DOTS – Preventive Lines and the Big Picture
Top 5 tips for the young hygienist.
(1) Practice what you preach. Don’t forget that YOU are the standard so maintaining your own mouth is incredibly important. Be a role model for your patients, don’t breathe coffee breath on them.
(2) Posture. Taking the time to make sure you are comfortable and sitting upright is essential for the longevity of your career. Stretching between patients helps with joint suppleness as do regular yoga/pilates classes.
(3) Listen. Take the time to listen to patients, peers and colleagues. The feedback you get from these sources allows you to hone and shape your working practice.
(4) Never stop learning. Jump on any opportunity to learn, whether it be a new skill or gleaning a more in-depth knowledge of a subject you are passionate about.
(5) Be the team. Your nurse is worth their weight in gold, this is the person who helps you cope when the pressure is on. Show your appreciation for their skills and reward them for a job well done.
We believe prevention is universally better than cure. It is the ethos that underpins every part of our care at Dentistry on the Square. Each patient has a tailor-made preventive programme.
Behaviour change is the single biggest challenge that we face as dental professionals. I find the most effective way is through dialogue with the patient, ascertaining their motivational requirements and acting on them. Demonstrations are a useful method and the Oral-B demonstration unit is a really effective in-surgery aid for explaining toothbrushing technique.
I advocate evidence-based dentistry at DOTS and therefore recommend oscillating-rotating power toothbrushes such as the Oral-B Professional Triumph 5000. Both our staff and patients love this brush as it gives them an ‘idiot’s guide to cleaning their teeth’ plus I think we all secretly love the little happy face at the end of two minutes.
Patient pathway at DOTS
Stage 1 – Patient welcome/booking
Ensure patient welcoming is with a smile
Ideally, answer the phone within two rings
Get patient details and contact address and numbers. Ask how they heard about the practice, if referral from existing patient, log the patient’s name
Ask is there anything specific the patient is looking for? Put on pop-up note so that the dentist knows what the patient’s requirements are
Book appointments and advise patients who they will see at their first/recall appointment
For all new patients, ask them to attend 10 minutes early as relevant paperwork has to be completed before going into their appointment
Reminders of appointments will be sent by text two days before the appointment and email reminder will also be sent.
Stage 2 – Treatment room
If not seen within five minutes, the dentist should apologise to waiting patients
If running late with previous patients, keep reception updated of your progress
The dentist is to collect the patient and introduce themselves with a handshake
Usher patients to the treatment room and introduce to the nurse
Discuss medical history and what is going to happen at that appointment
Exam, X-rays, treatment plan (do all of this with the patient sitting upright in chair)
Carry out patient exam/X-rays
Sit patient back up in the chair and discuss the treatment plan
Options and investments (not costs)
DVD glasses on all appointments over 30 minutes
Ask patient if they have any questions and if they understand what’s been discussed
Print two treatment plans/estimates
Update patient notes with clinical findings, what was discussed and options given. Ask if the patient fully understood all options and investment (costs)
Escort patient back to the desk
Introduce patient to receptionist and advise receptionist a treatment plan has been printed
Stage 3 – Surgery to reception handover
Dentist to escort patient to the reception desk
Introduce receptionist to the patient
Reception to write details of the above down so that if interrupted they have all the details and do not need to refer to the dentist again
Reception staff to drive and control the appointment book