Essential Examination Aid For Dental Nurses
By Michael Rich
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About this ebook
A text book for UK trainee dental nurses studying for their national examination. Not just UK students but the main clinical (and some other) content is suitable and would apply for any English speaking student. It covers all necessary clinical subjects in detail and the text is laid out to assist the student when learning. Easy to read, easy to learn and easy to remember. Non-clinical administrative topics are also described. The whole book is divided into subject chapters with, in many cases, their own sub-headings. There are a number of labelled anatomical drawings to assist the student, being the ones which have to be learned and possibly reproduced in the examination. Best version to download is the .pdf - best for PCs or laptops. The other versions are also good but the .pdf is best for printing out as well. Enjoy the book - it will be a great help to you for your studies.
Michael Rich
Retired dentist as of end 2012. Qualified and working for over 51 years. My fellow author for the dental nurse book, Polly McGrane, is a working Dental Nurse and receptionist with over 12 years experience and who passed the NEBDN examination first time. I am the sole author of of 'Modern Day Life'. The Sussex book is co-authored with Judith Bastide who was the principal writer while I did the main editing, IT website (www.basrichbooks.co.uk) and publisher liaison.
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Essential Examination Aid For Dental Nurses - Michael Rich
Introduction
This book will help you pass the examination.
An extra chapter has been added to the fourth edition and this explains the important regulations (page 94), which involve, and in some cases dictate, your work and employment. Some you may know but some may be new to you.
In either case you should study the chapter as questions may be asked about some of the sections during the examination.
The third edition was revised to exclude references (in earlier editions) to the format of the examination. This has changed significantly since the earlier editions and the fourth and this further revision have been modified to reflect this.
In addition, some parts of the earlier editions have been removed as they are no longer relevant to the new examination format.
Further very useful sources of information may be obtained from the Examining Board itself.
We strongly recommend that you download the 16 page information section about the examination from the NEBDN website. This will be found at www.nebdn.org and on the left of the screen you will find a link to the Diploma in Dental Nursing. Go to this and on the resulting screen you will find some very useful links giving downloads all about the examination. If you can you should print out all these as an important aid to understanding what will be expected of you during the examination.
There are links to the different parts of the examination giving examples of the types of questions asked. You should study these so you know what to expect when you get there. There will also be a link to what is expected for doing a charting, if this should arise during part of the examination
Your course tutors should also be able to help you with the new exam format.
This book is mainly clinically based and reflects how you work in your surgery and how you help your dentist. These topics may occur and are used to test your understanding of them.
It is not meant to replace your main textbooks, the excellent 'Levison' and others, which have been used for many years.
This book gives you 'bullet point' lists of the essential information to learn and use when answering any questions.
The lists and some explanations condense much of the detailed theory you will be learning from your textbooks, course notes and handouts.
If you use this with the rest of what you have studied, you will find that when you take the exam what you have learned will be so much easier to present to the examiners.
Most of the subject chapters are just lists of important points you should know. Many of the lists have been arranged in the order the clinical procedures are usually done in the surgery. This will make it easier for you to study, as they should be very similar to how you do your own everyday work.
In early editions of this book there was a chapter giving line diagrams of anatomy you have to know. These were for labelling the various parts and in the earlier examination format you could have been asked to label such a diagram. Even though this may not be a specific feature of the latest examination format, they have been kept in this edition of the book as a useful aid to learning important anatomy of the skull, jaws, nerves, blood supply and muscle attachments.
There is also a final chapter giving you a useful list of acronyms (abbreviations). There has been at least one question in the past in relation to one of these.
The authors of this book wish you all the best for your studies and for your success in the examination.
Complaint Handling
A formal complaints procedure is a compulsory requirement by both the GDC and the enforceable NHS Complaints Procedure 2009.
A complaint may cover
* treatment
* surgery cleanliness
* surgery equipment
* reception procedures
* attitude of staff
* waiting room cleanliness
* waiting room furnishings
* toilet facilities
Or anything else which a patient, as far as they are concerned, might feel is wrong.
The practice has to provide
* a 'responsible person' to make sure the practice follows the regulations and takes any action necessary at the start of the complaint
* a 'complaints manager' who is responsible for handling the complaint in accordance with the regulations
The responsible person will be
* either the owner of the practice, or
* a Director of a Corporate Body with responsibility for running the practice
* and will be the person signing off the final letter to the complainant
The complaints manager
* will be anybody in the practice authorised to be so
* could also be the responsible person (especially in a small practice)
* should be easily available for managing the complaints procedure efficiently
* ideally a friendly 'front of office face' for patients to approach
A complainant may be
* anyone treated at the practice
* anyone affected or likely to be affected by any action or decision of the practice
* a representative of
- someone who has died
- someone who has a disability of whatever kind
- a child
- someone having a representative acting for them
The practice has to satisfy itself that the representative has the authority to act in that capacity.
Complaints can be
* verbal
* written
* electronic
The practice must
* acknowledge the complaint no later than three days after receiving it
* the acknowledgement may be written or oral
* offer to discuss with the complainant how it is to be handled
* the time frame over which it will be investigated
* the timetable to give a response
* investigate the complaint in a speedy manner
* keep the complainant informed of the progress of the investigation
* send the complainant, as soon as possible after the completion of the investigation, a report to include
- an explanation of how the complaint has been investigated
- the conclusion(s) reached
- the signature of the responsible person signing it off
The practice has to report annually showing
* the number of complaints received
* the number decided in favour of the complainant
* the number referred to the HSO
* the subjects of the complaints
* actions taken by the practice to improve procedures so those problems are not repeated
All the above applies to the NHS Complaints Procedure 2009 and is just a summary of the detailed regulations.
For private patients the GDC requires that a formal procedure is in place and this could very similar to the NHS one.
In addition, for private patients, there is the Dental Complaints Service (DCS) run by the GDC. This can be approached by the patient if they have not been satisfied by the practice's internal procedure. The patient can then complain directly to the DCS. The DCS attempts reconciliation between the patient and dentist and in well over 95% of cases they succeed.
If they don't, a panel comprising two lay members and a dentist convenes to judge the case. The panel reviews the dentist's clinical records, the patient's letters and all the other papers involved. The panel listens to both the patient and dentist presenting their views and then decides what should be done.
The panel can award
* a refund of fees, in full or in part
* or recompense the patient in another way
* it can also judge in favour of the dentist
* it can also refer the case to the GDC fitness to practice committee if serious clinical matters are involved
If the dentist doesn't comply with the judgement of the panel the case could also be referred to the GDC Fitness to Practice (FTP) Committee.
Confidentiality
A patient has, under normal circumstances, an absolute right to total confidentiality about anything to do with their dental treatment. There are very few exceptions to that rule.
Confidentiality means
* you do not talk about a patient's clinical condition with anyone else outside the practice
* you do not talk about a patient's treatment with anyone else outside the practice
* you do not talk about a patient's payments with anyone else outside the practice
* you do not talk about a patient's appointments with anyone else outside the practice
* you do not talk about a patient at all with anyone else outside the practice
* 'outside the practice' means your friends, your family, the patient's friends or the patient's family or anyone else
* you do not leave clinical notes lying around, or computer screens visible, where other patients may see even the patient's name and address details, let alone their treatment or medical history
* you do not talk about a patient's clinical condition, treatment or payment details where other patients in the practice can hear about them
* you should talk as quietly as possible with patients on the telephone and try not to address them by name when discussing their clinical condition, treatment or payments if other patients in the practice could hear
* reception computer screens should not be visible to patients
* written appointment books should not be readable (even upside down) to patients waiting at reception
* the other partner's (husband, wife, whatever) appointment, clinical treatment or payment details should not be discussed with 'the other half' as you never know if they are still together; this applies especially if you suspect that they are separated
* children old enough to consent to their own treatment are entitled to the same confidentiality as adults and, certainly if paying for the treatment themselves, you cannot discuss their treatment or clinical details with their parents/guardians (or anyone else)
* if their parents/guardians are paying for the treatment the above would not necessarily apply but it would be a good idea to get the child's consent anyway, although if they refuse the same confidentiality rules as above apply
* to disclose any details about anything concerning a patient to a third party you must obtain the written consent of that patient
* the only exception is if there is an enquiry in connection with a