radiographic services Flashcards
(33 cards)
references for radiographic policies
- vol 1: page 303
- ADA selection criteria: page 60-61 in rad book
- course outline/clinic requirements: syllabus
infection control reminders
- what items do we SHARE between cubicles that needs to be disinfected prior to each use (3)
- only press the exposure button with a ______
- wipe the ____ before and after use
- lead vest should be removed with:
communicate when sharing, break down and disinfect when in doubt
- PID, exposure panel, lead vest, etc
- only press the exposure button with a BARRIER
- wipe the SENSOR before and after use
- lead vest should be removed with: CLEAN PATIENT GLOVES
GENERAL REMINDERS:
- _____ the patient to eye level
- stand almost _______ to see
- do NOT leave the ___ infront of their face after exposure
- have ______ ready to wipe saliva
- cotton rolls can be used to:
- if a patient is having difficultly biting down, swithc to:
- for canine and mandibular central images use a:
- LOWER the patient to eye level
- stand almost DIRECTLY IN FRONT to see
- do NOT leave the PID OR SENSOR infront of their face after exposure
- have PAPER TOWELS ready to wipe saliva
- cotton rolls can be used to: stablize the bite block and in edentulous areas
- if a patient is having difficultly biting down, swithc to: sticky tabs
- for canine and mandibular central images use a: size 1
what portions of the assessment help determine the need for radiographs (reason why the rad check is after completing a periodontal assessment)
Medical/dental histories – systemic
diseases, chief complaints, date of
last radiographs, unexplained
pain/sensitivity.
Oral exam – facial symmetry, pain in
TMJ, evidence of trauma, fistulas,
lesions
Dental charting – malposition,
restorations, suspected caries,
fractures, mobility, unusual eruption, spacing
Periodontal assessment – CAL,
bleeding, periodontal issues
*explain your findings and need to the type and number of radiographs
SELECTION CRITERIA
high caries risk: (child primary, child mixed, adolescence, adult)
low caries risk: (child primary, child mixed, adolescence, adult)
high caries risk:
child primary, child mixed, and adolescence: 6-12 months
adult: 6-18 months
low caries risk:
child primary, child mixed: 12-24 months
adolescence: 18-36 months
adults: 24-36 months
Follow your ______, gather information the ____ time from your assessment
Around the time you
complete your _______, you should know what radiographs are needed
_______ is after _____ in your
sequence of care
You should have the rad form filled out _____ asking for a “rad check.”
Explain to the patient what you have ____ , the ______ and _____ of not taking the radiographs!
an instructor might ask you to fill out the rad form ______ to collect fees
Follow your SEQUENCE OF CARE, gather information the ENTIRE time from your assessment
Around the time you
complete your PERIO ASSESSMENT, you should know what radiographs are needed
RAD CHECK is after PERIO ASSESSMENT in your
sequence of care
You should have the rad form filled out BEFORE asking for a “rad check.”
Explain to the patient what you have FOUND , the BENEFITS AND RISKS of denying radiographs
the instructor may ask you to fill out the rad form EARLY to collect fees
sequence of care
- fill out rad form and discuss with pt
- obtain radiographic consent (if they refuse talk about the benefits then get the rad refusal form
- let instructor know youre ready
- fill out the long form and get faculty sig
- tx plan comprehensive services and rads
- print estimate and change status to pay
- get set up for rads then sign the sign up sheet with a TA (GET SET UP FIRST)
- sign out a sensor in the logbook
- place lead vest on pt and start with TA
what goes on the rad form
authorization part, assessment of need, radiographic consent
- type/number of rads requested
- medical/dental exposure in the last 24 months
assessment of need: caries, perio, no history, infection, etc
Y/N to radiographic consent then get patient signature!
what if a pt doesnt need radiographs
still fill out the rad form, the patient will consent “Yes” to “none”
if a client refuses:
___ patient on their need based on your findings, explain ____ and ___ of refusal.
If the patient still refuses, let your ____ know, they will decide if treatment can continue without rads.
If treatment continues, you will still fill out the Rad Tab, the
patient will answer “__” to consent at the bottom.
You will also need the patient to fill out and sign a ______, access through _____ forms.
EDUCATE patient on their need based on your findings, explain BENEFITS and RISKS of refusal.
If the patient still refuses, let your INSTRUCTOR know, they will decide if treatment can continue without rads.
If treatment continues, you will still fill out the Rad Tab, the
patient will answer “N” to consent at the bottom.
You will also need the patient to fill out and sign a RADIOGRAPHIC REFUSAL FORM, access through ADDITIONAL forms.
Present the filled-out and signed _____ to the instructor.
This would also include a signature on Rad _____ Form, if needed.
You may need to get a signature ____ after presenting to instructor if the rad prescription _____.
No radiographs may be exposed without client ____/_______! (Legal and Life)
Present the filled-out and signed RAD FORM to the instructor.
This would also include a signature on Rad REFUSAL Form, if needed.
You may need to get a signature RESIGNED after presenting to instructor if the rad prescription CHANGES
No radiographs may be exposed without client CONSENT/SIGNATURE! (Legal and Life)
when rads are added to the tx plan they must be approved
click the blue box at the bottom of the screen
COLLECTING THE FEE
The instructor will have to swipe your treatments ____ they can
be sent up for an estimate (will appear blue if not approved).
Send estimate to collect fees ____ rad check
You will ____ an estimate and change your patient status to ____
(your appointment box will turn green)
The ______ will come to your cubicle to collect fees - tell your patient to get their ____.
Do you have to wait for the OM before taking rads if you have printed the estimate and changed your scheduler to PAY?
If the payment has not been collected __ minutes before patient dismissal, you must escort your
patient to the ____ to make payment.
The instructor will have to swipe your treatments BEFORE they can
be sent up for an estimate (will appear blue if not approved).
Send estimate to collect fees AFTER rad check
You will PRINT an estimate and change your patient status to PAY
(your appointment box will turn green)
The OFFICE MANAGER will come to your cubicle to collect fees - tell your patient to get their WALLET.
NO
If the payment has not been collected 15 minutes before patient dismissal, you must escort your
patient to the FRONT DESK to make payment.
after hitting the “$” button, what do you write in the comments
ODU student or sr citizen for discounts
radiographic fees
4BW
1st PA
other PAs
FMS
Vertical BW 7-8
PANO
4BW: 20
1st PA: 5
other PAs: 5
FMS: 35
Vertical BW 7-8: 25
PANO: 25 (can’t take until summer, requirement not due til senior fall)
STEPS WHEN EXPOSING
Let Rad TA know you are ready to start images, and you will proceed. Rad TA will be present.
Ask for assistance if you are having
trouble, notice big retake errors, or
Dexis Errors.
Evaluate your errors (technique or
retake) as you go. Look at the image
after you expose! This can help
correct errors as you proceed!
Do not retake any images without
instructor’s authorization or instructor present!
EVALUATION OF TECHNIQUE
Once you finish exposing, Rad TA will assess radiographs for technique and retake errors.
Rad TA will use long form to record errors.
If retakes are needed, they are only taken with faculty supervision!
Technique errors are still errors, just don’t need to re-expose
are technqieu errors apart of your margin error?
yes, technique AND retake
if you recieve an N in tehcinqieu, you are only given credit for ________
images that were not retkae errors
RETAKES
- needs _______
retakes must be exposed with Rad TA or section instructor
NO RETAKES WITHOUT FACULTY SUPERVISION
toward the end of the appointment (3 steps)
- ask for USB from section faculty
- export pt images from Dexis onto the USB as BOTH DICOM, Dexis, and JPEG images
- give pt referral for any clinical findings on last appointment
When you complete radiographs
in the system, a box will pop up in
Axium asking for the number of
______.
Include ____ number of radiographs exposed plus any ___.
Ex: 4 bwx with 1 retake = 5 exposures.
When you complete radiographs
in the system, a box will pop up in
Axium asking for the number of
EXPOSURES.
Include TOTAL number of radiographs exposed plus any RETAKES.
Ex: 4 bwx with 1 retake = 5 exposures.
INTERPRETATION OF RADS
DURING:
WITHIN 2 WEEKS:
during: Images must be up on the computer monitor throughout appointment and at subsequent appointments! You may be assessed an N in professionalism if they are not displayed
within 2 weeks: Record interpretation of radiographs on the back of the Long Form (anomalies, materials, caries, periodontal disease, any other conditions etc.). Place form in dentist folder in filing cabinet in first row of middle computers for dentist grading
HOW ARE YOU EVALUATED FOR INTERPRETATION
The _____ will evaluate
your interpretation and
circle M or N
The Long Form is returned to you via _____
At next clinic session, complete ______: adding radiographic findings into Axium, making a referral (if needed), and having your section faculty check these.
The DENTIST will evaluate your interpretation and circle M or N
The Long Form is returned to you via CLINIC FOLDERS
At the next clinic session, complete Quality Assurance: adding radiographic findings into Axium, making a referral (if needed), and having your section faculty check these.
