuses herself from the operatory, removes her gloves and

washes her hand thoroughly with soap and water. She quietly informs the dentist who then finishes the procedure and invites the patient into his private office. The dentist explains that the RDH has been accidentally injured and that to protect her, he will contact public health to follow up with Mr. Jones confidentially.

Scenario One still occurs in Alberta, but dental offices should follow Scenario Two. Management of a sharps injury should begin immediately. Wash the wound with soap and water, or rinse exposed mucosal membranes with large amounts of water. While the actual wound is minor, the major concern is the risk of infection from viruses in blood or body fluid (BBF). To prevent infection after a needlestick or similar injury, post-exposure prophylaxis (PEP) may be prescribed. PEP significantly decreases risk of HIV infection if started very soon after the exposure. However, HIV PEP medications can make a person feel quite sick, and usually should continue for 28 days. Hepatitis B (HBV) PEP prevents about 75% of infections. Fortunately, most dental professionals are immunized against HBV and a documented adequate response to vaccine eliminates the need for HBV PEP. There is no effective PEP for Hepatitis C (HCV).

Report the injury to the dentist and the practice’s Infection Prevention & Control Coordinator. Occupational injuries are not the responsibility of Public Health. However, Public Health – the Medical Officer of Health (MOH) or designate –

commonly manage non-occupational BBF exposures that occur in the community and know what to do.

A key factor in making the PEP decision is the risk status of the source patient. Asking difficult questions about the source patient (IV drug use? unprotected sex with multiple partners? or with sex-trade workers? history of incarceration? from a country where HBV is endemic?) is best left to a professional who will review the incident; confidentially interview Mr Jones; advise on and facilitate the next steps including PEP if required. The dentist should immediately contact the MOH or designate via HealthLink at 866-408-5465.

Typically both the source patient and the RDH should get a blood test with results reportable to Public Health. If Mr Jones’s HIV/HBV/HCV status is already known, he may not need a blood test. A physician must order the blood tests (not a dentist). Results in larger centres are usually available within 24 hours. If they are negative for the source patient, no further testing of the RDH is usually required beyond the baseline serology.

A contaminated sharps injury is a true emergency and should be treated promptly. However, because it occurred on the job, it is also an occupational injury and member employers should report it to the Workers’ Compensation Board (WCB). WCB is a not-for-profit organization that helps injured workers return to work as quickly and as safely as possible, while


**A

providing financial compensation for wage loss due to workplace injury. HIV PEP costs over $1,000, billed to the recipient, and requires appropriate follow-up. If the practice does not have WCB coverage, the employer is responsible for covering PEP and follow-up costs for an exposed employee, and may be liable for related damages.

The best approach to sharps injuries is prevention. Identify risky procedures in your office and modify them. Never pass a contaminated sharp from person to person; put it down where it can be safely picked up. Only sharpen sterilized instruments to reduce risk should a cut occur. Make sure you have been immunized against HBV. Keep your dental office as safe as it can be, so you don’t have to worry about an exposure to a bloodborne virus.

____________________

Dr. Luke Shwart, DMD, MBADental Public Health OfficerPopulation & Public Health10101 Southport Road SWCalgary AB, T2W 3N2tel: 403-943-6790 fax: 403-943-2244

May I administer an Epi-pen to a client in an emergency situation?

A registered dental hygienist working in any setting (clinical, community health, etc.) can administer an Epi-pen, a bronchodilator, over-the-counter Benadryl, or other drugs (e.g., nitroglycerin) that are commonly used in emergency situations. Administration of drugs is not a restricted activity under the Government Organization Act (GOA) or the Health Professions Act. S.1(a.1) of the GOA defines “administration of a drug” as “the supplying of a dose of a drug to a person for the purpose of immediate ingestion, application, inhalation, insertion, instillation or injection.” Prescribing of Schedule 1 drugs is a restricted activity.

As you are aware, an Epi-pen is a standard emergency kit item. An Epi-pen can be purchased by anyone without a prescription. It is common practice in some schools to have Epi-pens available for use when required. It is my personal experience as a parent of 2 asthmatics, that allergists encourage parents to teach their child’s siblings and friends how to use an Epi-Pen in case the child is unable to administer it him/herself in an emergency situation.

Bronchodilators such as salbutamol may be used when a medical emergency arises during the provision of dental hygiene services. Bronchodilators can only be purchased with a prescription and are standard emergency kit items for dental hygiene practitioners.

As you are aware, over-the-counter Benadryl is not as fast acting as injectable Benadryl but can relieve allergic reactions of a less critical nature. The protocol and procedures you develop should also include when 911 is called, who will make the call, etc. The GOA contemplates the performance of restricted activities, in an emergency situation, by persons that are not normally authorized to provide the procedure. In accordance with Schedule 7.1 s.4(2) of the GOA, if an authorized person is not available, a person may provide a restricted activity to provide physical comfort to or stabilize a person who is ill, injured or unconscious as a result of an accident or other emergency.

Visit the CRDHA website at www.crdha.ca, (member login

required) then go to Resources to download a document created by CRDHA to assist members in putting their emergency kits and protocols in place.


Collaboration, appreciation, respect and ethics are just some of the considerations as we handle our profession and clients with care. Join us for this exciting three day conference where we will explore some of these concepts through informative workshops, and presentations offered by respected and engaging experts in their fields. Visit accevent.crdha.ca for all the details!

EDMONTON • MAY 2-4 ’

13


Lead a Breakfast Mini Spot!Breakfast Mini Spots allow members to learn from and talk with insightful colleagues regarding a pre-selected topic of interest to the table host presenter and table guests. It is an opportunity to share knowledge, experience and expertise as well as for attendees to meet other people at the event. The presentation is not an in-depth discourse; the brief presentation and resulting conversation is intended to pique some interest and encourage participants to further explore a topic.

Breakfast Mini Spot presentations allow the audience to learn, expand their perspectives, and start the conference with something new on their mind. It’s food for thought as well as for the body. As a result, we are looking for presentations which embody that spirit. For presentation guidelines and to apply, email [email protected] today!

Handle with C.A.R.E.Held this year in Edmonton, from May 2-4, 2013, this three-day Continuing Competence Event and Community Connections Showcase presented by the College of Registered Dental Hygienists of Alberta provides a forum for registered dental hygienists, educators and industry experts.

Enjoy presentions featuring experts such as Dr. Louis DePaola, Dr. Mahvash Navazesh, Dr. Ann Eshenaur Spolarich, Charmaine Hammond, and others. Visit accevent.crdha for a complete list of presenters, workshops and presentations, online registration and early bird draws!


Noteworthy

School of Dentistry, Dental Hygiene Program News

The summer of 2012 will go down as a period of historic change for the dental hygiene program at the University of Alberta. This past July, we said good-bye to the old Dentistry Pharmacy Centre – a landmark on the U of A campus – for good. The black-and-white checkered tiles so familiar to our faculty, staff, students and alumni are now just a memory. We are officially in and operating on the eighth floor of the brand-new Edmonton Clinic located on the southwest corner of campus. There are many changes but much also remains the same – namely, the delivery of quality clinical teaching and quality patient care.

Last year, most of the faculty offices and all of the student classroom and laboratory sessions were moved from “Dent-Pharm” to the Edmonton Clinic Health Academy (ECHA). For those who don’t know, it is a bright new multi-coloured building west of the U of A Hospital, nicknamed the Lego building! If you see it, you will understand why. To accommodate the shift from always being in one building to now being in two buildings, many changes were made to the student timetables. There were growing pains with the changes and there will be more growing pains this year as we learn how to work in our new clinic facility. Fortunately, we have a great group of academic and support staff who will guide

and lead the students through the changes and support each other as we grow!

The quality of our program continues to be evidenced by the performance of our students on the National Dental Hygiene Board Examination. Once again, our dental hygiene diploma graduates scored above the national average in every category of the National Dental Hygiene Certification Examination. This result is also a testament to the excellent teaching faculty in the dental hygiene program and I would like to recognize and applaud each of those individuals.

We continue to enroll 42 new students to the diploma program each year, and about two-thirds remain to complete the degree program. Currently, there are 39 registered dental hygienists studying part time in the post-diploma degree completion program. There are two dental hygienists in the master of science (medical sciences) program, and each graduate student is supervised by dental hygiene faculty. In the near future, the program is putting forth a proposal for implementation of both master’s and doctoral programs in dental hygiene. It will be very exciting for dental hygiene to have its own focused research programs as part of these graduate programs.

In regards to staff news, there are a few updates. We welcomed Sally Lockwood to the full-time teaching team prior to the 2012 fall term. Sally was a part-time clinical instructor for many years and she

now co-ordinates the pre-clinical program as well as other course teaching. Her combined clinical practice and part-time teaching experience enhances relevance for the students. In January 2012, we welcomed Dr. Minn Yoon to the full-time faculty. She completed her PhD at the University of Toronto in the Department of Speech-Language Pathology and her research is focused on oral health for seniors. Dr. Yoon’s dissertation was titled, “Oral health for long-term care populations: From pneumonia pathogenesis to front-line care provision.”

On Sept. 1, 2012, we shall welcome Arlynn Brodie to our faculty. Arlynn is the current president of CDHA and is relocating to Edmonton from Kelowna. In 1995, Arlynn established the Kelowna Mission Dental Hygiene Clinic, the first dental hygiene practice in Canada. She has since developed an on-site community dental clinic in a North Okanagan Valley long-term care facility. We look forward to her contributions based on her varied experiences.

In addition to adding new staff, we also had some significant accomplishments by staff this past year. In June 2012, Sandy Cobban graduated from the Faculty of Nursing with her PhD and the detailed story was printed in the July 2012 issue of Intouch. We are so very proud of her incredible achievement and for all she contributes to our program and to the profession. She is truly a role model for dental hygienists. Lastly and most recently, Alexandra Sheppard was promoted to clinical associate


professor. Alexandra has been full time with the program since 2004, and has been instrumental in leading and developing the senior student clinical program.

As you can see, the dental hygiene program is literally and figuratively on the move! We are excited about our positive direction and look forward to sharing more details in the near future with you. If you come to Edmonton, please don’t hesitate to visit either or both locations and have a tour of our impressive new facilities.

Research On Oral Health And Aging

We are happy to announce that Dr. Sharon Compton, together with Drs. Minn Yoon, Sandy Cobban and Joanne Clovis (Dalhousie University), received funding from CIHR Planning Grants (Priority Announcement: Aging) for their proposal titled, “Assessing and Taking Action on Oral Health for Older Adults in Canada”. The group will host a national invitational symposium from November 29-30, 2012 in Edmonton. The invited interdisciplinary group of participants will include researchers, clinicians, graduate students, directors of long-term care facilities and seniors’ advocates. The focus will be to establish a national, interdisciplinary team of researchers focused on oral health in older adults with the ultimate goal of improving oral health for older adults. For more information, please contact Dr. Sharon Compton by email at [email protected] or by phone at 780 492-6331.

University of Alberta Dental Hygiene alumni

You are invited to two fantastic events during Alumni Weekend 2012!

You are invited....

The Dental Hygiene Alumni Chapter invites you to the annual alumni

REUNION RECEPTION Tea on the Patio at the Faculty Club, Main Floor Lounge & Patio

Saturday, September 22, 2012 3:00 PM - 5:00 PM 11435 Saskatchewan Drive, EdmontonJoin your dental hygiene classmates and colleagues for a fun and casual afternoon on the patio. Catch up with friends old and new and enjoy light refreshments and drinks. The annual Reunion Reception is complimentary but registration is required.

RSVP at ualberta.ca/alumni/weekend

The Dental Alumni Association and the School of Dentistry invite you to an

OPEN HOUSE Reception & Tours at the recently opened Edmonton Clinic

Saturday, September 22, 2012 1:00 PM - 3:00 PM 8th Floor Atrium, Edmonton Clinic 11400 University Avenue, Edmonton

Join fellow colleagues, other School of Dentistry alumni and faculty during U of A’s Alumni Weekend 2012 to celebrate the opening of the new Edmonton Clinic - a state-of-the-art patient-centered clinical care, education and research facility. Light refreshments will be served and tours of the School of Dentistry facilities will be offered. Complimentary but registration is required. RSVP at ualberta.ca/alumni/dentalopenhouse


The School of Dentistry is beginning to make arrangements for conducting approximately 80-100 interviews for the 2013 dental hygiene diploma applicants. If you are interested in volunteering as an interviewer, please contact the School of Dentistry Admission Office at [email protected] or (780) 492-1319 by December 1, 2012.

Last year we moved to the Multiple Mini Interview (MMI) process to conduct the admission interviews. As a result of this change we require all interviewers interested in participating to attend the Interview Training Workshop to learn more about the MMI process and have the opportunity to be calibrated. In the past, Continuing Competence Program credit has been granted for participation in the workshop.

Without the valuable support of volunteer interviewers we would not be able to have an interview process for prospective students. You have considerable experience and insight into the suitability of candidates, so we urge you to volunteer a few hours to help assess potential students. The results of an interview can have significant influence on a candidate’s placement in a class of 42 students.

In preparation for selecting the 2013 year two class, the School of Dentistry will be holding an Interview Training Workshop on Saturday, February 2, 2013 from 9:00 am to 1:00 pm for all interviewers.

The admission interview day has been scheduled for Saturday, March 9, 2013.

Your assistance is most appreciated by the Admissions Committee.

Dental Hygiene Undergraduate ProgramsFaculty of Medicine and Dentistry

University of Alberta3028 Dentistry-Pharmacy Centre,

Edmonton Alberta Canada T6G 2N8Telephone: (780) 492-1319 Fax: (780) 492-7536

E-mail: [email protected]

REQUEST FOR INTERVIEWERS FOR THE 2013 DENTAL HYGIENE CLASS


Continuing Competence – In Person

May 2013EDMONTONMay 2 – 4, 2013Westin Hotel

CRDHA Annual Continuing Competence Event: Handle with C.A.R.E.Various speakers and workshops (to be determined)All members of the oral health team may registerSponsored by CRDHAContact: [email protected], accevent.crdha.ca

U of A Continuing Dental Education

The University of Alberta’s Continuing Dental Education (CDE) program provides specialized education and certification programs to postgraduate dentists, dental hygienists, dental assistants and dental laboratory technicians.

Using innovative, evidence-based educational activities, CDE develops, provides and evaluates learning opportunities and resources and as a result, the CDE participants are better able to meet their own professional development requirements.

Courses of interest to registered dental hygienists include:• BusinessinDentistry• DentalHygieneRefresherCourse• LocalAnaesthetic• NitrousOxideOxygenConsciousSedation• OrthodonticModule

EDMONTON • MAY 2-4 ’

13

Regulated members applying for renewal of a practice permit must provide evidence of holding current cardiopulmonary resuscitation certification at the level required by Council. CPR Certification must be completed no longer than twelve months prior to the CRDHA Practice Permit renewal deadline of October 31, 2012.

The level of certification required by CRDHA is most often referred to as CPR for Health Care Providers, however course names can vary.

It is important to ensure that the CPR course you take has a hands-on component. On-line CPR courses without a hands-on component are not acceptable for renewal of a practice permit. CPR courses must include classroom instruction and practicum experience related to:

•oneandtworescuerchestcompressionsforadults,children and infants;

•oneandtworescueradult,childandinfantbag-valvemask technique and rescue breathing;

•reliefofchokinginadults,childrenandinfants;and•useofanautomatedexternaldefibrillator.

A photocopy of your CPR wallet card must accompany your application for renewal of a practice permit. If evidence of CPR Certification is not received in the CRDHA office by closing on October 31, 2012 your application for renewal of a practice permit will be considered incomplete and will result in suspension of your practice permit in accordance with section 40(2)(c) of the Health Professions Act.

A new practice permit will not be issued without evidence of the appropriate CPR training.

In accordance with CRDHA Continuing Competence Program Rule 9.2.5 CPR certification qualifies for a maximum of three program credits.

CPR Requirements Don’t risk suspension of your practice permit.


Continuing Competence – On-line

Skills Enhancement for Public Health (PHAC) www.phac-aspc.gc.ca/php-psp/ccph-cesp/index-eng.phpFREE Internet based modules in French and English designed for public health professionals (including dental professionals) on the core competencies for public health. Modules offered all year round.

Canadian Dental Hygienists Association (CDHA)www.cdha.ca

Membership in the Canadian Dental Hygienists Association (CDHA) entitles you to access the Members Only area. From there you can access CDHA sponsored online continuing education opportunities including courses and webinars. Courses and webinars that meet CRDHA CCP Rules criteria are eligible for CRDHA CCP Credit.

American Dental Hygienists Association (ADHA)www.adha.org/CE_courses/index.html

ADHA offers 22 online on a wide variety of topics, available for a fee or free of charge. Eligible for 2 CRDHA CCP credits

Following are some on-line sites that offer a wide variety of courses and which were accessible at the time of printing this newsletter. Providers may assess a user fee and/or require registration with user name and password:

Assigning Program Credits for On-line Courses

The CRDHA Competence Committee determines the eligibility of specific courses for Continuing Competence Program credit. CRDHA Continuing Competence Program (CCP) Rule 9.1.3 Self Directed Study indicates: “Program credits are granted according to recommendations made by the course provider, the publisher, or the Competence Committee, with consideration given to the amount of time necessary to cover the material and to take the examination.” The Competence Committee makes the final approval for the number of credits awarded for any course.

The Competence Committee determined that the number of credits indicated by some providers for courses is not consistent with the content of the courses. The Competence Committee considered the allocation of program credit from the following on-line course providers and determined the following:

Courses from these providers are eligible for only 50% of the credits indicated by the provider.

Crest Oral B/Proctor and Gamble; (Dental Resources; Dental Care)

www.dentalcare.com/en-CA/index.jspx www.dentalcare.com/en-CA/index.jspx

Forsyth Institute (Colgate Oral Care Report)

https://secure.colgateprofessional.com/app/cop/ocr/

Hygienetown www.towniecentral.com

INR Biomed Paper based courses

I Need CE (Penwell, Hu-Friedy) www.ineedce.com

Courses from these providers are eligible for the number of credits indicated by the provider.

Dental Learning Network (Academy of Dental Learning)

www.fice.com

Dimensions of Dental Hygiene (Belmont)

https://ce.dimensionsofdentalhygiene.com/courses.asp

Arc Mesa (Pharmacy Times) www.arcmesa.org/

American Dental Hygienists Association www.adha.org/careerinfo/continuing_education.htm

Health Studies Institute www.healthstudies.com


Resources

Infection Prevention and Control

ADA&C Infection Prevention and Control Standards and Risk Management for Dentistry www.crdha.ca Member login required

ADA&C Instrument Processing Videoswww.crdha.caMember login required

Publications available through Alberta Health and Wellnesswww.health.alberta.ca/newsroom/pub-infection-prevention.html

Reprocessing Critical & Semi-Critical Equipment. A Physician toolkit. 2010. College of Physicians and Surgeon of Alberta. Available at /www.cpsa.ab.ca/Services/IPAC/IPAC_Resources.aspx

Standards for Cleaning, Disinfection and Sterilization of Reusable Medical devices for all Health Care Facilities and Settings. 2008. Alberta Health and Wellness. Available atwww.health.alberta.ca/documents/ipc-Medical-Device-Cleaning-2008.pdf

CAN/CSA-Z314.7-03 Effective sterilization in health care facilities by the steam process. (2008). The Canadian Standards Association. Available at http://shop.csa.ca/ or in Public Libraries in Edmonton or Calgary.

Handbook of Occupational Hazards and Controls of Dental Workers. 2011. Government of Alberta. Available at http://employment.alberta.ca/documents/WHS/OHS-WSA-handbook-dental-workers.pdf

Immunization

To become more informed about immunization and to help with your decision-making some additional reference links include:

WorkSafe Albertahttp://employment.alberta.ca/documents/WHS/WHS-PUB_mg024.pdf

Immunize Canadawww.immunize.cpha.ca/en/default.aspx

Alberta Health Serviceswww.health.alberta.ca/health-info/imm-program.html

Public Health Agency of Canada: Canadian Immunization Guide (being revised and updates will be posted on this site)www.phac-aspc.gc.ca/publicat/cig-gci/index-eng.php

The Canadian Healthcare Influenza Immunization Networkwww.chiin.ca/

Privacy Legislation

Office of the Information and Privacy Commissionerwww.oipc.ab.ca/pages/home/default.aspx

The Office of the Information and Privacy Commissioner is the regulatory body for the Freedom of Information and Protection of Privacy Act (the FOIP Act), the Health Information Act (HIA) and the Personal Information Protection Act (Private Sector Privacy).

Health Information Act Practice Note #5Communicating with patients via email: Know the risks www.oipc.ab.ca/Content_Files/Files/Publications/HIA_Practice_Note_5.pdf

As a custodian under Alberta’s Health Information Act (HIA), you have a duty to protect the privacy of your patients and the confidentiality of health information in your custody or control. You must consider the risks of communicating with patients electronically.

Personal Information Protection Act (PIPA)www.oipc.ab.ca/pages/PIPA/default.aspx

PIPA governs the collection, use and disclosure of personal information by private sector organizations in a manner that recognizes both the right of an individual to have his or her personal information protected, and the need of organizations to collect, use, or disclose personal information for purposes that are reasonable.


H A V E Y O U C O N S I D E R E D T H E

benefitsO F A P E R S O N A L L Y O W N E DDISABILITY INSURANCE PROGRAM??

yellow raincoatBENEFIT CONSULTANTS

A personal disability insurance policy will protect you from the financial hazards from an accident or illness with no risk to you of...

• the contract being cancelled by the insurer:

• any provision of the contract being altered;

• the premiums being increased.

We can explain the differences between the CDHA & CDSPI (group employee plan) and an individual policy. We will design a program specific to your individual needs.

Nancy McKenzie, RHUSuite 102, 718 - 12 Avenue SWCalgary, AB T2R 0H7Tel 403 .265 .5681Cel 403 .612 .87721-888-365-5681Email: [email protected]

www.pdconf.comEasy online registration opens October 15th, 2012 at...

Pacific Dental Conference

Pacific Dental Conference

Vancouver, BC

Three days of varied and contemporary continuing education sessions are offeredOver 130 speakers and 150 open sessions and hands-on courses to choose from, as well as the Live Dentistry Stage in the Exhibit HallOver 300 exhibiting companies in the spacious PDC Exhibit HallExcellent Spring skiing and snowboarding on local mountains or drive the scenic Sea to Sky Highway to Whistler/Blackcomb

Save these dates!March 7–9, 2013March 7–9, 2013

Vancouver, BC

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For more information or to register please call Bonnie Hoath at (403) 710-8435 (day), (403) 254-9421 (eve)

or visit www.periodimensions.com

Advanced Instrumentation Workshop – The Basics 5 hour clinical session - maximum 4 participants per sessionCalgary – November 3, 2012 or February 9, 2013

Furcation Instrument Workshop2 hour clinical session - maximum 8 participants per sessionsCalgary – January 12, 2013 • Edmonton – May 25, 2013

Instrument Options For Advanced Periodontal Hand Instrumentation3 hour lectureCalgary – November 4, 2012 • Edmonton – November 10, 2012

Implementing a Periodontal Hygiene Program - 3 hour lectureCalgary – November 4, 2012 • Edmonton – November 10, 2012

Instrument Sharpening 2 hour lecture/clinical session-maximum 10 participants per sessionCalgary – January 12, 2012 • Edmonton – May 25, 2012

Interpreting Radiographs For The Dental Hygienist **NEW** 2 hour lectureCalgary – February 10, 2013 • Edmonton – May 25, 2013

A Study Club is a group of individuals who have a common interest in continuing competence. Study

Clubs meet regularly to facilitate learning by a variety of methods chosen

by the members.

CRDHA has a directory of established Study Clubs - there might be one in your area.

CRDHA also has printed resources to help you start a Study Club. For more information contact Darlene

Fraser, Member Services Coordinator: Phone: (780) 465-1756 or

email: [email protected]

Study Club


The Informed Entrepreneur: A Primer for the Business of Dental Hygiene

CRDHA members have asked for a resource about planning for and operating an independent dental hygiene practice. Do you have questions such as:

•WhatdoIneedtoknowaboutthebusiness?•HowshouldIstructuremypractice?•HowdoIaddresssomeday-to-dayoperationalissues?•HowdoIfinancethisbusiness?•Whatotherresourcesareoutthere?

It is our pleasure to make this manual: The Informed Entrepreneur: A Primer for the Business of Dental Hygiene available for purchase for CRDHA members on a cost recovery basis.

Please send me ___________ copy(s) of the manual. Cost is $20 (twenty dollars) per copy. A copy of the resource manual will be emailed to you as a .pdf document. Please ensure you have Adobe Acrobat software so you can open and print the manual.

My cheque or money order in the amount of $____________ is enclosed. (please print)

CRDHA ID #

Name

Mailing Address

Phone (H): Phone (W):

Email:

Employment Handbook for Dental HygienistsHave you wondered about overtime pay, general or statutory holidays, vacation entitlements, or pre-employment interview representations? The Employment Handbook for Dental Hygienists will walk you through em-ployment issues, contract and self-employment facts, and legal workplace requirements. The resource is available on the CRDHA website www.crdha.ca. Member Login is required.

Infection Prevention and Control VideosCRDHA acknowledges the Alberta Dental Association and College (ADA+C) and Alberta Health Services for developing these Infection Prevention and Control (IPC) instructional videos and for providing CRDHA members with access to them. The videos are an excellent IPC resource for all members of the oral health team. The content of the videos is con-sistent with the September 2010 ADA+C Infection Prevention and Control Standards and Risk Management document which has been adopted by ADA+C, CADA and CRDHA.

The videos are available on the CRDHA website www.crdha.ca . Member login is required.

Reprocessing Dental Devices Module 1Includes information about critical, semi-critical and non-critical dental de-vices, 2 step process disinfectant, one-way work flow from dirty to clean, and proper personal protective equipment (PPE).

Reprocessing Dental Devices Module 2Includes information about the proper procedures for cleaning used dental devices and preparing them for sterilization.

Reprocessing Dental Devices Module 3Includes information about proper procedures for sterilizing dental devices, use of chemical and biological indicators, and proper storage of sterile devices.

Moving? Change of Name and Address Notification

The Dental Hygienists Profession Regulation requires that members of the College of Registered Dental Hygienists of Alberta (CRDHA) ensure that their mailing address is always current. Incorrect or out of date addresses can lead to missed mailings which may include important notices and documents. S. 31(1) of the Dental Hygienists Profession Regulation requires that members must provide a home address, telephone number, email address and fax (if applicable) when there are any changes to the information or at the request of the Registrar. Your personal profile changes can be submitted in writing or updated on the CRDHA website www.crdha.ca. Name changes must be submitted in writing.

Registrants are welcome to copy or cut out this name/address change card and use it to submit a name change or address change. Please contact the College of Registered Dental Hygienists of Alberta if you require further information.

Telephone: Toll Free (Alberta) 1-877-465-1756 Fax: (780) 440-0544 or email: [email protected]

Name (in full) CRDHA ID Number

New Name (in full) Old Address

New Address Home Phone Email

Effective Date Signature

Canadian Publications Agreement #40012431

Return undeliverable Canadian addresses to:

College of Registered Dental Hygienists of Alberta302, 8657 51 Avenue NWEdmonton, AB T6E 6A8

Documents

The ABCs of Documentation · 2013-11-13 · appreciative for what you have instead of bemoaning what you don’t have. This is an attitude we might all try! Related to this mindset