CLINIC POLICY AND PROCEDURES MANUAL
DALHOUSIE UNIVERSITYFACULTY OF DENTISTRYCLINICPOLICY AND PROCEDURES MANUAL(also see the Schedule of Fees for Dental Services andthe Infection Control Manual for other clinic policies)2013 -2014MISSION STATEMENTWe promote and provide oral health care as an integral component ofoverall health, for regional, national and international communitiesthrough quality education, research and service.Compiled byThe Office of the Assistant Dean, Clinics and Building Services,August 2013THIS MANUAL IS FOR THE SOLE USE OF THE DALHOUSIE DENTALCLINIC FACULTY, STAFF AND STUDENTS.Suggestions for improvements are always welcome. Please pass them on to the office of theAssistant Dean, Clinics and Building Services, Level 1, Room 1210.Assistant Manager, Patient and Information ServicesAvailable at http://www.dentistry.dal.ca (click on 'Faculty Policies and Manuals'or you can get a printed copy from the Clinical Affairs Office, Room 1210, Level 1.
TABLE OF CONTENTSImportant Contact Information .6SECTION ONE - RESPONSIBILITIES, QUALITY ASSURANCE, PATIENTRIGHTS AND PROFESSIONALISM .CLINIC FEES .MANDATORY CRIMINAL RECORD CHECK AND VULNERABLE SECTOR CHECK .STUDENT RESPONSIBILITIES .SUSPENSION OF PRIVILEGES .CELL PHONES, PAGERS, IPODS ETC. .PURCHASE OF PERSONAL EQUIPMENT (e.g. loupes and lights) .POLICY ON STUDENTS AND STUDENT APPLICANTS WITH INFECTIOUS DISEASES .CHART AUDIT QUALITY ASSURANCE .FACULTY RESPONSIBILITIES (includes Cell phones, pagers, iPods etc.; CPR & Defibrillator Training) .STAFF RESPONSIBILITIES (includes Cell phones, pagers, iPods etc.; CPR & Defibrillator Training) .PATIENT RESPONSIBILITIES (includes Infected Patient) .CDA CODE OF ETHICS .CONFIDENTIALITY OF PATIENT INFORMATION - FACULTY POLICY 2009-2010 .PROFESSIONALISM FOR FACULTY, STAFF AND STUDENTS .STUDENT CODE OF PROFESSIONAL CONDUCT .DALHOUSIE DISCRIMINATION AND HARASSMENT POLICY .78899999101113151620222325SECTION TWO - GENERAL BUILDING INFORMATON AND POLICIES .A.FIRE AND EMERGENCY EVACUATION PROTOCOL .B.BUILDING ACCESS .C.SECURITY INFORMATION .D.PARKING .E.CLASSROOMS AND SEMINAR ROOMS .F.INFORMATION TECHOLOGY SERVICES .G.ALCOHOL RULES .H.STUDENT MAILBOXES .I.STUDENT LOCKERS .J.WASTE DISPOSAL .2627292929293030313131SECTION THREE - GENERAL CLINIC INFORMATION, POLICIES AND PROTOCOLS . 32PART 1 - STUDENT INFORMATION .A.ACCESS TO THE DENTAL CLINIC LEVELS 1 AND 2 .B.ACCESS TO CLINIC AREAS FOR EXTRA PRECLINICAL PRACTICE .C.CLINIC CANCELLATION POLICY .D.DRESS CODE.E.CLINIC JACKETS AND SCRUB PANTS .F.STUDENT VOICE MAIL .G.PHANTOM HEADS .H.STUDENT YEAR END CLEARANCE POLICY .I.STUDENT FEES - MANDATORY (see Faculty of Dentistry Calendar) .J.STUDENT TAX RECEIPT REQUESTS .K.CLINIC SUPPLIES AND LOCATION OVERVIEW .L.STUDENT SPECIAL CLINIC ASSIGNMENTS AND ROTATIONS .M.CHILDREN IN CLINIC .1. Who do not have an appointment .2. Minors Treated in Faculty of Dentistry Clinics .Minors at Harbour View and Nelson Whynder Clinics .Permission to allow minors to attend clinics without parental supervision .N.CHILD ABUSE .What is the Law Regarding Child Abuse? .Responsibilities of Faculty Supervisors and Students .What is Child Abuse? .Where to make a report .23333333334353636363737373738383838383939393940
PART 2 - CLINIC - GENERAL .A.ACCESS TO CLINIC SUPPLIES AFTER 4:30 PM DAILY .B.CLINIC ATTENDANCE/ABSENCE .C.CROSS BLOCKING .D.STUDENT CLINIC SUPERVISION .E.STUDENT PATIENT CARE RESPONSIBILITIES UNTIL GRADUATION .F.STUDENT RELATIONSHIPS WITH PATIENTS .G.APPOINTMENT PROCEDURES - DENTAL STUDENTS .4040404142424244PART 3 - GENERAL PATIENT INFORMATION (AXIUM, PATIENT CHARTS ETC.) .A.CLINIC INFORMATION SYSTEM (AXIUM) BOOKINGS/APPOINTMENTS .B.CHARTS .C.PATIENT CHARTS/DOCUMENTATION .D.CONSULTATION RESULTS .E.MEDICAL HISTORY .F.TREATMENT PLANS .G.PATIENT CONSENT TO TREATMENT .4646464646464647PART 4 - CLINICAL PATIENT INFORMATION (REFERRALS, CATEGORIES ETC.) .A.PATIENTS REFERRED TO PRIVATE PRACTICES .Treatment Too Complex .Continuance, Expedition, Correction or Repeat of Treatment .B.PATIENTS REFERRED TO THE DALHOUSIE CLINICS BY PRIVATE PRACTICES .Limited Treatment Patients .Comprehensive Treatment Patients .Implant Maintenance Patients .Orthodontic Maintenance Patients .C.PATIENT CLASSIFICATION - MEDICAL .D.MEDICAL CONSULTATIONS .E.MANAGEMENT OF CHILDREN AT DALHOUSIE DENTAL CLINIC .474747484848484848495050PART 5 - FEE GUIDE POLICIES .A.General Fee Policies .Fees for Dental Treatment Services for Students, Staff Members of Dalhousie University .Endodontic Fees .Laboratory Fees .Denture Fees .Orthodontic Fees .TMD Fees .Restorative Fees .Miscellaneous Fees .Fee Waivers and Refunds/Credits .B.Forms of Payment .C.Delinquent Accounts .DResponsibilities of Students .E.Patients on Social Assistance .F.M.S.I. Claims (Maritime Medical Services Insurance) for Pediatric Patients .G.Third Party Payments .H.Incorrect/Insufficient Address .I.Cancellation Policy /"No Show" Policy .J.Responsibility/Replacement/Repair Information .Range of Services Available .Unsatisfactory Care .Referrals to Dentist Practicing External to the Clinic .Damaged/Broken/Lost Appliances .K.Relative Value Units (RVU’s) 5PART 6 - MEDICAL EMERGENCIES .1. Medical Emergencies During Regular Clinic Hours (Chart) .2. Emergency Response Carts .3. AED's .4. Medical Emergencies After Regular Clinic Hours .56565656573
PART 7 - DENTAL EMERGENCIES .1. Dental Emergency Care During Regular Clinic Hours .2. Emergency Care after regular clinic hours and during clinic closures .After Hours Dental Emergency Coverage (flow chart) .3. Pediatric Dental Emergencies .5757596059PART 8 - SAFETY AND ASEPSIS PROCEDURES .A.CUBICLES - HOUSEKEEPING AND INFECTION CONTROL .B.REMOVAL OF RUBBER DAMS ETC. PRIOR TO PATIENTLEAVING CLINIC AREA .C.MANAGEMENT OF LATEX-SENSITIVE PATIENTS .D.PREVENTION OF INFECTIVE ENDOCARDITIS .E.ANTIBIOTIC PROPHYLAXIS FOR PATIENTS WITH TOTAL JOINTREPLACMENT .F.PRESCRIPTION WRITING AND MEDICATION DISPENSING .G.SEDATION OF PATIENTS .H.NEEDLESTICK, PUNCTURE WOUND POLICY .I.MANAGEMENT OF EXTRACTED TEETH .J.INFLUENZA VACCINATION PROGRAM .K.INFECTION CONTROL CHECKLIST FOR DENTAL CUBICLES .L.INFECTION CONTROL MONITORING .M.MANAGEMENT OF PATIENTS WITH HERPETIC LESIONS .Oral Health Care Workers with Herpetic Whitlow .N.PROCEDURES FOR INSTRUMENT REPROCESSING/STERILIZATION .6161PART 9 - RADIOGRAPHIC POLICIES FOR DALHOUSIE DENTAL CLINIC.A.RADIOLOGY UNIT .B.PRECLINICAL:Radiology Labs - Preclinical Training - Film .Radiology Labs - Preclinical Training - PSP Plates .Preclinical Student Darkroom and Portable Processors for films .Preclinical Endo Typodont Processing .7071616262636666676767686868697071717171PART 10 - DENTAL EQUIPMENT - CARE AND MAINTENANCE . 72PART 11 - OCCUPATIONAL HEALTH POLICIES .A.WHMIS .B.Chemical Spill Instructions .C.Recommended Practices for Potentially Hazardous Materials Instruments and Equipment .D.Eye Protection .E.Scent–Free / Smoke-Free Policy .F.Waste Disposal (includes Chemical and Biomedical Wastes) .G.Minor Injuries/Illness (Faculty, Staff, Students and Building Visitors .PART 12 - PROCESSING LABORATORY ORDERS(DENTAL CLINICAL SCIENCES REQUIREMENTS) .A.PATIENT ACCEPTABILITY .B.OCCLUSAL SPLINTS/BITE PLANES/NIGHT GUARDS .C.FINISHING, RUBBER WHEELING AND POLISHING PFM ANDCAST GOLD RESTORATIONS .D.PROVISIONALS .E.DUAL ARCH IMPRESSION LAB/CLINICAL PROTOCOL .F.CUSTOM TRAY FABRICATION .G.CHECK STEPS FOR PATIENT TREATMENT IN ALL CLINICS .H.FABRICATION OF ORTHODONTIC RETAINERS .I.REPLACEMENT/REPAIR POLICY FOR PROSTHESIS/DEVICES .727272727474747676767777787979798080PART 13 - PROCESSING LABORATORY ORDERS(DENTAL LABORATORY REQUIREMENTS) . 81PART 14 - ORAL PATHOLOGY POLICIES AND PROCEDURES(CONSULTS, BIOPSIES ETC.) . 844
PART 15 - DISPENSARY GUIDELINES . 86PART 16 - NEW CLINICAL AND PRECLINICAL SUPPLIES AND EQUIPMENT . 87SECTION FOUR - SPECIFIC CLINIC SUPPORT UNITS .BUILDING SERVICES UNIT .CLINICAL AFFAIRS OFFICE .Setting up appointments to see Dr. Cleghorn or Dr. Ackles .CLINIC INFORMATION SYSTEMS .CLINICAL SUPPORT (Includes Dental Assistants, Dispensary and Radiology Units) .DENTAL LAB .DENTAL STORES UNIT .IT SUPPORT (HELP DESK) .MEDICAL DEVICE REPROCESSING (MDR) .PATIENT SERVICES UNIT .PRECLINICAL DISPENSARY AND LAB SERVICES .TECHNICAL SERVICES UNIT (Clinic and Lab Equipment/Clinic Operating Systems) .588899090919295969899101106107
IMPORTANT CONTACT INFORMATION(See the Table of Contents for more information)CAMPUS EMERGENCY LINE (Security Services) .First responders are not always familiar with campus facilities, and may require directions andassistance with access, particularly after hours. Therefore, it is recommended that all emergencycalls be directed to the Campus Emergency Line (4109). Security Services will call 9-1-1 andbring the first responders directly to you.(494) 4109OFFICE OF THE DEAN (DENTISTRY) .(494) 2824DENTAL CLINIC - Patient inquiries, appointments, records, accounts .(494) 2101STUDENT VOICE MAIL (DDS3, DDS4, QP1, and DH2)Students have personal extension numbers provided by Patient Services) . (494) 1000plus extension #AFTER HOURS DENTAL EMERGENCIESAnswering Service .(5:00 - 9:00 p.m. only on Monday to Fridays; 9:00 am - 5:00 p.m. weekends and holidays)BUILDING SERVICES .Email - building.dentistry@dal.caINFORMATION TECHNOLOGY SERVICESUniversity Help Desk .Dentistry Help Desk .Email - helpdesk.dentistry@dal.caCLINICAL AFFAIRS .Assistant Dean, Clinics & Building ServicesFax .Email - clinicalaffairs.dentistry@dal.ca(494) 2101(494) 5199(494) 2376(494) 6013(494) 1681(494) 1757IF YOU REQUIRE ANY FURTHER INFORMATION ABOUT EMAILS OR PHONE NUMBERS PLEASE GO TOTHE FACULTY OF DENTISTRY WEBSITE (http://www.dal.ca/faculty/dentistry.html).6
SECTION ONERESPONSIBILITIES, QUALITY ASSURANCE,PATIENT RIGHTS AND PROFESSIONALISM7
CLINIC FEESThe current clinic fees are in the Clinic Information System (axiUm). Students and faculty who have an authorized user nameand password for axiUm can review fees on the Clinic Information System at any time.The clinic fees are evaluated and updated each July to reflect the Nova Scotia fee guide changes for that year.For information about clinic fee policies see Section Three, Part 4 of this manual.MANDATORY CRIMINAL RECORD CHECK AND VULNERABLE SECTOR CHECKStudents in the Dentistry and Dental Hygiene programs are required to attend clinical sessions at outreach clinics in HalifaxRegional School Board elementary schools. Any individual working within the Halifax Regional School Board must submitan up-to-date satisfactory Criminal Record Check and Vulnerable Sector Check directly to the School Board.When are the checks completed?:The Criminal Record Check and Vulnerable Sector Check is valid for one year, and must be completed annually by studentsin DDS2, DDS3, DDS4 and DH2.DDS3, DDS4 and DH2 students must complete both checks no sooner than 3 months, and at least three weeks, before thestart of classes in August.DDS2 students must complete both checks no sooner than 3 months and before March 31st of second year.How to complete a Criminal Record Check and Vulnerable Sector Check:More information and application
- maintain patient charts and chart control procedures - maintain appropriate patient, staff and faculty relations - follow infection control procedures - maintain appropriate cubicle cleanliness and asepsis - maintain Clinic Information System data for assigned patient - communi
Clinic County Clinic Name Clinic Address Clinic City Clinic Zip Participant County Participant Gender Enrollment Status Fax Received Date BLACK HAWK CHRIST, MEREDITH - IAM 1015 S HACKETT RD WATERLOO 50701 BLACK HAWK Female Unreachable 4/21/2014
4,994 Alamosa VA Clinic 24,091 Aurora VA Clinic 1,430 Burlington VA Clinic 17,685 Denver VA Clinic: 63,884 Golden VA Clinic: 2,311 IDES 15,372 Jewell VA Clinic 4,343 La Junta VA Clinic 1,580 Lamar VA Clinic 172,745 PFC Floyd K. Lindstrom VA Clinic 66,385 PFC James Dunn VA Clinic 583,038 Rocky Mountain Regional VA Medical Center 874 Salida VA .
Mayo Clinic - Baldwin Building, Primary Care Internal Medicine x Mayo Clinic - Kasson x Mayo Clinic - Northeast x Mayo Clinic - Northwest x x Mayo Clinic Health System - Adams x Mayo Clinic Health System - Alden x Mayo Clinic Health System - Le Sueur x MNBTE and MNQIPS Rewarded Clinics
houston tx 77055 06 gulf coast clinic/group practice clinic/group practice 14 1,285.68 abilene bone & joint clinic llp-abilene bone and joint clinic llp 1633 cottonwood st abilene tx 79601 02 northwest texas clinic/group practice clinic/group practice 3 101.09 abilene diagnostic clinic pllc
User Persona: Clinic Managers Setup a Clinic Add a Clinic to Account Add Vaccine Inventory to Account Adding Vaccine Supply to a Clinic Setup clinic Schedule Schedule Clinic Hours of Operation Add Vaccine Administrators to a
Audiology Clinic III On-Campus 120 2 Fall CSAD 640C Audiology Clinic IV On-Campus 60 2 Spring CSAD 650C Audiology Clinic V Off-Campus 120 2 Summer CSAD 660C Audiology Clinic VI Off-Campus 120 3 Fall CSAD 670C Audiology Clinic VII Off-Campus 120 3 Spring CSAD 680C Audiology Clinic VIII Off-Campus 120 4 Summer, Fall, Spring
Audiology Clinic II . On-Campus 60 1 Summer CSAD 630C Audiology Clinic III : On-Campus 120 2 Fall CSAD 640C Audiology Clinic IV . On-Campus 60 2 Spring CSAD 650C Audiology Clinic V : Off-Campus 120 2 Summer CSAD 660C Audiology Clinic VI . Off-Campus 120 3 Fall CSAD 670C Audiology Clinic
The affiliate clinic must meet the following conditions pursuant to Section 1218.1 of the Health and Safety (H&S) Code: 1. A clinic corporation, on behalf of a currently licensed PCC, is eligible to apply for an affiliate clinic license to establish a new PCC at an additional site or a mobile clinic [affiliate clinic(s)] provided the licensed .
