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PATIENT ADMISSION & DISCHARGE Veterinary dental nursing procedures PATIENT ADMISSION & DISCHARGE.

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Presentation on theme: "PATIENT ADMISSION & DISCHARGE Veterinary dental nursing procedures PATIENT ADMISSION & DISCHARGE."— Presentation transcript:

1 PATIENT ADMISSION & DISCHARGE Veterinary dental nursing procedures PATIENT ADMISSION & DISCHARGE

2 5888H - Veterinary Dental Nursing Patient Admission Prior consultation with vet? –Decide on allowed delay between last visit and admission by nurse (without vet) Gather records –Mostly computerised nowadays –Maybe radiographs, pathology, referral

3 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Routine vs Non-routine Dental Routine –Descaling –Polishing teeth –Gingivitis Non-routine –Periodontitis –Extractions required –Endodontics required –Aged animals dental prophylaxis prophy

4 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Authorisation Ensure owner has a full understanding of the procedures likely to be performed. Make it clear that general anaesthesia will be required. Mention the possibility of gingival surgery, root planing, radiographs and extractions.

5 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Authorisation Authorisation form as for routine anaesthesia and surgery May also require authorisation for –Pathology –Radiography –Surgery

6 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Owner Contact Contact phone number/s required –To advise of unexpected procedures/costs during dental –To advise of discharge time

7 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Before Patient Discharge The patient must be –Clean –Dry –Odour free

8 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Discharge Instructions Sometimes by nurse (if has been routine) –Make a time? –Consult room –Explain procedures performed –Explain diet, brushing, dentrifices –Medications –Sutures –Follow up appointments

9 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Patient Discharge Best to bring out animal only after discharge instructions have been given –So owner not distracted by reunion with pet

10 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Explaining Procedures Use models of teeth Maybe show patientss dental chart

11 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Sutures Usually dissolving sutures are used –So dont require removal But check with veterinarian anyway

12 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Medication Ensure the owner understands use: –Antibiotics –Analgesics –Other

13 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Post-dental diet Soft food for 1 week –Meat strips may be better than canned or dry food

14 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Brushing Is beneficial if tolerated –Ideally daily (as for people) –Every 2-3 days also helps Can start gentle brushing one week after gingival surgery Reward for compliance –Plenty of praise

15 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Tooth brush Must be soft

16 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Pet Toothpaste Safe to swallow

17 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Brushing technique Relaxed environment Initially handling head a mouth only Then finger brushing with meat broth/tuna fluid Several days toothpaste on teeth only Impress toothpaste into bristles Hold mouth closed Brush in circular pattern

18 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Brushing technique Gum line most important

19 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Oral antiseptics Chlorhexidine gel twice daily –For first week –Applied to a gauze pad then wiped into each side of mouth

20 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Other oral treatments Maxiguard® –Zn as an antibacterial, may heal gums

21 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Follow-up appointments Regular check ups to check for recurrence –If healthy mouth > 12 mth check –If early periodontitis > 6 mth check –If severe periodontitis > 3 mth check Encourage & advise owner

22 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Commercial diet

23 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Chew Toys

24 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Other dentrifices

25 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Other dentrifices First ones under supervision –Can choke –Can even break teeth on some

26 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing

27 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing

28 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing S Em dog

29 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Raw Meaty Bones Some dogs may never require dental work if they eat a diet containing foods that clean teeth

30 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Puppies –Minced chicken carcases Adults –Whole carcases: rats, mice, rabbits, chickens, quail, fish –Meaty bones: sheep, goat, calf, deer, kangaroo –Miscellaneous: pigs trotters, pigs heads, sheep heads, brisket, tail bones, rib bones, fish heads, chicken heads, feet, necks, wings, carcases (meat removed) –Offal: liver, lung, trachea, heart, omasum, tripe –Table scraps: grate or liquidise veges, not cooked bones Raw Meaty Bones - Dogs

31 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing Owner education Start early at puppy preschool / kitten kindy –Importance of handling mouth area –Use client handouts/ sample T/D etc –Pet may require professional cleaning every 6 –18 months like human regular dental visits –Explain that periodontal disease can compromise general health due to circulating bacteria eg kidney, liver, heart disease

32 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing The End

33 PATIENT ADMISSION & DISCHARGE 5888H - Veterinary Dental Nursing


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