dental outpatient facility Flashcards

1
Q

what is dental outpatient facility

A

oral health care services rendered within the hospital environment without the need for hospitalization

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2
Q

created the 1st outpx dental department

A

philadelphia general hospital (1901)

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3
Q

role of outpx dental service (3)

A
  1. provide patient care activities including that of special px populations
  2. provide teaching environment for dental students
  3. make a suitable research for furtherance of px treatment & management capabilities
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4
Q

Essentials of a dental outpx facility (5)

A
  1. Good location
  2. Good design and equipment
  3. Personnel
  4. Dental record
  5. Referral
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5
Q

design of dental department (4)

A
  1. separate offices
  2. mobile dental equipment
  3. dental radiology room
  4. dental laboratory
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6
Q

imost important factor; determines the success and failure of the dental service;

A

personnel

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7
Q

qualities of an ideal staff (5)

A
  1. understands the objective of the medical treatament
  2. capable of providing effective teaching to the members of the housestaff
  3. completed a rotating dental internship
  4. have had a formal training in postgrad science education
  5. in case of a specialist, must be a diplomate of a recognized board
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8
Q

staff of the dental department (8)

A

Dental Service Chief
- Performs administrative functions
- Represents and reports directly to
the hospital administration
- May be a full-time, volunteer or
contractual employee of the hospital
- May be a general or specialized
practitioner
GeneralandSpecializedPractitioners
- are dentists privileged to admit & treat patients
Dental Hygienist
- responsible for patient education & evaluation; provide technical hygiene services.
Dental Assistants
- participates in the delivery of dental services ; maintains an environment conducive to the optimal care of the patient. Secretary
- 1st representative in the practice of dentists and physicians; responsible for front office activities.
Insurance clerk and Billing clerk
- may work either in the dental office or at the billing office of the hospital; - responsible for the financial operation of the dental facility.
Office Manager
- manages the staffing, scheduling & other administrative duties; maintains the smooth operation of the dental office.
Laboratory Technician
- may be hired depending on the volume of prosthetic services of the dental office

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9
Q

What is dental record (3)

A
  1. Communication purposes among healthcare providers
  2. Care framework of the px
  3. Serves as legal documentation
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10
Q

Interdepartmental communications regardingpatient management and treatment

A

referrals

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11
Q

scope of dental treatment in the hospital

A
  1. In-patients
    - Emergency treatment for patients with acute disease
    - Comprehensive dental - treatment for patients with chronic disease
  2. Out-patients
    - Consultations & the usual dental
    treatment
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12
Q

admitting department duties

A
  1. expedites admission process
  2. maintains accurate records of patients
  3. generates accurate statistical reports
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13
Q

types of in-patient admission (5)

A
  1. elective admissions - px has a known medical condition that requires further treatment or surgery but may alter the time of admission for convenience (eg: impacted tooth, implant placement, complex maxillofacial procedures)
  2. non-elective - casualty coming from the er (eg: facial fractures requiring reduction and fixation, injury requiring wound care, odontogenic infections requiring i&d, oral conditions requiring administration of fluid and antibiotics
  3. direct admission - after speaking to a doctor, px feels the need to be admitted
  4. holding admission hospital stay - observation admission; patient is under diagnostic testing; unless something shows up requiring another level of care, they will be discharged within 24-48 hrs
  5. emergency - serious injury posing immediate risk
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14
Q

categories of px entry

A
  1. elective - treatment is optional, does not require decisive action at the moment
  2. urgent - requires attention, but still under observation
  3. emergency - requires immediate attention and action
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15
Q

types of admission of patients

A
  1. private
  2. service
  3. continuity of care - under treatment already but moved at home (domicile), paying or charity
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16
Q

what to prepare for hospital admission

A
  1. identification cards
  2. list of current medications
  3. necessary medications kept in a case
  4. list of allergies
  5. list of medical conditions
  6. living will
17
Q

Patient information requirements of the Admitting Office (8)

A
  1. doctor’s name & license number
  2. clinical service concerned
  3. admitting diagnosis
  4. schedule of surgery
  5. patient info
  6. type of room
  7. physician responsible
  8. source of payment
18
Q

admitting privileges of doctors are based on: (4)

A

training, experience, competency, licensure

19
Q

patient selection guidelines for one day surgery (4)

A
  1. px physical status accdg to ASA
  2. reliability and compliance of the px and the guardian to follow directions
  3. discharge situation - availability of guardian at home
  4. age-consideration for age-related health problems
20
Q

ambulatory admission proces

A
  1. px criteria is met
  2. preoperative exam and evalutaion (cbc, sickle test, ecg, urinalysis)
  3. doctor/dentist fill out info to admissions office
  4. forms are given to the px before the procedure
21
Q

forms required of the px prior to ambulatory surgery

A
  1. hospital forms (or, admitting, authorization, insurance)
  2. patient info forms
  3. medical history and phsycial exam forms
  4. informed consent form