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Dental Nurse Sedation Post Qual Exam > Pre Assessment > Flashcards

Pre Assessment Flashcards

1
Q

What does Asa stand for?

A

American society anaesthesiologist

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2
Q

When was the asa classification created?

A

1941

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3
Q

What is the ASA classification?

A

Physical status classification system

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4
Q

What is ASA 1?

A

Fit and healthy - no systemic disease

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5
Q

What is ASA 2?

A

Mild systemic disease - does not affect patient’s lifestyle

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6
Q

What is ASA 3?

A

Moderate / systemic disease - limits activity but is not incapacitating

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7
Q

What is ASA 4?

A

Incapacitating systemic disease which is a constant threat to life

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8
Q

What is ASA 5?

A

Moribund - not expected to survive 24 hours or without medical intervention

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9
Q

What is ASA 6?

A

Declared brain dead whose organs are being removed for donor purposes

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10
Q

What must be taken into consideration when assessing a patient for sedation?

A

Medical history
Social history
Dental history

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11
Q

What is the CORAH Scale used to assess?

A

Anxiety

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12
Q

Why may they need sedation?

A

Anxiety
Difficult tx
Fear of dentists
Fear of needles

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13
Q

What do we check in the pre assessment?

A

-MH
-ASA
- Past dental history
-Assess suitability
- Sedation/ GA history
- given other options
- risks / benefits
- Basline readings

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14
Q

Why are pre assessments carried out through separate appointments?

A

So they have time to consider options
So they can be given pre instructions
Time to organise escort
No nails
Fasting

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15
Q

Why do we take observations during pre assessment?

A

To get a baseline of readings so we have something to compare

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16
Q

What are the requirements for CPD for a sedation nurse?

A

Log sedation cases
Complete 12 hours ever 5 years that are relevant to sedation

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17
Q

How long do dental records need to be stored for?

A

11 years

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18
Q

Under what circumstances would dental records need to be kept for longer than usually expected?

A

Complex tx / difficult pts. Keep for 30 years

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19
Q

What year was the data protection act introduced?

A

1998

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20
Q

What is the MDA scale for?

A

Anxiety

21
Q

How long shouldn’t a patient eat before IV sedation?

A

4 hours

22
Q

How long shouldn’t a patient smoke before IV sedation?

A

24 hours

23
Q

What must an escort be to be eligible?

A

Responsible 18 year old, physically fit.
Be able to care for patient for 24 hours, without any other responsibility such as children or work

24
Q

How long shouldn’t a patient consume alcohol before IV sedation?

A

24 hours

25
Q

What are the pre op instructions for iv sedation sedation?

A

Don’t eat for 4 hours before the appointment
Don’t drink alcohol or smoke for 24 hours
Bring an adult who will remain in the building during tx an be responsible for caring for the rest of the day
Ideally the escort should take you home by car of taxi
Do not wear jewellery
Remove make up and nail varnish

26
Q

IHS contraindications

A

Uncooperative patient
Deaf and blind
Blocked nose
Obstructive airway disease
Claustrophobia - may not tolerate nasal hood

27
Q

IVS contraindications

A

Needle phobic
Poor veins
No escort
Alcohol abuse - risk of kidney / liver damage
Deaf/ blind - communication problems
Obese pts - airwway
Obstructive airway disease - bronchitis
Allergy to sedative
Liver n kidney disorders
Medications which may cause drug interactions
Untreated undiagnosed high blood pressure - risk of myocardial infraction

28
Q

The ASA guidelines relate to the patients medical fitness. A patient with severe systemic disease which is a constant threat to life would fall into which category?
A. 3
B. 4
C. 5
D. 6

A

B

29
Q

The latest guidelines regarding the number of hours to be undertaken every 5 year CPD cycle for dental sedation nurses is?

A

12 hours

30
Q

What is GDC principle 1?

A

Patients interest first

31
Q

What is GDC principle 2?

A

Communication

32
Q

What is GDC principle 3?

A

Consent

33
Q

What is GDC principle 4?

A

Confidentiality

34
Q

What is GDC principle 5?

A

Complaints

35
Q

What is GDC principle 6?

A

Collaborate patient care

36
Q

What is GDC principle 7?

A

CPD

37
Q

What is GDC principle 8?

A

Whistle blow

38
Q

What is GDC principle 9?

A

Professionalism

39
Q

What is principle 1 of The Data Protection Act 1998?

A

Fair and Lawful

40
Q

What is principle 2 of The Data Protection Act 1998?

A

Purposes

41
Q

What is principle 3 of The Data Protection Act 1998?

A

Adequacy

42
Q

What is principle 4 of The Data Protection Act 1998?

A

Accuracy

43
Q

What is principle 5 of The Data Protection Act 1998?

A

Retention

44
Q

What is principle 6 of The Data Protection Act 1998?

A

Rights

45
Q

What is principle 7 of The Data Protection Act 1998?

A

Security

46
Q

What is principle 8 of The Data Protection Act 1998?

A

Disclosure

47
Q

What is the ‘The Freedom of Information Act 2005’?

A

States that the public have a right to access all recorded information held by all UK authorities

48
Q
A

Dental Nurse Sedation Post Qual Exam (11 decks)

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