Since I am the Vice President of the Junior class, I was given the opportunity to be the Floor Assistant for WREB (western regional examination board) over spring break when they were going to have boards given at Weber State University. At first, I had no idea what an experience this would be. As time went on and the news set in I realized what I great opportunity this is!
First I was able to be a Local Anesthesia board patient thursday for my peer-pal (the Senior student one class ahead of me). I did this and was able to experience what it was like, then I had Floor Assistant orientation. I learned what was expected which I already knew reading through the Floor Assistant manuel. I had to get the clinic ready for the candidates for the boards in the morning. I barriered 12 chairs for the candidates and 4 chairs for the examiners. I didn't eat lunch that day becasue I didn't think I would've been there that long.... I was wrong. I was so hungry adn orny but I made it through.
Friday morning, I arrived at 7 am to start the first group of examinations. I was running with my head cut off at times and then at other times sitting around doing nothing. This went on for the remaining days of the boards which were from Friday through Sunday.
I took good notes and I am going to post them on my blog so I don't lose them (On the back of my anatomy notes from my 3rd exam didn't seem like a good place for them permanently)
-Patient and Candidate go right downstairs at the beginning of the exam and after the exam to avoid coming in contact with the examiners. The exam needs to remain objective and this is how they do it.
-Chief Examiner or Floor Assistant will notify the Candidates and patients of the time to come into the clinic to start the exam.
-There is 45 minutes from the start time to submission time (check-in with the examiners).
-Once set-up with examination forms and tray for the examiners, go to the sign-in sheet and write in candidate #, if you have a back-up patient, and what the time is. This is located in the instructor pod.
-The Chief Examiner will then come over to your unit and check the Health History, Process of Care form (what the patient needs to do after the board exam i.e. continue care and OHI), Submission form(both sides filled out), x-rays (BWX and PAX), anesthesia form (purple form notifying you that you passed L.A.).
-If a DDS/RDH is administering for you, you need to have their license (shows L.A.), proof of malpractice insurance, and consent form.
-There are 2 stickers with your candidate # on them at your unit. These are to be placed on your patient's clean bib before check-in and on a new bib before check-out.
-For Check-in, Have HHx form, X-rays, submission form (1st and 2nd submission filled out), Tray (barriered) w/ mirror, probe, explorer, gauze, safety glasses (not regular glasses shield cover).
- If first submission isn't accepted automatic -4 points.
-If you are late for check-in, 3 minutes will be docked for every 1 minute late. (no points associated)
-While waiting for patient to return, set up unit/tray on paper barrier, instruments, ultrasonic ($45 rental), anesthetic, disposables, and any other things needed. This takes a long time, so it is beneficial to be the first one to submit (unless you are administering L.A.). This means less stress waiting.
-Biohazard bags are in the island at each pod, and the biohazard bin will be made available.
-When your patient is done with the examiners, they will walk back into the clinic with the tray for the examiners, Blue acceptance form (has teeth marked, areas to mark probing and recession, and start and end time), and HHx form.
-The x-rays submitted remain with the examiners. You must print a copy if you want one for yourself.
-Set the examiner's tray aside while instrumenting.
-You have 2 hours for instrumenting, marking probing and recession, and getting your patient to the front desk for check-out with appropriate examiner items.
-For Check-out, Blue form (marked with probing and recession) in clear plastic sleeve, HHx form, and Tray (mirror, probe, explorer, gauze, safety glasses).
-If you are late for check-out, 1 point will be docked for every 1 minute you are late.
-While patient is being checked-out, clean up area, unit, and instruments.
-Ultrasonic remains at the unit for the Floor Assistant to pick up. If the ultrasonic came in a bin return it to the bin and leave it at the unit.
-Instruments do not have to be sterilized but must be in a sealed instrument bag. If you want them sterilized, put your candidate # on them and bag them yourself. The Floor Assistant will sterilize them and return them in the room downstairs where you and your patient were seated originally before the examination started.
-As a time saver and advice, run your instruments through the ultrasonic first, then clean up your area, and before you walk out of the clinic with all your items, bag your instruments to be processed through the autoclave. This is especially important for the morning group as the afternoon group will be minutes behind you.
-Barrier and dispose the chair exactly the way it looked before you arrived before you leave the clinic.
-Before you leave the clinic with all your items, submit your white packet before. This contains a carbon copy of the process of care, badge, and a carbon copy of ITC form if applicable) The ITC form notifies the Chief Examiner and Candidate of 2nd submission acceptance or late check-in/check-out. In other words, you'll know if you have one of these.
-Go directly downstairs to wait for the examiners who are with your patient AFTER the exam is complete. The patient will be sent down with everything on the tray in a sealed bag. You will not get the tray back since it remains in the clinic
-The Floor Assistant will deliver the sterile instruments into that same room once they are complete. This generally takes about 20 minutes once they are bagged since the sterilizer is to be run constantly regardless of fullness.
-The left-handed chair was designated for left-handed candidates, but don't count on it. I don't know if this was because the Chief Examiner was nice or if it is standard.
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