What a dental nurse should be able to do. Job description of a nurse in a dental office. General cleaning as the duty of the dental office nurse

Job description nurse dental office [name of organization, company, etc.]

This job description is developed and approved in accordance with the provisions of the Unified qualification handbook positions of managers, specialists and employees, section " Qualification characteristics positions of workers in the field of health care ", approved by the Order of the Ministry of Health and social development RF of July 23, 2010 N 541n, and other regulations governing labor relations.

1. General Provisions

1.1. The dental office nurse is a specialist and reports directly to [name of line manager].

1.2. For the position of a nurse in a dental office, a person with an average professional education in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Nursing", "General practice", "Nursing in dentistry" without any requirements for work experience.

1.3. The dental nurse should know:

The Constitution Russian Federation;

Laws and other regulatory legal acts of the Russian Federation in the field of healthcare;

Theoretical foundations of nursing;

Fundamentals of the treatment and diagnostic process, disease prevention, propaganda healthy way life;

Rules for the operation of medical instruments and equipment;

Statistical indicators characterizing the health status of the population and activities medical organizations;

Rules for the collection, storage and disposal of waste from medical organizations;

Fundamentals of valeology and sanology;

Rules for maintaining accounting records of the office, the main types of medical records;

Medical ethics;

Psychology of professional communication;

Fundamentals of Labor Law;

Internal labor regulations;

Labor protection and fire safety rules.

2. Job responsibilities

Dental office nurse:

2.1. Sterilizes medical instruments, dressings and patient care items.

2.2. Assists in medical and diagnostic procedures and minor operations performed by a doctor.

2.3. Prepares the dentist's workplace before admitting patients.

2.4. Checks the serviceability of the drill and other electrical equipment before starting work.

2.5. He prepares patients for various kinds of research, procedures, operations, for outpatient visits to a dentist.

2.6. Assists the dentist at the appointment in the preparation of filling material.

2.7. Ensures the fulfillment of medical appointments.

2.8. Carries out accounting, storage, use of medicines.

2.9. Keeps personal records, information (computer) database of patients.

2.10. Maintains medical records.

2.11. Conducts sanitary and educational work among patients on the prevention of diseases, promotion of a healthy lifestyle.

2.12. Collects and disposes of medical waste.

2.13. Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antiseptics, the conditions for sterilization of instruments and materials.

2.14. [Other job responsibilities].

3. Rights

The dental office nurse has the right to:

3.1. For all social guarantees provided by law.

3.2. Make suggestions to higher management to improve their work.

3.3. Require the management of the organization to assist in the performance of their professional duties and the exercise of rights.

3.4. Receive information and documents necessary to fulfill their job duties.

3.5. Improve your professional qualifications.

3.6. [Other rights provided for Labor legislation].

4. Responsibility

The dental office nurse is responsible for:

4.1. For non-performance or improper performance their job duties provided for by this job description - within the limits determined by the current labor legislation of the Russian Federation.

4.2. For causing material damage to the employer - within the limits determined by the current labor and civil legislation of the Russian Federation.

4.3. For offenses committed in the course of carrying out their activities - within the limits determined by the current administrative, criminal, civil legislation of the Russian Federation.

The job description is developed in accordance with [name, number and date of the document].

Supervisor structural unit

[initials, surname]

[signature]

[day month Year]

Agreed:

Head of the legal department

[initials, surname]

[signature]

[day month Year]

I have read the instructions:

[initials, surname]

[signature]

[day month Year]

Before the patient enters the office, the dental chair must be returned to its original position. Make sure that you and the dentist know the patient's name, the purpose of the visit, and the time allotted for that patient's appointment.

Check if the dentist has all Required documents on the patient, including medical history, radiographs, if any.
Remind the dentist of the particular characteristics of this patient, for example, whether he has allergic reactions to certain drugs, a predisposition to loss of consciousness, previous illnesses.
Tools that are not needed for the examination and treatment of this patient must be removed.
With a smile, greet the patient by first name and introduce him to the doctor. Take away the things that interfere with the patient and leave them in a specially designated place.
Position the patient comfortably in the dental chair, put on a new disposable bib, change the glass of mouthwash, put on tissues. Patients who will be treated in a horizontal position are provided with protective goggles.
Always remember that your day-to-day work can be stressful for the patient. Therefore, it is necessary to create a friendly atmosphere in the surgery.
During the treatment of the patient, the nurse must ensure a dry working area and a good view.
Hand over the necessary tools and materials to the dentist in a timely manner.
Carefully observe the patient in order to inform the dentist in time about possible complications (fainting, vomiting, etc.).
Before releasing the patient, make sure that there are no traces of treatment materials on his face or clothing.
Repeat the recommendations given by the dentist to the patient, and write them down if necessary.
If materials are available to be taken to the dental laboratory, they should first be disinfected, carefully packaged and ensure that the required paperwork is completed.
The performed medical manipulations are recorded in the daily register of the dentist's work.
The next step is to prepare the dental office for the next patient.
Used instruments must be rinsed and sterilized. The spittoon and work surfaces are washed and disinfected, and the used disposable vacuum cleaner and saliva ejector are replaced with new ones.
New required disposables are being prepared.
The presence of all is checked necessary tools and records for the next patient appointment.

The main duties of a nurse in dentistry are, first of all, preparing the doctor's office before visiting visitors and cleaning it after the patient's procedures. We figure out what else this employee of the clinic is obliged to do.

Dentistry Nursing Job - Responsibilities

According to the existing job descriptions, the main duties of a nurse in dentistry are to participate in the preparation of medical instruments and equipment and the equipment necessary for receiving a patient. The nurse should be responsible for the readiness to work of all the equipment available in the office and monitor the condition of the office in terms of its compliance with sanitary and hygienic requirements. In addition, she will have to show the talent of an organizer, since the duties of a nurse in dentistry also include organizing the work of junior medical staff, technicians for maintenance of equipment and cleaning personnel. The most important responsibility of a nurse is considered to provide the dentist's office with all the necessary medicines and materials. It is also in charge of quality control of the disinfection of working tools and materials used. It is the duty of the dental nurse to be involved in differentiating patient flows, monitoring dates, and organizing patient visits. In addition, the duties of a nurse in dentistry are also charged with the dispersal of dentists in their workplaces, keeping records and taking care of priority appointments in case patients have cases with acute toothache.

Automate the work of dentistry with the Denta program

A modern nurse always takes part in medical and preventive procedures carried out by a doctor. At the same time, she is quite capable of carrying out a number of actions herself. This not only increases the efficiency of the medic, but also speeds it up. When a nurse works in a large clinic or specialized dental unit, her responsibilities may include differentiating and optimally sharing the required responsibilities between everyone. nursing staff... This is usually done by the head nurse.

Responsibilities of a Dental Nurse in Emergencies

All treatment rooms of dentists should be provided with kits of medicines necessary for emergency medical care. They are also the responsibility of the dental nurse. Kits of drugs should be packed in separate boxes with labels on their purpose and use. For example, "To provide emergency care for a heart attack." The kits should include a list of required medications with a specified expiration date, instructions for the action of the medical staff. There is a special List of equipment, medicines and medical kit tools, mandatory for providing assistance in urgent cases, recommended by the Council of the Dental Association of Russia (StAR) dated 09/18/2007 "On measures to ensure the safety of dental services to the population." According to this list, such a first-aid kit must contain:

scissors
nasal, eye pipettes
albucid (20% sodium sulfacyl solution)
bandages and cotton wool
fingertip or latex gloves
5% alcohol solution of iodine
weighed portion of potassium permanganate for 0.05% solution
70% solution ethyl. alcohol
adhesive plasters.

Responsibilities of a nurse in preparing dental units for operation

Regulatory guidelines require a dental nurse to check all dental equipment and devices installed in the office. The check is carried out before the start of medical work, its purpose is to ensure the constant and trouble-free operation of all devices.

List of items that need daily monitoring:

Checking the presence of water and the functioning of the sewage system
Functional check compressor unit and the level of liquids in tanks
Checking the functionality of the doctor's chair, the necessary dental instruments and handpieces.

The duties of a dental nurse are to handle the handles and control panels of instruments and equipment, switches of used devices, dental instruments, the surface of the bowl of the spittoon bowl and chair.

After completing each appointment, the nurse:

Re-disinfects all of the above surfaces
Cleans the bowl of the cuspidor
Replaces tips for saliva ejector and air ejector.

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Dental clinic production control program

Duties of a dental office nurse at the end of the working day

At the end of the working day, the duties of the nurse of the dental office include carrying out a number of manipulations. She:

Cleans the cuspidor bowls and floods the sewer system with a standard cleaning and disinfecting solution
Disconnects power from the chair, compressor, and other equipment that needs it
Turns off the tap with water, which automatically disconnects the unit from water consumption
Bleeds air from the compressor of the unit and its air system
Drain the remaining water from the hydraulic system
Treats surfaces of handles and control panels, device switches, dental instruments, cuspidor bowl and doctor chair
Drains the formed condensate from the compressor receiver
Checks the oil and grease level in the compressor crankcase and handpiece lubrication system
Monitors the condition of the oil level in the hydraulic system
Lubricates all connections available in the equipment - both roller and articulated.

How to care for handpieces

Part of a dental office nurse's job is to lubricate the handpieces every day. To obtain a special lubricant, a quarter of any neutral oil (machine oil, transformer oil, etc.) is mixed with three quarters of heated petroleum jelly (1: 3 ratio) and then cooled. There are professional lubricants produced in aerosols. Turbine handpieces are lubricated through the air inlet and the mechanical parts are lubricated according to the instructions supplied with them. It is the duty of the dental office nurse to double-clean all the outer surfaces of the dental handpieces. Surfaces are treated twice with 1% chloramine solution using two gauze napkins for half an hour.

Responsibilities of a Nurse in Dentistry - Waste Handling

The work of a nurse in dentistry includes the duties of collecting, storing and disposing of biowaste, while she is guided by the standards determined by the Ministry of Health of the Russian Federation, legislation and requirements, SanPiN 2.1.7.2790-10 "Rules for the collection, storage and disposal of waste in medical institutions." However, each clinic, including a dental clinic, develops and approves its own system for the treatment of biowaste of different hazard classes, consistent with the requirements of current standards and regulations. This means that the clinic must have the right number of specialized waste containers and disposable packaging.

Responsible persons are defined in the standards of this system, the frequency of changing waste containers is indicated. The developed scheme for the collection of biowaste, their storage and subsequent liquidation is approved personally by the head physician of the clinic, in addition, such a scheme must be agreed with Rospotrebnadzor.

Sterilization and disinfection process in dentistry

The duties of a nurse in dentistry also include procedures for the disinfection and sterilization of instruments. At the same time, sterilization of the used medical mirrors using high-temperature methods is not allowed, since this is fraught with damage to the mirror plane.

In dentistry, instruments used by doctors and nurses are sterilized using chemicals, using the following drugs and their solutions. Sterilization is also the responsibility of the dental office nurse.

Table 1. Preparations and solutions of preparations for sterilization and their exposure time, the use of which is included in work duty nurses in dentistry.

After the end of the exposure, the mirrors are washed with clean sterile water, wiped dry with napkins and kept in a dry sterile medical tray, covered with a sterile napkin. The light guides for the lamps used in the installation of light-curing fillings are also wiped twice, the wiping interval is 15 minutes. After that, after 45 minutes, they are treated with a 4% solution of Lisetol AF or 70% alcohol. The brush holders, which are used when receiving clinic visitors who need a dental restoration process, are treated in the same way. This disinfection process takes place after each treated patient. Disposable dental brushes are disposed of immediately after disinfection.

Used glasses used for mouthwash keep an hour in a 3% chloramine solution. Then they are washed under drinking water... Disinfectants are replaced with new ones after each next batch of disinfected glasses.

It is the duty of the dental office nurse to use the following for disinfecting glasses:

0.1% of active chlorine Clorsept-17 and Diachlor - 1 hour
4% Lisetol AF - 1 hour
2% Virkon - half an hour.

After each patient, the spittoon bowls are disinfected in a special container - an hourly treatment with bleach or 3% chloramine solution. Possible processing in a 0.4% solution of the drug Septodore-forte and 0.1% solution of the drug Clorsept for active chlorine. The opening of the stationary spittoon bowls is closed, a 10% -20% solution of bleach or a 3% solution of chloramine is poured into them. After that, the cuspidor is closed with oilcloth caps for an hour. Waste from the spittoon is filled with a 10% solution of calcium hypochlorite or 20% solution of chlorine milk of lime for half an hour. Then the waste is thrown into the bin. In addition, nurses disinfect dental canal fillers and used pulp extractors.

Nurses in dentistry are prohibited from taking instruments from the table with their hands if they are sterile! Only with sterilized medical tweezers, and the tweezers should be changed every 2 or 3 hours.

For preventive purposes, the sterile table is covered for 6 hours (1 work shift), while the duty of the nurse of the dental office includes noting the date and time of the table setting. Nurses should pay attention to the need to sterilize unused dental instruments!

General cleaning as the duty of the dental office nurse

Among the work of a nurse in dentistry is the obligation to carry out full general cleaning of the office, while there are no patients in the office. For cleaning, the medical staff uses a special uniform, uses clean cloth or non-woven napkins, equipment specially marked for general cleaning, PPE (personal protective equipment). The walls are wiped with a disinfectant solution (a mixture of detergent and disinfectant) 2 meters from the floor, disinfectants are also applied to doors, walls, furniture, floors and equipment. The concentration of the solution is the same as for standard disinfection. At the end of the disinfection period, the nurse takes off her overalls, washes all surfaces of the office with clean wet napkins, and after that disinfects the air in the office. If, during the cleaning process, the skin becomes contaminated with biofluids, for example, blood, hands will need to be treated with 70% alcohol or another disinfectant.

In the laboratory premises of the dental clinic, the duty of the nurse of the dental office to carry out wet cleaning is carried out both before and after the shift. Every two hours in the rooms where surgeons work, daily cleaning and quartzing should take place. During cleaning, all electrical appliances are turned off.

Even cleaning rags or cleaning brushes are subject to decontamination - this is also the responsibility of a dental nurse in dental clinics.

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1. The role and place of a nurse in dentistry

The nurses of the dental department have the knowledge and skills necessary to work with doctors in all offices of the department. If necessary, they can replace each other at the workplace (surgery, orthopedics). During their work, they play the role of a doctor's assistant, maintain all the necessary documentation, in addition, conduct treatment and prophylactic conversations with patients. They explain how to properly care for the oral cavity, which pastes, rinses, etc. to use.

The main tasks and responsibilities are to organize the work of the cabinet:

Ensure the availability and sterility of the instrument.

Cook workplace doctor to see the patient.

Quickly and clearly deliver the instrument, preparations and materials to the doctor during the appointment.

Help the doctor to carry out diagnostic, preventive and therapeutic actions using auxiliary devices, devices and materials.

Correct execution of documentation (referral to auxiliary offices, contracts, recipes).

Receive instruments, medicines, dressings from the head nurse in a timely manner.

Responsible for the storage of medicines, including groups "A", "B".

Monitor the health of the equipment, in the event of a malfunction, make a request for honey in a timely manner. technique.

Monitor the complete set of the HIV first-aid kit.

Follow the working rules of the clinic

Observe the rules of the sanitary and epidemiological regime:

Comply with restricted areas

Carry out general cleaning according to the schedule 1 time in 30 days

Monitor the availability and timely replenishment of disinfectants in the office and their use according to the technological map

Correctly and thoroughly process and sterilize the instrument in accordance with GOST 42-21-2-28

Keep notebooks of the exposition, accounting for the operation of bactericidal lamps, general cleaning.

12. Provide emergency care in case of emergency.

Emergency care in case of emergency.

The most common complication is fainting.

Taking patients, most often it is necessary to provide emergency care for fainting.

Fainting is an attack of short-term loss of consciousness caused by incoming cerebral ischemia associated with a weakening of cardiac activity.

Algorithm of emergency care for fainting.

The cause of fainting in the treatment room can be:

Fear, panic

The kind of blood. dental nurse syncope diagnostic

Stage of harbingers of fainting:

Increasing weakness, pallor of the skin,

Dizziness,

Nausea,

Tinnitus,

Darkening in the eyes

Unpleasant sensations in the abdomen and heart.

Stage of impaired consciousness:

Complete loss of consciousness

Decrease in blood pressure,

Weak pulse

Narrow pupil

With deep fainting, convulsions, foam at the mouth.

Nurse actions:

The doctor will interrupt the treatment.

Give the patient a horizontal position with the head end lowered or sharply tilt the patient's torso and head down.

Provide free breathing, an influx of fresh air (open a window, door, free from embarrassing clothing).

Stimulate the respiratory and vasomotor centers by inhaling ammonia vapors, rub the temples, perform an acupressure massage of the reflex zones (the distance between the base of the nasal septum and the red border of the upper lip, the center of the chin depression).

With a prolonged course of fainting, measure blood pressure and inject a 10% solution of caffeine - sodium benzoate intramuscularly as prescribed by a doctor.

When recovering from a fainting state with the application of measures to prevent relapse: the treatment should be carried out with sufficient anesthesia in a horizontal position.

2. Compliance with the safety rules of a nurse of a medical dental office in the workplace

Wash hands before and after patient contact.

Treat blood and saliva as potentially infectious and only handle them with gloves.

Treat all biopsies as potentially infectious.

Treat all blood-stained laundry and wipes as potentially infectious.

If the integrity of the skin is broken, then before starting work, they should be covered with an adhesive plaster or smeared with BF glue.

Carry out cleaning with gloves.

Care should be taken when opening ampoules.

Disposable instruments cannot be reused.

Use at workplaces various disposable containers with lids, containers with disinfectants with clear markings.

Before the end of the exposure in disinfectant solution, it is prohibited to develop medical instruments.

Do not store infected material with blood and its components in open containers without disinfectants.

Conclusion

The state of the modern labor market requires nurses to be ready to constantly replenish their knowledge and improve their practical skills and abilities. Success professional activity a graduate of a medical school or college is largely determined by the level of his training, and the secondary education system is designed to raise this level, making the specialist more adapted to the new socio-economic conditions.

Today for medical worker it is not enough to have significant theoretical knowledge, sustainable practical knowledge and skills. A modern specialist must meet the following requirements: developed thinking, the ability to independently solve problems, independently make decisions, quickly adapt to changing living conditions.

In the course of the nursing reform in Russia, a number of problems were revealed. Here are the main ones:

1. the traditionally established idea of the secondary role of a nurse;

2. performance of unskilled labor;

3. great physical and psychological stress;

4. low wages;

5. constant outflow of personnel from practical health care;

6. routine and lack of creativity in the work of a nurse;

7. insufficient scientific approach to the problems of nursing.

Working in the new environment will require special practical and theoretical training to develop a package of nursing documentation: nursing history, patient records, standard nursing care sheets, nursing quality criteria and a mechanism for expert assessment of the quality of nursing care.

A specialist trained in this way will no longer want the knowledge gained to go unnoticed and unclaimed in the team, and the model of a new medical technology has not received due assessment and technical application.

Literature

1. Artelt Kh.M., Fedorov Yu.A. Modern dental materials and their application in medical practice. St. Petersburg, 1996.

2. Crowser D., Chipping D. Control of cross-infection in general dental practice. Moscow, 1994.

3. Magazine "Nursing". LLC Publishing House "Medical Courier".

4. Muravyannikova Zh.G. Diseases of the teeth and oral cavity. "Medicine for You" series. Rostov-on-Don, 2003.

5. Obukhovets T.P., Sklyarova T.A., Chernova O.V. Fundamentals of Nursing. "Medicine for You" series. Rostov-on-Don, 2003.

6. Workshop for nurses: Textbook. / Ed. I.V. Novikova, Sverdlovsk, 1989.

7. Tonkova-Yampolskaya R.V. and other Fundamentals of medical knowledge. M. Enlightenment, 1981.

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What a dental nurse should be able to do. Job description of a nurse in a dental office. General cleaning as the duty of the dental office nurse

1. General Provisions

2. Job responsibilities

3. Rights

4. Responsibility

Dentistry Nursing Job - Responsibilities

Responsibilities of a Dental Nurse in Emergencies

Responsibilities of a nurse in preparing dental units for operation

Duties of a dental office nurse at the end of the working day

How to care for handpieces

Responsibilities of a Nurse in Dentistry - Waste Handling

Sterilization and disinfection process in dentistry

General cleaning as the duty of the dental office nurse

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