TEACH Lesson Plan
15 Infection Control and the Dental
Radiographer
CHAPTER LESSON PLAN & OBJECTIVES
Lesson 15.1: Infection Control and the Dental Radiographer
1. Define the key terms associated with infection control.
2. Describe the rationale for infection control.
3. Describe the three possible routes of disease transmission.
4. Describe the conditions that must be present for disease transmission to occur.
CHAPTER TEACHING FOCUS
• Students will have the opportunity to understand the rationale for infection control and the associated
terminology.
Chapter 15: Infection Control and the Dental Radiographer 2
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
CHAPTER PRETEST
Have the students answer these questions prior to covering this chapter to understand where they stand
in relation to the content.
1) The surfaces in the radiography operatory that are likely to become contaminated when exposing
x-rays are the:
a) tubehead and PID.
b) lead apron and chair controls. c) counter surfaces and exposure button.
d) All of the above are correct.
2) The major source of cross-contamination during radiographic procedures is the:
a) lead apron.
b) PID. c) exposed film packet.
d) beam alignment device.
3) When transporting exposed films to the darkroom:
a) they should be placed in an aseptic
container.
b) gloves should be removed and hands
washed.
c) the area should be cleaned and the
patient dismissed.
d) All of the above are correct.
7) Recommendations concerning gloves would fall under which of the following categories of infection–
control practices that directly relate to dental radiography?
a) Protective attire and barrier techniques
b) Handwashing and care of hands
c) Sterilization or disinfection of instruments
d) Cleaning and disinfection of dental unit
and environmental surfaces
8) All dental professionals must use surgical masks and protective eyewear to protect the eyes and
face:
a) only during surgical procedures.
b) whenever the high-speed handpiece is
used.
c) if desired.
d) whenever spatter and aerosolized
sprays of blood and saliva are likely.
9) Critical instruments are defined as instruments:
a) that are used to penetrate soft tissue or
bone.
b) or devices that do not come in contact
with mucous membranes.
c) that contact but do not penetrate bone.
d) that contact but do not penetrate soft
tissue.
Chapter 15: Infection Control and the Dental Radiographer 3
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
CHAPTER PRETEST ANSWERS
1) d
Examples of surfaces that must be covered or disinfected include the following:
• X-ray machine: The tubehead, PID, control panel, and exposure button must all be covered or
disinfected.
4) a
The CDC released a publication entitled Guidelines for Infection Control in Dental Health Care
Settings (2003), which provides infection control practices for dentistry.
p. 136
9) a
Instruments that are used to penetrate soft tissue or bone are considered critical and must be
sterilized after each use.
p. 134
Chapter 15: Infection Control and the Dental Radiographer 4
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Classroom Preparation
Lesson 15.1: Infection Control and the Dental Radiographer
INSTRUCTOR PREPARATION
Textbook Objectives Covered
1. Define the key terms associated with infection control.
2. Describe the rationale for infection control.
3. Describe the three possible routes of disease transmission.
12. Discuss film handling without barrier envelopes using the daylight loader of an automatic processor.
National Standards Covered
ABHES DAI (Dental Assisting I – Basic)
• Section A: Curriculum, Competencies, Externship and/or Internal Clinical Experience:
• Infection and Hazard Control:
• Comprehend and perform all relevant hand washing techniques (3.a)
ABHES DAII (Dental Assisting II – Advanced)
• Section A: Curriculum, Competencies, Externship and/or Internal Clinical Experience:
• Infection and Hazard Control:
• Comprehend and perform all relevant hand washing techniques (5.a)
CODA Standards for Dental Assisting Programs
• Standard 2: Educational Program:
• The curriculum must include content at the in-depth level in dental radiology. Students must
Chapter 15: Infection Control and the Dental Radiographer 5
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
National Standards Covered (Continued)
CODA Standards for Dental Hygiene Programs
• Standard 2: Educational Program:
• Curriculum content: Dental hygiene science content must include oral health education and
Lesson Preparation Checklist
Materials and Supplies
• computer
Instructor Note
• The estimated time for student preparation marked with an asterisk (*) will increase depending on how
Chapter 15: Infection Control and the Dental Radiographer 6
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Classroom Preparation
Lesson 15.1: Infection Control and the Dental Radiographer
STUDENT PREPARATION (6* hrs)
1
READ – Textbook (pp. 135-144)
ANSWER – Textbook
Bring puzzles to class for an activity.
2
READ – Textbook (p. 135)
ANSWER – Textbook
• Quiz Questions: Essay, question 11 (p. 146)
3
READ – Textbook (p. 135)
ANSWER – Textbook
• Quiz Questions: Essay, question 12 (p. 146)
ANSWER – Textbook
• Quiz Questions: Essay, question 13 (p. 146)
APPLY – Workbook Module 3: Radiographer and Technique Basics
• Critical Thinking Question 6 (p. 112)
6
READ – Textbook (pp. 139-142)
ANSWER – Textbook
• Quiz Questions: Essay, question 21 (p. 146)
ANSWER – Workbook Module 3: Radiographer and Technique Basics
• Identify and Describe: Infection Control Procedures, questions 1, 2 (p. 98)
ANSWER – Workbook Module 3: Radiographer and Technique Basics
• Identify and Describe: Infection Control Procedures, question 3 (p. 98)
• Identify and Describe: Infection Control Procedures, question 4 (p. 98)
Chapter 15: Infection Control and the Dental Radiographer 7
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
STUDENT PREPARATION (6* hrs) (Continued)
9
READ – Textbook (pp. 142-143)
ANSWER – Textbook
• Quiz Questions: Essay, question 24 (p. 146)
ANSWER – Textbook
READ – Textbook (pp. 143-145)
ANSWER – Textbook
• Quiz Questions: Essay, question 26 (p. 146)
All
REVIEW – Laboratory Manual*
• Module 3: Infection Control Procedures in the Radiology Clinic (pp. 355–357)
PRACTICE – Laboratory Manual*
• Module 3: Infection Control Procedures in the Radiology Clinic (pp. 359–365)
(Note: The time estimate listed above does not include the laboratory manual assignments.)
Chapter 15: Infection Control and the Dental Radiographer 8
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
50-Minute Lesson Plan
Lesson 15.1: Infection Control and the Dental Radiographer
LECTURE OUTLINE (25 min)
1
&
2
KEY TERMS AND INFECTION CONTROL RATIONALE: SLIDES 5-8, 11, 12 (pp. 135-144)
• Discuss the key terms associated with infection control.
• Describe the rationale for infection control.
3
ROUTES OF TRANSMISSION: SLIDE 9 (p. 135)
• Describe the three possible routes of disease transmission.
4
TRANSMISSION CONDITIONS: SLIDE 10 (p. 135)
6
PROCEDURES BEFORE X-RAY EXPOSURE: SLIDES 19-22 (pp. 139-142)
• Describe the infection control procedures that are necessary before x–ray exposure.
7
PROCEDURES DURING X-RAY EXPOSURE: SLIDE 23 (p. 142)
• Describe the infection control procedures that are necessary during x-ray exposure.
8
PROCEDURES AFTER X-RAY EXPOSURE: SLIDE 24 (p. 142)
• Describe the infection control procedures that are necessary after x-ray exposure.
9
DIGITAL IMAGING AND PROCESSING PROCEDURES: SLIDES 25–26 (pp. 142-143)
• Describe the infection control procedures that are necessary for digital imaging.
• Describe the infection control procedures that are necessary for film processing.
LEARNING ACTIVITIES (choose one or more to equal 25 min)
1
&
REVIEW (20 min; 15 min)
• Using the key terms crossword puzzles that the students created as a homework assignment,
have the students exchange puzzles and solve them.
POST & COMMENT (10 min)
• Post Critical Thinking Question 1 for this lesson on the Evolve discussion board. Students
should post their answers and conduct an online discussion in comments. Each student should
Chapter 15: Infection Control and the Dental Radiographer 9
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
LEARNING ACTIVITIES (choose one or more to equal 25 min) (Continued)
4
POST & COMMENT (10 min)
• Post Critical Thinking Question 2 for this lesson on the Evolve discussion board. Students
offer critical feedback to at least two other students.
CREATE (20 min)
• Divide the class into small groups, and have each group draw a diagram of one of the three
conditions. Have the groups also create educational materials showing how to prevent disease
transmission. Have the groups present their materials to the class for discussion.
6
REVIEW (20 min)
• Divide the class into small groups, and have each group list the steps necessary in the
preparation of the dental operatory, supplies and equipment, and the dental radiographer.
Have each group share its list with the class for discussion.
• Appropriate Settings: Traditional classroom, flipped classroom
DISCUSS (10 min)
• Divide the class into small groups. Have each group discuss what surfaces can and cannot be
with the class.
Chapter 15: Infection Control and the Dental Radiographer 10
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
CRITICAL THINKING QUESTIONS
1. A new patient waits outside the radiography operatory when the radiographer is setting it up for
use. The patient tells the assistant “Isn’t this overkill? I don’t have anything wrong with me.” How
might the dental radiographer educate this patient about infection control?
Discussion Guidelines: The dental radiographer should offer the following explanation: The majority of
2. A patient tells the dental radiographer that she has not been to a dentist in over 10 years
because she is afraid of contracting the AIDS virus. How should the dental radiographer respond?
Discussion Guidelines: The best way to reduce anxiety and fear is to educate the patient about
Chapter 15: Infection Control and the Dental Radiographer 11
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Assessments
Chapter 15: Infection Control and the Dental Radiographer
ASSESSMENTS BY OBJECTIVE
1
Evolve Instructor Resources
• Test Bank: Multiple Choice, questions 2-6
Workbook Module 3: Radiographer and Technique Basics
• Basic Terminology Crossword Puzzle, questions 1-18 (p. 97)
Evolve Instructor Resources
• Test Bank: Multiple Choice, question 29
• Critical Thinking Question 6 (p. 112)
6
Evolve Instructor Resources
• Test Bank: Multiple Choice, questions 15, 16, 18-22, 27
Workbook Module 3: Radiographer and Technique Basics
• Identify and Describe: Infection Control Procedures, questions 1, 2 (p. 98)
8
Evolve Instructor Resources
• Test Bank: Multiple Choice, question 26
Workbook Module 3: Radiographer and Technique Basics
• Identify and Describe: Infection Control Procedures, question 4 (p. 98)
Evolve Instructor Resources
• Test Bank : Multiple Choice, questions 24, 25, 30
Chapter 15: Infection Control and the Dental Radiographer 12
TEACH Lesson Plan
IANNUCCI AND HOWERTON: Dental Radiography: Principles and Techniques, 5th Edition
Simulations
Chapter 15: Infection Control and the Dental Radiographer
SIMULATIONS BY OBJECTIVE
Mock Bite-Wing X-Rays (15 min)
5
Equipment Needed
• disclosing tablet
• film
• scrubs
• x-ray equipment
DEMONSTRATE
• Have two students volunteer to role play a patient and a dental radiographer. Both participants
Darkroom – Handling of Exposed Film (30 min)
7
Equipment Needed
• x-ray equipment
• exposed films
• film-holding devices
PRACTICE
groups and let the students practice. Give feedback and make corrections as necessary.
Handling of Contaminated Items and Disinfection (15 min)
8
Equipment Needed
• contaminated items
• handwashing area and supplies
• lead apron
class, have the students discuss what they have learned.
Film Handling During Processing (15 min)
11
&
12
procedure and give feedback as needed.
Equipment Needed
• barrier envelopes
• contaminated film container
• disposable towel