Now you are familiar with all the tasks in this level. You may even have them checked off that you have demonstrated you have a working knowledge of all these tasks. Good for you. To gain this knowledge has taken you several months. Before you complete this level, you have one more task to apply this knowledge.
Make a copy of the ideal day on the following pages. Use a pencil and make all the changes from the written ideal day compared to what your day appears to you.
Did you leave out any important tasks?
Did you give yourself enough time? Too much?
Is there any task you should have delegated to someone else?
Do you need to note the busiest times of the day when it’s most difficult to stay on schedule and what you do about it?
Now that you have begun assisting the doctors at the chair, your daily routine will change.
There will be two separate daily schedules for chairside assistants: Opening and Continuing
7:15 Arrive at the office, change clothes and clock in
7:15 7:30 Turn on nitrous oxide, print off day sheet from previous day and review, get folders from
Doc Bins behind ops #11 and #12. Check for changes in schedule from previous day and check charts again (should have been checked before you leave the previous day), get first two trays set up and as many as you can for the morning. Things run smoother if you do not have to rush to set up trays. Hook up nitrous, it’s great to be 5 10 minutes early. Now, set up the first two clients trays in your 2 operatories. Stay ahead!
Make trays for first two patients, Check in lab cases
7:30 – 7:45 Huddle
7:45 11:45 Assist doctor
Re-check charts due to schedule changes
Seat and dismiss clients, filling out charts thoroughly
Enter treatment in the computer
Clean and sterilize operatories and instruments
Help with emergency clients
Sterilize instruments using autoclave if C & S person needs help
Empty cold sterilizer if C&S person needs help
Work on projects
Check on lab cases (any to go out: contact lab for pickup or pack up and get ready for UPS)
11:45 12:00 Work to finish on time
Set up chart(s); tray(s), and operatory for first afternoon appointment(s). Very Important
See if anyone needs help before you leave.
Double check charts
12:55 Get ready for first client of afternoon and seat him/her
1:00 – 4:45 Same duties as morning
Have lab work ready to be shipped out
4:45 – 5:00 Set up first 2 trays for next day
Check charts for next day
Check-in lab cases (after 4:00) for appointments two days in advance
Clean-up lab and support area
Turn off doc & assistant carts
Turn off computers in the ops if no one else will be using them.
Check schedule for rest of week
Ask for schedule mistakes to be changed
Working until 7:00 p.m.
2:00 – 3:00 Dinner break if working evening
3:00 7:00 Assist doctor (same as 7:45-11:45)
6:30-7:00 In free time work on projects/monthly duties, set up trays for next day <CLEAN UP LAB>
Make sure lab cases checked in/out
7:00 7:10 Turn off nitrous tanks (lock nitrous room)
Turn off, x ray processor, all x ray units, all fiber optic lights at chairs, wiggle bugs
All rooms wrapped/carts turned off
Turn off lights
Turn off statins, autoclave
Turn off computers
Lock back door; Leave together
Constant duty: Keep an eye on the computer and use any free time to help others.
7:30-8:00 Clock in and change clothes
Set up trays for the morning (at least for his first 2-3 patients if there are not enough treatment packs for the whole morning)
Look at the schedule and check for any patient, seat appliances, how-feelings, and special circumstances on the schedule and let him know during the huddle
For all seat appliances (mouthguards, unilateral space maintainer, bilateral s.m., etc.), grab the green boxes with the models from the shelf and lay them next to his bag for him to evaluate at the beginning of the day
Make sure mirrors, explorers, straight sleeves, prophy angles, prophy paste, and scalers are ready for the PC’s
Have gloves and masks set out at each operatory and have his first 2 patient trays and charts set up in their rooms
CLEANING AND STERILIZATION
Be sure to keep on our side the following items:
-all extraction instruments
-all crown and seat appl. Instruments
-mirrors and explorers in the morning so they are readily available for the afternoon
-crowns and bands that were in a patients mouth but not used
*Extraction instruments, mirrors, and explorers should go in the ultrasonic sterilizer for 10-20 minutes. When they are done sterilizing, place them in sterilization bags and run them through the Statim under the WRAPPED cycle. Remove bags when finished and put them in their appropriate drawers or trays.
*Mouthprops, the press, crowns, bands, and crown and seat appl. Instruments can go directly into Statim under the UNWRAPPED cycle. (However, if there is any blood on the crown and seat appl. Instruments, then place those in the ultrasonic sterilizer for about 10 minutes before putting them in the Statim.)
NOTE: The crowns and bands must be in sterilizer bags when put in the Statim so they don’t get lost.
CLEANING ROOMS *ALWAYS WEAR GLOVES
1) Remove instruments and trays from the room
2) Put away materials in the black box or their appropriate place on our side after you spray them with dentaphene
3) Spray down room with dentaphene
4) Replace Saran Wrap on air/water dispenser, light handles, and light switch
First Assistant In the Office – Start of Day
Come in the far door or front door.
• Clock in
Turn on the switches:
Usually front desk personnel are in and do this.
1. Take the folders from the blue holders on the file wall and place them in the file folders by the operatories.
2. Next, turn on the one green oxygen tank and one blue nitrous oxide tank in the nitrous oxide storage room next to the main utility room, change into scrubs and start the laundry in the washer.
3. Then turn on x-ray computer, all your computers, cameras, tv’s, make sure all tv’s are on the Dentrix channel to start the day.
4. Place the first blue instrument tray on the mobile chart for the first client. Put the client’s chart on the sink area next to your doctor. Look at the chart and computer and set up for this procedure.
5. Next, take the second client’s chart, pick a second room, and set this up.
6. Turn doctor and assistant carts on. Place high speed lines in the sink, grab the air/H2O syringe and run water through these lines for 2-5 minutes in every operatory that you will be working in that day.
7. Also run H20 lines for 20 seconds between patients.
8. Empty and check cold sterile if you have time, if not, at least move cold sterile tub to the sink – this will let everyone know not to put anything in it until it is emptied and then it won’t accidentally get contaminated!
9. Go to huddle: bring that day’s schedule and client charts.
As soon as your first client arrives, seat him/her. It’s a real plus to be able to start a few minutes early.