Competency | Subcategories of competency | Behavioral indicators |
---|---|---|
1. Professionalism (7 indicator) | Ethical behaviors | 1.1 Protects patients’ personal information. |
1.2 Assesses the patient’s consciousness level and informs the patient of the content of maintenance if they are conscious (e.g., the beginning and end of POHCa) | ||
1.3 Reports to the medical staff in charge (physician or nurse) if the patient exhibits problems. | ||
Professional behaviors | 1.4 Sets regular times for POHC or acts in compliance with pre-set times. | |
1.5 Actively participates in the training to provide POHC. | ||
1.6 Understands the purpose and importance of POHC in intubated patients and is able to explain these to the caregiver if needed. | ||
1.7 Has knowledge of sterilization and sanitization processes in order to prevent cross-contamination. | ||
2. Preparation for POHC (10 indicator) | Performing infection control | 2.1 Ensures appropriate hand hygiene. |
2.2 Has knowledge of the required personal protective equipment (e.g., gloves, mask, eye shield, protective clothes, etc.) and prepares accurately. | ||
Patient preparation | 2.3 Confirms the patient’s date of admission and diagnosis and evaluates the patient’s eligibility for POHC after consulting with the physician in charge. | |
2.4 Assesses the patient’s consciousness level and endotracheal intubation status. | ||
2.5 Requests the medical staff in charge to assess the position of the endotracheal tube. | ||
2.6 Requests the medical staff in charge to assess the cuff pressure of the endotracheal tube. | ||
2.7 Reports to the medical staff in charge when abnormalities are found in the oral cavity and provides appropriate treatment. | ||
Preparation for POHC | 2.8 Examines the patient’s oral condition (e.g., oral tissue, saliva, etc.) and enters the examination outcomes into the recording sheet. | |
2.9 Prepares the tools and equipment required for each individual patient at the time of POHC. | ||
2.10 Turns on the aspirator and connects the disposable suction tube to the aspirator. | ||
3. Performing POHC (6 indicator) | Performing infection control | 3.1 Performs the necessary infection control during POHC (e.g., ensuring hand hygiene, wearing personal protective equipment, etc.). |
Assessing patient condition | 3.2 Consults with the medical staff in charge to ensure a safe and comfortable position for the patient while undergoing POHC. | |
Performing POHC | 3.3 Has knowledge of the normal range of oxygen saturation levels and reports to the medical staff in charge if abnormal levels are observed during POHC. | |
3.4 Has knowledge of POHC for ICU patients undergoing endotracheal intubation and utilizes the appropriate equipment for POHC. | ||
3.5 Uses the appropriate necessary medication based on the patient’s condition (e.g., chlorhexidine, gel to relieve mouth dryness, etc.) | ||
3.6 Removes saliva or solution used for POHC using an aspirator or gauze. | ||
4. Evaluation of POHC (8 indicator) | Organizing POHC equipment and materials | 4.1 Assesses potential residual solution or saliva in the oral cavity after POHC and removes it if needed. |
4.2 Enters the performed procedures and outcomes (i.e., notes on patient condition, type of saliva, etc.) in the recording sheet. | ||
4.3 Cleans the equipment properly and disposes of all materials and solutions appropriately. | ||
4.4 Appropriately cleans, sterilizes, sanitizes, and stores the used equipment. | ||
4.5 Prepares the items required for the next POHC in advance. | ||
Assessing patient condition | 4.6 Asks the medical staff in charge to confirm the appropriate positioning of the endotracheal intubation after management. | |
4.7 Confirms the safety of the patient’s posture after POHC and asks for confirmation from the medical staff in charge. | ||
4.8 Assesses the patient’s condition and communicates with the medical staff in charge to transfer the patient to receive additional dental treatment if necessary. | ||
5. Cooperation among experts (7 indicator) | Professional behaviors | 5.1 Follows the regulations and takes responsibility for their own actions within the team. |
5.2 Puts active effort into achieving the common goals of the team. | ||
Problem-solving abilities | 5.3 Observes the performance of the teammates and assesses improvements that need to be made. | |
5.4 Asks for help or provides help to teammates if needed. | ||
5.5 Respects the teammates and puts effort into understanding their situation and position. | ||
Communication | 5.6 Communicates with fluency using official language/vocabulary. | |
5.7 Cooperates with the POHC team members or other medical staff to provide optimal oral hygiene management service. |