Process of Care

• *Provide all clients with a Welcome Letter and Consent Form at commencement of treatment, let ct know about ct satisfaction survey at receptionist desk
• * When Dentist or instructor comes to your unit, do appropriate introductions with client and present case details in professional matter
• * OPEN Human Needs and Goals questionnaire at start and begin to make notes on these as assessments are done

1. Assessment
   • Medical/Dental History- includes BP for all clients 16+, Nutrition/ Inhalation survey
   SIGN UP TO BE EVALUATED FOR MH/DH (before client signs it)
   • EO/IO Examination
   • Radiographic needs assessment
   SIGN UP FOR DDS (take rads immediately if prescribed)
   • Hard tissue- complete odontogram
   SIGN UP FOR DDS ONCE ODONTOGRAM AND RAD INTERP IS COMPLETE
   • Caries Risk Survey
   • Oral deposit examination including PR
   • Periodontal examination- includes probing depths
   SIGN UP FOR PERIO ASSESSMENT TO BE EVALUATED
   
2. Dental Hygiene Diagnosis- Summary of client’s needs
   
3. Goals/Interventions/Care Planning– Review with client and obtain informed consent
   • Be sure goals are evaluated throughout care on DH Evaluation Form
   SIGN UP TO HAVE NEEDS/GOALS/CARE PLAN EVALUATED
   
4. Implementation (as per client specific needs): 
   • Be sure goals are evaluated throughout care on DH Evaluation Form
5. SIGN UP TO HAVE NEEDS/GOALS/CARE PLAN EVALUATED
   • Oral Hygiene Education– ALWAYS prior to debriding at all appointment
   • Tobacco Cessation
   • Nutritional Education
   • Debridement
   • Coronal Polish
   • Pit and Fissure Sealants
   • Impressions
   • Fluoride Application
   • Intra-oral Photography
   • Post Care Instructions
6. Post Care Evaluation– DH evaluation of care form- ongoing throughout care