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Diary on practical training «Nursing Care in Dentistry» of the II year student _____group ( Name) Place of practice: Department___________________________________________________________ Clinical base______________________________________________________ Content module 4. Nursing Care in Pediatric Dentistry Special objectives: To know the work organization of children's dental units; To demostrate the rules of disinfection and sterilization of dental equipment and toolkit; To be able to provide medical documentation for nursing work; To know work safety regulations with dental equipment; To know the work rules with filling materials and to be able to get mixed them up; To gain roentgenography technique of teeth and jaws; To gain skills to carry out physiotherapeutic procedures; To be able to prepare dental sterilization materials; To be able to prepare the dental equipment for sanitary treatment and to spend it; To be able to prepare dental sterilization toolkit; To gain skills of sterilization of dental materials and toolkit; To be able to prepare dentist workplace. Topic 22. Sanitary and anti-epidemic mode in dentistry. Definition of asepsis and antiseptics. Definition about sanitary and anti-epidemic mode in dental practice, main principles and performance control. Definition of an asepsis and antiseptics. Antiseptics methods. Topic 23. Disinfection. Disinfection definition and its purpose. Disinfection sections and kinds. Basic disinfection methods. Categories of risk of infectious factors in contrast to environmental factors. Chemical substances used for disinfection, their impact on microorganisms. Topic 24. Presterilizing cleaning and sterilization. Concept of presterilizing cleaning, the basic ways. Stages of presterilizing cleaning, preparation of purgative solution. Features of the mechanized way of presterilizing clearing. Quality assurance of presterilizing tools treatment (rules and technique of tests documentation). Concept of sterilization, the basic methods and sterilization means. Quality assurance of sterilization depending on method. Topic 25. Treatment of dental toolkit and the equipment in a dental room. Cleaning of premises in dental unit. Dental installation and its protection levels. Rules and methods of treatment of tips, basic dental tools, small dental toolkit (pine forests, endodontic tools, and so forth). Sterilization and disinfection of saliva ejectors, optical paths, a dressing and so forth. Rules and devices for storage of sterile toolkit. Current disinfection and general cleaning of premises (periodicity, stages and appropriate documentation). Topic 26. The work organization of a physiotherapeutic room. Work safety regulations in a physiotherapeutic room. Equipment, technique, indication and contra-indication to carry out of U-therapy, UFO-THERAPY, darsonvalism, electrophoresis medical products, hydrotherapy in dental practice. Topic 27. The work organization of a X-ray room Work safety regulations in X-ray room. Rules and carrying out roentgenography techniques of teeth and jaws (orthopantogram, intraoral contact roentgenography) Topic 28. Requirements concerning personal hygiene of dental unit staff. Content module 4. Nursing Care in pediatric dentistry 22 Sanitary and anti-epidemic regimen in dentistry. Definition of asepsis and antiseptic 2 23 Disinfection. 2 24 Presterilizing cleaning and sterilization. 2 25 2 26 Treatment of dental toolkit and equipment in dental cabinet. Cleaning rooms in dentistry department. Work organization of physiotherapy room. 27 Work organization of roentgenography room. 2 28 Requirements for personal hygiene of medical staff of dentistry department. 2 Control of knowledge and practical preparation of students-nurses in pediatric dentistry 2 Content module 4. Nursing Care in Pediatric Dentistry 1. The work organization of children's dental units. 2. Regimen and internal work schedule in dental units. 3. Staff nurse duties of dental unit. 4. Maintenance of sanitary anti-epidemic regimen in dental clinic rooms: - Cleaning (current, clear-out); - Treatment of the working surface of dental table, dental armchairs, dental settings and equipment. 5. Hepatitis prophylaxis, HIV-infections and other intrahospital infections transferred parenterally: - Hygienic hands disinfection; - Surgical treatment of hands; - Measures in injuries, blood contact, other patient biological materials; - Specific prophylaxis of infections transferred parenterally. 6. The organization and maintenance disinfecting and sterilizing regimen in dental clinic: - Products medical disinfection (physical and chemical methods); - Presterilizing cleaning; - Sterilization (steam, air, chemical methods, in glassy perylene sterilizer); - Quality assurance of presterilizing products medical clearing (azopyrazolonic and phenolphtalein tests); - Treatment of individual dental sets; - Dental tips disinfection 7. Providing emergency pre-medical aid. 8. Filling materials and methods of their preparation for functioning. 9. Tools of inspection and treatment of dental patients. 10. Materials for prints and methods of their sterilization. 11. The tooth formula and its record. 12. X-rays techniques of teeth and jaws. 13. Physiotherapeutic procedures in dentistry (UHF-therapy, UFO-therapy, darsonvalism, electrophoresis of medical products, hydrotherapy). 14. Registration rules of medical documentation (filling in patient out-patient card, preventive review workbooks, statistic checks, regular medical check-up card filling). 15. Bases of medical ethics and deontology. 16. Safety regulations and fire prevention Date, hours of work Perfomed work Teacher's signature Final report on performed work during nursing care practical training in amount of junior medical staff duties of the student of II academic year of___________________faculty_________group ______________________________________________________ (full name) The place of Practical Training: Department_________________________________________________ Clinical base_______________________________________________ Practical skills and manipulations Planned Days performed. 1. To ensure sanitary anti-epidemic regimen in dental clinic accommodation: 1.1. Accommodation cleaning: 1.1.1. Cu;rent 1.1.2. General; 1.2. Treatment of work surface of doctor dental table , dental chairs (after seeing every patient); 1.3. Treatment of dental sets and equipment. 10 2. Prevention of hepititis, HIV-infections and other internal medical infections transmitted parenterally: 20 2.1. Safety and work safety instructions while operating with biological material; 2 2.2. Hygienic hands disinfection; 40–45 2.3. Surgical treatment of hands (assisting doctors in operations); 20 2.4. Measures at injuries, blood contact, other biological materials of the patient; 1 5 2.5. Specific prevention of infections transmitted parenterally. 2 3. Organization and assurance of disinfecting and sterilizing regimen in Dental clinic: in case of necessity 10 3.1. Treatment of medical supplies: 5 3.1.1. Disinfection of medical supplies: 5 3.1.1.1. Physical method; 10 3.1.1.2. Chemical method; 10 3.1.2. Presterilizing cleaning; 3 3.1.3. Sterilization: 4 3.1.3.1. Steam method; Done 2 3.1.3.2. Air method; 1 3.1.3.3. Chemical method; 3.1.3.4. In glass-parylene sterilizer; 20 3.1.4. Control of presterilizing medical supplies cleaning quality: 10 10 3.1.4.1. Azopyrine sample; 3.1.4.2. Phenolphthalein sample; 1 3.2. Treatment of individual and dental sets; 20 3.3. Disinfection of dental handpieces. in case of necessity 4. Providing pre-medical emergency aid. 10 5. Assisting doctors in receiving patients: 10 5.1. Control of availability and viallike medicine shelf-life; 5 5.2. Control of medical supplies availability to see patients; 1 5.3. Filling material mixing; 2 5.4. Preparing dressing material (cleaners, tampons etc); 40–45 5.5. Assisting in out-patient surgical measures; 5 5.6. Preparing patients in the chair and his or her patient medical record to be received by the doctor. 1 6. Roentgenography of teeth and jaws. 1 7. Physiotherapeutic procedures: 1 7.1. UHF-therapy; 5 7.2. UFO-therapy; 1 7.3. Darsonvalism; 40–45 7.4. Medical supplies electrophoresis; 1 7.5. Hydrotherapy. 1 8. Keeping medical documentation: 8.1. Filling in out-patient card; 1 10 report 8.2. Filling in preventive examination registers; sanitary bulletin 8.3. Filling in statistic documents; 10 8.4. Filling in dispensary examination card. 10 9. Ethics and deontology: 9.1. Interview with patients; 9.2. Taking part in Nursing Care conferences; 9.3. Sanitary educational activities. 10. Work and fire safety regulations: 10.1. Preparation to dental unit operating; 10.2. Control of operability and timely equipment adjusting