Swagg

INTRAORAL PHOTOGRAPHY PROCESS EVALUATION

STUDENT NAME: ____________________________ DATE:__________________________________ PATIENT: _______________________________

EVALUATION:

U = Unacceptable: failed to address, not clinically useful, harmful or very inefficient. FACULTY: ______________________________

S = Satisfactory: meets specified criteria in an efficient, effective, consistent manner.

(-1 Point for every U). Criteria in BOLD denotes core competencies.

Any U in the bold categories will result in an automatic FAILURE for the process GRADE:       (#correct divided by 13 for %)

Criteria | S | U | FIRST ATTEMPT | S | U | SECOND ATTEMPT |

Student: Write the rationale for performing this procedure: | | | | | | |

1. Explains the purpose of the photographs and obtains patient consent (on the appropriate consent form). | | | | | | |

2. Determines which areas to be photographed and appropriate series to photograph. | | | | | | |

3. Accurately places protective sheath on intraoral camera. | | | | | | |

4. Ensures the patient is wearing protective eyewear. | | | | | | |

5. Wears full PPE during entire process: protective eyewear, gown, and gloves. | | | | | | |

6. Gathers mirrors that are clear and retractors that are appropriate for the area to be photographed. | | | | | | |

7. Places mirrors and retractors in the patient's mouth in the correct position for the photograph and patient comfort. | | | | | | |

8. Adjusts light source appropriate for the area. | | | | | | |

9. Determines field and distance for the photograph. | | | | | | |

10. Maintains a fulcrum (when possible) to prevent movement while taking the photograph. | | | | | | |

11. Accurately records the series and saves the photographs in the patient DENTRIX treatment record. | | | | | | |

12. Puts camera and...