Basic emergency medical kit for dental office uniforms,survival backpack first aid kit 7dtd,gardening express leaderboard open,first aid certificate level c - 2016 Feature

13.01.2015 admin
2 Describe the responsibilities of the dental office staff during a medical emergency. 3 List the emergency telephone numbers considered essential during a medical emergency. 4 Discuss the need for updating emergency supplies, checking on expiration dates on emergency drugs, and taking responsibility for upkeep of the oxygen equipment. An emergency is a condition or circumstance that requires immediate action to be taken for a person who has been injured or has suddenly become ill. The population seen in the typical dental practice is diverse in age, with a wide range of medical conditions. The easiest way for the dental office staff to help in preventing a potential medical emergency is requesting that each patient confirm an updated medical history.
Knowledge of any chronic disorders, allergies, heart problems, and current medications allows the dentist to plan an individual dental treatment based on a patient’s specific needs. Handling a medical emergency must be taken seriously, but the legal implications should not intimidate you or prevent you from doing your job. In a professional situation, the law requires a healthcare worker to act or behave in a definable way known as the standard of care.
In the management of an emergency, the combined efforts of several trained staff members are most efficient when each person takes on a specific role.
A list of emergency telephone numbers should be posted next to each telephone throughout the office.
It is also important to list telephone numbers of the nearest hospital, physicians, and oral surgeons. In most dental offices, a portable standardized emergency kit is used to store and organize emergency supplies (Figure 13-1).
When an emergency does occur, it is important to note in the patient’s record both symptoms and signs. A sign is what you observe in a patient, such as a rapid pulse rate or a change in skin color.
By being alert and using your eyes, ears, and hands, you can obtain a great deal of information about your patient.
Accurate assessment of vital signs, also known as diagnostic signs, is essential for proper patient management during an emergency.
When you assess a medical emergency situation, a primary factor in determining the mode of treatment is consciousness of the patient.
Syncope, commonly known as fainting, is one of the most frequent medical emergencies in the dental office.
This situation is usually harmless to the patient as long as someone is there to protect them when they become unconscious.
A patient may complain of symptoms, and you may notice signs for several minutes before the patient actually loses consciousness. Postural hypotension, also known as orthostatic hypotension, is unconsciousness that can occur when the patient assumes an upright position too quickly. This medical emergency commonly occurs when a patient is extremely anxious or apprehensive before dental treatment. Asthma is a pulmonary (breathing) disorder characterized by attacks of sudden onset during which the patient’s airway narrows, causing difficulty in breathing and accompanied by coughing and a wheezing sound. Patients with asthma are aware of the sudden onset and should carry an inhaler that contains medication (a bronchodilator) used to relieve the first symptoms of an attack. An increasing number of people are visiting the emergency room for dental issues, often for problems that have become severe because they put off basic dental care.


Two common barriers that we often hear are that dental care is expensive, and that visits are inconvenient. With 36 dental offices throughout Kentucky and Southern Indiana, we likely have an office near where you live or work.
We accept Care Credit. CareCredit is a credit card designated for health, dental and wellness expenses.
Many dental issues that start out small can become complex and more expensive to deal with if you avoid regular dental care. Your oral health is closely tied to your overall health, and helping you achieve your optimal health and well-being is our primary goal. Medical emergencies, while uncommon in the dental office, necessitate a well-coordinated and immediate response from oral health professionals and office staff members alike. The most common mistake dental personnel make when handling medical emergencies is panicking.
In order for oral health professionals to feel confident in their abilities to handle an emergency, all team members, including front office personnel, should take a basic life support class designed for health care providers. Dental hygienists can, and will be held liable when a medical emergency occurs and the patient's condition is improperly recognized and inadequately managed. When a medical emergency occurs, there is no time to refer to a medical textbook for answers. By having the patient provide changes in their health status and prescription medication, the dental team can feel confident in a patient’s health status.
This standard of care is determined by comparing people of similar training and experience as to how they would respond under similar circumstances, with similar equipment, and in the same setting.
A standardized procedure for the management of emergencies must be established and observed.
A mock emergency should be created in the dental office monthly so staff members can practice their roles, take part in cross-training, and be able to refine the emergency plan. Maintaining a current list of these phone numbers is an important part of emergency preparedness.
However, the way emergency services function will vary widely depending on the geographic area and the population served. These professionals might be able to offer the life support necessary when you are waiting for the EMS or another type of emergency response. The clinical staff is assigned the responsibility for maintaining and updating these supplies on a routine schedule.
The types of drugs that should be considered for an emergency kit are provided in Table 13-1 along with their use and route of administration. The ideal agent for resuscitation of a patient who is unconscious but still breathing is 100% oxygen. A portable unit of oxygen may be stored where it can be moved quickly into a treatment room if necessary. For this reason, ongoing observation of the patient in the reception area, when moving to and from the dental treatment area, during a dental procedure, or when the patient is dismissed cannot be overemphasized. Because they are actually observed by you, signs are considered to be more reliable than symptoms.
Vital signs should be reassessed every 10 to 15 minutes to determine whether the patient’s condition is remaining constant, improving, or deteriorating. As a dental assistant, your responsibility is to recognize the symptoms and signs of a significant medical complaint, communicate this information to the dentist, and then assist with appropriate support and transportation procedures. Commonly encountered medical emergencies described in this chapter are summarized in Procedures 13-3 through 13-9. Syncope is the imbalance in the blood distribution of the brain and larger vessels within the body.


If unconsciousness persists longer than this, there may be other causes, and appropriate action must be taken immediately. To prevent or reduce this problem, the dental team should be alert at all times and should be prepared to help the patient deal with severe apprehension in a positive manner. An allergic reaction, severe emotional stress, or respiratory infection can trigger an asthmatic attack. It is very important that asthma be identified on the patient’s medical history, and that the patient brings the inhaler with him or her to each dental appointment.
In most patients, these are controlled with medication; however, under stressful conditions, they may still occur. Learn how we make a difference.What we offerFind out about learning and development opportunities, employee recognition, compensation and benefits, and more. And while there are many factors that contribute to the cost of care, there are three ways we’re trying to keep visits affordable for patients.
We are also happy to check with your insurance provider to provide payment estimates for treatments! Dental offices should be prepared to address all types of medical emergencies—ranging from minor inci­dents to life-threatening situations.
Hyperventilation and adverse reactions to epinephrine are two common events caused by patients' fear of dental treatment.
A predetermined flow chart that lists the appropriate steps to take in the face of a medical emergency should be created, disseminated to all team members, and regularly updated.
All dental team members need to know where it is kept, and one staff member should be in charge of restocking it and ensuring that the included medications are not expired.
The dentist will also be held liable, but all other members of the dental office staff—including dental hygienists, dental assistants, and possibly even front-office personnel—can be included in the legal or dental board regulatory action that may follow an emergency incident.
All members of the dental office team should feel confident in their ability to provide basic lifesaving measures and well versed in the office's emergency management plan. Once an update is completed, the patient will provide his or her signature to legally verify this information. Most commonly, different staff will take on roles related to where they are commonly situated in the office (Box 13-1).
The list should include phone numbers for local police, fire, and emergency medical service (EMS). Observing the patient’s skin color gives an indication of blood circulation, and noticing the patient’s face and eyes helps in assessment of the patient’s level of consciousness. Preparedness includes ensuring that each dental team member is effectively trained to respond appro­priately to emer­gencies, staging office-wide drills that replicate emergency situations, and maintaining an emergency kit in the dental office that is accessible at all times. Panic is caused by the infrequency of medical emergencies occurring in the dental office and a lack of preparedness for these situations.
In addition, when the dental office team meets for its morning huddle or weekly staff meetings, specific patients' medical conditions should be discussed, as well as plans to handle such situations in the event they become emergencies.
This is one of the reasons that dental hygienists need to maintain individual malpractice insurance so they will be protected in these types of situations.
Many resources are available, including continuing education courses, textbooks, literature articles, and proprietary kits, to help dental practices ensure they are ready to handle any type of medical emergency. Even though primary roles are assigned, staff members must be versatile and trained and prepared to fill other roles if necessary.



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