[Pedfac] Weekly Huddle Review

Sat May 20 10:39:25 EDT 2017

3 more items that I wasn't present at CIS to announce - I am sending to Jane so she can send out in her weekly huddle email to staff.

JDC protocol
Juvenile Detention Center calls Dental Registration Desk (614-355-7153) before transporting patient to Dental Clinic.
Dental Registration Desk calls Attending in E pod (5-7818). Attending prepares a room for this patient, someone will communicate with Nikki which room is ready.
Patient arrives, goes straight to Nikki's desk with one Juvenile Detention Officer (JDO). Nikki will call Pod E and/or escort the patient to the treatment room.
2nd JDO goes to Registration desk, registers and gets patient wristband for the patient.
Triage/x-rays/treatment cannot start until patient is registered/arrived in EPIC and patient has wristband.
Goal - minimize time that JDC patient sits in public waiting area
Questions/feedback? Dr Kim/Dr Kumar

Charting black
We are seeing a lot of SDF'ed teeth now, and it is inaccurate to chart all of them as red. When coloring the tooth chart, RED should indicate caries (that needs treatment), and BLACK should be used to chart teeth with arrested decay, whether that is arrested via SDF, or natural means (in other words, does not necessarily need treatment). Teeth should be charted as the patient presented to the appointment - in other words, if a kid comes with a cavity and you apply SDF today, the charting for today should be RED. Next visit, if SDF arrests the cavity and the tooth does not need treatment, it would be charted as BLACK.
Also:
If a previously-SDF'ed tooth is soft and needs treatment, as in -- it now has active caries, it would be charted as RED.  Because it has active caries.
If a previously-SDF'ed tooth is hard and black (arrested), but needs a restoration or crown to restore function, decrease food impaction, etc - it is OK to chart as black and tx plan for restoration too.
If a previously-SDF'ed tooth is black but on the soft side (thus, partially arrested, partially active) and you are still trying to hold off on treatment, you can chart as red or black (your call) at that visit, and then reapply SDF.
Questions/feedback? Dr Kim

Scheduling errors - Central Scheduling wants to do their job correctly - so, in order to see if there are scheduling flow errors (vs just random mistakes) - please document scheduling errors on the yellow sheet outside Erika/Deb Winston's office. Examples - 2 patients scheduled at same time with same provider, patient scheduled for hygiene vs CC, non-MCP patient scheduled as MCP, 2 year old scheduled as hygiene, pt schedule for EVEOP without any treatment to do - those kind of things. Keeping a list will help us see trends/patterns and we can work to see if there is something wrong with the scheduling flow-chart that Central Scheduling is using and how we can work to minimize these errors in the future.
Questions/feedback? Dr Kim/Terri

Kim Hammersmith, DDS, MPH, MS
Pediatric Dentist - Outreach Coordinator
Nationwide Children's Hospital
700 Children's Drive, Columbus, OH 43205
(ph) 614.722.1561  (f) 614.722.5671
kimberly.hammersmith at nationwidechildrens.org<mailto:kimberly.hammersmith at nationwidechildrens.org>

From: Mullens, Jane
Sent: Friday, May 19, 2017 8:07 AM
To: Dental Clinic Staff; pedores at lists.service.ohio-state.edu<mailto:pedores at lists.service.ohio-state.edu>; Hammersmith, Kimberly
Subject: Weekly Huddle Review

                                Weekly Huddle Review

5/15/17

*         Monday morning we are going to clock in at 8:15 so that engineering can shut off all suctions and we can clean our traps.

*         Reminder- Get your funny stories turned into Debbie/Erika
5/16/17

*         If the scale has an error let it drop to zero, unplug it then plug it back in and it should be good to go.

*         There are voceras if attending doctors want to wear them.

*         The instrument cart has to be correct before it goes down per Roxanne. Laminated descriptions of instruments per cassettes are coming for the dirty rooms. Red trash bins in the dirty room are only for blood or vomit soiled items not other trash items.

*         Flush lines everyday

*         Height and weight should be taken on every patient.
5/17/17

*         The emergency preparedness manual can be found on ANCHOR electronically or at the information desk on the first floor in the second drawer.
5/18/17

*         Any x-ray issues, Stephanie has a sheet please record patient with sticker and provider.

*         Dirty instruments with blood are the only items that need sprayed with the cleaner and just a little goes a long way.

*         Inserts for drawers are coming no date as to when yet.

*         For the hygiene department we are going to try using skype to let each other know if we have siblings so please log onto skype so others can send you a message. We are also going to trial placing a post it note on the door letting the child champ know  where to go next and see how it goes.
5/19/17

*         When calling a medical alert let them know the building, room#, name, and a brief description of the situation.

*         If anyone wants to volunteer to give me notes from other huddles I would be happy to include other information in our communications.

We made it another week!!
Have a great weekend!
Jane

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