March 20-21, 2020
Western Connecticut State University
West Side Campus
43 Lake Avenue Extension
Danbury, CT 06811
Clinic Opens at 8:00 a.m.
Patients will not be allowed on the University Campus until 4:00 a.m.
Line will begin forming at 5:00 a.m.
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Harassment and Discrimination Policy:
The CT Foundation for Dental Outreach (CFDO) and the Connecticut Mission of Mercy Free Dental Clinic (CTMOM) is committed to maintaining a collegial work environment in which all individuals are treated with respect and dignity and which is free of harassment and discrimination. In keeping with this commitment, the CFDO/CTMOM will not tolerate discrimination or harassment, including sexual harassment, as defined in this Policy, of employees/volunteers by anyone, including any volunteer, supervisor, co-worker, vendor, client or customer, whether in the workplace, at assignments outside the workplace, at CTMOM Clinics, CFDO/CTMOM sponsored social functions, or elsewhere.
Discrimination or harassment can take many forms. It may be, but is not limited to: words, conduct, adverse job action, signs, jokes, intimidation, physical contact, or violence. While all forms of discrimination and harassment based on an individual’s legally protected status are prohibited, including but not limited to any action based on race, color, religion, gender, national origin, age, disability, marital status, veteran status, genetic information, gender identity/expression, sexual orientation or intern status, it is the CFDO/CTMOM’s policy to emphasize that sexual harassment is illegal and prohibited by both state and federal law.
Sexual harassment is defined as unwelcome or unwanted sexual advances, requests for sexual favors, or other physical, verbal, or visual conduct based on sex when (1) submission to the conduct is an explicit or implicit term or condition of employment, (2) submission to or rejection of the conduct is used as the basis for an employment decision, or (3) the conduct has the purpose or effect of unreasonably interfering with an individual's work performance or creating an intimidating, hostile, or offensive working environment.
Examples of sexual harassment include unwanted sexual advances; explicit sexual propositions; demands for sexual favors in exchange for favorable treatment or continued employment; repeated sexual innuendos, suggestive comments, sexually oriented
kidding, teasing, or practical jokes; jokes about gender-specific traits; foul or obscene body language or gestures; display of foul or obscene printed or visual material (including but not limited to e-mail); and physical contact, such as touching, patting, pinching or brushing against another's body. The offender or the victim of harassment may either be a man or a woman and, in addition, harassment can occur involving persons of the same or opposite sex.
If any employee/volunteer believes that he/she is being harassed, the employee/volunteer should clearly and promptly notify the offender that the behavior is unwelcome. If for any reason an employee/volunteer does not wish to confront the offender directly or if such confrontation does not successfully end the harassment, the employee/volunteer should immediately notify the Executive Director, any CTMOM Department Lead, or any member of the CFDO Board of Directors.
The CFDO/CTMOM will not retaliate against any employee/volunteer who makes a report of harassment, nor will the CFDO/CTMOM permit any employee/volunteer to do so. Any form of retaliation against anyone who has reported harassment is strictly forbidden.
The CFDO/CTMOM's policy is to take all complaints of harassment seriously, and all such complaints will be promptly and thoroughly investigated.
To the fullest extent practical and appropriate under the circumstances, the CFDO/CTMOM will treat complaints and the terms of their resolution as personal and confidential.
If an investigation confirms harassment has occurred, the CFDO/CTMOM will take corrective action, including discipline up to and including immediate termination of employment or volunteer service.
Information for Community Volunteers:
Below are the Job Descriptions for our Community Volunteers.
Crowd Control: Ensure orderliness of patients waiting in line at the event and direct the flow of patients into the building as capacity allows.
Food Service: Set up and clean-up food service areas for the volunteers/patients.
Parking: Direct volunteers and patients to the proper parking areas and help direct individuals to the clinic.
Patient Escorts: Escort patients between various departments ensuring that no one is ever left alone on the clinic floor.
Patient Registration: Greet and explain how the clinic works. Register patient in data base system. *(Data entry experience required)
Set-up: Set up table and chairs, assemble dental units, stools and lights, unpack and distribute supplies, place signs in appropriate areas, set up registration areas, food service areas etc.
Tear Down: Disassemble equipment, assist in inventorying supplies, pack equipment and supplies, general clean-up etc.
Translator/Interpreters: Interpret for patients all languages especially Spanish, Polish, Portuguese and Italian. Signers are needed for our hearing impaired patients.
Volunteer Registration: Greet and check in volunteers.
Waste Management: Empty waste, general clean-up
What to Wear
All Volunteers will be given a CTMOM t-shirt and are encouraged to wear it during the clinic. Dress is casual – everything from scrubs to shorts – whatever is most comfortable for you. Supportive closed toe shoes are required!
Attention all volunteers under the age of 18
*You must have this form signed by a parent or guardian in order to volunteer at the CTMOM Free Dental Clinic.
Please click here to print the form and bring it with you to the clinic.
Information for Dental/Medical Professional Volunteers:
Dental Instruments and Supplies
The clinic will have portable dental units that include a patient chair, light and an operative unit connected to water and vacuum lines. Hand pieces (4 hole), Instruments and disposable dental supplies will be provided. If you choose to bring your own handpieces (4 hole), instruments or supplies, consider purchasing a plastic container with a lid to store and transport your instruments. Please write your name on your container.
Recommended Supplies to Bring:
- Dentists bring any special equipment you may need headlights, magnifying eyewear
- Be sure they are marked properly with your identification.
- We will have hand pieces available for your use, but they may be different from what you are accustomed to.
- If you would like to bring your own hand pieces, please mark them with your identification
- Bring your DEA number for prescription writing purposes.
- We will have generic CTMOM prescription forms available for use. Only CTMOM prescription forms will be allowed. Do NOT bring your own forms.
- Burs - Only if you have a favorite
- Bring a copy of your current license
Recommended Supplies to Bring: Hygienists
- Set ups will be provided but if you so desire, bring your favorites: scalers, cavitron inserts.
- Bring any special equipment you may need headlights, magnifying eyewear. Please mark them with your identification.
- Bring a copy of your current license.
Items That Will Be Supplied For Your Use (Dentists & Hygienists):
||Q-tips and topical anesthetic
|Disposable prophy angles
||Matrix bands and wedges
||Disposable instrument trays
|2x2, 4x4 gauze
||Stainless steel crowns
|Liquid hand sanitizer
|Disinfecting wipes/surface disinfectant
|Syringes and needles
||Hand pieces - High and low speed
||Amalgam and bases
||Hand piece lubrication
|Saliva ejectors and HVE tips
||Patient bibs; bib holders
There is a volunteer lounge available for breaks. Breakfast, lunch, snacks and beverages will be provided. Massage Therapists will be available in the lounge area to provide free massages to any volunteer. Please note: There are no secure areas for your personal belongings.
Protocol and Assignment Areas for ALL Dental, Hygiene and Dental Assisting Students:
- 4th year dental students will be able to perform extractions
- 3rd year dental students will assist the 4th year dental student.
- 3rd year dental student will NOT do extractions.
- 3rd year dental students will be able to anesthetize patients, with 2nd year dental student assisting.
- 2nd year dental student will NOT be anesthetizing patients.
- 1st year dental students can volunteer for sterilization and do general volunteers duties.
- Dental students can volunteer in post-op area.
Anesthesia: (3rd and 2nd year DENTAL STUDENTS ONLY) NO dental hygienists, hygiene students or dental assistant students
Oral Surgery: (4th and 3rd year DENTAL STUDENTS ONLY) NO dental hygienists, hygiene students or dental assistant students
Dental Hygiene: (RDH ONLY) NO hygiene students or dental assistant students
Patient Education: (HYGIENE and DENTAL ASSISTANT STUDENTS ONLY)
Dental Triage: (DENTAL ASSISTANTS ONLY) NO dental hygienists, hygiene students or dental assistant students
Endodontics: (DENTAL ASSISTANTS ONLY) NO dental hygienists, hygiene students or dental assistant students
Pedodontics: (DENTAL ASSISTANTS ONLY) NO dental hygienists, hygiene students or dental assistant students
Post Op: (RN, RDH, LPN, DENTAL STUDENTS, DENTAL ASSISTANTS ONLY) No dental hygiene students or dental assistant students
Prosthetics: (DENTAL ASSISTANTS ONLY) NO dental hygienists, hygiene students or dental assistant students
Radiology: (HYGIENISTS ONLY) NO hygiene students or dental assistant students
Restorative: (DENTAL ASSISTANTS ONLY) NO dental hygienists, hygiene students or dental assistant students
Sterilization: (MUST BE CERTIFIED IN INFECTION CONTROL)
FAQ for Dental and Medical & Practitioners
I'm from out of state; can I volunteer?
Absolutely! All types of volunteers (community, dental and medical) are needed and welcomed. All dental/medical practitioners must have valid licenses. Please bring a copy of your valid dental/medical license with you to the clinic and proof of malpractice insurance.
Do I need to carry Malpractice Insurance?
Yes. All dental/medical practitioners must have a valid licence and carry malpractice insurance. Please check with your carrier for verification that your malpractice insurance will cover you at the CTMOM clinic.
Is there training?
Yes. Prior to the CTMOM clinic, all Dental/Medical volunteers will receive an email with protocol from their department lead. There are also orientation videos available on our website, and an overview of the clinic and what happens in each department prior to the clinic opening its doors.