DATA COLLECTION

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DATA COLLECTION

• Gather information
• Interpret that information
• Plan of action based on that information

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DATA COLLECTION IN UKCD STUDENT CLINICS

• Initial data collection(ODI)
• Continued data collection(ODII)
• Treatment Planning

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Data Collection

• Preparation before appointment
• Appointments with patients

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INITIAL DATA COLLECTION (ODI)

• Patient Assignments
• Axium Scheduler
• Name
• Number
• Day
• Time
• Procedure

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Review Dental Record
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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

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DENTAL RECORD CONT

• 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

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Information on the front inside
cover

• Student assign.
• Missed appointments

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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

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DAY OF INITIAL APPOINTMENT

• Check cubicle
• assignment

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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

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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)

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MEET PATIENT IN WAITING AREA

• Meet patient and introduce yourself
• Seat your patient and explain the nature of the
  appointment

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BEGIN DATA COLLECTION!!

• Confirm with supervising faculty your planned
  activities(OD or team leader)
• Review medical history
• Dental history
• Soft tissue exam
• 1D

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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

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MEDICAL HISTORY CONT

• 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)

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MEDICAL HISTORY CONT

• Identify medications that would require a
  prescription worksheet
• Sign the form

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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

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CLINICAL EXAMINATION(4A)

• Perform a thorough soft tissue exam

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Faculty will indicate additional data appropriate
for patient Radiographs
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OTHER DATA MAY INCLUDE

• Consultations
• Impressions
• Vitality testing
• Preliminary treatment
• ETC.

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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

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PROGRESS NOTE

• Date
• SHAPED format
• Signed by student and faculty