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NameDate
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OPERATORIESNeeds ImprovementAcceptableOutstanding
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BREAKDOWN ROOM EFFICIENTLY (2-5 MINUTES)
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INFECTION CONTROL - SPRAY AND CLEAN ROOM TO OSHA/CDC STANDARDS
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SET-UP ROOMS WITH WRAPS, DISPOSABLES, EQUIPMENT WITHIN 15 MINS OF START OF BREAKDOWN
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KNOWLEDGE OF EACH PIECE OF EQUIPMENT, OPERATION AND MAINTENANCE
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PHONE
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DENTRIX
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COMPUTER
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CHAIR AND LIGHT
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XRAY SYSTEM
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CURING LIGHTS
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BP CUFFS
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CHAIRSIDE ASSISTING
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COMPASSION - COMFORTING PATIENT WHEN ANESTHETIC GIVEN, COUGHING, FIDGETING
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DEALING WELL WITH DIFFICULT PATIENTS - ADULT AND CHILDREN
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SUCTIONING - CAREFULLY EVACUATING WITHOUT POKING, GAGGING, OR DROWNING THE PATIENT, ABLE TO KEEP FIELD DRY AT ALL TIMES
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RETRACTION - KEEP TISSUE, TONGUE AWAY FROM WORK AREA AT ALL TIMES
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CLEAR FIELD - KEEP MIRROR CLEAN AND FIELD CLEAR OF DEBRIS AT ALL TIMES
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KNOWLEDGE OF PROCEEDURES AND PREPARATION FOR THEM
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REVIEWS TREATMENT RECORD FOR PROCEEDURE TO BE DONE
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CORRECT INSTRUMENTS OUT
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CORRECT MATERIALS OUT
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CORRECT EQUIPMENT OUT
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PROPER X-RAYS FOR PROCEEDURE TO BE DONE
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TREATMENT RECORD ON CORRECT DATE, SOAP NOTES DONE WHEN PATIENT SEATED
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PHASES TREATMENT PLANSCONSISTENTLY AND CORRECTLY
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MAINTAINS CHART ACCURACY (DELETES COMPLETED CONDITIONS, UP TO DATE)
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BE ALERT AND READY FOR THE NEXT STEP WITHOUT NEEDING TO BE TOLD WHAT TO DO
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ORGANIZED, ABLE TO GET INTO POSITION WITHOUT BLOCKING ACCESS OR VISION
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KEEPS WORK AREA CLEAN AS WE GO
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REMOVED TEMPORARY AND TRIES IN PERM. CROWN
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TEMPORARY CROWN CONSISTENTLY FABRICATED IN 20 MINS OR LESS WITH CORRECT:
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OCCLUSION
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CONTACTS
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MARGINS
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TEMPORARY CROWN CONSISTENTLY FABRICATED IN 10 MINS OR LESS
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LAB SLIPS FILLED OUT CORRECTLY AND COPIES PLACED IN CHART
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TAKES ALGINATE IMPRESSIONS CAPTURING ALL TEETH, NO BUBBLES OR BLEBS
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ABLE TO PROPERLY FIT BANDS FOR SPACE MAINT. AND TAKE ADEQUATE IMPRESSIONS
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SEALANTS - DONE CORRECTLY WITH PROPER ISOLATION, RETENTION WHEN CHECKED
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CHILD PROPHIES WITH FLUORIDE, NUTRITION AND ORAL HYGIENE INSTRUCTIONS
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CAN ANSWER PATIENT QUESTIONS AND/OR GIVE PROPER LITERATURE OR HANDOUTS
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EXPLAINS PROCEDURES AND GIVES POST OP INSTRUCTION
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ALWAYS HAS CONSENT FORMS SIGNED
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TAKES BLOOD PRESSURE AND PULSE (OR WEIGHT) AND RECORDS IN CHART
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ACCURATELY CHARTS PROPERLY MISSING TEETH, PERIO, EXISTING, AND NEEDED DENTAL WORK DURING EXAMS
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UPDATES MEDICAL HISTORY WITH SIGNATURE OF PATIENT
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INTRODUCES PATIENT TO DOCTOR AND CONFIRMS WITH PATIENT IN FRONT OF DOCTOR THE PROCEDURE FOR THE DAY AND ANY CHANGES TO HEALTH HISTORY
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CHART AUDITS
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MEDICAL HISTORY ABOVE 80%
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CONSENTS ABOVE 80%
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DENTAL CHART ABOVE 80%
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CORRECT CODING ABOVE 80%
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X-RAYS ABOVE 80%
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PATIENT RECALL ABOVE 80%
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RADIOGRAPHS
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FMX, NO CONE CUTS OR OVERLAPS AND CAPTURES FULL IMAGE OF EACH TOOTH
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CAN TAKE PANORAMIC XRAYS
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ABLE TO TAKE ADEQUATE XRAYS ON DIFFICULT PATIENTS AND CHILDREN
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PRACTICES XRAY SAFETY - LEAD APRONS, THYROID SHIELDS EVERY TIME
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MAINTENANCE AND EQUIPMENT
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KEEPS ROOMS STOCKED AT ALL TIMES
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RUNS CLEANER THROUGH LINES AFTER EXTRACTIONS
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CHANGES SUCTION FILTERS
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PERFORMS WATERLINE MAINTENANCE ACCORDING TO CURRENT PROTOCOL
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KEEPS WATER BOTTLES FILLED SO THEY DON'T RUN OUT DURING PROCEDURES
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INFECTION CONTROL
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KNOWLEDGE OF PROPER INFECTION CONTROL/STERILIZATION/CONTAMINATION PROTOCOLS
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HANDLES CHARTS AND PAPERWORK IN COMPLIANCE WITH HIPPA AND OSHA
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WEARS GLOVES, SAFTEY GLASSES, MASK, GOWN IN ACCORDANCE WITH OSHA STANDARDS
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REMOVES AND DISPOSES OF GLOVES AND WASHES HANDS WHEN LEAVING OPERATORY
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WASHES HANDS CONSTANTLY AND PROPERLY
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WEARS HEAVY GLOVES WHEN STERILIZING INSTRUMENTS
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CLEANS CEMENT OFF INSTRUMENTS, INSPECTS, AND TREATS INSTRUMENTS FOR CORROSION, AND IDENTIFIES INSTRUMENTS THAT ARE BROKEN OR SCRATCHED SEVERELY
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SPRAYS AND WIPES ALL WORK SURFACES PROPERLY AFTER PATIENT VISIT
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RESPECTS NON-CLINICAL AREAS BY KEEPING CONTAMINTED, OR POTENTIALLY CONTAMINATED ITEMS OUT
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STAFF INTERACTION, TEAM COOPERATION
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TEAMPLAYER - WILLING TO HELP OTHERS WHO ARE BEHIND OR VERY BUSY
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INITIATIVE - WILLING TO PUT IN EXTRA EFFORT WHEN THEY SEE A NEED WITHOUT BEING TOLD TO DO SO
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PEACEMAKER - DOES NOT GOSSIP ABOUT OTHERS, SPREAD RUMORS, OR CREATE ISSUES WHERE NONE EXIST
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COURTESY - PLEASANT AND EASY TO INTERACT WITH, NOT CONSTANTLY GRUMPY, ANGRY, OR TOO TIRED TO SMILE.
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TAKES RESPONSIBILITY FOR STERILIZATION OF ASSIGNED DR'S INSTRUMENTS
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ALWAYS MAKES SURE TO PITCH IN IN STERILIZATION WHEN NO STERILIZATION TECH PRESENT
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COMPLETES ASSIGNMENTS IN LAUNDRY AND LAB
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CHECKS ON CONDITION OF LAB, CLEANS AND ORGANIZES AS NEEDED
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CUSTOMER SERVICE
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GREETS AND SEATS IN A FRIENDLY MANNER
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MAKES SURE THE FOCUS OF THE APPOINTMENT STAYS ON THE PATIENT
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DOES NOT HAVE UNECCESSARY LOUD CONVERSATIONS IN HALLWAYS AND IN HEARING OF PATIENTS
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SHOWS GENUINE INTEREST IN THE PATIENT AND WORKS TO CREATE A RELATIONSHIP OF TRUST WITH EACH PATIENT
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CHECKS ON PATIENT THROUGHOUT APPOINT TO SEE HOW THEY ARE DOING AND IF THEY HAVE ANY NEEDS
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SEEKS TO ACCOMMODATE ALL REASONABLE PATIENT REQUESTS WITHOUT COMPLAINT
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PROJECTS THE ATTITUDE "I'M HAPPY TO BE HERE HELPING YOU" INSTEAD OF "YOU ARE JUST ANOTHER MOUTH" THROUGHOUT EACH APPOINTMENT
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CALLS PATIENTS TO FOLLOW UP AFTER SURGICAL EXTRACTIONS OR DIFFICULT PROCEEDURES
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BEHAVIORS AND PERFORMANCE MEET THE STANDARDS OF CHA'S MISSION AND CORE VALUES
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ADMINISTRATIVE
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CHECKS INBOX DAILY