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1. Identify types of medical emergency equipment in our clinic and their locations.

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1. Identify types of medical emergency equipment in our clinic and their locations.

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Types of medical emergency equipment:

*oxygen compressed USP

*Samaritant PAD (Blue)

*Hearsine Samaritan PAD Defibrillator (Yellow)

Where are they Located:

*dental hygiene station 8

*front dental hygiene clinic

*dental hygiene class lab

*PADS are hanging on the oxygen Tank

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2.Describe the location of the emergency medical equipment and medication kit.

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2.Describe the location of the emergency medical equipment and medication kit.

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The 3 locations of the medical emergency equipment and medical kits are:

*dental hygiene class lab

*dental hygiene station #8

*front dental hygiene clinic

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3.List contents of the medication kit and explain maintenance procedures.

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3.List contents of the medication kit and explain maintenance procedures.

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Epinephrine: Combat undue reactions to drugs (allergic reactions) and combat severe asthmatic attack

Albuterol Inhaler: Bronchodilation

Nitroglycerin Tablets: Coronary vessel dilation in angina pectoris

Diphenhydramine: Solution Combat undue reactions to drugs (allergic reactions) and combat severe asthmatic attack

Oral Glucose: Gel Raise blood glucose level CPR Mouth Shield Narcan: Opioid Overdose

Aspirin Tablets

Chewable Benadryl

These items will be checked monthly and immediately after use by the Clinic Assistant. A log is kept and initialed after each monthly check. T

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4.Distinguish between medical referrals and consults.

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4.Distinguish between medical referrals and consults.

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A referral is recognition of a potential issue in which the Clinic is informing the patient that they should seek medical treatment for. The issue, and therefore referral, does not preclude treatment from continuing (at that time). A referral can be changed to a consult at any time or if the issue continues and the patient does not seek treatment.

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5.Provide sources for general medical conditions requiring consultation.

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5.Provide sources for general medical conditions requiring consultation.

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Tachycardia

Bradycardia

Pyrexia/fever

Hypothermia

Dyspnea ​​

Stridor

Wheezing ​

Sighs ​- Deep inspiration and prolonged expiration​, Stress

Tachypnea

Bradypnea –

Apnea

Biot's

Cheyne-Stokes

Kussmaul​

Patients may report conditions that increase the risk for a medical emergency.​ Ex. conditions include:​ Heart conditions – MI, CHF, CVA​, Asthma​, Stroke, frequent headaches, or dizziness​, Epilepsy​, Thyroid problems, Diabetes, Corticosteroid use​, Allergy​, and Bleeding disorders​.

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6. Describe ASA classifications and location in our clinic's manual

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6. Describe ASA classifications and location in our clinic's manual

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Classification system developed by the American Society of Anesthesiologists to estimate the medical risks for surgery with anesthesia. Now used to estimate risk in treatment even w/out anesthesia planned

ASA I Patients are considered to be normal and healthy. No dental management alterations required

ASA II Patients have mild to moderate systemic disease ASA I patients who demonstrate a more extreme anxiety and fear toward dentistry. Patients are able to walk up one flight of stairs or two level city blocks, but will have to stop after completion of the exercise because of distress.

ASA III Patients have severe systemic disease that limits activity, but is not incapacitating. Patients are able to walk up one flight of stairs or two level city blocks, but will have to stop in route because of distress. If dental care is indicated, stress reduction protocol is indicated.

ASA IV** Patients have severe systemic disease that limits activity and is a constant threat to life. Patients are unable to walk up one flight of stairs or two level city blocks. Distress is present even at rest. Elective dental care should be postponed.

ASA V** Patients are moribund and are not expected to survive more than 24 hours. Elective dental treatment is contraindicated.

ASA VI** Clinically dead patients being maintained for harvesting of organs.

Location: clinic's emergency procedures manual in station 8

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7.Outline the Clinical Emergency Assistance plan.

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7.Outline the Clinical Emergency Assistance plan.

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Phone Location

There are 2 phones located the clinic assistant’s and instructor’s stations in clinic, one at the instructor station in the laboratory, and one in the consultation/file room. Additionally, two telephones can be found at the clinic reception area.

Clinical Emergency Assistance Plan

In the event of a medical emergency, the following steps should be followed: If a patient is experiencing an emergency:

1. Rescuer #1, Stay calm.

The student will stay with the patient, notify the closest student or faculty member (Rescuer #2) by saying, “CODE RED.” Begin the CAB’s of Basic Life support

2. Rescuer #2: notified student or faculty member:

 If student, must notify RDH instructor or DDS immediately

Bring the oxygen tank and emergency mobile cart located at the instructor station 

Dial 9-1-1 if clinic instructor or supervising Dentist indicates a need. 

911 Operator information:

 My name is:____________________________ 

My phone # is: (713) 395-5454 

The emergency is:__________________________ 

My location is: Pima Medical Institute Dental Hygiene Clinic  11125 Equity Dr, Ste. 100  Houston, TX 77041 

I will be waiting outside the entrance of our facility. 

Go to the entrance to meet the EMS and bring them to the emergency site

3. Rescuer #1: Once the faculty member arrives, remain to assist that faculty member. 

Assist with BLS and monitoring of vital signs. 

If instructor is present, verify DDS and EMS has been notified 

Record in writing a description of the emergency, time it occurred, signs, symptoms, and vital signs. 

Notify Program Director once situation allows 4. Emergency Follow up 

All persons (Dentist, Instructor, Student[s]) directly involved in the emergency will meet to provide the following information: 

Description and cause of emergency 

Corrective actions to prevent future situation, if applicable  Accident/incident report will be completed and given to Program Director

Patient will be called to determine current health status and discussion will be documented in patient chart.

Fire: Emergency Procedures

Students and staff are instructed on the location and proper use of the fire extinguishers as well as the fire evacuation plan during their respective orientation.

• Students are instructed to stay together during a fire evacuation

• Persons on the scene will evacuate the area and enact the Emergency Response System by dialing 9-1-1 on the nearest telephone in a safe area.

• Extinguishers are to be used at the user’s discretion as time and safety allows and only after the area is evacuated. • In the case of a fire, persons should exit by way of the nearest safe evacuation route. o Evacuation routes are posted near the door of each classroom in the facility.

• Instructors will make sure that all students have evacuated their classroom and close the classroom door prior to exiting the building.

First Aid Kits

The dental clinic maintains two first aid kits. The kits are located in the sterilization area in the appropriately labeled cabinet. The kits contain various bandages, band aids, tweezers, gloves, gauze rolls, cleansing wipes, and an instant cold pack. Any student, staff, or faculty member may access these supplies as deemed necessary for a medical incident. The kits will be checked monthly and immediately after use by the designated dental hygiene safety coordinator. A log will be kept and initialed after each monthly check.

Eyewash Stations

Eyewash stations are located on the sinks in the following location: dental materials lab. These stations are connected to the building water supply. In the case of any person exposed to injurious corrosive materials or debris entering the eye, that person will be taken to the closest eyewash station. The eye(s) will be flushed for a minimum of 15 minutes. The need for any evaluative medical follow-up shall then be determined.

Chemical Spill Kit

The chemical spill kits are located in sterilization and the dental materials wet lab in the cabinet labeled “Spill Kit.” They contain absorbent material, safety goggles, utility gloves, a biohazard bag, a biohazard sticker, and a scoop/ broom with pan. This kit will be used for the cleanup and disposal of any spilled fixer, developer, disinfectants, acids, or corrosives. The kit will be checked monthly and immediately after use by the designated dental hygiene safety coordinator. A log will be kept and initialed after each monthly check

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8.Explain procedures for patients with medical conditions requiring alerts.

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8.Explain procedures for patients with medical conditions requiring alerts.

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TREATMENT AND PROCEDURE

R: recognize S & S; stop procedure; retake BP.

E: evaluate level of consciousness

P: If conscious-seat upright; if unconscious-supine

A: activate CABs/CPR

I: Contact EMS; monitor BP every five minutes; administer 4–6L O2 (if patient complains of dyspnea)

R: refer to ER

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9.Describe risk documentation procedures for medical history, conditions, and medications.

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9.Describe risk documentation procedures for medical history, conditions, and medications.

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10.Discuss legality of phone medical consults.

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10.Discuss legality of phone medical consults.

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Telephone etiquette

• Smile- they can hear your enthusiasm when you speak if you smile 

• Identify yourself

• Explain the purpose of your call

• Have all of the information ready when you call (dates and times for an appointment or patient’s information for a consultation/inquiry)

• Leave your contact information

• Thank them

• Document the phone call and who you spoke with in clinical notes.

Medical consultation: Hello, this is ___________________ , a dental hygiene student at Pima Medical Institute. I am calling regarding a mutual patient, ________________. He/she states on his/her medical history that he/she has medical condition. We would like to clarify what type of dental treatments he/she may receive. Our clinic policy is to have a medical consultation form in his/her chart. I have a HIPAA release form as well that I will send. Is there a fax number or 24 email address that I can send this to? I appreciate your help and if you have any questions, our number is 713-395- 5454. Thank you and have a nice day!