Job responsibilities of a dental nurse. Job description of a dental nurse

Dental nurse- one of the key employees. It is the nurse who helps the doctor carry out preventive and therapeutic procedures. Thanks to the participation of the nurse, the dentist’s work becomes more effective. In this regard, the search for a responsible, competent and competent nurse is important for any medical institution.

Requirements for a dental nurse

Her responsibilities depend on the number of staff in the medical institution. To carry out high-quality activities, a nurse must have the appropriate personal qualities, know the norms of current legislation and work in accordance with medical ethics.

Requirement 1. Personal qualities. When entering a dental office, the first thing a patient encounters is a nurse. That is why she must look appropriate and behave in such a way as to win people over and inspire trust. This helps to establish closer contact between the doctor and the patient later in the treatment process.

Requirement 2. Appearance. A dental office nurse must look neat and tidy. All personal hygiene requirements must be strictly observed. Not only the appearance of the nurse depends on this, but also safety, since the possibility of infection in the surgical department in this case is minimized. The nurse should cut or pin up hair short, preventing it from coming into contact with the work area and instruments when assisting the dentist. You should not work wearing rings, bracelets or other jewelry, as they damage gloves and contribute to the accumulation of bacteria, which is unacceptable.

Requirement 3. Individual characteristics. Dental office clients can be intemperate. This must be taken into account and work while remaining calm, courteous and friendly. Only in this case can the dental office nurse be at ease with any patients.

Requirement 4. Speech. The calm, soft timbre of the nurse inspires confidence in the client. When talking to a patient on the phone, she should speak clearly and distinctly. To avoid misunderstandings, it is better to talk about the features of treatment in simple language, without professional vocabulary.

Requirement 5: Focus. The nurse should remain vigilant, not missing any details in the work. When filling out patient medical records, she must be careful and attentive. When assisting a dentist, it is important to work competently. This is especially true for unforeseen situations.

Requirement 6. Punctuality. The dental office staff must be punctual - the smooth operation of the entire medical institution depends on this. Note that punctuality should also be inherent in patients.

Requirement 7. Medical ethics. The dental office staff must:

• focus primarily on the interests of the patient;
• respect the wishes and choices of the client;
• take care of the confidentiality of the information received;
• collaborate with colleagues and specialists from other industries in the interests of patients;
• work to improve your professional knowledge;
• have sufficient qualifications to work in their industry.

Requirement 8. Fundamentals of medical ethics in practical application. There are a number of requirements for employees of dental offices and other institutions:

• each specialist of a medical institution is responsible for any of his actions;
• the interests of the client come first, followed only by the own interests and desires of colleagues;
• communication with the patient is based on certain ethical principles, including when complaints are received;
• dental office personnel should act based on professional competence, actual capabilities and knowledge;
• specialists must remember precautions and apply them when there are threats to the patient;
• employees of dental offices (nurses and other personnel) must act competently; if there are any doubts about the correctness of the manipulations, consultation with superiors is necessary;
• communicate with the patient in a courteous and courteous manner;
• the client's consent is required before starting treatment;
• Patients should be told in detail about the features of treatment (pros, cons, risks), price and alternative options. Only after this the visitor decides whether it is worth undergoing treatment in this dental office or not;
• information provided by patients is confidential;
• access to information data should be limited.

A dental office nurse should not perform therapeutic actions in the oral cavity of patients - this is not within her competence. She also does not take x-rays (unless additional training is provided).

At the same time, the nurse, at the request of the dentist, can give certain recommendations to the client on caring for the oral cavity in several cases. For example, if:

• the dentist is confident that the nurse has a sufficient level of competence;
• The doctor understands that he is responsible for the recommendations given by the dental nurse.

There are a number of ethical principles described in the middle of the twentieth century. A modern nurse should remember them when applying them in practice.

1. A nurse in a dental office or other medical facility must be honest and loyal. In the course of her work activities, she should maximize her potential.
2. Information provided by employers and patients is confidential not only for ethical reasons, but also for legal reasons. Patient records are strictly confidential. The nurse must understand that if confidentiality is violated, she faces dismissal.
3. The nurse should strive to improve professional abilities. If the actions required of her cannot be performed at the proper level, she is obliged to inform the doctor about this.
4. If a dental nurse discovers problems that could harm patients or staff, she should report this to senior staff at the facility.

Job responsibilities of a dental nurse: general, specific, administrative

There is a job description for a dental nurse. She must work in accordance with the following requirements:

1. Keep the room clean throughout the day.
2. Ensure that the temperature in the office is adequate.
3. Pay due attention to clear planning of working hours: this is important for both patients and doctors in the dental office. If for some reason it is not possible to complete treatment within the specified time frame, it is imperative to inform the patient about this.
4. Particular attention must be paid to the issue of confidentiality. Information in medical records, information voiced during financial transactions and personal conversations are not disclosed, as well as data regarding the reaction of the patient’s body to medical procedures and measures.
5. A nurse in a dental office should be able to use the telephone number of intensive care, maintenance, a taxi, and find out what the public transport schedule is at any time.
6. The nurse is required to monitor the expiration date of materials, the serviceability of instruments and dental units.
7. When working with drugs for various purposes, the nurse must strictly follow the manufacturer's instructions.
8. The nurse should be in contact with the dental laboratory staff to avoid delays in sending and receiving work.
9. Employees of a medical institution must be able to use the equipment provided to them.
10. All personnel must be trained and behave correctly in emergencies.

A dental office nurse has certain administrative responsibilities:

• monitors the cleanliness of the dental office;
• receives patients and representatives of dental organizations;
• makes appointments for patients;
• maintains records related to patient care;
• orders and stores medications;
• maintains financial records;
• works with correspondence.

By using a computer, a nurse can perform her secretarial duties faster and more efficiently. A computer is not only a typewriter, it is also a file cabinet and an accounting book. Thanks to it, storing and searching documents, filling out and displaying data is very convenient. Plus, your important information is safe.

Specific functional responsibilities of a dental nurse

The job description of a nurse can vary. Nurses have different responsibilities: it all depends on the focus of the dental office.

In the therapy room

In a therapeutic dental office, patients are treated for dental caries and any of its complications, non-carious lesions, periodontium (if there is no periodontist in the clinic), and affected mucous membranes. Caries in dental offices is eliminated both conservatively, without preparing hard tissues and restoring the structure with special remineralizing agents, and surgically, by preparing hard tissues under anesthesia and then installing a filling on the defect.

When treating caries complications, the dentist removes all altered hard tissues, neurovascular bundle or pulp decay from the root canal, treats the root canals using special instruments and medications, and then fills them and the defect in the coronal part of the tooth.

Non-carious lesions can also be treated with conservative methods. In this case, remineralizing agents are used and areas with defects are filled. Prosthetics are often performed instead of therapeutic measures. In some cases, dentists whiten patients' teeth to achieve the best effect from an aesthetic point of view.

Periodontitis in the therapy room is treated by removing dental deposits from the teeth, splinting and anti-inflammatory treatment is carried out, bandages are applied to the gums with various medications and general treatment is prescribed.

Diseases of the oral mucosa are usually treated as follows: the dentist numbs the affected area, treats it with antiseptics, and sometimes with proteolytic enzymes, keratoplastic agents that work to heal the affected areas.

A nurse, working in a therapeutic room, performs almost the same actions as in other rooms. Namely:

• disinfects and sterilizes dental instruments necessary for the dentist-therapist in his work;
• prepares the doctor's workplace before his shift;
• maintains cleanliness in the workplace;
• processes handpieces, dental units, a table for storing instruments and other things necessary for work;
• replenishes the supply of instruments and materials used in treating patients;
• carries out subcutaneous, intramuscular and intravenous injections under the supervision of a dentist if emergency situations arise.

If there is no assistant in the dental office, the nurse can:

• help isolate the working field (retract the cheeks, lips, tongue, using a dental mirror, use a vacuum cleaner, saliva ejector, dental dam);
• prepare a carpule syringe before anesthesia, draw an anesthetic into the syringe, performing anesthesia using a regular syringe;
• prepare antiseptic solutions for work, mix filling materials for installing fillings in areas affected by caries and root canals, as well as preparations for therapeutic dressings for periodontal disease.

In the prevention room

This office is aimed primarily at disease prevention. The specialists working there evaluate the hygienic condition of the oral cavity and check whether there is a likelihood of caries and periodontal disease. The dentist consults patients, teaches the basics of brushing teeth, selects individual hygiene products, removes dental plaque, prescribes a rational diet, and conducts remineralizing therapy.

It should be noted that programs are currently being developed, the purpose of which is to prepare nursing staff for certain stages of prevention. A dental office nurse, in accordance with these programs, will:

• teach patients the rules of oral care;
• control acquired skills;
• carry out supervised brushing of teeth;
• select hygiene products and items;
• conduct active and passive sanitary educational work (the first point includes conducting conversations, lessons, lectures; the second - distributing newspapers, brochures, creating stands; conducting remineralizing therapy).
• prescribe a diet;
• filling documents.

The basis for organizing preventive clinics should be enterprises, schools, and preschool institutions. Nurses in these dental offices should carry out similar actions.

In the surgical room

In surgical offices, doctors extract patients' teeth and perform operations that can be performed on an outpatient basis. Specialists perform periostotomy, vestibuloplasty, frenectomy, frenuloplasty, curettage, flap surgery, and open abscesses. Sometimes in surgical offices anesthesia is given to patients of other dentists.

Dental surgical nurses:

• during the work, they provide the instruments necessary for the doctor, as well as balls, drains, napkins;
• dry the surgical field using gauze napkins, creating comfortable conditions for the doctor to carry out therapeutic measures;
• fix the patient’s lips in the desired position when performing operations on them, as well as when correcting frenulums and removing tumors;
• thread the needle if you need to stitch wounds.

In the orthopedic office

In orthopedic offices, carious and non-carious defects on the hard tissues of teeth, defects in the dentition are eliminated, using various designs and prostheses (if teeth are completely missing), and deformations of the dentition are corrected. In this case, periodontal disease and diseases of the temporomandibular joint are treated with the involvement of other specialists.

During orthopedic treatment, removable and non-removable structures are made that replenish the integrity of hard dental tissues and dentition. Thanks to such dental solutions, defects and deformations in the oral cavity disappear, and the ratio of the elements of the temporomandibular joint is normalized. In the manufacture of these structures, the necessary measures are carried out in several stages. An orthopedist is responsible for some, while a dental technician is responsible for others.

The dental office nurse performs general procedures and can also:

• help mix materials and corrective compounds when taking impressions (this is especially true for techniques carried out in several stages);
• provide assistance in isolating the work field;
• mix pre-prepared portions of cement powder and liquid for fixation in order to temporarily or permanently secure permanent structures;
• provide tools, parts, structural elements during the work of an orthopedist.

Increased attention should be paid to timely disinfection. Alginate prints and models should be processed, according to which products are made in the shortest possible time with the likelihood of shrinkage and reduction in size.

It is necessary to disinfect wax bases and bite ridges, structures made directly in the patient’s oral cavity, without allowing deformation of the wax during work. If the wax parts are damaged, orthopedic products made using these models become unsuitable for use.

In the orthodontic office

A doctor working in an orthodontic office makes structures to correct abnormalities on individual teeth, as well as bite and dental arches. Designs can be removable or non-removable, with different mechanisms and locations. The production of orthopedic structures is carried out using a laboratory method.

A nurse in an orthodontic office performs almost the same actions as when working in an orthopedic office.

Working day plan for a nurse in a dental office

1. Arrives at the appointed time. She is wearing a clean surgical suit. A prerequisite is well-groomed nails and no jewelry.
2. Turns on dental units, checks ventilation, temperature and lighting levels in the office.
3. Checks how thoroughly the room is cleaned.
4. Checks the sterilizer indicator readings and records the data in the log.
5. Disinfects work surfaces.
6. Processes the tips in assitin, uses an autoclave and disinfectant wipes, and pours fresh liquid into the ultrasound.
7. Tests all equipment to ensure it is operating correctly.
8. Looks where the patient records, registration book, necessary medications, first aid kit are located, checks that all of the above is in its place.
9. Prepares the dental office for the first patient's visit, lays out disposable towels where needed, lays out gloves, glasses, a mask, takes out a tray with sterile instruments (it contains a probe, a mirror, tweezers).

While seeing a patient, the nurse:

1. Before the patient enters the office, returns the dental chair to its original position.
2. Makes sure that the dentist knows the client’s name, why he came, and how long he needs to be served.
3. Checks whether the dentist has all the necessary documentation for the patient, including medical history, radiographs (if available).
4. Once again informs the doctor about the patient’s characteristics, for example, an allergy to a particular drug, loss of consciousness, or previous illnesses.
5. Removes instruments that are not needed during the treatment and examination of the patient.
6. Politely, with a smile, he greets the patient, addresses him by name, and introduces him to the doctor. Takes personal belongings from the client that interfere with treatment and leaves them in a designated place.
7. Helps the patient to take a comfortable position in the dental chair, lays out a new disposable bib, changes the glass of mouthwash, and puts down napkins. Provides safety glasses to a patient who is to be treated in a horizontal position.
8. Helps create and maintain a friendly atmosphere in the dental office, ensuring patient comfort.
9. During treatment, the dental office nurse ensures that the working area is dry and has good visibility for the doctor performing certain manipulations.
10. Promptly supplies the dentist with the necessary instruments and materials.
11. Closely monitors the patient in order to promptly inform the doctor in an emergency about various manifestations, complications, symptoms (these include, for example, vomiting, fainting of the patient).
12. Before leaving the visitor, he makes sure that his face and clothes are in their original condition, without traces of medicinal materials.
13. Repeats the dentist’s recommendations for the patient and writes them down if necessary. If you need to transfer certain materials to dental laboratory specialists, you need to disinfect them, carefully package them and make sure that all documentation is completed.
14. Registers completed treatment measures. For this purpose, a daily log of the dentist’s work is intended.
15. Prepares the dental office for the next patient.
16. Cleans and sterilizes used instruments. Cleans and disinfects work surfaces and spittoons, replaces disposable saliva ejector and vacuum cleaner with a new one.
17. Prepares new required materials for one-time use.
18. Checks whether all the necessary instruments and records are available for the appointment of the next client in the dental office.

At the end of the working day, a nurse in a dental office

1. Washes and sterilizes instruments used in the treatment of the last client. Sterilizes and lubricates handpieces based on manufacturer's instructions. Immerses the saliva suction system in disinfectant liquid. Cleans and disinfects spittoons and work surfaces. Returns unused materials and tools to their original location.
2. Disinfects products intended for transfer to the dental laboratory and checks relevant documents.
3. Processes used X-ray films. They are checked and stored along with the relevant documents.
4. Enters information about treatment activities for the last client into the logbook. Copies are entered into the computer.
5. Collects household and general waste into containers and hands them over to cleaners.
6. Products that come into contact with blood or saliva may end up in the trash. These are, for example, empty anesthetic cartridges. Such waste is sealed and distributed into containers with special markings.
7. Distributes used items with sharp edges into special hard, puncture-resistant waste containers. We are talking about glass anesthetic ampoules, suturing needles, burs, endodontic instruments, anything that can scratch the skin and tear gloves. Solid separate containers are provided for storing special waste (expired medications, harmful, toxic, caustic substances, solutions used for radiography, anesthetic cartridges).
8. In a special manner, it destroys preparations containing mercury and extracted teeth with amalgam fillings. All this cannot be disposed of as regular medical waste, as it emits toxic mercury vapor.
9. All necessary documents regarding the removal of medical waste are kept by individual employees vested with the appropriate authority.
10. The log book should contain all the necessary notes for the next day.
11. Dental units are turned off at the end of the working day.
12. Cabinets with medical supplies, windows, doors and the registration desk are closed.

How should a dental nurse provide care in emergencies?

The dental office must have a first aid kit with certain medications, thanks to which the nurse provides first emergency aid. Help is required if blood gets on the patient’s skin and mucous membranes, cuts form, etc. The first aid kit must contain:

• scissors;
• albucid (20% sodium sulfacyl solution);
• fingertip or gloves;
• 1/5 eye and nasal pipettes;
• bandage and cotton wool;
• weighed portions of potassium permanganate for a 0.05% solution;
• adhesive plaster;
• 70% ethyl alcohol solution;
• 5% iodine solution.

All treatment rooms should have kits of medications to provide assistance. A dental nurse collects consumables and medications. Each kit is provided with a separate box, which contains information about the intended use of the medicines. For example, “To provide urgent care for asthmatic attacks.” Medicines indicate the expiration date and algorithms for staff actions.

The list of equipment, medications and instruments for first aid kits intended for emergency care is stated in the Decision of the Council of the Russian Dental Association dated September 18, 2007 “On measures to ensure the safety of dental services to the population.” The Dental Association of Russia (StAR) recommends medicines and instruments.

Legal aspects of the work of a dental nurse

A dental office nurse must competently perform her job duties. In addition, the nurse is also a witness. Patients often complain about the dentist’s dishonest behavior. The nurse is present during all treatment activities, and therefore can objectively judge the situation. The third party has the right to vote. Thanks to the nurse's testimony, both the doctor and the patient can be protected. This is an important legal aspect. If a nurse leaves the dental office, the door to the room remains open until another nurse or other person arrives.

Any type of intervention without the client's consent can lead to litigation. Before a patient agrees to a particular procedure, dentistry must provide him with complete information about the essence of the treatment, tell him about the expected price, warn about possible side effects, complications and offer alternatives.

Consent can be either oral or written, which is more optimal. This is especially important for pain relief and other medical procedures that can lead to complications and cause side effects. The patient's written consent requires the document to be dated and signed by both parties: the dentist and the client. If treatment is planned for a patient under 16 years of age and a patient with an intellectual disability, parental or legal guardian consent is required.

Occupational safety for a dental nurse

Dental office staff will experience significant emotional and physical stress. In this regard, there is often a threat to the health of specialists. Dental nurses also experience the stress and risks associated with their professional work. There is a nurse’s labor protection instruction, which spells out certain provisions, namely:

General safety requirements

By complying with occupational safety requirements in the dental office, the likelihood of infections and overwork is minimized. The main types of hazards that may affect dental office employees include:

• the possibility of contracting a virus or infection when interacting with patients;
• overwork, increased nervous and physical stress;
• electric shock in case of possible short circuit.

All dental office employees, including nurses, must be adults with full medical education. Each specialist hired by a medical institution must be instructed in compliance with safety standards. At least once every six months, specialists are re-instructed. Annual testing of acquired knowledge is mandatory.

Any employee must comply with the following requirements:

• work in strict accordance with job descriptions; there are instructions for the dental office nurse and rules for other specialists;
• be able to provide first aid in an emergency;
• be aware of fire safety requirements and strictly follow them.

Both nurses and other employees of the dental office must pay close attention to personal hygiene, wear special suits, and use personal protective equipment, which is constantly provided by the administration.

Safety requirements during the work shift

Before starting work, the ventilation system is turned on. It is necessary to check the serviceability of electrical equipment, turn on the grounding, and make a corresponding entry in the log. You need to select tools in good lighting. Local lighting should be 10 times brighter than general lighting to ensure visual comfort for the specialist.

To protect against infections, specialists wipe their hands with bactericidal preparations.

Rubber gloves are a must. They process instruments and prepare cleaning solutions. After working with each patient, it is necessary to wash your hands with neutral soap and then dry them with a dry towel. Before work, apply protective cream to your hands. At the end of the work process, the overalls are removed and placed in a specially designated storage area. It is necessary to turn off devices and ventilation.

Forbidden:

1. Use of faulty devices and instruments.
2. Leaving them switched on unattended, placing them in close proximity to flammable objects.
3. Using products without labels.
4. Work with disconnected communications: heating, electricity, sewerage and without special clothing.
5. Storing items not related to work in the office.

In the event of emergency situations, all employees of the dental office must strictly follow the instructions. Subject to compliance with safety standards, the health of dental specialists and patients will be preserved.

Safety requirements in emergency situations

If an emergency occurs, dental office employees must report it to the manager. If an electrical injury occurs or other injuries occur, you must act in strict accordance with the instructions and provide first aid to those exposed to the current.

If the power supply stops, a short circuit occurs, a power failure occurs, or a burning smell appears, the dental office staff must turn off all electrical appliances and call a specialist. An electrician will fix the problem.

In the event of a fire, it is necessary to evacuate patients, call the fire brigade, and extinguish the fire with primary specialized means until the brigade arrives.

If the communication systems of the water supply are broken, sewerage, ventilation, heating fail, work is suspended until the emergency is eliminated.

Safety requirements after completion of work

At the end of the day, employees of dental offices tidy up their work areas, turn off the ventilation, take off their sanitary suits and put them away in the designated areas. Gauze bandages for sanitation are handed over, and disposable respirators are disposed of.

Employees working with medical devices and equipment must turn them off and switch them to the mode specified in the instructions for use.

Wet cleaning of all rooms should be carried out every day. General cleaning, which includes washing floors, walls, doors, interior windows and window sills, should be carried out at least once a month.

Training in organizational and psychological aspects of working with dental assistants is also not provided in general courses for nurses. Despite the fact that senior nurses in dental clinics and dental departments have such a high responsibility, the healthcare system has not yet organized specialized training for senior nurses to work in dentistry. Work as a senior nurse in dentistry in Moscow Senior nurse in a dental clinic The success of a dental clinic is ensured by competent organization of work, the correct selection of qualified personnel, equipment with modern medical, diagnostic and sterilization equipment, and the use of high-quality materials.

Nurses Forum

The main primary medical document used to fill out the diary columns is the Daily Record Sheet for the work of an orthopedic dentist (form No. 037-1/u). 4.7. Medical record of an orthodontic patient (registration form N 043-1/у) Registration form N 043-1/у “Medical record of an orthodontic patient” (hereinafter referred to as the Card) is filled out by a doctor of a medical organization (other organization) providing medical care on an outpatient basis.
The card is filled out for each patient who applies for the first time. The title page of the Card is filled out at the registry of the medical organization upon the patient’s first request. The title page of the Card indicates the data of the medical organization in accordance with the constituent documents, and indicates the Card number - the individual Card registration number established by the medical organization.

Dental care to the population

Shchelkovskaya) from 45,000 rubles, Full-time, from 1 to 3 years, Commercial, In dentistry Job responsibilities: Organizing the work of middle and junior medical staff of the clinic. Organization SER. Consumption control and materials accounting.

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Forecasting and purchasing... Full description, Moscow, Shchelkovskaya - hh: 2 weeks ago Senior nurse (Novogireevo metro station) from 50,000 rubles, Full-time, from 1 to 3 years, Commercial, In dentistry Responsibilities: Monitoring the work of secondary and junior medical clinic staff.

SER control. Consumption control and materials accounting. Important Dentistry nurse of the 1st qualification category. Return to the list of job descriptions. Job description in Ukrainian.

Preface. 0.1. The document comes into force from the moment of approval. During vacation or illness, she is replaced by a ward or procedure nurse.

All about dentistry for the head nurse

Summary statement of the work of a dentist (dentist) of a dental clinic, department, office (record form No. 039-2/u-88) “Summary statement” is compiled by a medical statistician or an employee appointed by the head of the institution. The “Summary Statement” is filled out daily based on the development according to the “Sheet” of the doctor’s work (f. N 037/u-88). At the end of the month, each doctor’s “Summary Statement” summarizes the results.

Based on the data from the “Summary Statements” obtained based on the results of the work of all dental doctors for 12 months, the table is filled out. 7 of reporting form No. 1. After filling out the “Summary Statement” for all days of the month, the total for each column is summed up. In dental clinics, departments, offices that provide care only to adults or only to children, data on the doctor’s work is filled out in one “Summary Statement”, because

Dental office documentation: how to keep and store journals and medical records

• organization and control of the work of nursing staff;
• keeping records of material and technical assets;
• interaction with the chief physician, clinic services and junior medical staff;
• implementation of external relations.

• Production control plan:

• drawing up and approving a production control plan;
• documents regulating the activities of the chief nurse (incl.

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• Senior nurse in dentistry job description

2.3. staffing standards in dentistry

Head nurse in dentistry job description The head nurse of the dental department (office) has the right to: 8.1 make proposals to the administration on the placement of middle and junior medical personnel depending on qualifications, experience, attitude to work; 8.2 receive the necessary information to perform their functional duties; 8.3 require visitors to the department (office) to comply with the internal rules of the clinic; 8.4 give instructions and supervise the work of middle and junior medical staff of the department (office); 8.5 improve your qualifications through advanced training courses; be certified for the qualification category. 9.I.

Job description of a dental nurse

Chapter 4 Medical records in dentistry and rules for its maintenance. 4.1. Medical record of a dental patient (registration form No. 043/u) The medical record of a dental patient is filled out when the patient first visits the clinic: passport data - by a nurse in the primary medical examination room or by a registrar. The diagnosis and all subsequent sections of the card are filled out directly by the attending physician of the relevant profile.

Attention

In the “diagnosis” line on the title page of the card, the attending physician makes a final diagnosis after completing the examination of the patient, performing the necessary clinical and laboratory tests and analyzing them. Subsequent clarification of the diagnosis, expansion or even change of it is allowed, with the obligatory indication of the date.

The diagnosis must be detailed, descriptive and only based on diseases of the teeth and oral cavity.

Sample job description for a nurse in dentistry

A dental office nurse should know: - The Constitution of the Russian Federation; — laws and other regulatory legal acts of the Russian Federation in the field of healthcare; — theoretical foundations of nursing; — basics of the diagnostic and treatment process, disease prevention, promotion of a healthy lifestyle; — rules for the operation of medical instruments and equipment; — statistical indicators characterizing the state of health of the population and the activities of medical organizations; — rules for the collection, storage and disposal of waste from medical organizations; — basics of valeology and sanology; — rules for maintaining office accounting and reporting documentation, main types of medical documentation; — medical ethics; — psychology of professional communication; — basics of labor legislation; — internal labor regulations; — labor protection and fire safety rules. 2.

Dentist documentation

II. Responsibilities. 1. Organizes the necessary care for patients based on the principles of medical and protective regime and compliance with the rules of medical deontology. Ensures timely supply of medicines, medical instruments, and equipment. Organizes the rational placement of paramedical and junior medical personnel in the department. All about dentistry for the senior nurse Ordering, monitoring costs and... Full description MedPro, Moscow, Park of Culture - hh: 11 hours ago Senior nurse (assistant) Full-time, from 1 to 3 years, Commercial, In dentistry Vacancy of the company "RUSSAL" LLC » Responsibilities: - Work with 4 hands - Sterilization - Disinfection of instruments - Cleaning offices - Keeping logs ... Full description, Moscow, Tsaritsyno - hh: 5 days ago Senior nurse in a dental clinic from 65,000 rubles.
Conducts health education work among patients to prevent diseases and promote a healthy lifestyle. 2.12. Carries out the collection and disposal of medical waste. 2.13. Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antiseptics, and the conditions for sterilization of instruments and materials. 2.14. [Other job responsibilities]. 3. Rights A dental office nurse has the right: 3.1. For all social guarantees provided for by law. 3.2. Make proposals to senior management to improve their work.
3.3. Require the management of the organization to provide assistance in the performance of their professional duties and the exercise of rights. 3.4. Receive information and documents necessary to perform your job duties. 3.5. Improve your professional qualifications. 3.6.

Medical documentation in dentistry for nurses

Leaflet" serves to record the work carried out by doctors - dentists and dentists in one day. Based on the data from the “Sheet”, the “Summary Statement” is filled out.

Control over the correct completion of the “Sheet” and the translation of its data into the “Summary Statement” is carried out by the manager to whom the doctor is directly subordinate. When monitoring the correctness of maintaining the “Leaflet”, the manager compares the diary entries with the medical record of the dental patient (f.

N 043/у). The doctor can also check the correctness of work accounting (amount of work, number of units of labor input, etc.) by comparing the entries in the “Sheet” with the data in the “Summary Statement”. 4.3.
Other rights provided for by Labor legislation]. 4. Responsibility The dental office nurse is responsible for: 4.1.

For failure to perform or improper performance of one’s job duties as provided for in this job description - within the limits determined by the current labor legislation of the Russian Federation. 4.2. For causing material damage to the employer - within the limits determined by the current labor and civil legislation of the Russian Federation.

For offenses committed in the course of carrying out their activities - within the limits determined by the current administrative, criminal, and civil legislation of the Russian Federation. The job description has been developed in accordance with [name, number and date of document].

The main responsibilities of a dental nurse are, first of all, preparing the doctor's office before visiting visitors and cleaning it after patient procedures. Let’s figure out what else this clinic employee is required to do.

Working as a nurse in dentistry - responsibilities

According to existing job descriptions, the main responsibilities of a nurse in dentistry are to participate in the preparation of medical instruments and equipment and equipment necessary for receiving patients. The nurse must be responsible for the readiness for operation of all equipment available in the office and monitor the condition of the office in terms of its compliance with sanitary and hygienic requirements. In addition, she will have to show her talent as an organizer, since the responsibilities of a nurse in dentistry also include organizing the work of junior medical staff, equipment maintenance technicians and cleaning staff. The most important duty of a nurse is to provide the dentist's office with all the required medications and materials. She is also responsible for quality control of disinfection of working tools and materials used. The dental nurse is required to participate in differentiating the flow of patients, monitoring dates and organizing the progress of patient visits. In addition, the responsibilities of a dental nurse also include dispersing dentists to work stations, maintaining documentation and taking care of priority appointments in case patients have cases of acute toothache.

Automate the work of dentistry with the Dent program

A modern nurse always takes part in therapeutic and preventive procedures performed by a doctor. At the same time, she is quite capable of carrying out a number of actions herself. This not only increases the efficiency of the physician’s work, but also speeds it up. When a nurse works in large clinics or a specialized dental department, her responsibilities may include differentiation and optimal division of necessary responsibilities among all nursing staff. This is usually done by the senior nurse.

Responsibilities of a dental nurse in case of emergency

All dental clinics must be provided with sets of medications necessary for emergency medical care. Their completion is also the responsibility of the dental nurse. Kits of drugs must be packaged in separate boxes, labeled with information about their purpose and use. For example, “To provide emergency care for a heart attack.” The kits must include a list of required medications with a specified expiration date and instructions for action by medical staff. There is a special List of equipment, medicines and medical kit instruments required to provide assistance in emergency cases, recommended by the Council of the Dental Association of Russia (StAR) dated September 18, 2007 “On measures to ensure the safety of dental services to the population.” According to this list, such a first aid kit must contain:

• scissors
• nasal and eye pipettes
• albucid (20% sodium sulfacyl solution)
• bandages and cotton wool
• fingertip or latex gloves
• 5% alcohol solution of iodine
• weighed portions of potassium permanganate for a 0.05% solution
• 70% ethyl solution. alcohol
• adhesive plasters.

Responsibilities of a nurse in preparation for the operation of dental units

According to regulatory guidelines, the dental nurse's responsibilities include inspecting all dental equipment and devices installed in the office. The check is carried out before the start of medical work; its purpose is to ensure constant and trouble-free operation of all devices.

List of items that need daily monitoring:

• Checking the availability of water and the functioning of the sewage system
• Checking the performance of the compressor unit and the level of liquids in the tanks
• Checking the functionality of the doctor's chair, the necessary dental instruments and handpieces.

The responsibilities of a dental nurse are the treatment of handles and control panels of instruments and equipment, switches of used devices, dentists’ instruments, the surface of the spittoon bowl and chair.

After completing each medical appointment, the nurse:

• Redisinfects all of the above surfaces
• Cleans the spittoon bowl container
• Replaces tips on saliva ejector and air ejector.

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Responsibilities of a dental nurse at the end of the working day

At the end of the working day, the duties of the dental office nurse include carrying out a number of manipulations. She:

• Cleans spittoon bowls and fills the sewer system with a standard cleaning and disinfectant solution
• Disconnects power from the chair, compressor, and other equipment that requires it
• Shuts off the water tap, which automatically turns off the installation from water consumption
• Bleeds air from the unit’s compressor and its air system
• Drains remaining water from the hydraulic system
• Treats the surfaces of handles and control panels, device switches, dental instruments, the surface of the spittoon bowl and the doctor's chair
• Drains the formed condensate from the compressor receiver
• Checks oil and grease levels in the compressor crankcase and tip lubrication system
• Monitors the condition of the oil level in the hydraulic system
• Lubricates all connections in the equipment - both roller and hinged.

How to care for tips

Part of the responsibilities of a dental office nurse is the process of daily lubrication of handpieces. To obtain a special lubricant, a quarter of any neutral oil (machine, transformer, etc.) is mixed with three-quarters of heated Vaseline (1:3 ratio) and then cooled. There are professional lubricants produced in aerosol packaging. The turbine tips are lubricated through the air flow channel, and the mechanical parts are lubricated in accordance with the instructions supplied with them. The duty of the dental office nurse is to double-clean all external parts of the surfaces of dental handpieces. Surfaces are treated twice with a 1% chloramine solution using two gauze pads for half an hour.

Responsibilities of a nurse in dentistry - working with waste

The work of a nurse in dentistry includes responsibilities for the collection, storage and disposal of biowaste, while she is guided by the standards determined by the Ministry of Health of the Russian Federation, legislation and requirements, SanPiN 2.1.7.2790-10 “Rules for the collection, storage and disposal of waste in medical institutions.” However, each clinic, including dental clinics, develops and approves its own system for handling biowaste of different hazard classes, consistent with the requirements of current standards and regulations. This means that the clinic must have the required number of specialized waste containers and disposable packaging.

The standards of this system define responsible persons and indicate the frequency of changing waste containers. The developed scheme for the collection of biowaste, its storage and subsequent disposal is personally approved by the head physician of the clinic; in addition, such a scheme must be coordinated with Rospotrebnadzor.

Sterilization and disinfection process in dentistry

The responsibilities of a dental nurse also include procedures for disinfection and sterilization of instruments. At the same time, sterilization of used medical mirrors using high-temperature methods is not permitted, as this can lead to damage to the mirror plane.

In dentistry, instruments used by doctors and nurses are sterilized using chemicals using the following drugs and their solutions. Sterilization is also the responsibility of the dental office nurse.

Table 1. Preparations and solutions of drugs for sterilization and their exposure time, the use of which is the duty of a nurse in dentistry.

After completion of the exposure, the mirrors are washed with clean sterile water, wiped dry with napkins and kept in a dry, sterile medical tray, covered with a sterile napkin. Light guides for lamps used when installing light-curing fillings are also wiped twice, the wipe interval is 15 minutes. After this, after 45 minutes they are treated with a 4% Lisetol AF solution or 70% alcohol. Brush holders, which are used when receiving clinic visitors who require a dental restoration process, are treated in the same way. This disinfection process takes place after each patient treated. Disposable dental brushes should be disposed of immediately after disinfection.

Used glasses used for mouth rinsing are kept in a 3% chloramine solution for an hour. After which they are washed under drinking water. Disinfectant solutions are replaced with new ones after each batch of glasses to be disinfected.

The duty of the dental office nurse is to use the following to disinfect glasses:

• 0.1% active chlorine Klorcept-17 and Diachlor – 1 hour
• 4% Lisetol AF – 1 hour
• 2% Virkon – half an hour.

After each patient, the spittoons are disinfected in a special container - an hour-long treatment with bleach or a 3% chloramine solution. Treatment is possible in a 0.4% solution of the drug Septodore-forte and a 0.1% solution of the drug Klorcept with active chlorine. The opening of the stationary bowls of the spittoons is closed, a 10%-20% solution of bleach or a 3% solution of chloramine is poured into them. After this, the spittoons are covered with oilcloth caps for an hour. The waste from the spittoon is filled with a 10% solution of calcium hypochloride or a 20% solution of bleached lime for half an hour. The waste is then thrown into a garbage bin. In addition, nurses disinfect dental canal fillers and already used pulp extractors.

Nurses in dentistry are prohibited from taking instruments from the table with their hands if they are sterile! Only using sterilized medical tweezers, and tweezers should be changed every 2 or 3 hours.

For preventive purposes, the sterile table is set for 6 hours (1 work shift), while the duty of the dental office nurse is to mark the date and time of setting the table. Nurses should pay attention to the need to sterilize unused dental instruments!

General cleaning as the duty of a dental office nurse

Among the jobs of a nurse in dentistry is the responsibility of carrying out complete general cleaning of the office, while there are no patients in the office. To carry out cleaning, medical staff uses a special uniform, uses clean fabric or non-woven napkins, equipment specially marked for general cleaning, and PPE (personal protective equipment). The walls are wiped with a disinfectant solution (a mixture of detergent and disinfectant) 2 meters from the floor; disinfectant solutions are also applied to doors, walls, furniture, floors and equipment. The concentration of the solution is the same as for standard disinfection. At the end of the disinfection period, the nurse takes off his overalls, washes all surfaces of the office with clean wet wipes, and then disinfects the air in the office. If during the cleaning process the skin becomes contaminated with biological fluids, for example, blood, your hands will need to be treated with 70% alcohol or another disinfectant.

In the laboratory premises of a dental clinic, the duty of the dental office nurse to carry out wet cleaning is carried out both before and after the shift. Every two hours, daily cleaning and quartzing should take place in the rooms where surgeons work. During cleaning, all electrical appliances are turned off.

Even rags or brushes for cleaning must be disinfected - this is also the responsibility of a dental nurse in dental clinics.

A nurse is one of the most important employees in a dental office.

She assists the doctor in carrying out treatment and diagnosis, prepares the office for the start of the appointment and cleans it after the end of the work shift.

In the article we will talk about the role of a nurse in dentistry and her responsibilities, and also list the main points of her job description. Download the finished job description for a dental nurse.

From the article you will learn

A dental nurse is a specialist who has a secondary medical education in the specialty “Nursing”, “General Medicine” or “Obstetrics”, and has also completed additional training in the course “Nursing in Dentistry”.

A dental nurse undergoes advanced training programs every 5 years throughout her career.

★ Whether it is necessary to prescribe the requirements of the professional standard in the job description, find out in the Chief Nurse System

Key responsibilities of a dental nurse

The work of a nurse in dentistry consists of the following responsibilities:

• preparing workplaces for dentists, monitoring the availability of necessary tools, materials, equipment, documents;
• monitoring the health of the drill;
• maintaining the dentist’s workplace in proper condition;
• sterilization and placement of instruments and products on a sterile table;
• assisting the doctor at the appointment, in carrying out medical manipulations (isolating the working field, retracting the lips and cheeks, performing anesthesia, etc.), as well as in preparing material for fillings;
• compliance with the rules and techniques for operating dental equipment and instruments;
• compliance with standards for the consumption of materials and medications;
• monitoring the good condition of electromechanical equipment (if a malfunction is detected, the equipment is disconnected from the network; management must be informed about the incident);
• registration of requests for medications, dressings;
• obtaining medications and dressings from the nurse;
• control of the safety of labels on bottles;
• participation in conducting health education work among patients;
• regular professional development (reading specialized literature, participation in seminars, symposiums, conferences and other types of educational activities).

Samples and special collections of standard operating procedures for nurses that can be downloaded.

The role of a nurse in dentistry is enormous, but she does not have the right to independently carry out sanitation and treatment. She can only give the patient recommendations on oral care in some cases - for example, her qualifications are sufficient for this and the doctor understands that he is responsible for the advice that the nurse gives.

In order to perform their professional duties at a decent level, a dental nurse must have a certain set of personal qualities, know the legal framework of their activities and comply with the norms of medical ethics and deontology.

The dental nurse is required to:

1. Take into account the interests of patients, respect their choices and desires.
2. Keep medical confidentiality.
3. Interact with colleagues and other specialists in the interests of patients.
4. Have a sufficient base of knowledge and skills to work in your industry.
5. Constantly improve your professionalism.

Job description

The dental nurse participates in the preparation of equipment and technology, monitors its serviceability, and also monitors the proper sanitary condition of the dental office.

It is desirable that she have organizational skills and be able to competently organize the work of junior medical staff, nurses, cleaners and a specialist in servicing dental equipment.

The most important thing a dental nurse does is to provide the office with all the necessary materials and medications, as well as high-quality disinfection of instruments and medical products.

The work of a nurse in a dental clinic involves:

• participation in the distribution of patient flows;
• organizing their reception;
• distribution of doctors among workplaces;
• paperwork;
• special attention to minor patients and patients with acute pain.

Disposal and disinfection of carpule dental needles

Nurses are often interested in the question: is the disposal process for carpule syringes and disposable injection needles the same?

The answer is in the Main Nurse System.

A qualified and proactive dental nurse always takes an active part in diagnostic and treatment procedures performed by the doctor.

In addition, she can easily carry out a number of manipulations on her own. Her participation in the treatment process can increase the efficiency of the dentist’s work several times.

In large dental departments and clinics, functionality can be distributed among all nurses. The separation is carried out by the head or chief nurse.

Responsibilities of a nurse when operating dental units

In order for all dental units to work for a long time and properly, it is necessary to comply with the requirements for their operation and carry out their systematic maintenance.

These tasks are the responsibilities of a dental nurse. There is a specific service schedule for dental equipment.

Before starting work, the dental nurse checks:

• availability of water;
• serviceability of the sewer system;
• the serviceability of the compressor and the presence of liquids in the tanks;
• tools, tips;
• dentist chair.

In addition, it disinfects control panels, switches, handles, tools, chair surfaces and spittoons.

After the appointment is completed, the nurse carries out:

1. Disinfect all surfaces, switches, handles and tools.
2. Replacement of vacuum cleaner and saliva ejector tips.
3. Cleaning the spittoon bowl.



After completing the work shift, the nurse:

• cleans the spittoon bowls;
• pours disinfectant into the sewerage system;
• disconnects power from the chair, compressor and unit;
• turns off the water supply tap;
• releases air from the air system of the unit and compressor;
• drains water from the hydraulic system;
• disinfects control panels, switches, handles, chairs, spittoons;
• drains condensate from the compressor receiver;
• checks the oil level in the compressor crankcase, tip lubrication system and hydraulic system;
• Lubricates all hinge and roller joints.

Handpiece care

Caring for the tips, which is also the responsibility of the dental nurse, consists of regularly lubricating them with a special lubricant made from technical oil and heated petroleum jelly in a ratio of 1 to 3. The resulting mixture is cooled. Sometimes ready-made lubricants are produced in the form of aerosols.

Turbine tips are lubricated through the air supply channel, and mechanical models - in accordance with the instruction manual. The outer surfaces of the tips are treated with a 1% chloramine solution twice for half an hour.

Disinfection and cleaning of the dental office

After each use, mouthwash glasses are soaked for an hour in a 3% chloramine solution and then rinsed with clean water.

The disinfectant solution cannot be used a second time - it is changed after disinfecting each batch of glasses.

After each patient, the spittoons are treated with bleach or 3% chloramine for 1 hour. It is also acceptable to use 0.4% Septodorefort and 0.1% Clorcept.

What disinfection regime is needed in dental offices?

Using examples, we will explain the specific requirements for surface treatment of therapeutic dentistry offices, and show how the delimitation of the workspace in a dental office is determined in the Chief Nurse System.

A 10-20% solution of bleach or a 3% solution of chloramine is poured into stationary spittoons with the hole closed. The spittoon is capped for 60 minutes.

The waste material from the spittoons is filled with 10% calcium hypochloride or 20% bleached lime milk for half an hour.

After this, it is placed in a garbage bin. In addition, channel fillers and used pulp extractors are disinfected.

It is strictly forbidden to touch sterile instruments on the table with your hands. To do this, use sterile tweezers, which are changed every 2-3 hours.

The sterile table is set for 6 hours. The date and time of covering are recorded. Instruments that have not been used are again sterilized without pretreatment.

Responsibilities of a Dental Nurse in Emergency Cases

Composition of an emergency first aid kit in case of contact with biological material on the skin and mucous membranes, cuts and punctures with instruments:

• scissors;
• Albucid 20%;
• disposable gloves;
• pipettes;
• dressings;
• potassium permanganate for preparing a solution 0.05%;
• ethanol 70%;
• iodine 5%;
• adhesive plaster.

Emergency kits should be available in every dental office. The dental nurse is responsible for their staffing.

The kit is placed in a box with an inscription about the purpose (for example, “To provide emergency care for anaphylactic shock”), a list of medications and materials, expiration dates and procedures for health workers.

• Carefully monitor the patient in order to promptly inform the dentist about possible complications (fainting, vomiting, etc.).
• Before releasing the patient, make sure that there are no traces of treatment materials on his face or clothing.
• Repeat to the patient the recommendations given by the dentist, and write them down if necessary.
• If there are materials that need to be sent to a dental laboratory, they should first be disinfected, carefully packaged, and ensure that the required paperwork is completed.
• The performed medical manipulations are recorded in the daily log of the dentist’s work.
• The next step is to prepare the dental office for the next patient.
• Used instruments must be washed and sterilized.

Job description of a dental nurse

• make demands to the clinic administration to create the necessary conditions in the workplace to ensure the high-quality performance of their job duties;
• take part in meetings (meetings) when discussing the work of the dental office;
• receive the necessary information to perform their functional duties from the dentist, senior nurse of the department (responsible for the office), chief nurse;
• require visitors to comply with the internal regulations of the clinic;
• master a related specialty;
• give instructions and supervise the work of junior medical staff in the dental office;
• improve your qualifications in workplaces and advanced training courses in the prescribed manner.
IV.

Conducts health education work among patients to prevent diseases and promote a healthy lifestyle. 2.12. Carries out the collection and disposal of medical waste. 2.13. Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antiseptics, and the conditions for sterilization of instruments and materials.
2.14. [Other job responsibilities]. 3. Rights A dental office nurse has the right: 3.1. For all social guarantees provided for by law. 3.2. Make proposals to senior management to improve their work.
3.3. Require the management of the organization to provide assistance in the performance of their professional duties and the exercise of rights. 3.4. Receive information and documents necessary to perform your job duties. 3.5. Improve your professional qualifications. 3.6.

Responsibilities of a nurse in dentistry

I approve [position, signature, full name of the manager or other official authorized to approve [organizational form, job description] name of the organization, [date, month, year] of the enterprise] M.P. Job description of a dental nurse office [name of organization, enterprise, etc.] This job description was developed and approved in accordance with the provisions of the Labor Code of the Russian Federation, the Unified Qualification Directory of Positions of Managers, Specialists and Employees, section “Qualification characteristics of positions of employees in the field of healthcare”, approved by the Order Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n, and other regulations governing labor relations.
1. General provisions 1.1.