dental hygiene documentation template is a dental hygiene documentation template sample that gives infomration on dental hygiene documentation template doc. When designing dental hygiene documentation template, it is important to consider different dental hygiene documentation template format such as dental hygiene documentation template word, dental hygiene documentation template excel. You may add related information such as dental notes sample, dental charting notes, soap notes for dental procedures, dental hygiene protocol.
dental hygiene documentation template
as you begin the appointment, you work efficiently and as quickly as you can to get back on schedule for the nine o’clock patient who is on time. the patient’s medical history can be a guide and map to the oral cavity with correlations that need to be noted for overall health and periodontium health. as hygienists, we know the drugs used to control asthma can lead to tooth decay and xerostomia. this will help to educate the patient on the correlation between overall health and periodontium risks and health. noting the high blood pressure serves as a history and also an insight as to what the future oral health may be.
as hygienists, we should document the patient’s oral routines and our recommendations as well. although the patient stated that it is unchanging and has had it checked by an oral surgeon always make a note of these areas. this information needs to be included in the oral cancer screening notes along with how many packs or cans per day the individual uses and what length of time. how will you know and be able to respond if you don’t record pocket depths or explain tissue health change? what if your patient develops oral cancer and states you never explained to them that they had periodontal disease or discussed the correlation between periodontal disease, overall health, and oral cancer risk? think of your progress note as your appointment with the patient in writing.
as hygienists, we should document the patient’s oral routines and our recommendations as well. example note: pt reports brushing 2x’s a day with a manual, medium bristle toothbrush/flossing with regular dental floss 2-3x’s a week/uses water flosser on occasion/doesn’t use mouth rinse. any other hygienist could read the chart note and have a clear, a written document in ink is much more objective and convincing than simply unless you have customized your clinical note templates, your the patient’s overall oral hygiene is oral hygiene, overall. today’s exam , dental notes sample, dental notes sample, dental charting notes, soap notes for dental procedures, dental hygiene protocol
dental hygiene documentation template format
your sharpest instruments are now dull, and you realize you’re most likely going to miss the start of your daughter’s soccer game due to the accumulated mess that needs to be cleaned up. wouldn’t it be nice to chart how you feel, or chart how you would unload about a particular patient to your spouse or friend (withholding a name of course!)? patient complained and flinched the whole time, even when i wasn’t touching his gums! any other hygienist could read the chart note and have a clear, accurate picture of what went on with this patient. the defendant alleges you never told her that she had periodontal disease and was at risk of losing her teeth. you remember showing her charts and diagrams on the disease process. remember, it is easy for a patient to sue. what are the essential elements of a good dental chart … one that would hold up in a court of law?
however, the bottom line is that the entire dental team in your office must be on the same page when it comes to charting, regardless of where each of you received your training. you know you discussed smoking and periodontal disease with her, but did you write that in the chart? did you tell the patient what you saw and your professional opinion of it? charting tells the story of each patient, allowing you to report what goes on under your watch. here is one example that is simple and concise, making room for all the elements of good charting. tx: what did we do and what did we use to do it? it is extremely important and necessary to have documentation of informed consent in the chart. •p— procedure to be performed•a—alternative to procedure including no treatment at all•r—risks involved with the treatment and/or delaying or avoiding treatment•q—questions: opportunity to answer any questions a patient may have go over the procedures, alternatives, risks involved, and answer any questions a patient may have.
of clinical dental hygiene practice.1 this document is the third revision2 to build on those standards and promote dental hygiene practice based on current and. document the oral cancer screening was performed and identify any abnormal should have a full periodontal exam that includes probing at every hygiene visit. that’s the new mantra for documenting an appointment. i just know that if i’m ever on vacation or replaced the next hygienist will the office i am at has note templates according to the type of appointment being completed., dental assistant clinical notes, dental hygiene scripts, dental hygiene scripts, dental progress notes template pdf, dental hygiene standard of care, dental notes sample, dental charting notes, soap notes for dental procedures, dental hygiene protocol, dental assistant clinical notes, dental hygiene scripts, dental progress notes template pdf, dental hygiene standard of care
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the patient was dismissed from the practice because of patient dismissal reason. anesthetic, topical was placed on the anesthetic area, adjacent to tooth anesthetic for tooth. the patient has been informed that the tooth can either be extracted and crowned or have a post and core and be crowned. the patient has agreed to tx plan to repair the damage. a stumpshade was selected to be used in conjunction with the shade guide for the tx plan, bridge/crown on tooth tooth-receiving treatment. the patient was asked if they pre-medicated with antibiotics one hour prior to todays appointment. before dental treatment, the patient was asked about changes to their medical history such as a recent surgery or changes in medication. patient complains of pain and swelling in the quadrant-with pain quadrant.
the patient complained of pain in the oral cavity. the patient understood that their procedure was minor and did not require the use of either pain medication or antibiotics. prescription instructions have been given to the patient and the patient has confirmed that they understand the instructions. the surface-select text surface of tooth tooth-select one has been chipped. patient advised that should this happen again the crown will need to be replaced. patient has agreed to tx plan to repair the tooth. patient has been given all instructions and information concerning the crown type crown placed today. requests with the most votes tend to be made a higher priority.