Competence Assessment Checklist

Competence Assessment Checklist

COMPETENCE ASSESSMENT CHECKLIST

(Dental Assistant)

NAME: Hire date:

POSITION TITLE: ______Department: ______

COMPETENCY / Meets standards / Does not meet standards
POSITION SPECIFIC COMPETENCIES
You may use your evaluation tool for this if it covers specific competencies
POSITION SPECIFIC EQUIPMENT
You may use your evaluation tool for this if it covers specific competencies
SURVEILLANCE, PREVENTION & CONTROL OF INFECTION
1. Demonstrates proper universal precautions, including TB precautions.
2. Demonstrates proper hand washing techniques.
3. Demonstrates knowledge of infection control for work area, utilizing appropriate procedures or processes to minimize risk. / 

 / 


LEADERSHIP
1. Demonstrates awareness of this organization's mission and values.
2. Demonstrates basic knowledge that there are strategic initiatives. / 
 / 

PATIENT RIGHTS/ ORGANIZATION ETHICS
1. Demonstrates knowledge of patients' bill of rights.
2. Verbalizes process for patients to lodge a complaint.
3. Demonstrates knowledge regarding patients' rights to privacy.
4. Demonstrates knowledge of what informed consent means.
5. Verbalizes how to handle ethical concerns. / 



 / 




IMPROVING ORGANIZATIONAL PERFORMANCE
1. Verbalizes role in quality/performance improvement process.
2. Demonstrates ability to participate in process improvement.
3. Verbalizes 5-step CQI process and their role in quality improvement. / 

 / 


MANAGEMENT OF HUMAN RESOURCES
1. Demonstrates compliance with attendance policy for mandatory
in-service training.
2. Demonstrates knowledge of process for making conflicts with cultural, ethical or religious beliefs known (i.e. staff rights policy). / 
 / 

COMPETENCY / Meets standards / Does not meet standards
ASSESSMENT OF PATIENTS
1. Demonstrates ability to assess patients:
a. Physiological needs
b. Psychological needs
c. Social needs
d. Nutritional needs
e. Functional needs
f. Cultural and religious needs / 




 / 





CARE OF PATIENTS
1. Demonstrates ability to identify & handle cultural needs and/or any other special needs of families (i.e. language). /  / 
PATIENT/FAMILY EDUCATION
1. Demonstrates ability to assess patient/family learning needs.
2. Demonstrates ability to teach patients/families about wellness and preventive health care. / 
 / 

CONTINUUM OF CARE
1. Demonstrates knowledge of patient referral process (specialists & consultants).
2. Demonstrates knowledge of changing growth & development needs. / 
 / 

ENVIRONMENT OF CARE
1. Demonstrates proper procedure in responding to a fire drill.
2. Demonstrates proper procedure in reporting an employee injury
3. Demonstrates proper procedure in reporting a security incident.
4. Demonstrates awareness of hazardous materials and MSDS.
5. Demonstrates knowledge and compliance with no smoking policy.
6. Demonstrates knowledge of appropriate procedures in responding to utility failures.
7. Demonstrates proper procedure for responding to medical emergencies. / 





 / 






MANAGEMENT OF INFORMATION
1. Demonstrates proper procedure for protecting confidential information.
2. Demonstrates proper procedure for documenting in a patient record.
3. Demonstrates proper procedure when patient-specific data are on a computer screen.
4. Demonstrates proper procedure by not sharing computer code with anyone or using anyone else's code. / 


 / 



HAZARDOUS MATERIALS
1. Demonstrates knowledge of hazardous materials in use in the work area and proper handling and storage. /  / 
RADIOGRAPHIC ASSESSMENT
1. Sufficient QUALITY of films in last full mouth survey
2. Evidence of date on all films taken within last 5 years
3. QUALITY – Check problem areas
[ ] Insufficient contrast[ ] Overlapping images
[ ] Distortion (elongation, foreshortening)[ ] Cone cut
[ ] Apex and surrounding bone not shown[ ] Poor developing
[ ] Other______/ 

 / 