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The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this unit of competency	The individual being assessed must provide evidence of specified essential knowledge as well as skills This unit is best assessed in the workplace or in a simulated workplace under the normal range of conditions Consistency in performance should consider the particular workplace context

Access and equity considerations	All workers in health and community services environments should be aware of access equity and human rights issues in relation to their own area of work All workers should develop their ability to work in a culturally diverse environment In recognition of particular issues facing Aboriginal andor Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on Aboriginal andor Torres Strait Islander people Assessors and trainers must take into account relevant access and equity issues relating to factors impacting on Aboriginal andor Torres Strait Islander clients and communities

Context of and specific resources for assessment	This unit can be delivered and assessed independently however holistic assessment practice with other community services units of competency is encouraged Resources required for assessment include access to appropriate workplace where assessment can take place simulation of realistic workplace setting

Method of assessment	In cases where the learner does not have the opportunity to cover all relevant aspects in the work environment the remainder should be assessed through realistic simulations projects previous relevant experience or oral questioning on What if scenarios Assessment of this unit of competency will include observation of processes and procedures oral andor written questioning on essential knowledge and skills and consideration of required attitudes Consistency of performance should be demonstrated over a range of relevant workplace conditions

Related units	This unit may be assessed independently or in conjunction with other units with associated workplace application

Range Statement



The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Fluoride varnish refers to:	A highly concentrated form of fluoride which is applied to tooth's surface as a type of topical fluoride therapy may be applied to enamel, dentine or cementum of tooth and can be used to help prevent decay, remineralise tooth surface and treat dentine hypersensitivity not permanent varnish but due to adherent nature will stay in contact with tooth surface for several hours

Clients may include:	Clients with prescribed application of fluoride varnish in an individualised oral health care plans, such as those in: aged care facilities correctional facilities mental health facilities rural, remote or isolated communities

Oral health care plan may include:	A stand-alone individualised oral health care support plan Care plan written by an appropriate health practitioner Oral hygiene care plan Personal care tasks embedded in a wider individualised plan

Contraindications may include but not be limited to:	A known allergy to one of the constituents of the varnish Being pregnant or lactating Last application less than three months earlier Not having eaten prior to treatment

Significant others may include but are not limited to:	Any person with the appointed right to speak for the client, such as: carers guardians members of family other professionals

Benefits of fluoride varnish include but may not be limited to:	Prevention and reduction of dental caries Reduced tooth sensitivity

Risks associated with fluoride varnish include but may not be limited to:	Incorrect dose which may be toxic Over-application i.e. less than three months apart Swallowing fluoride varnish which can be toxic and corrective action i.e. drinking milk must be taken

Advantages of fluoride varnish over other procedures includes but may not be limited to:	Can be used in some cases where there is tooth sensitivity resulting from erosion or abrasion Dries rapidly and will set even in presence of saliva Has sticky consistency which helps it adhere to tooth's surface Quickly applied

Disadvantages of fluoride varnish over other procedures includes but may not be limited to:	Is technique sensitive and poor technique, such as not covering entire specified surface negates outcomes May cause a temporary change in the surface colour of teeth as well as some filling materials May cause gagging and/or vomiting May require a dry field during application Requires client cooperation

Consent may be:	Verbal Written

Fluoride varnish kit may consist of:	Applicator/micro-brush Cotton rolls Fluoride varnish Gauze for cleaning tooth in preparation for varnish

Appropriate amount of fluoride varnish refers to:	Amount as stated in the product application guidelines or oral health care plan and depending upon the specific product

Apply fluoride varnish in correct manner refers to:	Keeping client mouth open and tongue away from teeth Maintaining moisture control Retracting lip, wiping and applying a thin layer of varnish to the teeth as prescribed in the oral health care plan Ensuring varnish is applied only directly to the area prescribed in the oral health care plan without contact with other tissues Wiping tongue to remove excess varnish using wipe Never dispensing product in addition to that stated in the oral health care plan

Legislative requirements refer to:	Federal, state or territory legislation that may impact on workers' practices and responsibilities, noting that implementation of the unit of competency must reflect the legislative framework in which a worker operates

Organisation policies and procedures may include but not be limited to:	Clinical protocols Position descriptions Workplace policies and procedures, including: infection control WHS

Standard precautions refer to infection control and include:	Washing hands before and after oral care Appropriate use of personal protective equipment (PPE), including: gloves mask eye/facial protection e.g. glasses/face shield gown Use, where appropriate, environmental barriers, such as plastic coverings on chair headrests Disposal of PPE Appropriate handling of contaminated waste Effective environmental cleaning

Recommended guidelines for eating, drinking fluids and brushing/cleaning teeth include:	Client should not eat or drink for specified time as per product instructions to prevent removal of fluoride varnish unless necessary e.g. if diabetic Client should avoid hot foods and should eat a soft, non-abrasive diet for the rest of the day Drinking cool fluids, preferably water, is acceptable Resume regular and effective oral health procedures as per practitioners recommendations in the oral health care plan

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HLTOHC408B - Apply fluoride varnish

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement