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VOLUNTEER CLINIC ORIENTATION
OPEN MOUTHS, OPEN HEARTS, OPEN MINDS.
PERONIA, GUATEMALA DENTAL CLINIC
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
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
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
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
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
SCHEDULE FOR THE WEEK
7am
8am
clinic
9am
of Day
12pm-1
3pm
3:30-4pm
Breakfast each morning
Bus leaves hotel for the
Arrive at clinic, Start
Lunch
End of Day Clean-up
Bus leaves for Antigua
EVENINGS ARE
FREE
CLINIC SETUP
We have 5 operatory chairs in
• A-dec,
the clinic
•
AirTechniques,
• Hu-Friedy,
• Kerr,
• Patterson
Dental,
•PhotoMed,
•Schick,
•Sirona &
•Spear
Education
Have so
generously
donated great
equipment for
the Peronia
Clinic.
CLINIC SETUP
Restorative Supplies:
Middle Upper Cabinets:
Lower Cabinets
– Burs
– Handpiece Maintenance
– Misc. Supplies…
Open Shelves – Upper Left
– Etch/Desensitizer
– S.S. Crown
– Micro Brush Applicators
–
–
–
–
–
–
–
–
–
–
–
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
CLINIC SETUP
Masks & Gloves: Bibs &
– Masks
Disposables:
–
–
–
–
Clear Shields
– 2X2’s – 4X4’s
Gloves (all sizes)
Gauze
Wipes
– Cotton Tip
Saliva Ejectors Applicators
– Cotton Rolls
– Bibs
CLINIC SETUP
Medications & Emergency Drugs
–
Pharmaceutical
supplies
• EPI Pen
• Anesthetic
–
Medications
• Ibuprofen
• Antibiotics
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.
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
TRIAGE SYSTEM
• We recommend using a
Triage System to
maximize patient flow.
• The triage chair is
operatory #1 near xray.
A Triage Doctor or Hygienist will:
• Diagnose the patient
• Chart all decay (no probing)
• Numb the area that needs attent
• Re-seat the patient in the tria
• See the next patient
RESORATIVE TEAMS
A Restorative Doctor will get
patient:
– TRIAGED PATIENT
“There are
times of day
when there
are not
patients in
triage, so
all dentists
can bring a
patient from
the waiting
room,”
•
•
•
Perform treatment
Chart work done
Make notes on next visit
recommendations & timing
• Communicate post treatment
– NON-TRIAGED PATIENT
care
• Diagnose the patient
• Chart all decay
• Numb the area that needs attent
•Then, follow TRIAGED PATIENT STEP
2
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
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
DAILY STATISTICS
Statistics we
compile include the
following:
- Patient Name
- Male or Female
- Adult or Child
- Treatment
provided
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
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
BEGINNING OF DAY
• On your first day in
the clinic, Vivian
will give you a full
orientation tour of
the clinic.
• Next you’ll get your
specialized items and
put them in your team
basket.
• Start seeing patients
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