© 1998 – 2024 National Dental Assisting Examining Board 25 Candidate Handbook for the Written Examination – 2024 5.4. MANAGEMENT OF PATIENTS WITH SPECIAL NEEDS 5.4.1. Schedule appointments to accommodate patients that require treatment modifications 5.4.2. Adapt procedures according to patient’s physical needs, mobility limitations, age and/or mental health 5.4.3. Provide treatment information and instructions to patients, care givers and/or legal guardians with consideration of their cognitive level and communication ability 5.5. ANESTHESIA AND PAIN MANAGEMENT 5.5.1. Assist with the application of topical and administration of local anesthetic 5.5.1.1. Identify precautions during application of topical and administration of local anesthetic 5.5.1.2. Describe and locate injection sites for the placement of topical anesthetic for all injection techniques 5.5.1.3. Describe and monitor the patient for signs and symptoms of adverse reactions to topical and/or local anesthetic 5.5.1.4. Describe procedure for application of topical and administration of local anesthetic 5.5.1.5. Prepare equipment and supplies for the application of topical and administration of local anesthetic 5.5.1.6. Apply techniques for the safe assembly, handling and disposal of needles 5.5.1.7. Manage needlestick injuries according to best practise protocols 5.5.1.8. Provide pre-operative, operative and post-operative information/instructions for application of topical and administration of local anesthesia 5.5.2. Apply topical anaesthetic agents as prescribed 5.5.2.1. Prepare equipment, supplies and injection site and apply the prescribed topical anesthetic agent according to manufacturer’s instructions for use 5.5.2.2. Observe oral tissues for adverse reactions and apply corrective measures if needed 5.5.3. Assist with sedation and general anaesthesia 5.5.3.1. Differentiate between levels of sedation and general anaesthesia 5.5.3.2. Identify contra-indications for the administration of sedation techniques and general anesthesia 5.5.3.3. Describe and monitor signs and symptoms of adverse reactions to sedation and general anaesthesia 5.5.3.4. Prepare equipment and supplies for sedation techniques and general anesthesia 5.5.3.5. Monitor and document vital signs before, during and after sedation and general anesthesia 5.5.3.6. Provide verbal/written, pre-operative, operative, post- operative and home care information/instructions for sedation and general anesthesia
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