Chapter 1- Office Preparation
- 1. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Chapter 1 Office Preparation
- 2. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Objectives • Upon completion of this chapter, you will be able to: – Explain the role of the dental auxiliary during an office emergency – Explain the importance of an office emergency routine – Describe the functions of the auxiliary in relation to the emergency kit 2
- 3. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Objectives (cont’d.) – Identify the attachments used with an oxygen tank – Explain the importance of the demand-valve resuscitator – Demonstrate the operation of the oxygen tank 3
- 4. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Office Emergency Routine • Important to prevent a minor emergency from becoming serious • Essential to include responsibilities of each member of the dental team • Routine must be practiced 4
- 5. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Office Emergency Routine (cont’d.) • Role of the dental auxiliary – Notify dentist of the emergency – Administer basic life support if necessary – Retrieve emergency kit – Retrieve oxygen tank – Retrieve hard backboard – Assist dentist by preparing emergency drugs 5
- 6. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Office Emergency Routine (cont’d.) • Role of the receptionist – Keep emergency numbers updated and within reach – Notify emergency medical service – Direct emergency personnel into the office – Keep waiting room patients calm 6
- 7. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Office Emergency Routine (cont’d.) • Practice routine on a regular basis – Emergency should be simulated – Each person performs assigned functions 7
- 8. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Emergency Kit • Several types of emergency kits, each with advantages and disadvantages – Homemade kit – Manufactured kit • Key is to select a kit that meets the dentist’s needs 8
- 9. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Emergency Kit (cont’d.) Figure 1-1: A sample emergency kit 9
- 10. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Emergency Kit (cont’d.) • The dental auxiliary and the emergency kit – Need to be familiar with the contents – Inspect kit routinely to check for broken equipment or depleted drugs – Make sure instructions are included if required – Know how to open single-dose ampule 10
- 11. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Emergency Kit (cont’d.) Figure 1-2: Single dose ampule 11
- 12. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Oxygen Tank • Can be administered by any trained individual • Useful in most emergency situations except hyperventilation • All oxygen tanks are green – Distinguishes them from other gas tanks 12
- 13. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Oxygen Tank (cont’d.) • Attachments – Regulator must be attached for oxygen to be administered to a patient – Flow of oxygen adjusted by flowmeter • Bourbon gauge • Pressure-compensated – Basic mask is sufficient for emergency dental – Demand-valve resuscitator forces oxygen into the patient’s lungs 13
- 14. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Oxygen Tank (cont’d.) • Operating the tank – Open the seal to release oxygen and clear debris – Attach regulator and flowmeter – Open the regulator valve – Adjust the flowmeter to release four to six liters – Check facemask hose for twists or knots 14
- 15. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Oxygen Tank (cont’d.) • Operating the tank – Place mask over patient’s face • Ensure mask fits with a good seal – When oxygen therapy is complete: • Remove mask • Turn flowmeter to zero • Close tank valve 15
- 16. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Oxygen Tank (cont’d.) • Precautions – Do not use near an open flame – Grease or oil can make oxygen explode • Make sure you do not have oil on your hands • Do not store tank around oily, dirty rags 16
- 17. ©2013 Delmar, Cengage Learning. All Rights Reserved. May not be scanned, copied, duplicated, or posted to a publicly accessible website, in whole or in part. Summary • Emergencies do occur in dental offices • To prevent minor emergencies from becoming major, staff need to: – Know their responsibilities – Have all equipment available and ready – Know how to use equipment 17