Chapter-33-Delivering-DePPT资料.ppt

Chapter-33-Delivering-DePPT资料.ppt

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Chapter33DeliveringDentalCare,Copyright2003,ElsevierScience（USA）.Allrightsreserved.Nopartofthisproductmaybereproducedortransmittedinanyformorbyanymeans,electronicormechanical,includinginputintoorstorageinanyinformationsystem,withoutpermissioninwritingfromthepublisher.PowerPointpresentationslidesmaybedisplayedandmaybereproducedinprintformforinstructionalpurposesonly,providedapropercopyrightnoticeappearsonthelastpageofeachprint-out.ProducedintheUnitedStatesofAmericaISBN0-7216-9770-4,Introduction,Theclinicalassistantassumestheimportantresponsibilityofpreparingthetreatmentareas,assistinginprocedures,andprovidingexpandedfunctions.,ReviewthepatientrecordAdministrativeStaffReviewanychangesinpersonalinformation.ClinicalStaffReviewforanyhealthproblemsthatmayalterdentaltreatment.MedicalAlerts.Reviewprogressnotesforplannedtreatmentoftheday.,PreparingforYourPatient,Thetreatmentroomisclean,disinfected,andreadyforthenextpatient.Thepatientsrecord,radiographs,andlaboratoryresultsareallinplace.Theappropriatesterilepresettrayandothersuppliesareinplace.Thedentalchairispositionedtoseatthepatient.Equipmentismovedoutofthewayforthepatientanddentalteam.,PreparingtheTreatmentArea,Pleasantlygreetthepatientinthereceptionareabyname.Escortthepatienttothetreatmentarea.Placethepatientspersonalitemsinasafeplaceoutofthewayoftheprocedure.Initiateconversationwiththepatient.Askifthereareanyquestionsthatyoucananswerabouttreatmentfortheday.,AdmittingthePatient,Askthepatienttositonthesideofthedentalchairandthenswinghisorherlegsontothebaseofthechair.Lowerorslidethechairarmintoposition.Placethedisposablepatientnapkinoverthepatientschestandclaspthecornersusinganapkinchain.Informthepatientbeforeadjustingthechair.Positiontheoperatinglightoverthepatientschest,andturnon.Reviewonceagainthatalltreatmentroompreparationsarecomplete.Washhandsandputonpersonalprotectiveequipment.,SeatingthePatient,GoalsofworksimplificationDecreasethenumberofinstrumentstobeusedforaprocedure.Sequencetheinstrumentsonatraybytheiruse.Minimizethestressandfatiguebyusingcorrectpositioningofthepatient,dentistandassistant.Usetheappropriatemoisturecontroltechniques.Transferofinstrumentsanddentalmaterialsasnecessary.Usetheleastamountofmotionduringthetransferofinstrumentsandmaterials.Allowtheassistanttoperformexpandedfunctions.,TeamDentistry,Basicconceptrequiredforpracticingefficientandcomfortableteamdentistry（Figures33-5and33-6）.,OperatingZones,Fig.33-5,Fig.33-6,PositioningthepatientCriteriaPatientisloweredtosupineposition.Patientslidesupinchairsoheadisevenwithtopofheadrest.Finalpositioningadjustmentswillbemadebytheoperator.,PrinciplesofTeamPositioning,PositioningtheoperatorCriteriaSeatedasfarbackaspossible,withthefrontedgeofthestooljusttouchingthebackoftheknees.Thighsparalleltothefloor,orkneesslightlylowerthanthehips.Feetkeptflatonthefloor.Backrestofthechairpositionedtosupportthelowerportionorsmalloftheback.Heightofchairallowstheoperatorsforearmswhenbentattheelbowtobeparalleltothefloor.,PrinciplesofTeamPositioning-contd,PositioningthedentalassistantCriteriaSeatedwellbackonthestool.Feetrestonthebaseorfootringofthestool.Positionedascloseaspossibletothedentalchair.Legsparalleltothepatientschair.Eyelevel4to6inchesabovetheeyeleveloftheoperator.,PrinciplesofTeamPositioning-contd,Anergonomicallysoundwaytopracticedentistryusingtheskillsofthedentalassistant,whileincludingworksimplificationtechniques.,Four-HandedDentistry,BenefitsStandarizedoperatingsequence.Reducestheamountoftimeinthedentalchairforthepatient.Increasedproductivity.Lessfatigueandstress.,InstrumentTransferandExchange,OperatorsgraspThreeBasicGrasps:

@#@Pengrasp:

@#@Theinstrumentisheldinthesamemannerasapen.Palmgrasp:

@#@Theinstrumentisheldsecurelyinthepalmofthehand.Palmthumbgrasp:

@#@Theinstrumentisheldinthepalmofthehand,andthethumbisusedtostabilizeandguidetheinstrument.,InstrumentTransferandExchange-contd,Fig.33-10,AtoCBasicgrasps.,PrinciplesofinstrumenttransferTheassistantmustunderstandthesequenceofthetreatmentprocedureandanticipatewhenaninstrumenttransferwillberequired.Thetransferofinstrumentsshouldbeaccomplishedwithaminimumofmotioninvolvingonlythefingers,wrist,andelbow.Instrumentsaretransferredinthepositionofuse.Aninstrumentistransferredsothedentistcangrasptheinstrumentforitsappropriateuse.Theinstrumentbeingtransferredmustbepositionedinthedentistshandfirmly.Theassistantwill