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DATA COLLECTION

DATA COLLECTION. Gather information Interpret that information Plan of action based on that information. DATA COLLECTION IN UKCD STUDENT CLINICS. Initial data collection(ODI) Continued data collection(ODII) Treatment Planning. Data Collection.

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DATA COLLECTION

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  1. DATA COLLECTION • Gather information • Interpret that information • Plan of action based on that information

  2. DATA COLLECTION IN UKCD STUDENT CLINICS Initial data collection(ODI) Continued data collection(ODII) Treatment Planning

  3. Data Collection • Preparation before appointment • Appointments with patients

  4. INITIAL DATA COLLECTION (ODI) • Patient Assignments • Axium Scheduler Name Number Day Time Procedure

  5. Review Dental Record

  6. UKCD DENTAL CHART • Chronologic record of pertinent information • All forms with a number/letter are placed in the chart in order – number first, and then letter • All forms without a number plus radiographs go in the front pocket

  7. DENTAL RECORD CON’T • Treatment plan is attached to the front inside cover • The radiographic record(1B) is attached to the inside back cover • All progress notes go to the back of the chart in chronological order

  8. Information on the front inside cover • Student assign. • Missed appointments

  9. Organize Matierials for Appt. • Sign up for appropriate tray with sterilization • Collect forms needed not already in chart • Gather things to assist with data collection(bp apparatus, red/blue pencils,fan, etc) • Note day and time of appointment

  10. DAY OF INITIAL APPOINTMENT Check cubicle assignment

  11. ORAL DIAGNOSIS I(ODI) • Get tray from sterilization • Set up tray and any materials needed(gauze, bp cuff, patient napkin,etc.) • Retrieve patient chart from basket in rear of clinic • Get necessary forms

  12. FORMS NEEDED FOR ODI • Medical History(will already be in chart if patient went through preadmiss) or Axium • Dental History (Axium/electronic) • Clinical Eval (4A) • 1D • Progress Note(may or may not be in chart/axium)

  13. MEET PATIENT IN WAITING AREA • Meet patient and introduce yourself • Seat your patient and explain the nature of the appointment

  14. BEGIN DATA COLLECTION!! • Confirm with supervising faculty your planned activities(OD or team leader) • Review medical history • Dental history • Soft tissue exam • 1D

  15. MEDICAL HISTORY(3A) • This form is electronic • Review all systems and follow up on any positive responses • Review all medications • Obtain vital signs(bp and pulse) • Assign an ASA

  16. MEDICAL HISTORY CON’T • Identify systemic diseases that might need a medical problem worksheet • Identify things that might affect the routine way dental treatment is delivered(red tag on chart)

  17. MEDICAL HISTORY CON’T • Identify medications that would require a prescription worksheet • Sign the form

  18. DENTAL HISTORY(3B) • This form is electronic • You and the patient complete form • Review the form(front and back) and follow up on positive comments • You and the patient sign the form

  19. CLINICAL EXAMINATION(4A) • Perform a thorough soft tissue exam

  20. Faculty will indicate additional data appropriate for patient Radiographs

  21. OTHER DATA MAY INCLUDE • Consultations • Impressions • Vitality testing • Preliminary treatment • ETC.

  22. Completion of ODI • Inform attending faculty of your plan • Allow time to reappoint patient, complete paper work, etc before end of clinic(12 or 5) • Reappoint patient with coordinator • Progress note • Check out at computer

  23. PROGRESS NOTE • Date • SHAPED format • Signed by student and faculty

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