Accreditation Standards
Dental Hygiene Education Programs

Commission on Dental Accreditation
American Dental Association
211 East Chicago Avenue
Chicago, Illinois 60611
312/440-4653
www.ada.org


1 INSTITUTIONAL EFFECTIVENESS
2 EDUCATIONAL PROGRAM
3 ADMINISTRATION, FACULTY AND STAFF
4 EDUCATIONAL SUPPORT SERVICES
5 HEALTH AND SAFETY PROVISIONS
6 PATIENT CARE SERVICES

As of  January 1, 2000 all dental hygiene programs must comply with the following standards in order to maintain accreditation. To navigate through the Standards on this web page, click on the headings above. To see how  the QCC Dental Hygiene Program meets a particular standard, click on the number of the standard. [This portion of the portfolio is in production. If there is no link it means that the documentation is not ready as yet.]

STANDARD 1:INSTITUTIONAL EFFECTIVENESS

1-1 Planning and Assessment
1-2 Financial Support
1-3 Institutional Accreditation
1-4 Affiliates and Sponsors
1-5 Community Resources


1-1 Planning and Assessment
:  The program must demonstrate its effectiveness using a formal and ongoing planning and assessment process that is systematically documented by:

a) developing a plan with goals and/or objectives which are consistent with the goals of the sponsoring institution and appropriate to dental hygiene education addressing teaching, patient care, research and service;
b) implementing the plan;
c) assessing the outcomes, including measures of student achievement;
d) using the results for program improvement.

Intent: Assessment, planning, implementation and evaluation of the educational quality of a dental hygiene education program that is broad-based, systematic, continuous and designed to promote achievement of program goals will maximize the academic success of the enrolled students in an accountable and cost effective manner. The Commission on Dental Accreditation expects each program to define its own goals and objectives for preparing individuals in the discipline and that one of the program goals is to comprehensively prepare competent individuals in the discipline.    To Top

1-2 Financial Support: The institution must have a strategic plan which identifies stable financial resources sufficient to support the program's stated mission, goals and objectives. A financial statement document must be submitted providing revenue and expense data for the dental hygiene program.

Intent: The institution should have the financial resources required to develop and sustain the program on a continuing basis. The program should have the ability to employ an adequate number of full?time faculty, purchase and maintain equipment, procure supplies, reference material and teaching aids as reflected in annual budget appropriations. Financial allocations should ensure that the program will be in a competitive position to recruit and retain qualified faculty. Annual appropriations should provide for innovations and changes necessary to reflect current concepts of education in the discipline. The Commission will assesses the adequacy of financial support on the basis of current appropriations and the stability of sources of funding for the program.    To Top

1-3. Institutional Accreditation: Programs must be sponsored by institutions of higher education that are accredited by an institutional accrediting agency (i.e., a regional or appropriate* national accrediting agency) recognized by the United States Department of Education for offering college-level programs.  ( * Agencies whose mission includes the accreditation of institutions offering allied health education programs.)

Intent: Dental schools, four-year colleges and universities, community colleges, technical institutes, vocational schools, and private schools, which offer appropriate fiscal, facility, faculty and curriculum resources are considered appropriate settings for the program. The institution should offer appropriate fiscal, facility, faculty and curriculum resources to sponsor the dental hygiene educational program.    To Top

1-4 Affiliates and Sponsors:All arrangements with co-sponsoring or affiliated institutions must be formalized by means of written agreements which clearly define the roles and responsibilities of each institution involved.

1-5 Community Resources: There must be an active liaison mechanism between the program and the dental and allied dental professions in the community. The authority and final responsibility for curriculum development and approval, student selection, faculty selection and administrative matters must rest with the educational institution.

Intent: The purpose of an active liaison mechanism is to provide a mutual exchange of information for improving the program, recruiting qualified students and meeting employment needs of the community. The responsibilities of the advisory body should be defined in writing and the program director, faculty, and appropriate institution personnel should participate in the meetings as non?voting members to receive advice and assistance.  To Top

STANDARD 2 - EDUCATIONAL PROGRAM

2-1 Admissions
2-4 Curriculum Management
2-5 Instruction
2-10 Curriculum Content
2-18 Patient Care Competencies

 

2-1 Admissions: Admission of students must be based on specific written criteria, procedures and policies. Previous academic performance and/or performance on standardized national tests of scholastic aptitude or other predictors of scholastic aptitude and ability must be utilized as criteria in selecting students who have the potential for successfully completing the program. Applicants must be informed of the criteria and procedures for selection, goals of the program, curricular content, and the scope of practice of and employment opportunities for dental hygienists.

Intent: The dental hygiene education curriculum is a postsecondary scientifically-oriented program which is rigorous and intensive. Because enrollment is limited by facility capacity, special program admissions criteria and procedures are necessary to ensure that students are selected who have the potential for successfully completing the program. The program administrator and faculty, in cooperation with appropriate institutional personnel, should establish admissions procedures which are non-discriminatory and ensure the quality of the program.  To Top

2-2 Admission of students with advanced standing: must be based on the same standards of achievement required by students regularly enrolled in the program.

Intent:To ensure that all enrolled students are held to the same achievement criteria, advanced standing rules and regulations should be applied equitably. If academic strengthening is needed to meet basic admission criteria or to proceed satisfactorily through the curriculum, the institution and program should provide the resources required to assist students.    To Top

2-3 The number of students enrolled: in the program must be proportionate to the resources available.

Intent:In determining the number of dental hygiene students enrolled in a program, careful consideration should be given to ensure that the number of students does not exceed the program's resources, including patient supply, financial support, scheduling options, facilities and faculty.  To Top

2-4 Curriculum Management: The dental hygiene program must have a formal, written curriculum management plan, which includes:
a) an ongoing curriculum review and evaluation process with input from faculty, students, administration and other appropriate sources;
b) evaluation of all courses related to the defined goals and competencies of the program;
c) a defined mechanism for coordinating instruction among program faculty as well as between dental hygiene faculty and other faculty who teach dental hygiene students.

Intent: To assure the incorporation of emerging information and achievement of appropriate sequencing, the elimination of unwarranted repetition, and the attainment of student competence, a formal curriculum review process should be conducted on an ongoing and regular basis. Periodic workshops and in-service sessions should be held for the dissemination of curriculum information and modifications.
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2-5 Instruction:  The curriculum must include at least two academic years of full-time instruction or its equivalent at the postsecondary college-level. The scope and depth of the curriculum must reflect the objectives and philosophy of higher education. A college catalog must be submitted listing degree awarded, course titles and descriptions. In a two-year college setting, the graduates of the program, must be awarded an associate degree. In a four-year college or university, the graduates of the program must be awarded an associate degree, certificate, or a baccalaureate degree.

Intent:The time necessary for psychomotor skill development and the number of required content areas require two academic years of study and is considered the minimum preparation for a dental hygienist. However, the curriculum may be structured to allow individual students to meet performance standards specified for graduation in less than two academic years as well as to provide opportunity for students who require more time to extend the length of their instructional program.    To Top

Maximum opportunity should be provided for students to continue their formal education with a minimum loss of time and duplication of learning experiences. Institutions are strongly encouraged to develop articulation agreements between associate degree programs and baccalaureate programs that provide for maximum transfer of clinical and clinically related course work. General education, social science and biomedical science courses included in associate degree dental hygiene curricula should parallel those offered in four-year colleges and universities. In baccalaureate degree curricula, attention is given to requirements for admission to graduate programs in establishing the balance between professional and nonprofessional credit allocations.

2-6: A process must be established to assure students meet the didactic, behavioral and/or clinical criteria as published and distributed. Academic standards and institutional due process policies must be followed for remediation or dismissal.
A college document must be submitted listing institutional due process procedures.

Intent:If a student does not meet evaluation criteria, provision should be made for remediation or dismissal. On the basis of designated criteria, both students and faculty can periodically assess progress in relation to the stated goals and objectives of the program.
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2-7: Written documentation of the curriculum must be provided at the initiation of course instruction and include course descriptions, content outlines, including topics to be presented, specific instructional objectives, learning experiences, and evaluation procedures.

Intent:The program should identify the dental hygiene fundamental knowledge and competencies that will be included in the curriculum based on the program goals, resources, current dental hygiene practice responsibilities and other influencing factors. Curriculum documentation needs to be periodically reviewed and revised to accurately reflect instruction being provided as well as new concepts and techniques taught in the program.    To Top

2-8: The dental hygiene program must define and list the competencies needed for graduation. These competencies must be written and communicated to enrolled students.

Intent:The educational goals and competencies for the dental hygiene education program should include the preparation of graduates who possess the knowledge, skills and values to begin the practice of dental hygiene.

2-9: The dental hygiene program must employ student evaluation methods that measure all defined program competencies. These evaluation methods must be written and communicated to the enrolled students.

Intent:The evaluation methods used in the dental hygiene program should include process and end-product assessments of student performance, as well as a variety of objective testing measures. These mechanisms will provide student performance data related to measuring defined program competencies throughout the program for the students, faculty and college administration.    To Top

2-10 Curriculum Content: The curriculum must include content in the following four areas: general education, biomedical sciences, dental sciences and dental hygiene science. This content must be integrated and of sufficient depth, scope, sequence of instruction, quality and emphasis to ensure achievement of the curriculum's defined competencies. A curriculum document must be submitted providing all courses included in the dental hygiene program for all four content areas.

Intent:Foundational knowledge should be established early in the dental hygiene program and of appropriate scope and depth to prepare the student to achieve competence in all components of dental hygiene practice. Content identified in each subject may not necessarily constitute a separate course, but the subject areas are included within the curriculum.    To Top

Curriculum content and learning experiences should provide the foundation for continued formal education and professional growth with a minimal loss of time and duplication of learning experiences. General education, social science, and biomedical science courses included in the curriculum should be equivalent to those offered in four-year colleges and universities.

2-11:
General education content must include oral and written communications, psychology, and sociology.

Intent: These subjects provide prerequisite background for components of the curriculum, which prepare the students to communicate effectively, assume responsibility for individual oral health counseling, and participate in community health programs.

2-12: Biomedical science content must include content in anatomy, physiology, chemistry, biochemistry, microbiology, immunology, general pathology, nutrition and pharmacology.

Intent: These subjects provide background for dental and dental hygiene sciences. The subjects are to be of the scope and depth comparable to college transferable liberal arts course work. The program should ensure that biomedical science instruction serves as a foundation for student analysis and synthesis of the interrelationships of the body systems when making decisions regarding oral health services within the context of total body health.    To Top

Biomedical science instruction in dental hygiene education ensures an understanding of basic biological principles consisting of a core of information on the fundamental structures, functions and interrelationships of the body systems. The biomedical knowledge base emphasizes the orofacial complex as an important anatomical area existing in a complex biological interrelationship with the entire body.  Dental hygienists need to understand abnormal conditions to recognize the parameters of comprehensive dental hygiene care. The program should ensure that graduates have the level of understanding that assures that the health status of the patient will not be compromised by the dental hygiene interventions.

2-13: Dental sciences content must include tooth morphology, head, neck and oral anatomy, oral embryology and histology, oral pathology, radiography, periodontology, pain management, and dental materials.

Intent:These subjects provide the student with knowledge of oral health and disease as a basis for assuming responsibility for assessing, planning and implementing preventive and therapeutic services. Teaching methodologies should be utilized to assure that the student can assume responsibility for the assimilation of knowledge requiring judgment, decision making skills and critical analysis.    To Top

2-14: Dental hygiene science content must include oral health education and preventive counseling, health promotion, patient management, clinical dental hygiene, provision of services for and management of patients with special needs, community dental/oral health, medical and dental emergencies including basic life support, legal and ethical aspects of dental hygiene practice, infection and hazard control management, and the provision of oral health care services to patients with bloodborne infectious diseases.

Intent: Dental hygiene sciences provide the knowledge base for dental hygiene and prepares the student to assess, plan, implement and evaluate dental hygiene services as an integral member of the health team. Content in provision of oral health care services to patients with bloodborne infectious diseases prepares the student to assess patients' needs and plan, implement and evaluate appropriate treatment.

2-15:The basic clinical education aspect of the curriculum must include a formal course sequence in scientific principles of dental hygiene practice, which extends throughout the curriculum and is coordinated and integrated with clinical experience in providing dental hygiene services.

Intent:Learning experiences and practice time in clinical procedures is necessary to assure adequate opportunity to develop competence in all clinical procedures included in the curriculum. Didactic material on clinical dental hygiene should be presented throughout the curriculum.
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2-16: The number of hours of clinical practice scheduled must be based on the clinical services included in the curriculum. To ensure that students attain clinical competence and develop appropriate judgment, clinical practice must be distributed throughout the curriculum.

Intent:Sufficient practice time and learning experiences should be provided during preclinical and clinical courses to ensure that students attain clinical competence. The number of hours devoted to clinical practice time should increase as the students progress toward the attainment of clinical competence.

The preclinical course should have at least six hours of clinical practice per week.As the first-year students begin providing dental hygiene services for patients, each student should be scheduled for at least eight to twelve hours of clinical practice time per week. In the final prelicensure year of the curriculum, each second-year student should be scheduled for at least twelve to sixteen hours of practice with patients per week in the dental hygiene clinic.

2-17: The dental hygiene program must have established mechanisms to ensure an adequate number of patient experiences that afford all students the opportunity to achieve stated competencies within a reasonable time.

Intent:A system should be developed and implemented to categorize patients according to difficulty level and oral health/disease status. This system should be used to monitor students' patient care experiences. Patient assignments should include maintenance appointments to monitor and evaluate the outcome of dental hygiene care.    To Top

2-18 Patient Care Competencies: Graduates must be competent in providing dental hygiene care for the child, adolescent, adult, geriatric and medically compromised patient.

Intent: An appropriate patient pool should be available to provide a wide scope of patient experiences that include children, adults, geriatric and special populations. These experiences should be monitored to ensure equal opportunities for each enrolled student.    To Top

2-19: Graduates must be competent in providing the dental hygiene process of care which includes:

Assessment
The systematic collection and analysis of the following data to identify patient needs and oral health problems.
a) medical and dental histories
b) vital signs
c) extra/intra-oral examination
d) periodontal and dental examination
e) radiographs
f) indices
g) risk assessments (i.e., tobacco, systemic, caries)

Planning
The establishment of realistic goals and treatment strategies to facilitate optimal oral health.
a) dental hygiene diagnosis
b) dental hygiene treatment plan
c) informed consent
d) dental hygiene case presentation

Implementation
Provision of treatment as identified in the assessment and planning phase.
a) infection control
b) periodontal debridement and scaling
c) pain management
d) application of chemotherapeutic agents
e) fluoride therapy
f) application of pit and fissure sealants
g) coronal polishing
h) care of oral prostheses
i) care and maintenance of restorations
j) health education and preventive counseling
k) nutritional counseling

Evaluation
Measurement of the extent to which goals identified in the treatment plan were achieved.
a) indices
b) reevaluation of oral and periodontal health status
c) subsequent treatment needs
d) continuing care (recall)
e) referral
f) patient satisfaction

2-20: Graduates must be competent in providing dental hygiene care for all types of classifications of periodontal disease including patients who exhibit moderate to severe periodontal disease.

Intent:The total number and type of patients for whom each student provides dental hygiene care should be adequate to ensure competency in all components of dental hygiene practice. An appropriate patient pool should be available to provide patient experiences in all classifications of periodontal patients, including both maintenance and those newly diagnosed. These experiences should be monitored to ensure equal opportunity for each enrolled student.    To Top

2-21: Graduates must be competent in interpersonal and communication skills to effectively interact with diverse population groups.

Intent:Dental hygienists should be able to effectively communicate with individuals, both one-on-one and small group interactions. The ability to communicate verbally and in written form is basic to the provision of oral health services in a safe and effective manner.

2-22: Graduates must be competent in assessing, planning, implementing and evaluating community-based oral health programs including, health promotion and disease prevention activities.

Intent: Dental hygienists should experience a series of broad-based activities dealing with diverse populations to ensure competence in oral health education and preventive counseling for individuals and groups. Population based activities will allow students to apply community dental health principles to prevent disease and promote health.    To Top

2-23: Graduates must be competent in providing appropriate life support measures for medical emergencies that may be encountered in dental hygiene practice.

           Intent: Dental hygienists should be able to provide appropriate basic life support as providers of direct patient care.

2-24: Graduates must be competent in applying ethical, legal and regulatory concepts to the provision and/or support of oral health care services.

Intent: Dental hygienists should understand and practice the ethical and legal requirements, which members of all health care professions are expected to maintain in the provision of health care to the public.

2-25: Graduates must be competent in the application of self-assessment skills to prepare them for life-long learning.

            Intent: Dental hygienists should possess self-assessment skills as a foundation for maintaining competency and quality assurance.

2-26: Graduates must be competent in the evaluation of current scientific literature.

Intent: Dental hygienists should have the ability to evaluate scientific literature as a foundation for life-long learning and adapting to changes in healthcare.

2-27: Graduates must be competent in problem solving strategies related to comprehensive patient care and management of patients.

            Intent: Critical thinking and decision making skills are necessary to provide effective and efficient dental hygiene services.    To Top


STANDARD 3 - ADMINISTRATION, FACULTY AND STAFF

3-2 Program Administrator 24
3-5 Faculty 25
3-11 Support Staff

3-1: The program must be a recognized entity within the institution's administrative structure which supports the attainment of program goals.

Intent: The position of the program in the institution's administrative structure should permit direct communication between the program administrator and institutional administrators who are responsible for decisions that directly affect the program. The administration of the program should include formal provisions for program planning, staffing, management, coordination and evaluation.    To Top

3-2 Program Administrator: The dental hygiene program administrator must have a full-time appointment as defined by the institution, which provides time for operation, supervision, evaluation and revision of the program.

Intent:To allow sufficient time to fulfill administrative responsibilities, teaching contact hours should be less than that of a full-time faculty member who does not have administrative responsibilities.

3-3: The program administrator must be a dental hygienist or dentist who has the educational background and professional experience necessary to understand and fulfill the program goals.

Intent:The program administrator's background should include management experience, instructional experience, and professional experience in clinical practice either as a dental hygienist or working with a dental hygienist.

3-4: The program administrator must have the authority and responsibility necessary to fulfill program goals including the responsibility for:

a) curriculum development, evaluation and revision;
b) faculty recruitment, assignments, supervision and evaluation;
c) initiation of program or department in-service and faculty development;
d) assessing, planning and operating program facilities;
e) budget preparation and fiscal administration;
f) coordination, evaluation and participation in determining admission criteria and procedures as well as student promotion and retention criteria.               
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3-5 Faculty: The number and distribution of faculty and staff must be sufficient to meet the dental hygiene program's stated purpose, goals and objectives.

Intent: Student contact loads should allow the faculty sufficient time for class preparation, student evaluation and counseling, development of subject content and appropriate evaluation criteria and methods, program development and review, and professional development.

3-6: The faculty to student ratios must be adequate to ensure the development of competence and ensure the health and safety of the public. The faculty to student ratios in clinical and radiographic practice must allow for individualized instruction and evaluation of the process as well as the end result and allow students to progress at an individual pace.

Intent: The adequacy of numbers of faculty should be determined by faculty to student ratios during laboratory, radiography and clinical practice sessions rather than by the number of full-time equivalent positions for the program. Faculty are responsible for both ensuring that the clinical and radiographic services delivered by students meet current standards for dental hygiene care and for the instruction and evaluation of students during their performance of those services.    To Top

The faculty to student ratios for preclinical, clinical and radiographic sessions should not exceed one to six, and laboratory sessions in the dental science courses should not exceed one to fifteen to ensure development of clinical competence and to ensure maximum protection of the patient.

3-7: The dental hygiene program must be staffed by a core of well-qualified full-time faculty who possess a baccalaureate or higher degree. All dental hygiene program faculty members must have current knowledge of the specific subjects they are teaching and background in appropriate educational methodology.

Intent: Faculty should have some background in education theory and practice, current concepts relative to the specific subjects they are teaching, and current clinical practice experience. Dentists and dental hygienists who supervise students' clinical procedures should have qualifications which comply with the state dental or dental hygiene practice act. Personnel who teach and supervise dental hygiene students in clinical enrichment experiences should have qualifications comparable to faculty who teach in the dental hygiene clinic and are familiar with the program's objectives, content, instructional methods and evaluation procedures.

3-8: Opportunities must be provided for full-time faculty to continue their professional development.

Intent:To assure competency in the discipline and educational theory, opportunities to attend professional development activities should be provided regularly for full-time faculty. Workshops should be offered to new faculty to provide an orientation to program policies, goals, objectives and student evaluation. This can be demonstrated through activities such as professional association involvement, research, publishing and clinical/practice experience.            To Top

3-9: A defined faculty evaluation process must exist that ensures objective measurement of the performance of each faculty member.

Intent: An objective evaluation system including student, administration and peer evaluation can identify strengths and weaknesses for each faculty member including the program administrator. The results of evaluations should be communicated to faculty members on a regular basis to ensure continued improvement.

3-10: Opportunities for promotion, tenure, and development must be the same for dental hygiene faculty as for other institutional faculty.

Intent:The dental hygiene program faculty should be granted privileges and responsibilities as afforded all other institutional faculty.

3-11 Support Staff:  Sufficient qualified institutional support personnel must be assigned to the program to support both the instructional program and the clinical facilities providing a safe environment for the provision of instruction and patient care.

Intent: Maintenance and custodial staff should be sufficient to meet the unique needs of the academic and clinical program facilities. Faculty should have access to instructional specialists, such as those in the areas of curriculum, testing, counseling, computer usage, instructional resources and educational psychology. Secretarial and clerical staff should be assigned to assist the administrator and faculty in preparing course materials, correspondence, maintaining student records, and providing supportive services for student recruitment and admissions activities. Appropriate support staff should be assigned to assist with the operation of the clinic facility including the management of appointments, records, billing, insurance, inventory, hazardous waste, and infection control.    To Top

3-12: Student assignments to clerical and dental assisting responsibilities during clinic sessions must be minimal and must not be used solely to compensate for limitations of the clinical capacity or to replace secretarial or dental assisting staff.

Intent:Secretarial and clerical staff should be assigned to assist the administrator and faculty in preparing course materials, correspondence, maintaining student records, and providing supportive services for student recruitment and admissions activities. Appropriate support staff should be assigned to assist with the operation of the clinic facility including the management of appointments, records, billing, insurance, inventory, hazardous waste, and infection control.

STANDARD 4 - EDUCATIONAL SUPPORT SERVICES


4-1 Facilities
4-1 Clinical Facilities
4-2 Radiography Facilities
4-3 Laboratory Facilities
4-4 Extended Campus Facilities
4-5 Classroom Space
4-6 Office Space
4-7 Learning Resources
4-8 Student Services

 

4-1 Facilities: The program must provide adequate and appropriately maintained facilities to support the academic and clinical purposes of the program that are in conformance with applicable regulations.    To Top

Clinical Facilities

The dental hygiene facilities must contain the following:

a) an adequate clinical facility with clinical stations for students including conveniently located hand washing sinks and view boxes; a working space for the patient's record adjacent to units; functional, modern equipment; an area that accommodates a full range of operator movement and opportunity for proper instructor supervision;
b) a number of clinical stations based on the number of students admitted to a class (If the number of stations is less than the number of students in the class, one clinical station is available for every student scheduled for each clinical session.);
c) a capacity of the clinic that accommodates individual student practice on a regularly scheduled basis throughout all phases of preclinical technique and clinical instruction;
d) a sterilizing area that includes sufficient space for preparing, sterilizing and storing instruments;
e) sterilizing equipment and personal protective equipment/supplies that follow current infection and hazard control protocol;
f) facilities and materials for students, faculty and staff that provide compliance with accepted infection and hazard control protocols;
g) space and furnishings for patient reception and waiting provided adjacent to the clinic;
h) patient records kept in an area assuring safety and confidentiality.

Intent: The facilities should permit the attainment of program goals and objectives. To ensure health and safety for patients, students, faculty and staff, the physical facilities and equipment should effectively accommodate the clinic and/or laboratory schedule.        To Top

4-2 Radiography Facilities: Radiography facilities must be adequate for student practice and the development of clinical competence.

The radiography facilities must contain the following:

a) an appropriate number of radiography exposure rooms which include: dental radiography units; teaching manikin(s); and conveniently located hand-washing sinks;
b) processing equipment;
c) an area for mounting and viewing radiographs.

Irrespective of the number of machines provided, it must be demonstrated that time is available for all students to obtain required experience with faculty supervision and that acceptable faculty teaching loads are maintained.

Intent: The radiography facilities should allow the attainment of program goals and objectives. Radiography facilities and equipment should effectively accommodate the clinic and/or laboratory schedules, the number of students, faculty and staff, and comply with applicable regulations to ensure effective instruction in a safe environment.   

4-3 Laboratory Facilities: An adequate multipurpose laboratory facility must be provided for effective instruction and allow for required laboratory activities. If the laboratory capacity requires that two or more sections be scheduled, time for all students to obtain required laboratory experience must be provided.

Laboratory facilities must contain the following:

a) placement and location of equipment that is conducive to efficient and safe utilization;
b) student stations that are designed and equipped for students to work while seated including adequate ventilation (exhaust) and lighting, necessary utilities, dust collection equipment, storage space, and an adjustable, comfortable chair;
c) documentation of compliance with applicable local, state and federal regulations.

Intent: The laboratory facilities should include an appropriate number of student stations with equipment and space for individual student performance of laboratory procedures with instructor supervision.   

4-4 Extended Campus Facilities: It is preferable and therefore recommended that the educational institution provide physical facilities and equipment which are adequate to permit achievement of program objectives. If the institution finds it necessary to contract for use of an existing facility for basic clinical education, then the following conditions must be met in addition to all existing Standards:

a) a formal contract between the educational institution and the facility;
b) a two-year notice for termination of the contract stipulated to ensure that instruction will not be interrupted;
c) a contingency plan developed by the institution should the contract be terminated;
d) a location and time available for use of the facility compatible with the instructional needs of the dental hygiene program;
e) the dental hygiene program administrator retains authority and responsibility for instruction and scheduling of student assignments;
f) clinical instruction is provided and evaluated by dental hygiene program faculty;
g) all dental hygiene students receive comparable instruction in the facility;
h) the policies and procedures of the facility are compatible with the philosophy and goals of the educational program.

    Intent: If off-campus clinical sites are used for basic clinical education, they should meet accreditation standards.

4-5 Classroom Space: Classroom space which is designed and appropriately equipped for effective instruction must be provided for and readily accessible to the program.

Intent: The classroom facilities should include an appropriate number of student stations with equipment and space for individual student performance in a safe environment.       

4-6 Office Space: Office space which allows for privacy must be provided for the program administrator and faculty. Student and program records must be stored to ensure confidentiality and safety.

Intent: Office space for full- and part-time faculty should be allocated to allow for class preparation, student counseling and supportive academic activities.

4-7 Learning Resources:  Instructional aids and equipment, and institutional library holdings must include or provide access to a diversified collection of current dental, dental hygiene and multidisciplinary literature and references necessary to support teaching, student learning needs, service, research and development. There must be a mechanism for program faculty to periodically review and select current titles and instructional aids for acquisition.

Intent: The acquisition of knowledge, skill and values for dental hygiene students requires the use of current instructional methods and materials to support learning needs and development. When electronic access is relied on to supplement the basic collection, the institution should provide access to interlibrary loan services and prepare students to identify and evaluate online resources.        To Top

4-8 Student Services: There must be specific written due process policies and procedures for adjudication of academic and disciplinary complaints that parallel those established by the sponsoring institution.

Intent: All policies and procedures should protect the students as consumers and provide avenues for appeal and due process. Policies should ensure that student records accurately reflect work accomplished and are maintained in a secure manner.

STANDARD 5 - HEALTH AND SAFETY PROVISIONS

5-1 Infectious Disease/Radiation Management
5-3 Emergency Management

5-1 Infectious Disease/Radiation Management: The program must document its compliance with institutional policy and applicable regulations of local, state and federal agencies including, but not limited to, radiation hygiene and protection, ionizing radiation, hazardous materials, and bloodborne and infectious diseases. Policies must be provided to all students, faculty, and appropriate support staff, and continuously monitored for compliance. Additionally, policies on bloodborne and infectious diseases must be made available to applicants for admission and patients.

Intent: The dental hygiene program should establish and enforce a mechanism to ensure adequate preclinical/clinical/laboratory asepsis, infection and biohazard control and disposal of hazardous waste.        To Top

Policies and procedures on the use of ionizing radiation should include criteria for patient selection, frequency of exposing radiographs on patients, and retaking radiographs consistent with current, accepted dental practice. All radiographs exposed on patients should occur while patient care is being provided for integration of radiography with clinical procedures.

Policies and procedures should be in place to provide for a safe environment for students, patients, faculty and staff. The confidentiality of information pertaining to the health status of each infected individual should be strictly maintained.

5-2: Students, faculty and appropriate support staff must be encouraged to be immunized against and/or tested for infectious diseases, such as mumps, measles, rubella, tuberculosis and hepatitis B prior to contact with patients and/or infectious objects or materials in an effort to minimize the risk to patients and dental personnel.

Intent: All individuals who provide patient care or have contact with patients should follow all standards of risk management thus ensuring a safe and healthy environment.

5-3 Emergency Management: The program must establish, enforce, and instruct students in preclinical/ clinical/laboratory protocols and mechanisms to ensure the management of emergencies. These protocols must be provided to all students, faculty and appropriate staff. Faculty, staff and students must be prepared to assist with the management of emergencies.

STANDARD 6 - PATIENT CARE SERVICES

6-1: The program must have policies and mechanisms in place that educate patients about their comprehensive treatment needs. Patients accepted for dental hygiene care must be advised of the scope of dental hygiene care available at the dental hygiene facilities.

Intent: All dental hygiene patients should receive appropriate care that assures their right as a patient is protected. Patients should be advised of their treatment needs and the scope of care available at the training facility and appropriately referred for procedures that cannot be provided by the program.        To Top

6-2: The program must conduct a formal system of quality assurance for the patient care program that demonstrates evidence of:

a) standards of care that are patient-centered, focused on comprehensive care, and written in a format that facilitates assessment with measurable criteria;
b) an ongoing review of a representative sample of patients and patient records to assess the appropriateness, necessity and quality of the care provided;
c) mechanisms to determine the cause of treatment deficiencies;
d) patient review policies, procedure, outcomes and corrective measures.

Intent: The program should have a system in place for continuous review of established standards of patient care.

6-3: The use of quantitative criteria for student advancement and graduation must not compromise the delivery of comprehensive dental hygiene patient care.

Intent:The need for students to satisfactorily complete specific clinical requirements prior to advancement and graduation should not adversely affect the health and care of patients.    To Top

6-4: The program must develop and distribute a written statement of patients' rights to all patients, appropriate students, faculty, and staff.

Intent:The primacy of care for the patient should be well established in the management of the program and clinical facility assuring that the rights of the patient are protected.

A written statement of patient rights should include:

a) considerate, respectful and confidential treatment;
b) continuity and completion of treatment;
c) access to complete and current information about his/her condition;
d) advance knowledge of the cost of treatment;
e) informed consent;
f) explanation of recommended treatment, treatment alternatives, the option to refuse treatment, the risk of no treatment, and expected outcomes of various treatments;
g) treatment that meets the standard of care in the profession.

6-5: All students, faculty and support staff involved with the direct provision of patient care must be continuously recognized/certified in basic life support procedures, including cardiopulmonary resuscitation.

           Intent: The need for students to be able to provide basic life support procedures is essential in the delivery of health care.

6-6: The program's policies must ensure that the confidentiality of information pertaining to the health status of each individual patient is strictly maintained.

Intent: The program should have a system in place to ensure patient confidentiality. The use of student employees as secretarial staff does not preclude the essential need for patient confidentiality.    To Top