Clinic Manual SG (Section 1-3)

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Students who do not have a patient during their assigned clinic session must complete: the form at the end of their clinic session to document "actively participating" in clinic

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Terms in this set (126)

Section 10AxiUm Training and ProceduresSection 11Division of Dental Hygiene Assessment, Clinical Grading & EvaluationSection 12Guidelines for Writing Paper & PortfolioWhat content is located in Section 2?standards of care treatment standards management of limited care patients introduction to Clinical Education and Program Competencies Patient Bill of RightsStandard of Caredescribes the proper care for the patient. should be patient-centered, focused on comprehensive care, and written in a format that facilitates assessment with measurable criteriacompetencya combination of knowledge and attitude, psychomotor and communication skills expected of the beginning, independent practitioner.outcomes assessmentis the process that measures the competence of students and provides them with feedback about how to improve their performance.quality assurance (QA) provides themechanism that assures the standards of care are met. Includes chart audits, infection control reviews, patient questionnaires, outcome assessment, remakes/refunds review, and post-treatment complaintsin suspected cases of adult and child abuse, who should be contacted?Missouri Department of Social Services and/or law enforcementDuring diagnostic procedures, patients who are found to have medical lesions, salivary dysfunctions, neurosensory disorders, chronic facial pain, and TMJ disorders will receive:appropriate referralthe use of intraoral dental radiographs will be limited to:the amount of exposure necessary to arrive at a diagnosisordering and taking films without clear clinical justification must be:avoidedall radiographs will be labeled with the:name of patient exposure date and findings recorded in the patient recordradiographs will be taken by non-dentists only when:authorization is obtained from a dentistall dentulous patients accepted for treatment at the school for general care should receive a:periodontal screening or a comprehensive periodontal examinationComprehensive care patients will not receive advanced restorative, prosthetic, implants, or orthodontic care until:the patient's periodontal condition has been stabilized, evaluated and approved by periodontal facultyperiodontal surgery will not be carried out for patients needing such services until:they demonstrate the consistent ability to maintain an acceptable level of oral hygiene required for post-surgical long-term careetiology of disease is:noted and appropriate management of the patient is prescribedprofessional prophylaxis procedures will be accomplished:at appropriate and regular intervals to maintain optimal oral healthannual recare diagnosis and recare/maintenance forms are used:at appropriate intervalsnicotine cessation program is provided for patients who:wish to participateemergency services will be provided for patients who:are not patients of record on a space available basis during normal emergency clinical hourspatients who need financial assistance will have financial arrangements made by:patient accountspatients of record of the school who need emergency care during normal business hours will be seen:by their assigned student in the appropriate team whenever possiblepediatric patients of record of the school who need emergency care during normal business hours will receive care from:the student assigned to pediatric emergency service for the daypatients with serious infections, traumatic injuries beyond the scope of competence of those staffing the clinic will be:immediately referred to the Oral & Maxillofacial Surgery Departmentpatients of record of the school who need emergency care after normal hours will call:their assigned student doctorif the student doctor cannot solve the problem,the appropriate team faculty member will be contacted.if the faculty member cannot resolve the problem, the patient will be seen bythe faculty member assigned to after-hours emergency care for that daypatients with physical, emotional, medical, and developmental disabilities will be given:full access to the service for diagnostic and emergency managementpatients with disabilities that are beyond the management skill level of the faculty and students in the general clinic will be referred to:the Kansas City Regional Center for Developmental Disabilitiesthe quality and timeliness of care for disabled patients will meet the standards of SOD except where:the nature of the disability makes compliance impossible (uncooperative developmentally disabled patient, severe seizures, and palsy states)disabled patients will have the same:radiology, diagnostic assessment, recall, and prevention protocols as routine patientsif a patient refuses the recommended radiographs,limited treatment will most likely be denied.what is the patient bill of rights?we will respect your rights; makes you more comfortable.. give you the finest and most complete dental care possible w/o regard to race, religion, sex, nationality or handicapwhat is the policy for students having access to the building after hours?students have after-hour access from 6:00am to 10:00pm via card swipe entry at the main and parking lot doors.faculty and other designated personnel have:24 hour swipe card accessweekend hours for students are:8am to 10pmthe dental hygiene clinic will be open from7am to 7pmpatients should be dismissed at:10:30am 2:30pm 6:30pmpolicy for cell phones at UMKC SOD?cell phones must be turned off or silenced during class, lab sessions and clinicurgent messages during class times may be relayed by phoning:Division of Dental Hygiene administrative assistant: 816-235-2050food and drinks are not allowed inclinical areas and preclinical laboratorieswhere is lost and found located at UMKC SOD?the dental assistant supervisor on the first floor serves as a repository of lost and found items. extension: 2143what will indicate oxygen tank location?green signs displayed throughout the clinicwhat will go far in preventing serious medication complications?careful patient evaluation constant patient observation, and early recognition of a medical emergencyin-house emergency number in oral surgery clinic:4444the person who made the call to ext. 4444 will:proceed at once to the stairway next to the elevator on the first floor, wait for the emergency team to arrive, and then lead the emergency team to the site of the incident.upon arrival of the emergency team:the emergency team members will take over the care of the patientunder the supervision of a member of the Department of Oral and Maxillofacial Surgery, the emergency team members will ensure the patient is transferred:to the emergency room of Truman Medical Center for definitive treatment if indicatedfor proper insurance protection for yourself or your patient,an indecent report must be executed whenever an unusual outcome occurswhere can incident report forms be obtained:the team clerka parent's or legal guardian's signature is required in order:to treat any patient under the age of 18 unless emancipated (married or self-supporting)it is HIGHLY RECOMMENDED that minor patients being seen at UMKC SOD be:accompanied by at least one of their biological parents or legal guardians at all timesif the parent/legal guardian accompanies the patient on their first visit to the UMKC SOD and are unable to accompany them to their subsequent visits,the parent/guardian must fill out a LETTER OF AUTHORIZATION formif another adult brings the child to subsequent visitthe parents needs to fill out another LETTER OF AUTHORIZATION form with the accompanying adult's name on the formwhat is recommended but not required for the letter of authorization?notarized formunder no circumstances can anyone under the age of 14:be left unattended in the reception areathe dental treatment area is restricted to:dental treatment personnel and the patient being treated ONLYto allow an exception of another person in the clinic, you should be granted permission from the:Team Coordinator or the Office of Clinical Programsin Pediatric Dentistry parents/legal guardians are:allowed in the cubiclesif a patient requires an interpreter, arrangements must be made a minimum of:two weeks in advance through the Patient Care Coordinator, Ms. Tara Daya list of SOD students, faculty, and staff available to translate and the language is posted:in the Team and clinical officespatients must provide patient accounts with theirdental insurance information and sign a release of information prior to the SOD filing any claimsall new patients with MO and KS Medicaid cards should be referred to:the Patient Accounts officethe goal of the dress code is to:provide guidelines for students so that they can maintain a professional appearance, increase the confidence of patients in the care they will receive and improve infection controlPPE guidelines are in effect from7:30am to 5:30 pm- Mon through Fridaywho is responsible for enforcement of dress code guidelines?facultydress code 1st defense:verbal warning (follow-up email to student and copy to Assistant Dean for Student Programs)dress code 2nd defense:written warning and meeting with assistant dean for student programs and/or associate dean for clinical affairsdress code 3rd offense:notification to the Honor Council for review and possible further disciplinary actionexcused absences:forms must be completed, submitted and approved prior to missing classes or clinic and are available on clinic canvas site-- must submit supporting documentation for excused absenceabsense because of illness:it is the student's responsibility to cancel his/her patients appointments and to notify Brenda Cindrich, notify appropriate assigned clinic faculty- Bakerunexcused absencesno unexcused absences will be allowed. all absences must be approved by the Clinic Coordinator or by the Program Directorbeing productive policy and form:students are expected to actively participate in all clinical sessions despite patient cancelations.failure to "actively participate" in "Clinic Productivity Options" and complete the form within 24 hours after completion of the "clinic productivity option", will result in:being documented as absent from clinicOnce the radiographs have been used at the initial appointment for diagnostic purposes, they can be turned into:Chante' Green in the Records Office (room 1104) for scanning. ext: 2116digital radiographs can be sent directly via email to:umkcdentalrecords@umkc.eduradiographs sent to email must be:jpg, tiff, or png format ..with patient's name and date of birthprocess for contacting patientsstudents are responsible for contacting their patient by phone either at work or home during clinic hours at least 2 days prior to appointment dateif you are unable to reach the patient after three phone calls,obtain a postcard from Brenda Cindrich and write to the patientstudents should never give your home or cell phone numbers topatients- use a Google phone number with a local area code (816 or 913)if you receive no response from the patient by the specified date, you should:inactivate the patient's record.inactivate the records on patients who are:uncooperative, delay treatment or have multiple failed appointmentswhat should you be looking for when reviewing a patient's chart?previous medical hx, medications, dental hx, prior medical and dental consultations, treatment hx, and notesis start check required?yes, never treat a patient before you have a start check from a faculty member.what page is the ADA Codes with fees located?page 44when is a SOAP note written?initial patient visitwhen is a general note written?following patient visitsSOAP note:each time you treat the patient you must document the patient's visitwhat page is the SOAP note located in, in Section 3?45where would the documentation of Nitrous Oxide, Local Anesthetic, Cetacaine and Oraqix be located in Section 3?50-51where is the guidelines for prescribing dental radiographs located in Section 3?pg 61-62radiographic examination must be ordered only:after a complete review of the medical, oral and dental histories and following a thorough clinical examinationwhen should vertical bitewings be appropriate?when bone loss is presentradiographs for pregnant patients:elective radiographs will not be taken on pregnant patient, but emergency radiographs are permitted with proper leaded apron protectionundiagnostic radiographs should be retaken by:faculty of trained staff unless it is their opinion that the student can successfully retake the radiographthe needs of the patient for diagnosis will determine the:frequency of x-ray examinations and not the period of time elapsed since the last examinationdigital plates will not be dispensed to students unless:ordered by faculty of the SODhow often should a patient with an implant have a PA taken?once a year for diagnostic progresswhere is the protocol for Caries Risk Assessment and Management located in Section 3?pg 68-69List Disease Indicators for caries:active caries restorations within 3 years demineralizationlist Risk Factors for caries:multiple mult-surface restorations deep pits and fissures snacking >3x/day ortho appliances reduced saliva recreational drug use exposed roots physical/mental limitations visible, heavy plaquelist Protective Factors for cariesregular dental care OTC fluoride mouthrince regular professional fluoride sealants xylitol gum fluoridated water xylitol products adequate saliva flowLow Risk Patients;no disease indicators <2 risk factors has protective factorsModerate Risk Patients:no disease risk factors > 2 risk factors (but no caries)High Risk Patients:cavitated lesions, disease indicators OR >3 risk factorswhere are the guidelines located for Nitrous Oxide in Section 3?page 70where is the Tobacco Cessation Program and SBIRT information located in Section 3?pg 71-84list the various rotations available for DH studentsKansas City Regional Center for the Developmentally Disabled Pediatric dental clinic UNIVERSITY ACADEMY Operation Breakthrough Advanced Orthodontics Innovation Center CSR Rotation Collaborative Care Rotation Dental Hygiene RecareWhere is the Reporting Abuse information located in Section 3?page 84-88clipboard sheet at the counter to check out itemsworth less than $20check out cards for items worthmore than $20where is the intraoral photography protocol located in section 3?page 98-101if equipment malfunctions, or if a part is missing or found broken:return the item and notify the clerks immediately.