Oral Health Wk. 2

prophylactic antibiotics

What is another name for antibiotic premedication

american heart association

make specific guidelines for when antibiotic premedication is required for the patient prior to dental treatment

infective endocarditis, prosthetic heart valve, congenital heart disease, cardiac valvular disease

What are the 4 diagnosis where premedication is needed prior to dental procedure

invasive treatment

A procedure that touches under the gingiva and into the alveolar bone

Ex: SRPs

no

In general, for patients with prosthetic joint implants, are prophylactic antibiotics recommended?

orthopedic surgeon

prophylactic antibiotics should only be considered after consultation with the patient and ___ ____

adrenal insufficiency

Hormonal disorder with the adrenal glands

Patient is on steroids

Will need a clearance for Cypress clinic

document center→ expand list

How do I access previous medical clearance forms on Dentrix

quick letters→ medical clearance 2→ build/view

How do I access a new medical clearance form on Dentrix

transient bacteremia

What is another name for infective endocarditis

medical history review

What is the pop-up that should always be reviewed with the patient before each appointment

glasses icon

How do I access the medical history review pop-up if I clicked out accidentally

document center→ expand list→ medical history

How do I access a previous patient medical history form on Dentrix

yes

Should a medical history form be filled out again if there is a significant change from the last appointment?

change in problems, medications, allergies, and reviewed medical alerts

What are the 4 things that must be filled out on the medical history review pop-up before clicking OK

sun icon

How do I add/change a problem, medication, or allergy in the medical alerts page

red cross icon

How do I access the medical alerts page on a patient chart

dentist

If a patient’s medication isn’t on Dentrix, who must we tell so that they can add it in?

blood pressure, pulse, respiration, and body temp

What are the 4 vital signs that must be assessed prior to dental treatment

blood pressure

the forces exerted against the walls of the blood vessels as the blood flows through them

systolic/diastolic

How are blood pressure readings typed in

systolic

indicates how much pressure your blood is exerting against your artery walls when the heart beats

diastolic

indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats

white-coat

What is a syndrome that can affect a patient’s blood pressure

manual

Which type of blood pressure equipment is more accurate

hypertension

What is another name for high blood pressure

<120/<80

Guideline for Blood Pressure

ASA 1

120-129/<80

Guideline for Blood Pressure

ASA 2

130-139 or 80-90

Guideline for Blood Pressure

ASA 3

>140 or >90

Guideline for Blood Pressure

ASA 4

ASA 2

Recheck BP before dental treatment for three consecutive appointments; if all exceed these guidelines, medical consultation is indicated

SRPs okay

ASA 1

Routine dental management

Recheck blood pressure in 6 mo. Unless specific treatment dictates more frequent monitoring

ASA 3

Recheck BP in 5 minutes

If BP is still elevated, a medical consultation before dental therapy is warranted

SRPs okay

ASA 4

Recheck BP in 5 minutes

Immediate medical consultation if still elevated

No dental therapy, routine or emergency, until elevated BP is corrected

pulse

The measurement of the heart rate in beats per minute

worst number

When classifying patient’s BP should we use systolic or diastolic to place them into an ASA category?

time taken

What else should we document when taking blood pressure

thumbside of wrist

Where should we place our index and middle finger when taking pulse

75-120 bpm

Normal pulse for children 2-6 years

75-110 bpm

Normal pulse for children 6-12 years

60-100 bpm

Normal pulse for adolescents and adults

respiration

The measurement of breathing rate in breaths per minute

Method of counting is by watching the rise and fall of chest or abdomen

yes

Should the respiration be taken right after taking pulse without releasing pressure or fingers?

30 seconds

How long should we take both pulse and respiration for?

22-34

Normal respiration for children 3 to 6 years

18-30

Normal respiration for children 6 to 12 years

12-16

Normal respiration for adolescents 12-18 years

14-20

Normal respiration for adult greater than 18 years

96-99.6

Normal adult temperature ranges from

104

A temperature of ___° F needs a consultation with primary care physician

105

A temperature of ___° F, call 911, it is a medical emergency

hyperthermia

What occurs if a person’s body temp is 105 degrees

hypothermia

What occurs if a person’s body temperature drops below 96 degrees

48

The dental clinic does not see patients if they have a fever and must be fever free for how many hours?

date, time, arm, and BP

What do we record in Dentrix when inputting blood pressure reading

tobacco use

Included in the vital signs template

Clinician must ask patient if they use this substance

HIPAA

Applies to:

Healthcare facilities

Healthcare insurance companies, vendors, subcontractors, etc.

Healthcare providers

domestic abuse, child abuse, and criminal activity

Disclosures that do not require patient permission

protected health information

Written, spoken or electronic information about health status, provision of care or payment for care that can be linked to a patient

HIPAA

This Rule strikes a balance that permits important uses of information, while protecting the privacy of people who seek care and healing

clinical notes→ expand all→ choose note→ vital signs on right bar

How do I add vitals on Dentrix

white coat icon with blue cross

How do I change the provider name for a clinical note on Dentrix

date/time

What must always be inserted at the bottom of each clinical note

only one

How many clinical notes must be written and signed per session/appointment

clinical notes

What is the only tab on Dentrix that cannot be minimized and must always be closed out

new addendum

What do we do if a clinical note is signed but we forgot to input information

chair icon→ note pad→ select consent form→ 1.5 HIPAA→ add

How do I access the HIPAA acknowledgement privacy notice on Dentrix