01: Recall Protocol Flashcards
What are the 3 parts of the Recall Protocol?
Examination
Treatment Plan
Treatment
What comprises the Examination Portion of the Protocol?
Medical/Dental Histories
H & N Exam
Hard/Soft Tissue Exams
What are some of the options for the Recall Treatment Plan?
Periodic oral examination
Oral hygiene instruction
Adult prophylaxisFluoride application
What are the steps to access the Health History Form in Axium?
- Bring Up Patient EHR
- Select the “Forms” Tab
- Click the Green Cross Folder
What are the steps to add a medication to the health history?
- Click on “Medications” Tab
- Click on the Green Cross Folder
- Select either New Prescription or axiUm eRx
What axium form is needed for the H & N exam?
Initial Assessment
What are the steps to access the initial assessment form in axiUm?
- Click on the “Forms” Tab
- Click on the Green Cross Folder
- Under the “Form” Drop down box select D2VCIA “02-Initial Assessment”
How often is a BW Radiograph required in a Px with no caries and not high risk?
24-36 months
How often is a BW Radiograph recommended is a Px with active caries and/or high risk?
12-24 months
What are the recommended radiograph guidelines for a patient with controlled periodontitis?
PA and/or BW at 24-36 monthsFull mouth at 5 years
What are the radiograph recommendations for a patient with uncontrolled periodontitis?
PA and/or BW at 12-24 monthsFull mouth 3-5 years
Are horizontal or vertical BW’s preferred for Perio Patients?
Vertical
How do we access Radiographs on axiUm?
- Select Chart Add Tab
- Click on Diagnostics
- Select the Radiographs to add
- Click on the Green Cross Post-It Icon
What are the steps to complete the Radiographic assessment?
- Order new Radiographs if needed
- Interpret new radiographs
- Record in Initial Assessment Form
- Review findings with Faculty
How do you access the Initial X Ray Eval Form on axiUm?
- Click on the X-Ray Icon
- Click on the “Forms” tab
- Click on the “Initial X-Ray Eval” Tab
In perio patients, what structures are important enough to see that we order vertical BW’s
Alveolar ridge
Interproximal spaces
What are we looking for on the radiographs?
Vertical Bone Loss
Horizontal Bone Loss
Widened PDL
What is the first thing we do for the soft tissue exam
PSR
What is the code for Periodic Oral Exam
0120
What is the oral hygiene instruction code
1330
What code is scaling, rubber cup polish, and flossing covered under
1110 (Adult Prophy)
What code is Fluoride application
1206
During treatment, what type of note must be completed in Axium?
Template Note
As we are updating the heath history, what will need to be keyed in if there are no health changes?
Basically, you will go line by line and just update the Date.
What is the keyboard shortcut that will update the Date for all Health History Line Items
Control R
How do you order radiographs?
Through the Chart Add process in Axium
What is the type of radiographs that are most likely to be ordered during the recall patient visit?
Horizontal or Vertical BW’s
Where is the “Interpret Radiographs” Section found in Axium?
Under EHR and Initial Assessment Form
The Fourth Tab is labeled “Initial Xray Eval”
Where is the Perio Assessment Found in Axium?
Initial Assessment
PSR Tab
Enter Coding
Where can we access the plaque score in Axium?
It is only available in the Perio Chart
- Perio Chart Icon
- Click the Add Perio (Green Cross)
- Choose Plaque Index in the Exam Type Pull Down Menu
- Enter in coding, scoring will be calculated
If there is an existing Initial Assessment for the Patient, will we just be updating it?
No, despite the name of the form, a new Initial Assessment will be filled out for each visit, including for this recall.
How do we enter a Perio Diagnosis?
Click on Treatment History
Click on Diagnose Biology
How do we complete a Template Note
Click on the Green Cross Post It Note Icon
Select Template Note and Click OK
Click the Code Pull Down Menu (Ellipses)
Select Template Note
What are the steps to complete the Adult Prophy
- Right Click on Planned Treament
- Select Complete Treatment
- Select your GPG
- Click on the Checkmark Folder at the top of the Complete Treatment Screen
- Click OK
- Get Faculty to Swipe
What if a patient refuses recommended treatment?
There is a refusal of treatment form, but you can also note it in template notes.
