extended Level 3 diploma in dental nursing

extended Level 3 diploma in dental nursing. Unit 301 Part 1 Preparing for professional practice in the dental setting.

Aim. Understand the nature of working relationships, and gain the skills required to work in ways that are agreed with the employer and work in partnership with others..

It includes the standards of education and training that prepare us for our profession with the particular knowledge and skills necessary to perform our specific role as dental nurses..

What does professionalism mean to you?.

Unacceptable Behaviour. Threatening violence Subjecting someone to unwelcome sexual harassment Playing loud music in a quiet area Verbal abuse, racist or sexist taunts Spreading malicious gossip about someone Attempting to isolate someone Speaking about patients in a derogatory way Speaking to patients in a rude or dismissive way Humiliating patients Undermining people’s self-esteem and confidence Bullying or intimidation Patronising and talking down to people Removing people’s right to exercise choice Failing to recognise and treat people as individuals Not respecting people’s culture, values and beliefs.

Consequences of unprofessional behaviour:. Working Relationships.

The dental nurse has a key role to play in ensuring that the dental experience of each patient is a pleasant one, whether working at the chair-side or in a reception or administrative position..

Professional boundaries provide the framework for healthy relationships between healthcare providers and patients. The are the physical and emotional limits that protect patient’s vulnerability and prevent staff from becoming over involved..

Scenario activity. 1. A dental nurse has good rapport with a long standing patient. They call in for a telephone consultation regarding pain and the dentist prescribes antibiotics. The nurse advises the patient that the prescription will be left behind reception to collect. The patient advises they are unable to collect today due to work commitments. The nurse looks at the patients address and sees that they pass the location on their way home. The nurse kindly offers to take the prescription to the pharmacy for them and bring the antibiotics to their house in the evening..

Scenario activity. 2. A dental nurse is working in surgery and whilst assisting during treatment, the patient overhears the nurse and dentist talking between themselves. Within this conversation, the nurse explains she is having financial difficulties and expresses her distress. Once the treatment has finished, the patient leaves the room and the nurse begins to tidy the surgery. As the nurse leaves the room, the patient is waiting in the corridor and pulls her to one side. The patient thanks the nurse for their support during the treatment and advises they heard of their money troubles and would like to help by offering them money. The patient puts £50 in the nurses scrub pocket. They then ask the nurse to join them for a coffee outside of work. The patient is very nice and they agree to meet for coffee and exchange personal numbers..

Group activity. Make a list of all the duties that you as dental nurses are expected to carry out each day. This is something you may have to talk through during your End Point Assessment..

Prepare and maintain the clinical environment Carry out infection control procedures to prevent contamination of the surgery Record dental charting carried out by other appropriate registrants Prepare, mix and handle dental materials Provide chair side support to the operator during treatment Keep full and accurate patient records Prepare equipment, materials and patients for dental radiography Process Dental Radiographs Monitor, support and reassure patients Give appropriate advice to patients Support the patient and colleagues if there is a medical emergency Make appropriate referrals to other health professionals Safeguarding patients.

Who has had experience on reception?. Personal appearance and social cleanliness, in accordance with the dress code requirements of the workplace.

Any person wishing to work as a dental nurse must be registered with the General Dental Council..

[Audio] https://www.gdc-uk.org/docs/default-source/guidance-for-students/guidance-for-training-providers79019ec7940a44ff8841f2a928c0d276.pdf?sfvrsn=dee70721_5.

Who are the CQC and what do they do?. The CQC is the government body that monitors, inspects and regulates all UK-based health and social care services, to ensure that minimum standards of quality and safety are met at all times, for the good of patients and service users..

CQC fundamental standards. Patient Centred Care You must have care or treatment that is tailored to you and meets your needs and preferences. Dignity and Respect You must be treated with dignity and respect at all times while you're receiving care and treatment. This includes making sure: · You have privacy when you need and want it · Everybody is treated as equals · You're given any support you need to help you remain independent and involved in your local community Consent You (or anybody legally acting on your behalf) must give your consent before any care or treatment is given to you..

Safety You must not be given unsafe care or treatment or be put at risk of harm that could be avoided. Providers must assess the risks to your health and safety during any care or treatment and make sure their staff have the qualifications, competence, skills and experience to keep you safe. Safeguarding from abuse You must not suffer any form of abuse or improper treatment while receiving care. This includes: · Neglect · Degrading treatment · Unnecessary or disproportionate restraint · Inappropriate limits on your freedom.

Premises and equipment The places where you receive care and treatment and the equipment used in it must be clean, suitable and looked after properly. The equipment used in your care and treatment must also be secure and used properly. Complaints You must be able to complain about your care and treatment. The provider of your care must have a system in place so they can handle and respond to your complaint. They must investigate it thoroughly and take action if problems are identified..

Staffing The provider of your care must have enough suitably qualified, competent and experienced staff to make sure they can meet these standards. Their staff must be given the support, training and supervision they need to help them do their job. Fit and proper staffing The provider of your care must only employ people who can provide care and treatment appropriate to their role. They must have strong recruitment procedures in place and carry out relevant checks such as on applicants' criminal records and work history. Duty of candour The provider of your care must be open and transparent with you about your care and treatment. Should something go wrong, they must tell you what has happened, provide support and apologise..

[Audio] Ask the learners to write down each standard on their activity page..

The "duty of care" refers to the obligations placed on people to act towards others in a certain way, in accordance with certain standards. For example, nurses have a duty of care to s afeguard their patients and act to raise concerns wer e necessary..

What is a chaperone?. Cultural factors should be considered, particularly when examinations are performed by members of the opposite sex. Also, any consultations where patients may feel vulnerable. Where chaperones are not available, the appointment should be rearranged..

Practice Manager – Oversees the running of the practice and how the team works.

Dental Nurse – Assisting others in the team, patient care, surgery maintenance Dental Technician – Constructs dentures, Crowns, Bridges etc Treatment Coordinator – Contacts patients to discuss treatment and finance options available, support the patient throughout their treatment journey, cover receptionist duties when required, involved in business development growth strategies Receptionist – greeting patients, taking payments, scheduling appointments, ensuring all forms are completed, mail, triaging, recalls Other – Cleaner, Maintenance, Waste Collectors, Engineers It’s important to network and collaborate with other dental professionals to provide patient centred care..

Workplace policies can influence the way staff conduct themselves in the workplace. This involves the way they behave, the actions they take and their overall performance..

Social Factors. Families living in adverse social environments, for example, due to poverty, social isolation or poor housing may also find it both materially and socially harder to care for their children. Where such issues are affecting a child’s care, it may be possible to intervene to support the family at an early stage before the child suffers harm..

Democracy The rule of law Individual liberty Mutual respect and tolerance of different faiths and beliefs.

Criminal records check (DBS). It is now a requirement for all dental team members who have any contact with children or vulnerable adults to undergo an enhanced criminal records check, if they wish to work in the dental care profession. The function is set out in part 5 of the Police Act 1997. This is a requirement of both the GDC and NHS primary care trusts. They disclose information of convictions and police cautions. DBS checks involve searching through an individual’s criminal record to highlight any criminal offences. The DBS is sent to the Disclosure and Barring Service, who then check the Police National Computer (PNC). Why do we need these checks? Rol es i nvolved working directly with children or vulnerable adults. DBS checks flag up any previous criminal behaviour that may place vulnerable people in danger..

Dental personnel need to understand the needs and characteristics of their patients in all their rich variety and to have their own diversity respected and celebrated. The GDC have a research programme that contributes to a better understanding of the issues affecting patients and professionals across ethnicity and other diversity characteristics..

Equality and Diversity. Diversity The concept of diversity encompasses acceptance and respect. It means understanding that each individual is unique and recognising our individual differences..

Equality and diversity. Documents used as guidelines here are: The Equality Act 2010 The Human Rights Act 2000 The Disability Discrimination Act 2005.

3. Sex - sexual discrimination is any form of treatment which is unfavourable and which is related to gender. Both men and women are protected under the act. The right to equal pay provides equality in the terms of an employee’s contract where he/she is employed to perform work which is rated equivalent to that performed by a member of the opposite sex or work of equal value to that of a member of the opposite sex. 4. Sexual orientation - the act protects bisexual, gay, heterosexual and lesbian people. 5. Gender reassignment (new definition) - the act provides protection for transsexual people. A transsexual person is someone who proposes to, starts, or has completed a process to change his or her gender. The act no longer requires a person to be under medical supervision to be protected - so a woman who decides to live as a man, but does not undergo any medical procedures, would be covered. It is discrimination to treat transsexual people less favourably for being absent from work because they propose to undergo, are undergoing or have undergone gender reassignment than they would be treated if they were absent because they were ill or injured..

6. Disability (new definition and changes) - the act has made it easier for a person to show that they are disabled and protected from disability discrimination. Under the act, a person is disabled if they have a physical or mental impairment, which has a substantial and long-term adverse effect, on their ability to carry out normal day-to-day activities. These would include things like using a telephone, reading a book or using public transport. The Act puts a duty on employers to make reasonable adjustments for your staff to help them overcome disadvantage resulting from an impairment ( e.g by providing assistive technologies to help visually impaired staff use computers effectively)..

You can only ask to help you decide whether you need to make any reasonable adjustments for the person to the selection process decide whether an applicant can carry out a function that is essential to the job. Religion, in other words employees or jobseekers are protected if they do not follow a certain religion or have no religion at all..

8. Marriage and civil partnership - the act protects employees who are married or in a civil partnership against discrimination..

Patients with additional needs. Patients with special needs frequently experience barriers to dental care ..

Communicating with someone with a language barrier.

Barriers when dealing with patients and colleagues.

Anxiety. What may cause a patient to be anxious?.

How to handle communication barriers. DO’s DON’T’s Give careful, clear explanations to meet the patients level of understanding Use jargon and complicated terminology Use basic, non-threatening terms Use ‘babytalk’ Make use of visual aids Get frustrated Give the patient time to process the information Condense/miss out important information Use interpretation services Rely on family members to translate Assess each patient as an individual Ignore the patient and talk with someone else Provide support and be empathetic Assume Remove noise distractions such as the radio Use inappropriate language.

Less obvious barriers. Special care is necessary during pregnancy. Here are some reasons why: There should be no contact with staff or other patients who are rubella (German measles) or (Herpes Varicella) contacts. These viruses are potentially deadly to a fetus . LA is safe but general anaesthesia and drugs of any other kind should be avoided, including sedatives and analgesics. In the late stages of pregnancy, patients should not be treated in the supine position as they are likely to be extremely uncomfortable – major blood vessel can be crushed by the womb. Radiographs should be avoided, particularly during the first and third trimester Often, clinicians will postpone treatment until baby is born, unless it’s causing the patient pain ..

Patients who have been in contact with infectious diseases such as mumps, chicken pox and rubella should not attend the surgery while these illnesses are still active. Careful observation of patients will detect signs which may affect treatment, breathlessness, and pallor are suggestive of anaemia while cyanosis (blue complexion) and jaundice (yellowing of the skin and eyeballs) are indicative of heart and liver disease respectively. Special precautions are necessary for treatment of known hepatitis and HIV carriers, and for immune-compromised patients. The name of the patient’s doctor should always be included in the records so that in if any doubts arise, the doctor can be consulted before treatment is undertaken..