VOLUNTEER CLINIC ORIENTATION

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VOLUNTEER CLINIC ORIENTATION
OPEN MOUTHS, OPEN HEARTS, OPEN MINDS.
PERONIA, GUATEMALA DENTAL CLINIC
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OPEN WIDE PERONIA, GUA

• THE PERONIA, GUATEMALA CLINIC

• Is the result of an amazing partnership
• Municipality of Villa Nueva
• Responsible for cost of building maintenance
• Provides permanent staff members 24/7 facility
  security.
• Association for a Better Guatemala
• Organized local corporate funding and materials
  as well as donated materials to build the
  facility and coordinated hundreds of local
  citizens in the project.
• Open Wide Foundation
• Volunteer Dentists
• Administrative Training Support
• Educational content and access
• Dental Supplies Equipment through donation from
  corporate and individual donors

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OVERVIEW

• Arriving in Guatemala
• Antigua
• Introduction to the Peronia Permanent Staff
• Schedule for the week
• Clinic Setup, Triage Workflow System
• Charting Stats
• Making Memories

WORKING TOGETHER IS BETTER
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INTRODUCTION TO DENTISTS

• Dr. Stephanie Lambour
• Clinic Administrator
• Municipality of Villa Nueva
• Guatemalan Dentist
• Oversees Clinics
• Resident Dental Student Programs

• Dr. Vilma Reyes
• Dr. Evelyn Siguenza

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INTRODUCTION TO STAFF

• Vivian Gonzalez
• Main Dental Assistant
• Vivian is the person you will interact with most.
  
• She will be present with you in the clinic the
  whole week is responsible for

• Assisting volunteers and translation
• Supplies ordering inventory
• Sterilization maintenance procedures

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INTRODUCTION TO STAFF

• Zaira Carrazco
• Front Desk Manager
• Managing patient flow
• Receiving
• Appointments
• Patient Records
• Fees
• Each patient pays the equivalent of 1.50 per
  visit. The City of Peronia collects these fees to
  fund the clinic when OWF moves on in five years.

Security staff is on site 24/7.
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SCHEDULE FOR THE WEEK

• 7am Breakfast each morning
• 8am Bus leaves hotel for the clinic
• 9am Arrive at clinic, Start of Day
• 12pm-1 Lunch
• 3pm End of Day Clean-up
• 330-4pm Bus leaves for Antigua
• EVENINGS ARE FREE

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CLINIC SETUP

• We have 5 operatory chairs in the clinic

• A-dec,
• AirTechniques,
• Hu-Friedy,
• Kerr,
• Patterson Dental,
• PhotoMed,
• Schick,
• Sirona
• Spear Education
• Have so generously donated great equipment for
  the Peronia Clinic.

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CLINIC SETUP
Restorative Supplies

• Middle Upper Cabinets
• Composites
• Articulating Paper
• Amalgam
• Wedges
• Tofflemire Myar Stripes
• Floss, Retraction Cord
• Astrigident
• Finishing Strips
• Isolation, Rubber Damn
• Dapen Dishes
• Various Cements, Mixing Pads,
• Spatulas
• IRM, Zinc Oxide
• Bonding Agents

• Lower Cabinets
• Burs
• Handpiece Maintenance
• Misc. Supplies
• Open Shelves Upper Left
• Etch/Desensitizer
• S.S. Crown
• Micro Brush Applicators

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CLINIC SETUP

• Masks Gloves
• Masks
• Clear Shields
• Gloves (all sizes)
• Wipes
• Saliva Ejectors

• Bibs Disposables
• 2X2s 4X4s Gauze
• Cotton Tip Applicators
• Cotton Rolls
• Bibs
• Dapen dishes

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CLINIC SETUP

• Medications Emergency Drugs
• Pharmaceutical supplies
• EPI Pen
• Anesthetic
• Medications
• Ibuprofen
• Antibiotics

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CLINIC SETUP

• Tray Setup
• Exam Basic Tray
• Restorative Tray
• Extraction Tracy

All specialty supplied are kept in team
baskets. Example Matrix, Tofflemires, Etch,
Wedges, Burs, etc.
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CLINIC SETUP

• Team Table
• Cotton roll dispenser
• Disinfecting wipes
• Needle container
• Cotton tip applicators

Team Basket Team members fill the team baskets
with the products they need from the supply
cabinets
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TRIAGE SYSTEM

• We recommend using a Triage System to maximize
  patient flow.
• The triage chair is operatory 1 near x-ray.

• A Triage Doctor or Hygienist will
• Diagnose the patient
• Chart all decay (no probing)
• Numb the area that needs attention
• Re-seat the patient in the triage area
• See the next patient

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RESORATIVE TEAMS

• A Restorative Doctor will get patient
• TRIAGED PATIENT
• Perform treatment
• Chart work done
• Make notes on next visit
• recommendations timing
• Communicate post treatment care
• 2

There are times of day when there are not
patients in triage, so all dentists can bring a
patient from the waiting room,

• NON-TRIAGED PATIENT
• Diagnose the patient
• Chart all decay
• Numb the area that needs attention
• Then, follow TRIAGED PATIENT STEPS

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CHARTING SYSTEM
NEW PATIENTS Existing in BLUE Decay in
RED Completed BLACK over RED
RETURNING PATIENTS Completed in BLACK, over
RED Decay in RED Line through
completed on back
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CHARTING SYSTEM
BACK OF TOOTH CHART
Enter Date MM/DD/YYYY
Enter tooth treated
Enter treatment provided
Enter next treatment recommended i.e. prophy,
upper left
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DAILY STATISTICS
Statistics we compile include the following
- Patient Name - Male or Female - Adult or
Child - Treatment provided
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STERILIZATION

• Surgical Instruments
• Hand pieces are sterilized after surgical
  procedures
• Place all surgical instruments surgical burs in
  the ultrasonic
• Rinse all surgical Instruments surgical burs
  after ultrasonic cycle
• Place surgical Instruments and surgical burs on
  towel to dry
• Bag dry surgical Instruments do not bag surgical
  burs
• Place dry surgical Instruments and burs in
  sterilizer
• After sterilization place bagged surgical
  Instruments in drawers
• Place surgical burs in the surgical bur container

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STERILIZATION

• Non-surgical Instruments
• Place all Instruments and burs in the front
  ultrasonic
• Rinse all Instruments and burs after ultrasonic
  cycle
• Place Instruments and burs on towel to dry
• Place dry instruments un-bagged in Statim
• Brush and place burs/bur blocks in metal trough
  sterilize as needed
• After Statim cycle place sterilized instruments
  in drawer
• Hand pieces and Air/water syringes are sterilized
  at the end of the day.

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BEGINNING OF DAY

• On your first day in the clinic, Vivian will give
  you a full orientation tour of the clinic.
• Next youll get your specialized items and put
  them in your team basket.
• Start seeing patients

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END OF DAY CLEAN UP

• End of Day Checklist
• Clean and sterilize hand pieces and syringe tips.
  
• Wipe all surfaces of the chair and base.
  
• Flush Vacuum lines
  
• Refill water bottles with distilled water.
  
• Lube hand pieces
• Lock all cabinets