 Hello everybody, Andrew Maeski here with Dental L. So let's go through the portfolio. And specifically in this video, I wanna talk about your typical day because this can be very confusing to a lot of people, but let me first tell you that things have changed for the better. Like I'm talking, when I was first audited, because I have been audited before, when I would say, but I think it was six years ago, five or six years ago, we had to write out our typical day per dental office in paragraph form. Like it was literally probably 10 pages because you would have to list everything, every single step that you did from literally walking in the door. So let's say you came in with your street clothes on, you would have to explain how you basically took them off and put on your work uniform, how you then washed your hands, you know, everything. It was ridiculous if I can say that. So things are so much better that you're not allowed to complain at all, okay? At all. So let me just walk you guys through that. And the reason why I want to walk you guys through it is because a lot of people think that you have to say yes to everything on your typical day, you do not. And I'm going to go through every question with you. So when you first log in, click on your smile portal here, over to your left-hand side. Actually, let me zoom in for you guys. Smile portal here, left-hand side. And then click on continue to your secure third party site. So if you haven't logged in yet to your CDHO platform, you might have to send me an email because this will probably be very overwhelming to you. But I'm kind of assuming that you all have at some point. Actually, you would have had to because you have to fill out your self-assessment every single year. So unless you're a new hygienist, of course, but if you're a new hygienist, you will not be audited. So anyways, you guys, but if you have questions, I guess, let me know. So then you will get to this point and click on the year 2019. And then, I mean, depending on when you're watching this, just click on the year where you are now, okay? So, and then click on your learning portfolio off to the left-hand side here. Let's go see. Actually, sorry, no, sorry. It may not be under the learning portfolio. I'm thinking about how to manage your portfolio. So sorry, it's not that one. Let me see, and I just did this the other day because I was preparing to do the video for you guys. So let me take a look for one moment. There, so what I want you guys to do is to not click on learning portfolio. So pretend I didn't say that. Click on the next one. So it is called your practice profile. Click on that. So that would be number five over to your left-hand side. Now, let me first say, you have to fill out one of these per practice. So per practice that you're currently working at. So if you're a temp hygienist who is working in, let's say, 10 different offices, yes, you do have to fill in 10 different practice profiles commonly known or previously known as your typical day. So depending on who you're talking to. But in your CDHO website tool here, it is called your practice profile. So fill one out for every office that you currently are at. So if you were practicing in an office for three months, six months ago, but you're not there anymore, you do not have to fill this out. Yes, it is long, but you guys, all you have to do is click. No short form, no paragraphs, none of that. It's so easy. So I'm just going to walk you guys through this. Let me zoom in a little bit more here. And I'm going to publish this onto YouTube. So depending on where you're listening or watching this, I'm going to publish this onto YouTube. If you have any questions, let me know. I go through this even further in my, what am I trying to say here? My portfolio workshop online. So if you're taking the, or sorry, if you're taking, if you're handing in your portfolio, I do have a portfolio workshop online for that to walk you through everything. And if you're taking your quality assurance exam instead, I do have this video inside that also. Cause I do have a separate course for that called your quality assurance self-study course, sorry, oh my goodness. Your quality assurance study guide course. Okay guys, sorry. Okay. So let's go through this. So under the assessment phase. Now there's no wrong, well there is wrong answers, I suppose, but if you're looking through this and saying for example, oh, for the period exam it's talking about PSR, well I don't do a PSR. Then say never, that is okay because they're not going to call you or send you a letter if you're not doing a PSR as long as you say, you are probing on your patience. Okay, so does that make sense? So I don't want people to think, oh well it's saying here like all of this means that I have to always be doing it. No, you need to be truthful, do not lie. Because if you're going through this and then saying, oh clinical attachment levels I don't do at all, well then say never. But you obviously should be, right? So then that's probably going to be part of your portfolio or part of something new that you will be implementing for this year or next year. So you could always say in the little spot that they provide here say I'm not currently recording clinical attachment levels but I do plan on doing that now. They don't give you a lot of text space so keep it short but I did add a couple things too. So as an example, so the first one here is to review and update the client's medical history. Now for this one, yes you should always be doing it because if you're not, well that's just a no-no because if you're not updating it then you're probably missing something and that's very important. To determine client's oral health priorities, well that I would say is very important too and that is something that we are probably always doing anyway even if we're not saying to our clients so what are your oral health priorities? We're not saying that, right? But we do ask them things like do you have any tooth issues? Do you have any sore teeth? Or if the dentist tells them you do need three crowns and then we say to the client afterwards do you have any questions? And the client might say I don't want those crowns. Well that's talking about their oral health priorities. Taking the vital signs. So this is something that I do not do at every appointment. And that's a fine line where the rules state we should be for every new patient exam and it's recommended to do this at every appointment but I do not because we don't have to if that makes sense, right? So I'm not going to lie and say that I do always do it because let's just say hypothetically I get audited in such a way where the CDHO wants to send somebody over and look through all of my charts or 10 charts and they see oh you're not doing the vital signs on every patient but in your CDHO, what's this called again, sorry, practice profile you said that you take the vital signs on every patient so why did you lie? So I don't wanna be caught in a lie as silly as that sounds but it's true, right? But I do do the vital signs at every new patient exam plus if I feel that they need it. So if I saw a patient and they said oh I'm not really feeling so good today I've been sick for the past like a month I'm going to be taking the vital signs. If they have high blood pressure things like that that tells me that I should be then yes I'm going to take them. If for example taking the vital signs I had said I never do this then they will probably call me and say why aren't you taking the vital signs? Now it could be that I have a dental assistant to take them for me so that's possible, right? But then make sure to make a note of that somewhere else. So, yeah on second thought I don't think I need to read through all of these for you because we would be talking for hours probably but if you have questions on a specific one let me know. So I'm just going to walk through some of them that I thought might be a bit confusing. So for example oral cancer screening. I don't have any special tool to do the oral cancer screening but I do do it at every appointment. So I say that I do the A and the B at every appointment because I look inside the mouth. I look on the outside. I check to make sure at every single appointment. So that is true. Do I do the other ones? No, so then I say it is not applicable because I don't have these. And then I just left a little note saying oh well I should be more specific and say that I do oral cancer screening on every single adult. I do not do it for children because we don't have to but then I'm thinking oh well maybe I should do it for children because why not, right? So you know just things to think about. Taking indices. So once again this is something that I do do at every single appointment actually having that said periodontal attachment levels I do not do always. I do as indicated by the client condition and likely yearly but they don't actually ask you to be specific on everything. And just as an example again it says do I take pictures? Yes, I don't take x-rays but I do do the intraoral photos every single appointment. So you see how sometimes I say always. Sometimes I say as indicated by client condition. Sometimes I say never. They haven't really gotten anybody in trouble for say you're taking, you're at this point where it is asking you do you take indices and you do not. They have not gotten anybody in trouble as far as I know if you're not doing any of the indices but they might call you and say we want you to start doing them and this is why, okay? But again don't lie because if they come to your office let's just say and they want to see charts and you had said that you're doing indices on every single appointment but you're not that's lying and that's not a good thing, right? Some other things that I wanted to mention here. So the microbiologic and the histolic tests I do not do any testing for that. So that's why I had said never. That's not a bad thing. I just don't do them. Same thing for taking impressions and study models. I do not do that. Now I should have mentioned earlier this is for my mobile dental hygiene practice. I am still working into practices twice a week now actually sorry three times a week sometimes but come January when I submit my portfolio I will only be doing my own practice. So that's why I am only filling out one of them because by the time I submit my portfolio I know that I will just have my own practice. So this is specific to what I'm doing. So if you are a mobile hygienist or you are a dental hygienist who has his own practice let me know I can help you. Same as if you are a restorative hygienist I can help you with that too because we have to do things a little bit differently. Okay and again so talking about x-rays I do not take x-rays in my own practice. So a lot of these questions I said will not applicable because I do not take them. I refer patients to a dental office if they need them. The dental hygiene care plan and diagnosis. So this is kind of hard for me to answer because I'm thinking for every client do I do all of this? Well yes I do but I kind of felt like I wanted to explain things further like let me see here. Just trying to think of something. Actually no for these ones yes I do do it every appointment for sure because you talk about the next appointment. You talk about what you want to establish for the next one like oh you're brushing once a week let's move that up to three times a week or whatever. So yes those I do do every appointment. The next one here how often do you consult and or collaborate? So this is indicated by the client's condition for sure because I see patients and yes actually I do tell all of them well you need to see a dentist for a dental exam also and that would be I would say for every client but then I have some patients that tell me well I'm never going to see a dentist so take it or leave it. So do I always do this? No it's just a matter of what they need. So that's why I left a little line here saying that my clients see dentists at other offices because I'm their mobile dental hygienist where I don't have a dentist that works with me. So they'll probably call me up to have me explain this a little bit more but that's okay I'm expecting them to. And I thought these questions were interesting. So it's talking about are you able to make the following appointment related decisions in consultation with the client? So it's pretty much saying so are you the one who is able to schedule appointments? Are you able to say how long you want your appointments for? If I was working in an office I probably would say no to some of these because as an example the time interval between appointments well that's not if I was in another office well that's not up to me that's up to the office. When I work in other offices I hardly get a lunch I hardly get a break. So time interval between appointments I would say no I don't have control over that but this is my own practice. So yes I do have control over all of this which is nice right? But for a lot of you who are listening to this you probably won't have control right? So do not think oh how do they want me to answer this? Time interval between appointments well that's not up to me but if I say no am I gonna get in trouble? No this is your honest answers if that makes sense. Implementation so this was kind of hard to answer too for me because it said for each client under your care how often is each of the following activities performed by you or by another team member? So for example supragengeable debridement in scaling for adults. Well I think I was overthinking things and thinking well not all adults have supragengeable calculus so if they don't then I'm not gonna be scaling that but that's overthinking things too much. I think just what they're saying is do you clean teeth above the gum line or for some reason do you clean teeth underneath the gum line and then somebody else comes in to do above the gum line which would not happen right? But I think that's what they're getting at is they're trying to catch people who might be doing something wrong. If their hygienist is cleaning under the gum line but they're having the assistant clean the teeth above the gum line well that's not right. So maybe that's why they're asking these silly questions in my opinion but it makes sense that's probably why. For example tooth polishing to remove plaque and stain will some offices have the dental hygienist perform the scale only and then the assistant would tooth polish to remove the plaque and the stain right? So that might change your answer. Although it's saying by you or another team member so no that wouldn't change your answer. I think it's more you know yeah some of these questions I think even I'm overthinking them but try not to. So if you guys have questions let me know but do I clean teeth yes I do so that's why I said always do I scale teeth yes so always do I polish teeth yes always. Now the correct answer the most correct answer for the tooth polishing is probably indicated by a client's condition but because they want us now to do the selective polishing but I'm not going to lie. I polish for everybody because that's what my clients want. So I say always and this one I thought was interesting. So who do you apply topical fluoride to? I thought that was me. I personally apply it to everybody because I am pro all the way right? But you might only apply it for children. So then say always for children but then say as indicated by client condition for adults because if you don't do it then don't say you do it or say never you know. So read each question carefully and again so topical application of let's say for sealants. Do you put sealants on every client? Probably not. So always would be kind of a weird answer. If you said always to sealants I think the CDHO would probably call you and say why are you putting sealants on everybody? You know that kind of thing. I don't know if they would be that picky but that's why I said as indicated by client condition because no I don't put sealants on everybody. I personally don't like sealants because if they're not done properly I find a lot of decay gets stuck underneath and then they have to end up getting a feeling anyway but that's just a side story for another day but I do apply sealants when I know I can do a good job. You know if the child's kicking, screaming there's a lot of saliva they don't know how to open properly I'm not going to do sealants but again that's another story for another day but all of these it's just basically what you do. Again I'm a restorative hygienist so I might answer these things a little bit differently. Like for example I am able to place temporaries. If you're a dental hygienist you might not be able to place temporaries unless you're a restorative hygienist so then you would answer this differently. So if you had said you always do this then the CHO would probably call you and say why are you doing this? You're not a restorative hygienist. When they look at this for me they will probably go oh she's placing temporaries is she a restorative hygienist? Yes she is so she's allowed to do that so I think they're trying to catch you from doing things you're not supposed to do. Another example I do not make mouth guards or anything so that's why I had said not applicable because I don't do this. For ortho purposes I don't do ortho in my own practice in any way so that's why I said not applicable. So that's why you see sort of different answers here. Let's see here. Oh it looks like I missed one. Under what authority do you perform the controlled acts of the scaling teeth and root planing? I am a self-initiated hygienist so that's why I did say the first one. If you're not self-initiated your answer would be the next one so under a standing order. Everybody needs to sign that standing order sheet. If you haven't signed one you probably did but you just didn't realize you signed it so under standing order. If you do not know then the CHO will probably call you and say why don't you know what a standing order is? You know that kind of thing right? Again not wrong answers here but they want to catch people from making sure that they know what they're doing and if they don't that they want to help you. And I thought this was interesting too. So how often do you or someone in your practice sharpen your instruments? So I sharpen them when I need to. I don't do it every day. I don't do it every week. I don't do it sometimes. I just check to see when I need to sharpen them and I sharpen them. But I'm lucky because I do own my own practice so I have that time plus it's my own instrument. So I'm the only one using them. So I kind of have a good idea right? Let's see. And then you know more questions you guys. So just sort of asking me about anesthetic. I can only use topical. So for a lot of these I said never because I don't work with a dentist. Talking about other services. I kind of had to look at these and go oh have I ever talked to somebody about stopping smoking? Actually I'm going to say very rarely because I really don't. I do talk about their diet quite often especially if they're eating a lot of sugar so that's why I said routinely or always. So all of these look through them and truly say do I do this in my practice. I feel like these are more self-explanatory but again you guys if you have questions let me know. If you're watching this on YouTube I'm going to leave the course links for you on the bottom. I have a separate course for the portfolio if you need help with your portfolio because it doesn't have to be hard trust me. Do you just have to be organized but I do help you with all of that. Or if you're taking the quality assurance exam I do offer a course for that too which is so helpful. You do not have to buy like a $300 textbook you guys don't do it because I have taken basically the textbooks that you need and put them in PowerPoint format but I have only uploaded what you need to know for the course so you don't have to spend six months studying for the quality assurance exam. It is not like the national board exam okay. It's different but you still have to study for it so I will leave the link for you guys for that on the bottom too. I should mention they do ask you to talk about which I like your waterline maintenance how you handle your hand pieces, how you handle the sterilizing. If you're not sure or you don't know how to put it into words then I suggest which I do have it uploaded in our course also. I suggest looking at the CDHO shoot I can't think of what it's called and I don't have my iPad with me where I have it uploaded. They pretty much just talk about everything that you need to do as a dental hygienist talking about the waterline, talking about sterilization even if you look up infection control for a dental office it will list everything there for you anyway. Don't copy and paste that obviously but read it and say okay do I do this? Do I do this? Yes I do, oh no I don't do this so I should start doing this and then put it in your own words okay. So this I'm going to update more but I just sort of did a quick thing here because I just kind of did this the other day to prepare for the video. So you guys can kind of see, have an idea of what's being done. Another example, I do not use the ultrasonic because you don't have to. I have my own practice so I wanted to save some money and not purchase that so I just use a new brush on all of my instruments to pre-clean them. So that's why I said I never use the ultrasonic for this. The indicators they want you to know or they want you to make a note of and then the record keeping. So this kind of was a good reminder for myself to just sort of make sure that I am being up to date or I'm doing everything that I should be with the record keeping because I still have paper charts again to save some money for my own practice but I do my notes on the computer but not a dental software. I just kind of do it on my own just on the computer. So this was a nice friendly reminder for myself to make sure that I'm doing all of that. I found this not really sure how to answer someone that will know it. I shouldn't say not sure how to answer but like it wants you to make a note of how long you see your clients for. So if it's a child, an adult or a perio and this is hard for me to answer because every child's different. Every adult is different. Sometimes they take an hour. Sometimes they take an hour and a half. Sometimes they take 45 minutes. So but I just said more than 45 minutes for everybody because technically since I'm a mobile hygienist it takes me two hours per appointment and that includes cleaning up and setting up. So that's why I said more than 45 minutes for everybody but again I'll probably have to explain that a little bit. Oh yeah, this was hard for me too. So how many clients do you see on average during a total of seven working hours? And this is hard for me because sometimes I see one patient. Sometimes I see six patients. So there's really no average because it's really hard to determine. So I just kind of said one. And then in the comments I did explain it a little more there. What else? These I feel are self-explanatory. Again, update your CPR. Make sure to do this yearly. I'm gonna save this just so I don't forget to save it because I did add another question. Do not click I'm all done. This is for when you are ready to submit your portfolio. Always click save and continue working. Okay, always. Okay guys, so I'll cut this short for now. Sorry for all of my talking but I wanted to go through that well for you guys. In the next video, I'm going to talk about the portfolio itself and kind of how I'm doing it and how I'm working backwards. So I take courses that interest me and then I write up a goal statement and then the learning activities after that. So I'll talk about that a little bit in the portfolio workshop course. Okay guys, thank you so much for listening. Let me know if you need anything because it's October, you guys. We need to be either taking our quality assurance exam by January or submitting our portfolio. So now's the time and I don't know about you but I don't wanna do it over the holidays. So that's why I'm doing it like all now and I'm moving in a month. So, oh my goodness, crazy, crazy, lots of stuff. But thank you guys so much for listening and I'll see you in the next one.