W11 Dental records

Question 1

What constitutes a dental record?

Answer 1

Consent documents, tx advice the pt unwilling to accept. Estimations or quotations of fees. Post-treatment completion . Unusual events. Relevant comments by pt on tx offered

Question 2

What are requirements for Dental Records?

Answer 2

Made at the time of appointments Readily understandable by third parties Promptly retrevable when required. Entried made in chronological order. Entries must be accurate and concise

Question 3

What are some guidelines on dental records?

Answer 3

Keep information confidential. Comply with relevant legislation for dental records. Assit patient to make well-informed decisions regarding treatment without coercion

Question 4

Guidelines on dental records - principles

Answer 4

Records must be made at the time of appointment. Entries and records in chronological order. Accurate and concise. Must be understandable by a third party. Must be readily retrievable. Must be stored securely and safeguarded against loss or damage. Nust be aware of relevant legislation pertaining to retentio of records. Language should be objective. Dental practitioner is repsonsible for accuracy of dental and medical info