DISINFECTING AN ALGINATE IMPRESSION, BITE REGISTRATION AND PROSTHETIC APPLIENCES TASK EVALUATION FORM

DISINFECTING AN ALGINATE IMPRESSION, BITE REGISTRATION AND PROSTHETIC APPLIENCES TASK EVALUATION FORM

Please add the student name as shown on the ID

Objective: The students will demonstrate the proper technique for disinfecting an alginate impression, bite registration and prosthetic appliances.

Competency: The student will set up armamentarium and Students will be taught the proper routine procedure that meets stated protocols for the proper technique for disinfecting an alginate impression, bite registration and prosthetic appliances. The student will pass with a minimum score.

Practice Required: 3

.Assembled the appropriate setup.

Wore the appropriate personal protective eyewear.

Gently cleaned the impression, bite registration and prosthetic appliances

Rinsed the impression, bite registration and prosthetic appliances and removed excess water.

Sprayed the impression, bite registration and prosthetic appliances thoroughly with disinfectant.

Wrapped the impression, bite registration and prosthetic appliances loosely in a plastic bag for the recommended contact time.

After sufficient contact time, rinsed the impression, bite registration and prosthetic appliances

Total Possible Points = 24 points

Minimum passing score = 24 points

If step is missed or minimum competency is not met, the evaluated procedure fails and must be repeated.

All Tasks are critical to the procedure Scoring:
1. Below basic skill level – No concept of skill.
2. Basic skill level – Minimum concept of skill, guidance needed.
3. Proficient skill level – Able to perform skill with minimal guidance.
4. Advanced skill level – Able to perform skill with no guidance.

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