21st Century Instructional Guide for Career Technical Education

                                       Dental Assistant B...
o neurons
       o central nervous system
       o peripheral nervous system
•   respiratory system
       o nose
       o...
o placenta
                                                              • urinary
                                       ...
o production of blood cells
        o storage
•   muscular
        o adduction
        o abduction
        o flexion
     ...
o protection
                                                                             o sensory perception
           ...
o central nervous system
                                                                 o future research
              ...
Assisting, 8th edition, Chapter 19 “Disease
                                                             Transmission”.
  ...
•   infection-control practices
                                                                     •   refrain from shar...
• community to dental office to patient
HSE.O.DBS.3.3   correlate the primary routes of microbial       dental procedures ...
office, chlorine dioxide, commercial
                                                                    preparations of s...
and Removing Surface Barriers”, “Dental Dam
                                                              Placement and Re...
•   soap and repeat
                                                                       o fingerbrush
                 ...
o touch only ear rests
                                                                            o place on disposable t...
 long handled brush
                    above waterline
                    air-dry or pat with thick toweling
        ...
Procedure 21-3 page 343 “Autoclaving Instruments”
                                                                  Proced...
diamond)
                                                                • reactivity code (yellow diamond)
              ...
indicators, ultrasonic cleaners and cleaning
                                                                     solution...
• Section V – Health Hazard data
                                                                 See sample MSDS, page 36...
o tooth decay
                                                                           o periodontal disease
HSE.S.DBS.5...
programs.                                      information for this course.
HSE.O.DBS.6.2      utilize software, hardware,...
• debate
                                                                            • vote
                              ...
Thinking and        21C.O.9-12.2.   Student engages in a critical     Students engage in            Students apply
Reasoni...
Personal, and        21C.O.9-12.3. Student remains composed           Students will demonstrate     Students apply
Workpla...
Entrepreneurship   B.01-B.11,   . Understands the personal            Students will process          Student display
Skill...
Certification     Postsecondary programs: must complete all courses within the Dental Concentration
                     •...
National Institute of Health (NIH)
            www.nih.gov

            National Institute for Dental And Craniofacial Res...
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Curriculum Guide

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Curriculum Guide

  1. 1. 21st Century Instructional Guide for Career Technical Education Dental Assistant Biomedical Science Health Science Education Cluster Dental Assisting Concentration Title: Dental Assistant Biomedical Sciences (WVEIS 0741 ) Standard Number: Human Anatomy and Physiology HSE.S.DBS.1 Students will demonstrate knowledge of the basic structures and functions of the human body. Essential What dental related difficulties might a patient experience if they have arthritis? Multiple sclerosis? Questions: Muscular dystrophy? Objectives: Students will Learning Plan & Notes to Instructor: HSE.O.DBS.1.1 examine the basic structures and functions of systems the human body. • skeletal system o bone o cartilage o joints • muscular system o striated o smooth o cardiac • circulatory o heart  endocardium  myocardium  pericardium o vessels o cells • lymphatic system o vessels o nodes o ducts o tissue • nervous system 1
  2. 2. o neurons o central nervous system o peripheral nervous system • respiratory system o nose o sinuses o pharynx o larynx o trachea o bronchi o alveoli o lungs o stages of respiration • digestive system o mouth o pharynx o esophagus o stomach o small intestine o large intestine o liver o gall bladder o pancreas • endocrine system o hormones o pituitary gland o thyroid gland o parathyroid glands o adrenal glands o pancreas o ovaries o testes o thymus o pineal body 2
  3. 3. o placenta • urinary o kidney o ureters o bladder o urethra o urine • integumentary system o layers o glands o hair and nails • male reproductive systems o testes o epididymis o vas deferens o seminal vesicles o ejaculatory ducts o urethra o prostate gland o Cowper’s glands o penis • female reproductive o ovaries o fallopian tubes o uterus o vagina o Bartholin’s glands o vulva o breasts HSE.O.DBS.1.2 relate the location and function of each components system of the human body. • skeletal o framework o protection o levers 3
  4. 4. o production of blood cells o storage • muscular o adduction o abduction o flexion o extension o rotation • circulatory o transport oxygen o nutrients o carbon dioxide • nervous o coordinates movement o respond to changes • respiratory o oxygen o carbon dioxide • digestive o chemical breakdown o physical breakdown • endocrine o chemical messengers o stimulate exocrine glands o growth o metabolism o fluid balance o chemical balance o sex processes • urinary o waste removal o excess water removal o acid-base balance • integumentary 4
  5. 5. o protection o sensory perception o body temperature o storage o absorption o excretion o production • reproductive systerm Power Point presentation included in Modern Dental Assisting, 8th edition, Chapter 7, “General Physiology”. Standard Number: Microbiology HSE.S.DBS.2 Students will: • understand principles of infection control. • apply principles of disease transmission and prevention. Essential Considering microorganisms and disease transmission, are clinical facilities safer for patients than Questions: home care? Objectives: Students will Learning Plan & Notes to Instructor: HSE.O.DBS.2.1 classify common pathogens and Microorganisms nonpathogenic microorganisms. • bacteria o cocci o diplococci o streptococci o staphylococci o bacilli o spirochetes o spores • algae • protozoa • fungi o candida o oral candidiasis • prions o lack nucleic acid 5
  6. 6. o central nervous system o future research • viruses o specificity o latency o treatment of viral diseases o transmission of viral diseases o environment Power Point presentation included in Modern Dental Assisting, 8th edition, Chapter 18, “Microbiology”. HSE.O.DBS.2.2 recognize the principles of disease disease transmission transmission and virulence. • chain of infection o virulence o concentration o susceptible host o portal of entry • types of infections o acute o chronic o latent o opportunistic infections • methods of transmission o direct o indirect o splash o airborne o parenteral o bloodborne o food and water o fecal-oral transmissions prevention • vaccination • infection control practices Power presentation included in Modern Dental 6
  7. 7. Assisting, 8th edition, Chapter 19 “Disease Transmission”. See video entitled “Delmar’s Infection Control Techniques” and suggested websites for OHSA, NIOSH and CDC. HSE.O.DBS.2.3 relate the cause, symptoms, and prevention causes of Hepatitis B. • methods of transmission o sexual contact o direct o indirect o splash or spatter o airborne o parenteral o bloodborne symptoms • yellow jaundice • flu like symptoms prevention • immunization • immunoglobulin. HSE.O.DBS.2.4 relate the cause, symptoms, and prevention causes of HIV/AIDS. • methods of transmission o sexual contact o direct o indirect o splash or spatter o airborne o parenteral o bloodborne symptoms • memory loss • headaches • night sweats prevention 7
  8. 8. • infection-control practices • refrain from sharing needles • practice safe sex Standard Number: Infection Control HSE.S.DBS.3 Students will demonstrate knowledge and skills in infection control policies and procedures applicable to the dental office. Essential How does the lack of formal training affect quality of care for the dental patient as it relates to Questions: controlling infection? Objectives: Students will Learning Plan & Notes to Instructor: HSE.O.DBS.3.1 recognize the principles governing infection rationale control in the dental office. • protect employees • protect patients • protect community regulation and training • roles and responsibilities of the CDC and OSHA o CDC - issue recommendations o OSHA – issue standards • OSHA Bloodborne Pathogens Standard o exposure-control plan o standard and universal precautions o categories of employees o postexposure management o employee training o Hepatitis B Immunization o employee medical records o managing contaminated sharps Power Point presentation included in Modern Dental Assisting, 8th edition, Chapter 19 “Disease Transmission and Infection Control”. HSE.O.DBS.3.2 determine how pathogenic microorganisms pathogen spread spread in the dental office. • patient to dental team • dental team to patient • patient to patient • dental office to community 8
  9. 9. • community to dental office to patient HSE.O.DBS.3.3 correlate the primary routes of microbial dental procedures associated with microbial transmission with the corresponding dental transmission procedures affecting the dental assistant. • restoration procedures – composite; amalgam • preventive procedures – prophylaxis; sealants • education procedures – oral hygiene; consultations • surgical procedures – extractions; endodontics; periodontal therapy, etc. HSE.O.DBS.3.4 apply Standard Precautions. Standard Precautions • hand hygiene • personal protective equipment o protect skin and underclothing o worn in office o changed at least once a day o visibly soiled needs changed o not worn in staff lounge • fluid resistant gowns • protective masks • protective eyewear • gloves • sharps o needles o orthodontic wires o broken instruments • contaminated items • ventilation device • all patients See video procedures on CD Rom supplied with Modern Dental Assisting, 8th edition, i.e. “Handwashing Techniques”. HSE.O.DBS.3.5 compare disinfectants with their applications high, intermediate, and low level EPA-Registered as used in dentistry. surface disinfectants • chlorines (sodium hypochlorite diluted in- 9
  10. 10. office, chlorine dioxide, commercial preparations of sodium hypochlorite with added surfactants) • complex phenols (“synthetic phenols” containing multiple phenolic agents) • dual/synergized quaternary ammonium compounds (alcohol and multiple quaternary ammonium compounds) • iodophors (iodine, combined with a surfactant) • phenol-alcohol combinations (phenolic agent in an alcohol base) • other halogens (sodium bromide and chlorine) Power Point presentation included in Modern Dental Assisting, 8th edition, Chapter 20 “Principles and Techniques of Disinfection.” HSE.O.DBS.3.6 show the proper usage of pre-procedure pre-procedure mouth rinse mouth rinses, high volume evacuation, dental • antimicrobial dams and disposable items. • reduce microorganisms • inconclusive high volume evacuation • tip angle • quadrant placement • saliva ejector • proper cleaning dental dams • visibility • patient protection • dental staff protection disposable items • barriers • suction tips • air/water tips • needles See video procedures on CD Rom supplied with Modern Dental Assisting, 8th edition, entitled “Placing 10
  11. 11. and Removing Surface Barriers”, “Dental Dam Placement and Removal”, and “Positioning the High- Volume Evacuator”. HSE.O.DBS.3.7 implement standards of practice related to standards of practice related to professional personal hygiene, hair, nails, jewelry, and appearance cologne. • personal hygiene o cleanliness o deodorant o make up o neatness • hair o out of face o clean o attractive style • nails o 2mm in length o acrylic o clean o proper hygiene • jewelry o length of necklace o rings o earrings o other facial jewelry • cologne o offensive o allergies HSE.O.DBS.3.8 demonstrate proper hand washing hand washing procedures. • remove jewelry • regulate water flow • soap o use circular motion o friction • rinse 11
  12. 12. • soap and repeat o fingerbrush o cuticle stick • rinse • dry hands • clean up Power Point presentation included in Modern Dental Assisting, 8th edition, “Handwashing Techniques” Procedure Evaluation sheet 19-2, page 290 MDA 8th Edition “Handwashing before Gloving”, and use Glo germs activity using black light. HSE.O.DBS.3.9 demonstrate the correct use of personal don PPE protective equipment (i.e. protective eye • fluid resistant gowns wear, protective gloves, protective o place over uniform mask/shield and fluid resistant gown). o long sleeved lab coats, clinic jackets, or gowns • protective masks • protective eyewear o impact resistant o side protection o goggles or face shield • protective gloves o clean hands o place opposite hand inside glove o gloves donned last remove PPE • gloves o grasp outside cuff o turn glove inside out o ungloved fingers grasp inside of cuff o remove glove turning inside out o discard gloves into waste receptacle o wash and thoroughly dry hands • eyewear 12
  13. 13. o touch only ear rests o place on disposable towel • mask o slide fingers under strap in front of ears o discard mask into waste receptacle • fluid resistant gown o pull gown off o inside out HSE.O.DBS.3.10 relate the guidelines for disposing/laundering disposing of attire of attire. • leakproof bag with biohazard label • disposable gowns discarded daily laundering attire • not at home • in the office • biohazard label on leak proof container HSE.O.DBS.3.11 demonstrate methods of sterilization and methods of sterilization disinfection. • classification of Patient-Care Items o critical instruments o semicritical o noncritical • transporting and processing contaminated Items • processing area o centrally located o separated from operatories o not part of common walkway o no door or window o size o deep sink o CDC guidelines • precleaning and packaging instruments o hand scrubbing  only visible debris  PPE 13
  14. 14.  long handled brush  above waterline  air-dry or pat with thick toweling o ultrasonic cleaning  reduce hand injuries  PPE  tongs  solutions  chemical label  biohazard label  testing • sterilization monitoring o physical o chemical o biologic • steam autoclave sterilization • flash sterilization • chemical vapor sterilization • dry-heat sterilization • sterilization failures • chemical liquid sterilization • ethylene oxide sterilization • handpiece sterilization Power Point presentation included in Modern Dental Assisting, 8th edition, Chapter 21, “Principles and Techniques of Instrument Processing and Sterilization”. See video procedures on CD Rom supplied with Modern Dental Assisting,8th edition, entitled “Autoclaving Instruments” and “Operating the Ultrasonic Cleaner”. Also suggested are the following Procedure Evaluation sheets: Procedure 21-1 page 333 “Operating the Ultrasonic Cleaner” Procedure 21-2 page 338 “Performing Biologic Monitoring” 14
  15. 15. Procedure 21-3 page 343 “Autoclaving Instruments” Procedure 21-4 page 345 “Sterilizing Instruments with Chemical Vapor” Procedure 21-5 page 346 “Sterilizing Instruments with dry heat Procedure 21-6 page 348 “Sterilizing Instruments with chemical Liquid Procedure 21-7 page 349 “Sterilizing the Handpiece”. HSE.O.DBS.3.12 articulate the use of a holding solution holding solution • prevent drying of blood and debris • non corrosive liquid • biohazard label • chemical label • changed at least twice daily Standard Number: Dental Related Environmental Hazards HSE.S.DBS.4 Students will understand the guidelines for minimizing exposure to environmental hazards. Essential How does ineffective teamwork affect the clinical environment? Questions: Objectives: Students will Learning Plan & Notes to Instructor: HSE.S.DBS.4.1 determine types of regulated and toxic waste general waste generated in a dental office hazardous waster contaminated waste infectious/regulated waste • blood • pathologic waste • sharps Power Point presentation included in Modern Dental Assisting, 8th edition, Chapter 23 “Chemical and Waste Management”. HSE.S.DBS.4.2 construct a chemical label for a secondary chemical label for a secondary container container • manufacturer’s name and address • name of chemical and target organ • health hazard code (blue diamond) • flammability and explosion code (red 15
  16. 16. diamond) • reactivity code (yellow diamond) • specific hazard warning (white diamond) • attach label to container Procedure Evaluation sheets from MDA, 8th edition, 23-1 “Creating Appropriate Label for a Secondary Container”. HSE.S.DBS.4.3 relate the roles of regulatory agencies in CDC dentistry including the Centers for Disease • agency of U.S. Department of Health and Control and Prevention (CDC), Department Human Services of Environmental Protection (DEP), Food and • lead federal agency for health and safety Drug Administration (FDA), and the protection of people Occupational Safety and Health • public health recommendations based on Administration(OSHA). scientific data • infection control procedures based on CDC recommendations • oral Health Services section • published guidelines on preventing tuberculosis transmission • publishes the Morbidity and Mortality Weekly Report DEP • regulatory agency • associated with dentistry by ensuring safe and effective disinfectants • reviews manufacturer’s claims to support with evidence • involved in regulating waste materials FDA • regulatory agency • agency of the U.S. Department of Health and Human Services • regulates manufacturing and labeling of medical devices. • approve sterilizers, biologic and chemical 16
  17. 17. indicators, ultrasonic cleaners and cleaning solutions, liquid sterilants, gloves, masks, protective eyewear, dental handpieces and instruments • regulates antimicrobial handwashing products and mouth rinses • reviews safety and effectiveness of drugs and medical devices • reviews claims on products to validate OHSA • regulatory agency • division of U.S. Department of Labor • ensure safety and health of America’s workers • enforces and sets standards • provides training and outreach education • encourages improving workplace safety and health • OSHA inspections in a dental office • OSHA Bloodborne Pathogens Standard and Hazard Communication Standard • OSHA monitors compliance through investigations Power Point presentation included in Modern Dental Assisting, 8th edition, Chapter 22 “Regulatory and Advisory Agencies”. HSE.S.DBS.4.4 recognize the importance, use, and sections importance and use of MSDS of a material safety data sheet (MSDS). • health and safety • organized binder sections of MSDS • Section I • Section II – Hazardous Ingredients/Identity information • Section III – Physical/Chemical Characteristics • Section IV – Fire and Explosion Hazard data 17
  18. 18. • Section V – Health Hazard data See sample MSDS, page 369, in Modern Dental Assisting, 8th edition. Standard Number: Nutrition HSE.S.DBS.5 Students will understand the benefits of proper nutrition. Essential Nutrition and wellness are trends in 21st Century America. What role does preventative dental care Questions: play in terms of wellness? Objectives: Students will HSE.S.DBS.5.1 examine the importance of good nutrition. importance of good nutrition • malnutrition • counseling patients o tooth decay o diet after oral surgery o dietary analysis o orthodontic appliances • foods that are carcinogenic fats, oils, and sweets carbohydrates • provide energy and heat • supply fiber for good digestion proteins • build and repair tissue • amino acids vitamins • regulate body functions • build and repair body tissue minerals • regulate body functions • build and repair body tissue water • carries nutrients and wastes • regulates body functions HSE.S.DBS.5.2 relate the goals of preventive dentistry to goal of preventive dentistry nutrition. • prevent new and recurring disease • prevent various types of bacteria 18
  19. 19. o tooth decay o periodontal disease HSE.S.DBS.5.3 classify foods within each food group using food groups the MyPyramid. • oil, sweets, fats • milk, milk products • vegetables • fruits • breads, cereals, rice • meats, fish, poultry MyPyramid • food groups • discretionary calories • physical activity • portion size • nutritious content • six key nutrients Have students conduct Internet research on the new food pyramid. See mypyramid.gov. HSE.S.DBS.5.4 complete a dietary analysis form. dietary analysis HSE.S.DBS.5.5 recognize special nutritional needs in dental special nutritional needs in dental patients patients. • need for a vitamin A, C and E increase following surgery • elimination of carcinogenic foods. • orthodontic appliances • excessive tooth decay • periodontal disease Standard Technology Number: Students will HSE.S.DBS.6 • understand the use of computer technology within the dental health care system. • demonstrate skills and knowledge of computer technology as appropriate to dental healthcare applications. Essential How has the application of technology impacted healthcare in the dental profession? Questions: Objectives: Students will HSE.O.DBS.6.1 implement the use of dental software *Dentrix Dental software system has related patient 19
  20. 20. programs. information for this course. HSE.O.DBS.6.2 utilize software, hardware, and the Internet software and hardware using word processing to practice and master standards. • type papers • reports • required class writing assignments Internet to practice and master standards in • nutrition • dental related environmental hazards • infection control • microbiology • human anatomy and physiology HSE.O.DBS.6.3 utilize the Internet as a resource/research Internet as a resource/research tool for tool. • reports • research assignments • other activities o nutrition o dental related environmental hazards o infection control o microbiology o human anatomy and physiology Standard Number: Student Organizations HSE.S.DBS.7 Students will participate in the local chapter of the Career and Technical Organization (CTSO). Essential How does participation in a Career and Technical Organization (CTSO) impact professional Questions: development and lifelong learning? Objectives: Students will HSE.O.DBS.7.1 participate in the local chapter of the involvement in HOSA or SkillsUSA appropriate Career and Technical • membership Organization (CTSO). • committee involvement • contests • projects • other educational activities HSE.O.DBS.7.2 examine parliamentary procedure in parliamentary procedure in organizational meetings organizational meetings. • main motion • second 20
  21. 21. • debate • vote • point of information • division • adjourn HSE.O.DBS.7.3 characterize team membership skill, such as team membership skills cooperation and leadership. • cooperation • leadership through participation in o committees o contests o projects o other educational activities HSE.O.DBS.7.4 participate in local, state, and national dental local, state, and national dental health care and health care and education projects. education projects • National Dental Health Month • Dental Assistant Recognition Week • American Dental Assistants Association, etc. 21st Century Skills Learning Skills & Technology Tools Teaching Strategies Evidence of Culminating Activity Success Information and 21C.O.9-12.1. Student routinely applies Students use software and Students apply the Communication TT2 keyboarding skills, keyboard hardware to master the use of software and Skills: shortcut techniques, and course standards. The hardware, along with mouse skills with facility, speed Internet is utilized as a the use of the and accuracy. resource for student Internet in a dental course work. office. 21
  22. 22. Thinking and 21C.O.9-12.2. Student engages in a critical Students engage in Students apply Reasoning Skills: LS1 thinking process that supports analysis of chemical knowledge and skill synthesis and conducts application in the dental to demonstrate evaluation using complex office; select appropriate appropriate chemical criteria. personal protective use in a real life equipment for various dental office 21C.O.9-12.2. Student engages in a problem patient scenarios; situation. The LS3 solving process by formulating formulate questions problem solving questions and applying concerning vitamin process is monitored complex strategies in order to deficiencies and apply by the instructor and independently solve problems. strategies in order to find assistance is given out what health problems as needed may arise; collaborates throughout the 21C.O.9-12.2. Student collaborates with with peers to produce a project. TT2 peers, experts and others to quick-read chemical chart contribute to a content-related with mandatory labels and knowledge base by using information and facilitates technology to compile, a group discussion to synthesize, produce, and conclude and report disseminate information, findings. models, and other creative works. 22
  23. 23. Personal, and 21C.O.9-12.3. Student remains composed Students will demonstrate Students apply Workplace, Skills: LS1 and focused, even under positive leadership as they acquired knowledge stress, willingly aligns his/her work collaboratively with and skills to personal goals to the goals of their peers; model ethical conclude and select others when appropriate, practices as it relates to the correct action for approaches conflict from win- working independently, in various real world win perspective, and derives groups and with various scenarios; request personal satisfaction from technology resources; assistance as achieving group goals. show composure and needed; 21C.O.9-12.3. Student demonstrates ethical focus as they engage in demonstrate a LS4 behavior and works responsibly real world scenarios they commitment to the and collaboratively with others are modeled to their peers final product, project, in the context of the school and in service learning demonstration or the larger community, and participation. service learning he/she demonstrates civic activity. responsibility through engagement in public discourse and participation in service learning. Learning Skills & Technology Tools Teaching Strategies Evidence of Culminating Activity Success 23
  24. 24. Entrepreneurship B.01-B.11, . Understands the personal Students will process Student display Skills: 17-.28 traits/behaviors associated with leadership, personal appropriate successful entrepreneurial management, leadership, performance. communication, and communication, and D.01-D.06, . Understand concepts, interpersonal skills as they interpersonal 08, .014, . strategies, and systems engage in collaborative traits/behaviors in 17, .21-.30, needed to interact effectively work, decision-making personal with others. processes, operate applications and E.01-.16 Understand concepts and multimedia equipment, collaboration with procedures needed for basic and draw career others. Students computer operations conclusions. successfully use H.04-06, . Understand concepts and basic computer 14-.18 strategies needed for career operations to exploration, development, and complete task and growth. projects. Students draw conclusions regarding educational requirements, job duties, and salary expectation in their area of interest. Culminating Assessment Culminating You are an Infection Control assistant in a local dental office. In the last 6 months, there has been Assessment: an increase in the number of nosocomial infections among the staff. Your job is to analyze a patient care scenario to determine the inputs into the Chain of Infection that perpetuated this spread. You will verbally present your analysis to your co-workers, by presenting a pictorial representation (charts, graph, etc.) illustrating each area of the chain and the corresponding action that might have contributed to the staff contracting a nosocomial infection. You will be judged on the application of your knowledge of microorganisms and the Chain of Infection, and a peer review on your ability to verbally and pictorially communicate your analysis effectively. Final Examination Industry Accreditation/Certification Industry Secondary programs: Accreditation/ None available at the completion of this course. 24
  25. 25. Certification Postsecondary programs: must complete all courses within the Dental Concentration • Commission on Dental Accreditation American Dental Association • Dental Assisting National Board o Certified Dental Assistant CDA o Certified Office Assistant COA o Infection Control Exam ICE o Radiation Health and Safety RHS o General Chairside GC o Dental Laboratory Technician Links and Other Resources Links and Other Related Websites: Resources Dental Assisting National Board http://www.danb.org American Dental Association http://www.ada.org American Dental Assistants Association http://www.dentalassistant.org Nutrition Unit – Food Pyramid http://mypyramid.gov American Dental Association www.ada.org Centers for Disease Control and Prevention (CDC) www.cdc.gov U.S. Department of Environmental Protection (DEP) www.dep.gov U.S. Food and Drug Administration (FDA) www.fda.gov 25
  26. 26. National Institute of Health (NIH) www.nih.gov National Institute for Dental And Craniofacial Research (NIDCR) www.nidcr.gov National Institute for Occupational Safety and Health (NIOSH) www.cdc.gov/niosh U.S. Occupational Safety and Health Administration (OSHA) www.osha.gov American Dental Assistants Association (ADAA) www.dentalassistant.org Organization for Safety and Asepsis Procedures (OSAP) www.osap.org Contacts Contacts: HSE Teachers: See HSE Directory HSE Coordinators: Rebecca Davis rdavis@access.k12.wv.us Cynthia Sundstrom csundstr@access.k12.wv.us OCTI Assistant Executive Director and EOCTST Coordinator: Donna Burge-Tetrick OCTI Executive Director: Gene Coulson 26

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