© 1998 – 2024 National Dental Assisting Examining Board 23 Candidate Handbook for the Written Examination – 2024 4. PATIENT RECORDS (10 - 12% of 200 item exam) 4.1. Apply protocols to comply with legal requirements for updating, maintaining, storing, and transferring patient records, including authenticating entries with initials or signature. 4.2. Complete and update patient records using paper-based and electronic systems to include: 4.2.1. personal information 4.2.2. health and dental history, vital signs, medications, and medical alerts 4.2.3. intra-oral and extra-oral examination diagnoses 4.2.4. oral hygiene indices and periodontal notations 4.2.5. diagnostic records including: study models, bite registrations, radiographic images, and photographic images 4.2.6. consent forms, financial and insurance information 4.2.7. treatment plan and progress notes 4.3. Use professionally acceptable terminology, charting symbols, abbreviations, correct spelling, and tooth numbering systems 5. PATIENT CARE PROCEDURES (40 - 50% of 200 item exam) 5.1. OBTAIN AND RECORD VITAL SIGNS 5.1.1. Explain the rationale for obtaining and recording vital signs. 5.1.2. Describe the equipment required for, and obtain and record: pulse, temperature, blood pressure, and respiration. 5.1.3. Discuss normal ranges for vital signs and the factors that can affect readings. 5.2. COLLECT DIAGNOSTIC INFORMATION 5.2.1. Assist with diagnostic procedures 5.2.1.1. State the types of and provide the rationale for performing diagnostic procedure 5.2.1.2. Prepare and transfer equipment and supplies for diagnostic procedures 5.2.1.3. Observe, monitor and record responses and/or conditions that the patient may present with while in the dental setting 5.2.2. Obtain impressions and fabricate study models 5.2.2.1. State the rationale for obtaining impressions and bite registrations for the fabrication of study models 5.2.2.2. Select and prepare equipment and supplies specific to the patient’s dentition and anatomy 5.2.2.3. Manipulate impression material according to manufacturer’s directions for use
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