Goal: 2 Quads Class V
Actual : 2 Quads Class V
My patient, again, came early for his premed which was great. I was able to get him in the chair on time and get right to work. I went over the OHI with him, and he seems to be doing better with his flossing and oral hygiene in general. I was so proud of him. I completed the cleaning and was able to talk to him about the importance of fluoride in his daily life. He had a few areas of suspicion so I wanted to stress the importance of fluoride. He was very receptive to this and was willing to get the fluoride I recommended. He didn't want x-rays to check the other teeth because he can get them at the VA. I hope he follows through and takes care of himself.
Wednesday, February 1, 2012
3rd Patient Second Appointment 1/30/12
Goal: 4 quads, 2 PEs
Actual: 4 Quads Class 1B, 3 PEs
Today went really well. I was able to get through the rest of the cleaning and do OHI with her. She seemed receptive to the OHI. I hope I made a difference in her dental experience. She did really well with her anxiety, and I was able to complete the universal 1, selcetive polish, and peer scale check PEs today. I feel like I am getting closer to completing a patient in one appointment if I work a little more efficient. I had plenty of time after she left to do other things, so I am going to start working extra hard during the first appointment to get them completed instead of wasting time during the second appointment.
Actual: 4 Quads Class 1B, 3 PEs
Today went really well. I was able to get through the rest of the cleaning and do OHI with her. She seemed receptive to the OHI. I hope I made a difference in her dental experience. She did really well with her anxiety, and I was able to complete the universal 1, selcetive polish, and peer scale check PEs today. I feel like I am getting closer to completing a patient in one appointment if I work a little more efficient. I had plenty of time after she left to do other things, so I am going to start working extra hard during the first appointment to get them completed instead of wasting time during the second appointment.
4th Patient First appointment 1/25/12
Goal: 4 BWs, 2 Quads, 2 PEs
Actual: 2 Quads Class V, 1 PEs
Today I was able to see my second Class V patient. Since I had a little experience with this I wasn't as nervous. He was easy to get a hold of and actually came to the clinic Monday for his premed (because all of his MDs have retired). I had a good feeling about this patient. I showed up early this day and was able to get completely set-up when I saw him up front 30 minutes early to get his premed so it would be in his system 1 hour prior to instrumentation. What an awesome patient! Today went really well. He did refuse x-rays, so I wasn't able to get those but I was able to get the ultrasonic 1 PE passed off thanks to Instructor Caldwell who reminded me that an ultrasonic helps with moderate supragingival calculus. This worked so well! My patient was hard of hearing, so it was difficult to talk to him and make sure he understood. I showed him plenty of OHI this day to help him keep his teeth clean. He was very appreciative. When I walked him out he wasn't understanding why I needed to bring him back. I was able to call later that day to explain to his wife why I needed to see him again. She was very sweet to explain to him and make sure he would be here for his next appointment. Overall, it was a good day!
Actual: 2 Quads Class V, 1 PEs
Today I was able to see my second Class V patient. Since I had a little experience with this I wasn't as nervous. He was easy to get a hold of and actually came to the clinic Monday for his premed (because all of his MDs have retired). I had a good feeling about this patient. I showed up early this day and was able to get completely set-up when I saw him up front 30 minutes early to get his premed so it would be in his system 1 hour prior to instrumentation. What an awesome patient! Today went really well. He did refuse x-rays, so I wasn't able to get those but I was able to get the ultrasonic 1 PE passed off thanks to Instructor Caldwell who reminded me that an ultrasonic helps with moderate supragingival calculus. This worked so well! My patient was hard of hearing, so it was difficult to talk to him and make sure he understood. I showed him plenty of OHI this day to help him keep his teeth clean. He was very appreciative. When I walked him out he wasn't understanding why I needed to bring him back. I was able to call later that day to explain to his wife why I needed to see him again. She was very sweet to explain to him and make sure he would be here for his next appointment. Overall, it was a good day!
3rd Patient First appointment 1/23/12
Goal: Complete 4 BWs, and 2 Quads, and 2 PEs
I had such a hard time getting my patient to confirm her appointment over the weekend for today and had a bad feeling today was going to be bad. Well my gut feeling was right. My patient actually did confirm but then cancelled her appointment 1 hour before clinic started which made for a scramble. I was able to call my mother-in-law to see if she was willing to come (I prepped her that weekend). She said she would but was a little worried about getting lost on campus. One good thing about having an unemployed husband, he was able to drive her up here. We decided that weekend to work on our kitchen counter tops and redo them. He was hard at work to finish up some of it then he needed to prep for class that night. Well I ruined his whole plan for that day. HE thought I was only going to be an hour in clinic today so he didn't get any studying done for class and was scrambling after clinic was over... AWFUL! While I was waiting for them to arrive (1 hours later) I was able to pass off my sharpening PE. Anyway, my mother-in-law comes in with a little anxiety (who doesn't have a little doing something new). I tried to be professional and treat her well. I was able to get 4 BWX and 1 Pano.... with issues of course. When it rains it pours. I had to retake 3 BWX and the Pano touched her shoulder, so I had to retake that as well. The rough part about that it all of them were conventional which meant a lot of developing :( Dang it! Such a time waster. By the time I needed to walk her out, I was able to complete her full Hx, HHx/Rx, and OD. I wasn't able to get to the OHI which was a blessing for her that she didn't even know about. Oh well. I survived an awful clinic and get some x-rays to go toward my requirements. Thanks to her! She has been such a blessing in our lives this month. She has saved us with dinner many times and now Clinic! Wow What a Woman!
I had such a hard time getting my patient to confirm her appointment over the weekend for today and had a bad feeling today was going to be bad. Well my gut feeling was right. My patient actually did confirm but then cancelled her appointment 1 hour before clinic started which made for a scramble. I was able to call my mother-in-law to see if she was willing to come (I prepped her that weekend). She said she would but was a little worried about getting lost on campus. One good thing about having an unemployed husband, he was able to drive her up here. We decided that weekend to work on our kitchen counter tops and redo them. He was hard at work to finish up some of it then he needed to prep for class that night. Well I ruined his whole plan for that day. HE thought I was only going to be an hour in clinic today so he didn't get any studying done for class and was scrambling after clinic was over... AWFUL! While I was waiting for them to arrive (1 hours later) I was able to pass off my sharpening PE. Anyway, my mother-in-law comes in with a little anxiety (who doesn't have a little doing something new). I tried to be professional and treat her well. I was able to get 4 BWX and 1 Pano.... with issues of course. When it rains it pours. I had to retake 3 BWX and the Pano touched her shoulder, so I had to retake that as well. The rough part about that it all of them were conventional which meant a lot of developing :( Dang it! Such a time waster. By the time I needed to walk her out, I was able to complete her full Hx, HHx/Rx, and OD. I wasn't able to get to the OHI which was a blessing for her that she didn't even know about. Oh well. I survived an awful clinic and get some x-rays to go toward my requirements. Thanks to her! She has been such a blessing in our lives this month. She has saved us with dinner many times and now Clinic! Wow What a Woman!
Wednesday, January 18, 2012
2nd Patient final appointment
Goal: complete the other 2 quads, Fl, and sel/pol
I forgot to set my alarm clock last night to make sure to be up at 6 to get ready and be to school by 7:30 for clinic set up. I woke up 5 mintues before my alarm was "supposed" to go off and I noticed it wasn't set. I panicked but was also so grateful I woke up on my own with stress of how clinic will go. I was off to school in good time and was able to get completely set up for my patient before she arrived. I got my patient back and immediately got ot work. I was really proud of myself for the way today went. I was able to pass off 2 PEs, anterior scaling #1 and explorer #1. The LL quad on the posterior was so hard to scale on the buccal side, but I was able to do it on my own without missing a piece back there. I missed some on the lower anterior teeth which seems to be my norm. I need to get better at this. BUT YAY! I did the posteriors so well! My patient, again, was so great and patient. I was able to get her out the door 45 minutes early which made her so happy :) I am able to get caught up and feel good about clinic.
I forgot to set my alarm clock last night to make sure to be up at 6 to get ready and be to school by 7:30 for clinic set up. I woke up 5 mintues before my alarm was "supposed" to go off and I noticed it wasn't set. I panicked but was also so grateful I woke up on my own with stress of how clinic will go. I was off to school in good time and was able to get completely set up for my patient before she arrived. I got my patient back and immediately got ot work. I was really proud of myself for the way today went. I was able to pass off 2 PEs, anterior scaling #1 and explorer #1. The LL quad on the posterior was so hard to scale on the buccal side, but I was able to do it on my own without missing a piece back there. I missed some on the lower anterior teeth which seems to be my norm. I need to get better at this. BUT YAY! I did the posteriors so well! My patient, again, was so great and patient. I was able to get her out the door 45 minutes early which made her so happy :) I am able to get caught up and feel good about clinic.
2nd patient of the semester 1/11/12
GOAL: Complete OD, 4 BWX (maybe pano), and do 2 quads if my patient is a IB.
Today went really well. I was able to complete the OD with no complications. I took 4 BWX conventional film, but no pano was taken because my patient didn't want one. I found after the OD that my patient was actually classified as Class V. I was nervous for this because I didn't know what to expect with scaling. My instructor gave me the confidence to complete 2 quads and I was able to in 40 minutes. I was really proud of myself and was definitely a confidence boost. My patient was very sweet throughout the appointment and didn't cause me any problems. She was very relaxed which helped me be relaxed since I have never worked on anyone I didn't already know. I felt like today was a success. Everything went smoothly unlike the last time I had clinic.
Today went really well. I was able to complete the OD with no complications. I took 4 BWX conventional film, but no pano was taken because my patient didn't want one. I found after the OD that my patient was actually classified as Class V. I was nervous for this because I didn't know what to expect with scaling. My instructor gave me the confidence to complete 2 quads and I was able to in 40 minutes. I was really proud of myself and was definitely a confidence boost. My patient was very sweet throughout the appointment and didn't cause me any problems. She was very relaxed which helped me be relaxed since I have never worked on anyone I didn't already know. I felt like today was a success. Everything went smoothly unlike the last time I had clinic.
Monday, January 9, 2012
1st Patient day in Spring 2012
GOAL: complete the scaling on the UR and UL, take 16 PAs to complete a full mouth series, sel/pol, and Fl.
Today definitely came with a few kinks. Right off the bat, I took my PA x-rays then processed them in the Scan-x. I was confused with the way the films looked because they were so fuzzy. Instructor Vining notified me that the processor was set on Pano so the definition wasn't there and told me to retake them since they weren't diagnostic. My patient was my husband and I could tell he was a little irritated. He knew it wasn't my fault, but he had an understanding of radiation so it bothered him. I completely understand why not to mention the discomfort of PAs in general. I was sweating and my stomach hurt. I felt like such an idiot. Once I completed this, I noticed I needed retakes but Instructor Vining said we'll have to keep them the way they are because of the radiation policy of the clinic. The OHI process went well and so did the scaling. I only missed one spot. I was able to polish and place fluoride varnish. My husband hated the varnish... oops! The walkout process was such a headache for me today. I forgot how to do it and the system changed so Instructor Vining wasn't sure how to do it. After we figured it out, I put it to memory. I think next clinic will be easier to remember.... hopefully! :)
Today definitely came with a few kinks. Right off the bat, I took my PA x-rays then processed them in the Scan-x. I was confused with the way the films looked because they were so fuzzy. Instructor Vining notified me that the processor was set on Pano so the definition wasn't there and told me to retake them since they weren't diagnostic. My patient was my husband and I could tell he was a little irritated. He knew it wasn't my fault, but he had an understanding of radiation so it bothered him. I completely understand why not to mention the discomfort of PAs in general. I was sweating and my stomach hurt. I felt like such an idiot. Once I completed this, I noticed I needed retakes but Instructor Vining said we'll have to keep them the way they are because of the radiation policy of the clinic. The OHI process went well and so did the scaling. I only missed one spot. I was able to polish and place fluoride varnish. My husband hated the varnish... oops! The walkout process was such a headache for me today. I forgot how to do it and the system changed so Instructor Vining wasn't sure how to do it. After we figured it out, I put it to memory. I think next clinic will be easier to remember.... hopefully! :)
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