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#23 – Performs Ideal Day Tasks Routinely

There will be added duties if running a second column vs. assistant duties:

Opening

7:15 Come in/clock in

7:15 7:30 Change clothes
Set up rooms
Set up x-ray processor
Updated medical/dental history for all new clients/5 year review exams
Blue sheet for each emergency
Check lab cases for week
Check to make sure all charts are present

7:30 7:45 Morning huddle

7:45 11:30 Bring back patients and prepare for treatment to be done including

Assist Dentist
Take X rays
Take impressions
Room set ups
Make sure all lab cases are boxed and marked on the calendar
Use the digital camera for new clients

11:30 12:30 Lunch

12:30 4:30 Same as 7:45 11:30
Towards end of day make up trays for next morning
Check charts
Check lab cases if not already done
Check charts for next day

4:30 – 5:00 Wrap up
-clean rooms
-set up for next day
-check charts & schedule
-make sure all carts, TV’s, VCR’s , amalgamators, curing lights
are turned off
-see if anyone needs support
-clock out

Taking x-rays
CMX – before NP exam, intra oral photos takes 30 minutes to complete, the doctor can leave the room after the exam.
PA and BWX – done during an emergency exam procedure which occur everyday, the doctor doesn’t need to be there until I have finished my procedure.

Place temporary fillings –
These are mostly done during PT appointments, takes about 15 minutes to do, they occur during the day whenever the secretaries appoint them. This doesn’t affect the doctors schedule.

Adjust complete and partial dentures
These tasks occur during the day whenever the secretaries appoint them. This can take anywhere form 10-30 minutes, depending upon how uncomfortable the patient is. The doctor comes in for a few minutes after I am done to see how the patient is feeling.

Check in cases from lab –
This is done whenever we get cases from the lab, they can be checked in about 10-15 minutes, depending upon amount of cases. This doesn’t affect the doctor’s schedule.

C&B temporaries –
This is done after every crown prep procedure, takes 20-30 minutes, depending upon amount of teeth involved. The doctor can leave the patient after the crown prep is finished.

Take alginate impressions –
This is done during the day when the doctor asks me to do them, takes 10 minutes to do, doctor leaves after he tells me what he needs. Pour and trim models. Mount on articulator.

Temporary denture lining –
This is done whenever the secretaries appoint it, takes 10 minutes to do, the doctor needs to see the end result and tell me what he needs next.

Take a facebow –
This is usually done after taking alginate impressions. Takes 5 minutes to do. The doctor doesn’t need to be there.

Update lab cases
Help set up trays for clients

Continuing

9:00 – 9:45 Review day’s client folders
Set up tray chart, nitrous for first client

11:00 – 2:00 Assist doctor
Seat and dismiss clients
Clean and sterilize operatories and instruments
Helping with emergency clients – use intraoral camera
Sterilize instruments using autoclave – and statim
2:00-3:00 Lunch

3:00 – 5:00 Take out trash
Work to finish on time
Set up chart, tray and nitrous for first evening client
Check charts 2 days out

5:00 – 7:00 Same as earlier half-day
Set up trays for next day

6:30– 7:00 Unplug nitrous units
Turn off nitrous tanks
Take out trash
Sweep
Turn off bead sterilizer, x-ray processor, all x-ray units
Turn off Autoclave
Turn off all carts
Turn off Statim and Quatro
Make sure back door is locked

7:00 Turn off lights
Turn off water, compressor
If last one out, arm alarm system, lock door

Afternoon/Eve Schedule

12:30 – 1:00 Pull folders, set trays, prepare room(s)
l:00 – 3:30 Assist Dr. seat and dismiss pt.
Emergency patients
Clean room, re-wrap plastic, let high speed run for 15 sec. with beer in place
Sterilize instruments
3:30 – 4:00 Work on lab work
Take out trash, work on files/burs/clean trays
12:00 – 1:00 “Lunch”
1:00 – 4:30 Seat and dismiss clients, assist Dr.
Emergency patients, clean rooms/re-wrap plastic
Set up trays for next day
4:30 – 6:30 Work on files/burs/clean trays
Wrap all instruments
7:00 Shut all operatories down, spray biocide unplug all nitrous units, Turn off N2O
Shut all switches
Shut bead sterilizer, hot bath, processor off
Turn alarm on
Make sure all others are wrapping things up, offer any help

Thursday 10:00 – 11:30 Ordering supplies

Time to re-evaluate your day to manage all your new tasks

As you finish this level, you have completed almost all of the tasks in this professional track level. Now is the time to re-evaluate your “ideal” day and add in the new upper level tasks and delegate lower level tasks to make room in your day for the new ones.

As your first step, set up a meeting with your team leader and Dr. You will discuss how you plan to incorporate these new tasks into your ideal day as well as which tasks you will still be responsible for. You will also determine which tasks you will delegate to which specific other team members who are in lower levels. You will be responsible for following up on these tasks to make sure they are completed correctly.

To prepare for this meeting, make a copy of your new ideal day and pencil in your ideas for new tasks and tasks you plan to delegate. Review this tentative ideal day with your team leader. When you are both satisfied with this day, give a copy of this ideal day to Dr. Smith so he can add his ideas. Arrange a meeting with you, your team leader and Dr. Smith. At the meeting you three will review your new ideal day and decide how best to manage your time to accomplish all your new tasks.