Medical Emergencies - Med History

The UNMC COD application for dental treatment must be completed before treatment

true

The UNMC COD application for dental treatment must be signed by an adult if the patient is under __ years of age

19

the EDR serves only to highlight that there was a "_" response- the clinician must review medical history to identify the specific condition reported by the patient

yes

In the medical alert box, it is okay to put two conditions per line

false, only put one line

what is the acronym you put in the med alert if the patient does not have allergies

NKDA

The med alert box can be left blank if the patient does not have any high risk conditions

false. It should never be blank

The COD formulary allergies box allows you to select medications that the patient is allergic to and does what within the system?

blocks them from being prescribed

where is all the information from the appointment recorded

progress note

it is not important to verify you have the correct patient in the chair

false

what should you do before heading to the waiting area to get your patient to make sure you have the correct patient

check the patients photo ID in patient documents

What should you have the patient confirm to verify they are the correct person

First and last name, DOB

what type of patient is being described:

Person who has never had treatment at dental college or whose medical history has not been entered into the computer system

New patient

What are the three things you should check in a patients record

age, application for dental treatment completed and signed, patient identity

If a patient answers yes to a question on the medical history, what should you do

ask probing questions for additional information

For drugs that the patient takes, what should you record?

medication, dose, frequency, reason/indication, usage history

what vitals should be taken and recorded in the EDR

blood pressure, heart rate, height, weight

under medical/pharmacological/dental history for a new patient, what should you enter in the progress notes

entered baseline med/dent hx into EDR

If a patient requires a premed, in the progress note under premeditation, you should enter

name of premed, dose, condition taken for, time taken

A recall patient is a patient who receives preventative or maintenance care on a regular schedule according to

his or her individual needs

Recall intervals may occur at

3,4,6,9 or 12 months

You should use dates when applicable

true

Reappoint patients are patients whose treatment is

not completed at one appointment

make sure to ask the patient if there has been any changes in medical status since last visit or in medications

true

for a patients progress note if they have been seen before, in the progress note, enter: "reviewed, updated med/dent hx in EDR"

true

Where are the three places that med allergies must be entered

COD formulary allergies, body of med history, med alert

If a patient has a sulfa drug allergy, what drug should be selected from the list

celecoxib

what drugs should be selected if the patients is allergic to penicillin

Amoxicillin, amoxicillin & Clavulanate (augmentin), cephalexin, dicloxacillin, penicillin VK

If a patient is unsure of dosage of med, what should you enter under dosage

pt unsure

if a patient is unsure of med name, we will want to

get it from physician or pharmacy

What are the questions you do need to ask?

- Patient chief complaint/ reason for visit

- Experiencing dental pain/ discomfort

What should you review on a patients chart several days in advance

- health history

- call pt to remind to take premed if needed

- current A1c for diabetic patients

- Current INR for pt taking Coumadin (warfarin) before day of appt

- if any questions, speak to faculty in advance to appointment