Report

about the work done

for the period1999 -200 0 g.

dental nursebranches

Due to the high prevalence of dental diseases, dental care in our country is one of the most widespread forms of medical care. More than 80% of all patients with dental pathology account for the outpatient service. An even greater part of dental patients (98.5%, i.e. the overwhelming majority) is indicated for treatment in a polyclinic. This is due to the high incidence of tooth decay and its complications. Every year, conservative methods of treating both therapeutic and surgical diseases are taking an increasing place. The number of removed goiters decreases and the number of cured goiters increases. If in the recent past the ratio of extracted teeth to cured teeth was 1: 1, now it is 1:10. This is due to the therapeutic and practical success of dental science.

New methods of diagnostics and treatment are introduced into dental practice every year, which make it possible to diagnose, treat patients and carry out rehabilitation.

According to order No. 8 dated 26.03.01. Federal State Institution "Central Clinical Hospital of the Ministry of Health of the Russian Federation" reorganization in the form of a merger into the State Institution "State Medical Center of the Ministry of Health of the Russian Federation" and is a medical and preventive institution being a structural subdivision of the center.

It includes a hospital and a polyclinic, where patients are provided with emergency and routine medical care.

The dental service is represented by a network of polyclinics with dental offices, in addition, dental offices have salaries and ports.

In the dental department, they provide assistance to the attached contingent of departmental organizations that have concluded contracts for medical care with KB # 1; patients are admitted for cash. The dental department of polyclinic No. 1 is represented by two services:

1. Dental department, which consists of four therapeutic rooms, surgical, periodontological.

2. Department of orthopedic dentistry, consisting of two rooms for an orthopedic doctor and a dental laboratory.

For these two units, there is a registry with a dental file cabinet.

Here, a preliminary appointment is made by phone and the information necessary for patients is given; assistance is provided to patients at home, as well as to those who are being treated in a hospital.

A nurse provides preparation for departure and assistance to the doctor.

In the dental department, the technical re-equipment of the repair of offices was completely carried out. The offices are equipped with dental units "Eurostar" (made in Italy) with medical furniture for dental offices, as well as all the necessary equipment and instruments for work.

To improve the quality of diagnostics, modern electronic equipment is used, for example, a tip with an apex locator "Marita" (Japan), an apparatus for determining the viability of the pulp "Didi test" (USA). An X-ray room was equipped with a Trophy Elitys radiovisiograph (France) with computer wiring to all offices.

Each office has:

1. Sterilization Glasperlin (Italy) for immediate sterilization of the necessary instruments.

2. Apparatus "Piezo-Master" (Switzerland) for removing dental plaque with different nozzles, as well as for the treatment of root canals.

3. Boxes ultraviolet "TAU-steril" (Italy) for storage of sterile instruments.

4. Halogen lamps (USA, Germany) for making seals from light-curing materials.

5. Installed germicidal lamps.

6. Installed monitors for viewing R-pictures

7. Medical dental furniture "Lotos" (Italy), which includes a workstation for a nurse and a doctor.

8. Built-in air conditioners.

Nurses are the closest assistants of the dentist, making a huge contribution to the prevention and treatment of dental diseases. At each workplace of nurses, hermetically sealed plastic containers for pre-sterilized cleaning and disinfection of instruments and separate containers for burs are installed.

Pre-sterilization cleaning and disinfection is carried out simultaneously using a 5% solution of "Alaminole" exposure for 1 hour.

Means "Alaminol" is a blue odorless liquid. It is effective against bacteria, fungi of the genus Candida dermatoritis, viruses (including pathogens of HIV, ARVI, hepatitis B, herpes, rotaviruses).

Has detergent properties. Means "Alaminol" is intended for disinfection of surfaces in rooms, furnishings, devices, equipment. For this, a 1% solution of alaminol is used for an exposure of 60 minutes. Also for mechanical and pre-sterilization cleaning of instruments, the ultrasonic devices "Earring" and "Transsonic" are used.

Cleaning is carried out in a working solution according to the following scheme:

1.Preparation "Biolot" - 3.0 g.

2.Chlorhexidine bigluconate - 2.5 mg (standard solution)

3.Ethyl alcohol - 2.5 mg

4.Distilled water up to 1000 mg.

The instruction was compiled by the Central Research Institute of Dentistry.

Thermal time indicators are used to control the quality of sterilization. Diapers, gauze napkins, waterols, sterilized in autoclaves. All material is pre-packed in kraft bags.

In the dental department, sterilization of instruments is carried out, separately, in a specially designated room.

Surgical instruments after locking and processing are packed in special bags and sterilized in a dry heat cabinet. The advantage of these bags is that they remain sterile for two weeks.

For the prevention of nosocomial infections, strict adherence to the sanitary and epidemiological regime in the department, as well as compliance with asepsis and antiseptics, is of great importance.

The head nurse supervises the implementation of these rules.

In order to prevent infection of medical personnel, disposable gloves, masks, and goggles are used. Safety helmets and aprons as required. Flavored, deodorant tablets are used to rinse the mouth. For the patient, disposable bibs, glasses, syringes are used.

The duties of a dental assistant include:

1. Preparing the workplace for a doctor's appointment.

2. Preparation of the necessary instruments and medicines for anesthesia, applications, preparation of filling material.

3. Make a patient call.

4. To seat and ensure a comfortable position of the patient in the chair, both for him and for the doctor.

5. Invite a dentist to the patient as soon as he is ready.

6. Adjust the stomatological light.

7. Submitting the instruments to the doctor.

8. Ensure the prevention of infectious contamination of the patient and staff.

9. Work with saliva ejector and vacuum cleaner.

10. To independently carry out hygienic measures, determine indices and together with a doctor evaluate the effectiveness of preventive measures.

11. Together with the administrator, appoint a patient for a second visit.

Thus, the efficiency of a dentist working with a nurse is 50% higher than that of a dentist working without a sister.

Carpool aspiration syringes and sterile disposable needles for them are used for local anesthesia.

Anesthetics of the Ultracaine, Ubestezin type are used. The syringes are disinfected during operation by wiping twice with an alcohol sterile gauze swab before and after the manipulation.

At the end of the shift, they are sterilized in a dry heat cabinet at a temperature of 180 0 - 60 minutes.

Immediately after use, dental mirrors are soaked in 5% Alaminole solution for 60 minutes, then rinsed under running water, dried with a sterile napkin and stored in a sterile UF tray. boxing.

Immediately before admission, the patient is sterilized for 60 seconds in an eye-perlin sterilizer.

Used disposable syringes, gloves, saliva ejectors are disinfected in a 3% chloramine solution, then collected in bags and disposed of centrally.

The needles, also previously disinfected, are collected in a special container and disposed of.

Cotton and gauze swabs are disinfected in a 3% solution of chloramines for 120 minutes, after which they are disposed of.

Disinfection is carried out in closed containers in special rooms.

The premises are cleaned twice a day using a 1% chloramine solution with 0.5 SMS, followed by ventilation and UV irradiation for 30 minutes.

General cleaning of therapeutic rooms is carried out once a month using a 3% chloramine solution.

Walls, furniture and equipment are treated with 1% Alaminol solution for 60 minutes exposure - single airing.

After the general cleaning, the room is covered with UV light for 2 hours.

General cleaning of the surgical room is carried out using the same means once a week.

As a result of the operation of bactericidal lamps, the air in the room is ionized, nitrogen oxides and ozone are formed.

All work in this direction is carried out on the basis of a methodological letter "On the organization of sanitary-hygienic and disinfection-sterilization regimes in dental facilities" - developed by the State Committee for Sanipedia Supervision of R.F.

All rooms are equipped with eye-perlin sterilizers, which are used for immediate sterilization.

It is a container (up to one liter) filled with ceramic balls, which are heated to t-240 0.

The working surface of the tool is placed in this environment:

Mirror - 60 seconds

Burs and endontic instruments - 20 seconds

Tweezers, probes, scalpels - 15 seconds

The main advantages of this sterilization method are:

1. Short sterilization time of instruments

2. Small dimensions and constant readiness of the device for operation

3. Possibility of sterilization in the presence of the patient

The dental handpieces are disinfected by wiping twice (before and after use) the outer surfaces and the burs channel with a sterile gauze swab moistened with 70% ethyl alcohol.

After use, small endodontic instruments and burs are placed for cleaning from organic particles in a solution consisting of equal parts of 10% ammonia and 3% hydrogen peroxide solution.

Then it undergoes disinfection and pre-treatment cleaning.

In a 5% solution of "Alaminol" for 30 minutes.

Instruments with plastic holders are sterilized in an eye-perlin sterilizer within 20 seconds.

The quality control of pre-washing cleaning is carried out by the head nurse at least once a week using an azopyram sample.

The quality of washing from SMS and from medical devices is checked by phenolphthalein test.

Each office is equipped with a first aid kit for the prevention of HIV infections.

1. In case of contact with contaminated material, or suspicious on the skin, treat it with a 70% solution of ethyl alcohol, wash it with soap and water and re-disinfect with a 70% solution of ethyl alcohol.

2. If contaminated material gets on the mucous membranes, immediately treat them with 0.05% KMnO solution, rinse the mouth and throat with 70% ethanol solution. Do not rub.

3. In case of injections or cuts, immediately squeeze out the blood from the wound and treat the wound with 5% iodine solution.

The staffing table of the dental department provides

Head of the department - 1 rate

Doctor - dentist - 9.25 rates

Doctor surgeon - dentist - 1 rate

Periodontist doctor - 1 rate

Senior honey. sister - 1 stake

Honey. sisters - 10 stakes

Nurse - 4.75 stakes

All bets are taken.

Reported data for 2001

Total number of patients received - 30,226

Primary patients - 13,940

Filled teeth - 28253

About caries - 21,260

For complicated caries - 6,900

Cured teeth in one visit for a complicated

caries - 2.816

Completed a course of treatment for periodontal disease - 1.106

Completed a course of treatment for diseases of the mucous membrane of the oral cavity - 405

Teeth removed - 2240

Preventive work:

Inspection in the order of planned reorganization - 7.522

Of those examined, they needed reorganization - 1852

Sanitized from among those identified during the planned rehabilitation - 1822

The standard units of labor intensity have been worked out - 75.350

The Department of Prosthetic Dentistry has in its staff:

Dentist-orthopedist - 4 rates; not busy - 2

Orthodontist - 1; not busy - 1

Dental technicians - 8; not busy - 4

Foundry - 1; ---------

Nurse - 6; not busy - 3

Nurse - 2; not busy - 1.5

Medical registrar - 1; --------

Reception in the orthopedic department is conducted in two shifts, by two orthopedic doctors.

The dental laboratory is equipped with the latest electronic equipment from leading Western firms.

For the manufacture of dentures, materials of 3-4 generations are used.

The following types of services are provided to the population:

1. Manufacturing of metal-ceramic crowns.

2. Solid prostheses.

3. Removable dentures.

4. Clasp prostheses with locking fastening.

5. Manufacturing of plastic crowns.

The nurses of the dental department have the knowledge and skills necessary to work with doctors in all offices of the department. If necessary, they can replace each other at the workplace (surgery, periodontology). During their work, they play the role of a doctor's assistant, maintain all the necessary documentation, in addition, conduct therapeutic and prophylactic conversations with patients. They explain how to properly care for the oral cavity, which pastes, rinses, etc. to use. Five nurses have qualification category I, almost all have a specialist certificate.

An atmosphere of friendly support and mutual assistance prevails among the employees.

A dentist who deals with dental treatment has not only a specialization (therapist, surgeon, orthodontist, etc.), but also a category. How do they differ from each other categories of dentists,what category does a dentist career start with and how can it be improved?

Categories of dentists and requirements for obtaining them

For all doctors, including dentists, promotion is a natural part of professional growth. However, first of all, you need to become a dentist, and getting this profession is not so easy. First, a yesterday's student must enter a medical school, and then master the educational program for several years in order to successfully complete it. Medical education is rightfully considered one of the most difficult: to obtain a doctor's diploma, you will need to work long and hard. Meanwhile, the profession of a dentist is quite popular. This is not only a very interesting specialty, but also one of the highest paid.

So, a dental career begins with a relevant education. During their studies at the university, students choose a specialization, within which in the future they will be able to raise the category: therapist, orthodontist, periodontologist, etc.

After graduation, a new stage follows - an internship. Only after finishing it, the dentist can start working. During the practice, the doctor will gain professional experience and improve his qualifications. And in order to determine the level of qualification of a doctor and designate it, categories of dentists are assigned.

Like other doctors, dentists can upgrade their qualifications. The list of requirements corresponding to each category of dentists, as well as the procedure for assigning them, is established by law.

Within each profession, its own categories are distinguished, the number of which can reach six. As for the profession of a dentist, there are only three categories: the first, the second and the highest. The rules for their receipt are enshrined in Federal laws and orders of the Ministry of Health of the Russian Federation.

To obtain a higher qualification category, a doctor or pharmacist must be certified. The procedure and terms for medical workers and pharmaceutical workers to pass certification to obtain a qualification category are approved

Clause 5 of the Order states that the category of a doctor is valid for five years after it was assigned. Clause 6 also specifies that a doctor can try to pass certification for a higher category only three years after receiving the current category.

Clause 11 states that if a specialist received a category before 08/04/2013, it will be valid for the period for which it was assigned.

According to the first paragraph of the Procedure, the basis for obtaining each category of a doctor is the passing of certification.

Initially, the doctor has a basic - the second category. Then, if certain conditions are met, he can get the first, and then the highest category.

	Obsolete requirements	Current requirements
	Five or more years of experience in your specialty	At least three years of experience in their specialty, regardless of whether the dentist has a higher or secondary vocational education
	The doctor submitted a report on professional activity, on the basis of which the category was assigned in absentia
	Work as a head of a department or head of a health facility at the city or district level	Seven or more years of work experience in their specialty, if the dentist has a higher education, and from five years, if the specialist has secondary vocational education
	Work as the head of a medical institution at the level of the region, region or republic	A dentist of the highest category must have at least ten years of work experience in his specialty, if he has a higher education, and from seven years, if he has a secondary education
	Assignment and confirmation of the category in person	The dentist confirms his right to receive a category before the commission, which not only evaluates the report, but also conducts an interview

So, the main factor in assigning a new category of dentists is seniority. But one diploma and several years of work as a dentist will not be enough.

In order to successfully pass certification, a doctor must constantly increase the base of theoretical knowledge and practical skills, improve his qualifications in various ways.

Although even this does not give any guarantee, since the decision on the doctor's compliance with professional requirements is made in person by the attestation commission.

• Dental clinic personnel management: selection, adaptation, motivation

Preparation for assignment to the category of dentists

Stage 1: Creation of a commission that makes a decision on assigning a qualification category to a doctor.

In order for a dentist to prove his knowledge for a new category of dentist, he must pass certification. The doctor is assessed by an attestation commission, the creation of which is indicated in clause 12 of the Procedure approved by Order of the Ministry of Health of Russia dated 04.23.2013 N 240n. Within the commission, a coordinating committee and expert groups are distinguished.

A separate expert group is assembled for each specialty for which candidates will pass certification.

According to clause 14 of the Procedure, the certification commission should include:

• chief specialists of medical and pharmaceutical organizations;
• specialists from non-profit professional medical organizations;
• representatives of the state body or organization that collects the commission;
• representatives of the organization in which the candidate works;
• other persons.

Clause 14 of the Procedure also notes that a specific list of commission members must be approved by an order of the state body or organization that forms this commission.

Stage 2. Submission of a package of documents for consideration by the commission.

The documents should be submitted to the organization or state body that convenes the commission no later than four months before the end of the category of the dentist. It is possible to submit papers both in person and by mail. Clauses 20, 21 of the Procedure list the list of required documents:

1. Statement addressed to the chairman of the commission signed by the doctor himself. It should contain the following data:

• Full name of the applicant;
• what category he would like to receive;
• information about the category of dentist available, including the date it was received;
• consent to receive and process personal data of a doctor;
• date of registration of the document.

2. Attestation sheet of the dentist, the form of which can be seen in the first appendix to the Procedure. The printed sheet must be certified by a personnel specialist.

3. Information about the work done for a certain period. For doctors with higher education, it is three years, with secondary education - one year. The report consists of two main parts:

• description of the work done by the dentist;
• summing up the results of professional activity and developing options for its improvement.

The document must be signed by the dentist himself, as well as his employer; the seal of the organization is also required.

If, for some reason, the manager does not agree on the report for assigning the category of dentist, the specialist may require an explanation of the reasons in writing. He includes the received paper in his package of documents.

5. A certified copy of a work record book and a diploma of higher or secondary specialized education, as well as other documents (certificates, certificates, etc.).

7. If the doctor has changed the last name, first name or patronymic, a document confirming this fact is required.

Clause 21 of the Procedure specifies that if the dentist has submitted the package of documents late, an interview for assigning a new category can be held after the expiration of the current one.

Stage 3.Reception of documents by the commission.

The procedure for receiving documents from doctors is also regulated by the Procedure:

• when the documents are submitted by the dentist to the commission, they are entered in the registration log on the same day;
• then they check the correctness of filling out the application, compliance with the requirements for issuing an attestation sheet, as well as the presence of all the necessary documents.

If it detects any errors in the execution or incompleteness of the package of documents, the commission will refuse to accept the application to the doctor. A letter of refusal with reasons must be sent within a week. Having received it, the dentist will be able to correct the mistakes made and again submit his documents to the commission.

• Dental office nurse: basic requirements and functional responsibilities

In what order is the certification of dentists for the category carried out?

Stage 1: Checking professional skills.

A dentist can receive a higher category only if he successfully passes the exam, which consists of three parts (clause 7 of the Procedure):

• assessment by specialists of the report on the work done by the doctor;
• passing the test;
• face-to-face interview.

The purpose of these tests is to test the level of knowledge and skills of the dentist and to make sure that they really correspond to a higher category. It is precisely those skills that are assessed that are directly related to work in the specialty of a given doctor. Also remember that a real professional needs to know everything about dental office cleaning and disinfectants .

According to clause 18 of the Procedure, the commission has the right to evaluate the work for the category of dentist only if at least half of all its members are present at the meeting.

Clause 19 regulates the keeping of the minutes of the meeting. The secretary is responsible for filling out the minutes, and after the meeting, the chairman and other members of the commission must also sign it. The form of this document is given in the second Appendix to the Procedure.

1. Consideration by the commission of the received package of documents. According to clauses 17 and 24 of the Procedure, 30 days are allocated for this.
2. Also, within 30 days, a report on the work of the doctor must be reviewed. Based on the results of its study, the commission issues an official conclusion.
3. Within thirty days after the submission of documents, the date and place of the dental exam must be determined. The specialist must find out about where and when the exam will take place at least 30 days before the appointed date. This information must be communicated to the doctor personally, and can also be additionally posted on the Internet on the organization's official page and on information stands. Clause 16 of the Procedure allows for the remote examination, as well as the format of the field meeting of the certification commission.
4. Interview and testing. Clause 24 of the Procedure establishes that the interview and testing must be carried out no later than 70 days after the dentist has submitted documents to the commission. As for testing, clause 25 of the Procedure establishes that a result is considered successful if the doctor correctly solved 70% of the test tasks. 26 of the Order states that the transition to the interview is possible only when the dentist has successfully completed the test part of the exam. Experts should find out whether the level of knowledge and training of the candidate corresponds to the category of dentist for which he is applying. For this, the members of the commission will ask questions concerning the theoretical and practical aspects of work in the certified specialty.
5. The decision to assign or refuse to assign a new category to a doctor, which is made based on the results of testing his knowledge (clauses 19, 27 of the Procedure).

All present members of the certification commission take part in the voting. A simple majority is required to decide whether or not to assign a new category to a dentist. If the votes are equally divided, the decision is made by the chairman of the commission.

According to clause 19 of the Procedure, if a candidate is a member of the commission, then he cannot participate in voting on assigning a category to himself.

Clause 27 of the Procedure contains a list of reasons that allow members of the commission to make a decision to refuse to assign a category:

• negative assessment of the progress report that the dentist submitted to the commission;
• unsuccessful passing of the test part of the exam by the candidate (less than 70% of correct answers);
• the doctor's failure to appear in the organization on the day of the test or interview.

According to clauses 28, 29 of the Procedure, the decision of the commission (if it was decided not to assign a category, the refusal must be justified) is recorded in the minutes of the meeting and in the dentist's certification sheet.

Clause 19 of the Procedure provides that a member of the commission has the right to disagree with the final decision. In this case, he can express his opinion in writing and attach a paper to the protocol.

Stage 2. Issue of an order on assignment of new categories to dentists and transfer of relevant documents to them.

Clause 32 of the Procedure stipulates that, based on the results of the meetings of the certification commissions, an administrative act of the state body or organization is issued on the assignment of qualification categories to doctors.

Clauses 33, 34 regulate the procedure for reporting the decision to the dentist. For this, the secretary of the certification commission is obliged:

• make an extract from the relevant order, which reflects the results of certification and assignment of the categories of dentists to specialists;
• hand over the extract to each dentist personally, or arrange mail delivery. The law also establishes the deadline for delivery of an extract - no later than 120 days after the doctor has submitted the documents for registration;
• enter information about the delivery or mailing of the statement into the document registration journal.

Stage 3: Appeal by the doctor of the decision made by the commission.

If a dentist believes that his certification work for the category of dentist has been assessed unfairly, he can file a complaint with the state body or organization in which it was formed. Clauses 16, 35 of the Order establish that the doctor has the right to challenge the decision within a year after the decision is made.

• The clinic has implemented a system of continuous improvement: + 10 thousand per employee

What a dentist's report by category should look like

Section 1. Introduction.

Information about the compiler of the report. The volume of this part is about a page. The dentist should briefly describe his work and major achievements. It is worth noting the passage of advanced training courses, mentioning the availability of professional awards.

Information about the place of work of the dentist. Here you need to provide basic data about the medical institution, such as the number of visits, types of procedures performed, etc. Particular attention should be paid to the distinctive features of the institution.

Information about the department in which the doctor works. It is necessary to concisely, but at the same time informatively describe the activities of the department, the established principles of labor organization, performance indicators for the reporting period. Provide information about the technical equipment (the availability of equipment for conducting research, procedures, etc.), as well as about the workforce and what place the dentist occupies in it.

Section 2. The main part - information about the work activity of the dentist over the past three years.

All the above figures should be compared with the annual analysis of the data of the last three years. A candidate for the category of dentist can also compare similar indicators for the place of work, city, region and country. If an infographic is used, it is imperative to provide an explanation for it, including:

Description of the contingent. Statistics concerning the sex and age characteristics of patients, the most frequent diseases, the characteristics of the course of the disease, etc. You can compare the characteristics of the contingent with previous years.

Diagnostic system. The doctor can highlight the most common diseases and describe the system of their diagnosis using tables, algorithms, etc. It will be a plus if the dentist demonstrates awareness of modern diagnostic methods, their capabilities, indications and contraindications.

Section 3. List of laws and official documents that the dentist is guided by in his work.

1. Type of document (order, decree, letter, guidelines).

2. The state body that adopted the document (Ministry of Health, city or regional health department, government).

3.Date of acceptance.

4. Document number.

5. Full title.

Section 4. List of sources.

Author's articles, including those written with the participation of other doctors. It is necessary to provide a photocopy of the pages of the journal, if the article was published, a list of monographs, titles of reports and other materials written in the last five years.

List of specialty books read by the dentist in the last five years, as well as the literature he used to prepare the report.

Supplement for categories to dentists

Depending on the level of professionalism of the doctor and the set of skills that he possesses, his salary also changes. After receiving the category of dentist, the specialist can count on an increase.

Additional payments per category can be received by both employees and managers of medical institutions.

The co-pay will depend on the dentist's basic salary.

Legally, the right to receive it is enshrined in the annex to the Decree of the Ministry of Labor of Russia No. 6.

The supplement is calculated as a percentage of the salary.

The amount of the dentist's salary increase depends on two factors:

• the qualification category that he possesses;
• position held by a doctor in a medical facility.

However, when determining the amount of the allowance, such a factor as the period of work of the doctor in the position held is not taken into account.

Supplements are paid to the doctor on a monthly basis from the salary fund.

	% increase in relation to salary

I. Brief autobiographical note 3

II. Brief description of the work of the dental office 4

III. Analysis of work for 3 years (2004-2006) 14

IV. The introduction into practice of elements of the scientific organization of labor, new forms of therapy, testing of new medical equipment 23

V. Working with the medical personnel of the department 34

Vi. Sanitary and educational work 35

I. Brief autobiographical note

I AM, …. (Name), was born on …… (date) at ………. (place of birth), in the family ……… .. (origin).

…. (information about studies)

…. (job details)

…. (information about continuing education, courses and cycles)

…. (information about academic degrees)

…. (information about professional achievements)

…. (information about publications and printed works).

II. Brief description of the work of the dental office

There are certain standards and requirements for the organization of a dental office, due, on the one hand, to the equipment used, and, on the other hand, to the volume of work and the use of materials potentially hazardous to health, which, if used incorrectly, can have an adverse effect on the health of medical personnel: we are talking about amalgam , which includes mercury.

According to the current situation, a dental office for one doctor should occupy an area of \u200b\u200bat least 14 m2. If several chairs are installed in the office, then its area is calculated based on the additional standard - 7 m2 for each chair. If the additional chair has a universal dental unit, the area for it increases to 10 m2.

The height of the office should be at least 3 m, and the depth with one-sided natural light should not exceed 6 m.

In connection with the use of amalgam in dental fillings, special attention is paid to the finishing of the floors, walls and ceiling of the office. The walls of the dental office should be smooth, without cracks. Corners and joints of walls, floors and ceilings should be rounded, without cornices and decorations. Walls and ceilings are plastered or trowelled with the addition of 5% sulfur powder to the solution to bind sorbed mercury vapors into a strong compound (mercury sulfur) that does not undergo desorption, and then painted with silicate or oil paints. The floor of the office is first covered with thick cardboard, and rolled linoleum is laid on top, which should go to the walls to a height of 10 cm. The junction of the linoleum sheets, as well as the places where the pipes exit, should be putty and covered with nitro paint. These measures are necessary to ensure effective sanitization and cleaning to prevent the accumulation of mercury.


Work published

MBUZ State polyclinic number 2

Chief physician

"____" _____________ 2011

ANALYSIS OF WORK

for 2008-2010

doctor dentist surgeon

novosibirsk city

1. Description of the workplace.

2. Survey methods.

3. Technique of pain relief.

4. Method of treatment.

5. Analysis of complications and their causes.

6. Clinical examination.

7. Analysis of medical practice.

8. Sanitary and educational work.

9. Clinical cases.

10. Conclusion.

11. Literature.

1. DESCRIPTION OF THE WORKPLACE:

The dental clinic, of which I am an employee, is located in a 2-storey building and is a multidisciplinary one. The polyclinic has a reception, physiotherapy, and X-ray rooms.

The operating hours of the clinic are from 7-30 to 20-00 on weekdays, and from 9-00 to 15-00 on Saturday. Reception by doctors is carried out in two shifts. Primary patients receive coupons at the registry; there are journals for making appointments with doctors of any profile. Repeated patients are prescribed by a doctor.

The work of the X-ray room is organized in two shifts, the equipment of the room allows receiving both intra- and extraoral images.

The work of the physiotherapy room is organized in two shifts. The office is equipped with devices for galvanization and electrophoresis, amplipulse phoresis, Darsonvalization, UHF, fluctuorization, ultrasound and phonophoresis and for phototherapy (quartz).

The dental clinic is equipped with a treatment and prophylactic room, a surgical room, an orthopedic room, a children's department and a dental laboratory. The surgical room in which I conduct an appointment consists of three rooms: the first, with an area of \u200b\u200b12 sq. m., for the processing and disinfection of instruments, the second is the actual surgical room for two workplaces, with an area of \u200b\u200b34.8 sq. m., the walls are tiled up to the ceiling, the ceiling is painted with oil paint, the floor is tiled, there is one window. The office has two chairs of the KSEM-03 type, there are two tables for a dentist, two shadowless lamps SM-28, a BEPB-06 drill, a ShSS-80 dry-heating cabinet, two UV-bactericidal chambers for storing sterile instruments (Ultra-Light ), laser apparatus MITs-Foton-03. In addition, there are 2 closets for storing medicines, 2 tables for a nurse's work, 2 desks with bedside tables for storing documents. The sink is equipped with two dispensers for treating the surgeon's hands (the first with a bactericidal liquid soap, the second with a skin antiseptic "Lisanin"). The office is intended for daily admission of patients, performing current surgical procedures.

All three rooms are equipped with 4 UV germicidal ceiling lamps.

Autoclaving of material and linen is carried out in an autoclave, located separately from the cabinets.

The operational activity of surgeons develops as patients are selected, doctors themselves form their operational plans. Each of the operating surgeons performs 6-8 planned operations per week.

The clinic staff provides assistance at home. Calls are served 3 times a week from 9-00 to 14-00 o'clock by car. Surgical doctors provide assistance at home according to the established sequence, coupons are withdrawn during the call. I in 2008-2010. 248 calls were served.

2. METHODS OF SURVEY:

The examination of the patient begins with an assessment of the patient's complaints, clarification of the anamnesis, then an examination is performed.

It should be noted the importance of careful collection of anamnesis and patient complaints. This allows you to find out the etiology of the underlying disease, concomitant diseases, the presence or absence of allergies to medicines.

Examination of the patient includes the elimination of pathological asymmetry of the face, assessment of the color of the skin and mucous membranes, their moisture content, mouth opening and the possibility of lateral movements of the lower jaw, tongue mobility, and assessment of the bite. Obligatory palpation assessment of the state of the regional lymph nodes - chin, submandibular, cervical, occiput; large salivary glands with control over the discharge from the excretory ducts, as well as lesions. During the examination, the condition of the patient's teeth, their mobility, the presence or absence of gum pathology are necessarily recorded. Radiography is of great importance in diagnostics, if necessary, contrast sialography is performed; for diagnostic purposes, a cytological examination of scrapings from lesions is performed; puncture of lymph nodes with an assessment of the discharge; biopsy followed by histopathological examination. The material taken with the help of a biopsy is preserved and sent to the pathological laboratory of the ICD No. 12, where the materials obtained during the operations are also examined.

st. Petersburg, 2004

• Introduction
  • About the author
  • Job description
• Certification material for the last 3 years
  • caries
  • complicated caries
  • preparation for prosthetics
  • non-carious tooth damage
  • aesthetic dental restoration
• Training
• Conclusion

I. Introduction

About the author

I AM, Full Name, 19 .. year of birth, 19 .. graduated from the 1st Leningrad Medical Institute. Academician I.P. Pavlova, Faculty of Dentistry, specializing in dentistry.

From 19 .. to the present day I have been working as a dentist of the 1st therapeutic department in the dental clinic No. ... of the administrative district of St. Petersburg.

Job description

There are 6 doctors' chairs with stationary dental units "Hiradent 654" and "Hiradent 691" in the treatment room. The office is equipped with the necessary tools and equipment for the diagnosis and treatment of diseases (devices DSK-2, EOM-3, etc.)

Instruments are sterilized centrally in the sterilization room. The device "Terminator" is used to process the handpieces. Burs and instruments are processed and sterilized by a nurse. For endodontic instruments there is a glass-sperlen sterilizer. Small tools are stored in the Ultraviol shelf.

There is a UV-KB-Ya-FP bactericidal chamber for storing sterile medical instruments. To work with light-curing composites, I use lamps - dental polymerizer "ESTUS-Profi", "Cromalux", etc.

II. Certification material for the last 3 years

My main tasks are the treatment and prevention of dental diseases among the adult population of the region. I usually see patients under compulsory medical insurance. The work shift lasts from 5.5 to 6.5 hours. During the shift, I provide assistance to an average of 11-12 patients, of which 4-5 are primary. During a working day, I fill an average of 13 teeth, 2-3 of them with complicated forms of caries. There are 1-2 readjustments per day. From time to time I work in the duty office of the polyclinic, where I provide emergency dental care to the population.

During the reporting period of work (2001-2003), I examined a total of 7638 patients, of which 2702 were primary, 849 patients were sanitized, which is an average of 33.1% of the number of primary patients. During the reporting period, 8704 teeth were cured, of which caries - 6861, complicated forms - 1843. 27280 UET were produced.

I start working with the patient by taking anamnesis, then I conduct an external examination and examination of the oral cavity, in which I determine the hygiene index, detect occlusion pathologies, assess the state of the oral mucosa, and be sure to palpate the submandibular lymph nodes. Based on the data obtained, I make a diagnosis and draw up a treatment plan.

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