Hospital Based Oral Surgery

Traumatic Procedures / Trauma Patients, Medically Compromised Patients, Highly Fearful Patients / Patients with Special needs / Patients with Anxiety

procedures needed to be done in the operating room (Tp/Tp, MCP, Hfp/Pwsn/Pwa)

Traumatic Procedures

One of the procedures wherein GA is needed. These are Pts who experience vehicular accidents (or Pts with fractured jaws)

Medically Compromised Patients

One of the cases wherein GA is needed. If these type of Patients came to your clinic, and you have a doubt in managing them under clinic setup you can treat them if they are under GA

Highly Fearful Patients, Patients with Special Needs, Patients with Anxiety

These patients must be treated under GA or Conscious Sedation

General Anesthesia or Conscious Sedation

Patients that are:

• Highly fearful

• with special needs

• with anxiety

Acute Care, Chronic Care, Specialty Hospital, Primary Hospital

4 Classification of Hospitals based on the type of the Patients that they cater: (ACSP)

Acute Care

• these type of hospitals provide all forms of treatment

• these are big institutions

Tertiary Hospital

Acute Care hospital is aka ________ _______

Philippine General Hospital, Cardinal Santos Medical Center, Capitol Medical Center, Makati Medical Center, Metropolitan Medical Center, Perpetual Help Medical Center

6 examples of Acute Care hospital or Tertiary Hospital (PCC MMP)

Chronic Care

• hospitals that treat patients on a long term basis (patients that are needed to be confined for a long period of time)

Quezon Institute, Mental Institutions, Children’s Hospital

3 Examples of Chronic Care Hospitals (QMC)

Quezon Institute

example of Chronic Care hospital that treats patients with Tuberculosis

6 months

how long is the treatment period for patients with Tuberculosis

Mental Institutions

an example of Chronic Care Hospital wherein patients typically stay for 6 months to 1 year or more depending on the patient

Fe Del Mundo Medical Center, Philippine Children's Medical Center

Give 2 examples of Children’s Hospital (FP)

Children’s Hospital

An example of Chronic Care Hospital wherein they cater patients under 17 years old

Dr. Fe Del Mundo

She is the

• 1st Pediatrician in the Philippines

• improvised the Bamboo Incubator

• 1st in the country to build a hospital that specifically caters children

Philippine Children’s Medical Center

PCMC

Lungsod ng Kabataan

Philippine Children’s Medical Center or PCMC is formerly known as “______”

Philippine Children’s Medical Center

______ is open for extensive training in Pediatric Dentistry for externship (most likely 6 months, full time duty)

Specialty Hospital

These are hospitals that accept other patients however they prioritize patients in their own particular specialty

Lung Center of the Philippines, Philippine Heart Center, National Kidney Transplant Institute, Dr. Jose Fabella Memorial Hospital

4 examples of Specialty Hospital (LP ND)

Lung Center of the Philippines

an example of Specialty hospital that treat patients with Lung conditions

Philippine Heart Center

an example of Specialty Hospital wherein patients undergoing Coronary bypass surgery or anything that involves the heart is treated

National Kidney Transplant Institute

an example of Specialty Hospital where they treat patients with CKD that doesn’t want to go to Dialysis but is indicated for Kidney Transplant

Dr. Jose Fabella Memorial Hospital

an example of Specialty Hospital that caters OBGYN patients

Primary hospital

is a hospital that does not perform hard surgeries or any complicated procedures

Government or City Hospital, Private or Propriety Hospital

2 Governance Hospitals

Government / City Hospitals

____ / _____ ____ are hospitals funded by the Filipino Tax Payers. These type of hospitals typically targets 0 income.

Philippine General Hospital, Philippine Children’s Medical Center, National Kidney Transplant Institute, Ospital ng Maynila, Quezon City General Hospital

5 Examples of Government / City Hospitals (PP NOQ)

Private / Propriety Hospitals

____ / ______ are hospitals that provide care but also need to earn income

Capitol Medical Center, Metropolitan Medical Center, Asian Hospital and Medical Center, St. Luke’s Medical Center, Cardinal Santos Medical Center

5 examples of Private or Propriety Hospitals (C MASC)

Board of Directors

• head of the board (headed by the chairman of the board)

• can be members of consulting staff and stakeholders

Board of Regents

In PGH, it is governed by the ___________________

Director

basic head of the hospital

Director

takes command or ruling from the board of directors

Operations, Admissions, Finance, or Education

Assistant Director

• depending on the setup of the hospital

• they can be assistant director for _____, _____, ____, or _____ (OAFE)

Fellow

• doctors with subspecialty

Fellow

doctors who completed their residency

Residents

• doctors who are taking Post Grad Specializations

• ex: Pediatrics, Surgery, Dermatology, Cosmetic Surgery

Interns

• these are fresh graduates, not yet licensed

Registered nurse, Nursing aide, Midwife

3 Nursing Staff (RNM)

Administrative Staff

• responsible for running the hospital

  • Ex. those that are in accounting division

Support and Technical

• orderliness, maintenance, and electricians

Planned, Emergency

2 Types of Admissions

Planned admission

admission for elective surgical procedures

Planned Admission

in _____ ______, cases is prepared or planned in advance

Emergency Admission

type of admission wherein doctors do procedures that need immediate care or attention

trauma patients, patients with Ludwig’s Angina

2 examples of Emergency admission patients (T,P)

none per orem

NPO

Post midnight

PMN

Prior to admission

PTA

prior to consultation

PTC

ante cebum

AC

Post cebum

PC

STATIM

STAT

immediately

stat / statim means ______

Recipe

Rx

Signature

SIG

Bis in die

BID

Ter in die

TID

Quad in die

QID

Diet as tolerated

DAT

per orem

PO

intravenous

IV

intramuscular

IM

Subcutaneous

SC

discontinue or discharge

d/c = _____ or _____

Nasogastric tube

NGT

keep vein open

KVO

dialysis patients

KVO is common in ______ ____

Squamous Cell Carcinoma

SCCA

Hypertension

HTN / HPN

Non toxic goiter

NTG

Tetralogy of Fallot

TOF

Cerebral Palsy

CP

Mentally Retarded

MR

Ventricular Septal Defect

VSD

Global Developmental Delay

GDD

Non Insulin Dependent Diabetes Mellitus

NIDDM

Insulin Dependent Diabetes Mellitus

IDDM

Congestive Heart Failure

CHF

Isosorbide dinitrate

ISDN

Cerebrovascular Accident

CVA

suture removal

SR

Follow up

FU

operating sponge, gauze

OS

cotton balls

cherry

cotton pellet

peanut

interdental wiring

IDW

Intermaxillary fixation

IMF

Maxillomandibular fixation

MMF

every

q

emergency

CODE

General Anesthesia

GA

Postanesthetic care unit

PACU

Recovery Room

RR

intensive care unit

ICU

surgical intensive care unit

SICU

Neurological Intensive care unit

NICU