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Dental Assistant Job Desc Performance Eval -- May 2013 Page 4 of 10
from patient to dentist in a courteous and private manner.
Patient Treatment:
1. Takes accurate impressions and records.
2. Pours and trims models safety and accurately.
3. Provides assistance with behavior management and N2O administration
as instructed. Never leaves patient on N2O unattended.
4. Anticipates at chairside and passes instruments and supplies in a safe and
timely manner.
5. Places and removes rubber dam safely and accurately.
6. Places temporary fillings as instructed by providers.
7. Places retraction cord accurately and safely, ensuring adequate retraction
and hemorrhage control with minimal tissue damage.
8. Places sealants safely, quickly and properly as instructed by providers.
Patient Dismissal:
1. Provides patients with detailed verbal post-treatment instructions and
written information as indicated.
2. Checks to see if all necessary documents, radiographs, forms and
signatures are complete and ATTACHED to patient’s chart.
3. Cleans and sterilizes treatment room immediately after vacated to ensure
prompt turnover.
4. Cleans, sterilizes and organizes own instruments and supplies.
Communication:
1. Asks for direction when unsure of job expectation.
2. Makes suggestions and addresses concerns in a constructive manner.
3. Utilizes appropriate channels of communication in problem-solving
and conflict resolution.
4. Communicates effectively and courteously to all ICHC staff.
Organization & Time
1. Does not allow personal issues to interfere with workload; keeps social


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